blood and body fluid exposure report form
Healthcare Personnel Exposure Module
by HP SAFETY The Instructions for Completion of Healthcare. Personnel Safety Monthly Reporting Plan Form includes brief instructions for collection and entry
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EXPOSURE INCIDENT REPORT FORM
How did the exposure incident occur? Please provide an explanation of the routes(s) of exposure and the circumstances under which the exposure incident
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Exposure to Blood/Body Fluids
7a. Percutaneous: Did exposure involve a clean, unused needle or sharp object? □ Y □ N (If No, complete Q8, Q9, Section II and Section V-XI).
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