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Blood and Body Fluid Exposure Report EPINet - uthsc

Blood and Body Fluid Exposure Report EPINet - uthsc 2026

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The document is a Blood and Body Fluid Exposure Report designed for healthcare workers to report incidents of exposure to blood or body fluids. It includes sections for personal information, details of the exposure incident (such as date, time, location, and type of exposure), the job category of the injured worker, and specifics about the body fluids involved. Additionally, it addresses protective measures taken during the incident and inquiries about potential preventive measures. The report also covers costs associated with the incident and whether it meets OSHA or FDA reporting criteria.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your Last Name and First Name at the top of the form. This personal information is crucial for identification.
Fill in the Exposure ID and Facility ID, if applicable. These fields are typically for office use only.
Record the Date and Time of Exposure accurately to ensure proper documentation.
Indicate the Department where the incident occurred and your Home Department. Select from provided options for clarity.
Check one box under 'Where Did the Exposure Occur?' to specify the location of the incident.
Answer whether the source patient was identifiable by checking Yes, No, or Unknown.
Continue filling out sections regarding job category, body fluids involved, exposure details, and circumstances leading to exposure as prompted.

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What should you do if you are exposed to blood and body fluids?

Flush splashes to the nose, mouth, or skin with water. Irrigate eyes with clean water, saline, or sterile irrigants. Report the incident to your supervisor or the person in your practice responsible for managing exposures.

Should you report any blood body fluid exposure incident that you are involved in?

BBFEs include needle stick injuries, cuts with sharp objects or contact of mucous membranes or non-intact skin with blood, tissues or other bodily fluids that are potentially infectious. Immediately report incidents to the Practice Manager or Occupational Safety Officer.

What is the protocol for exposure to blood and body fluids?

The immediate priority is first aid. Wash affected skin or wounds with soap and water. Wash affected mucous membranes with water, and irrigate affected eyes with normal saline or clean water. See 4.2 Immediate care of the exposed person for details.

What is the protocol for blood and bodily fluid exposure?

Exposure incidents should be reported immedi- ately to the employer since they can lead to infec- tion with hepatitis B virus (HBV), hepatitis C virus (HCV), human immunodeficiency virus (), or other bloodborne pathogens.