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APPENDIX F: OSHA - Continued <br />H. Reusable Equipment: <br />Standard sterilization and disinfection procedures currently <br />recommended for hepatitis B in a variety of health care <br />settings are adequate to sterilize or disinfect instruments, <br />devices, or other items contaminated with body fluids. A <br />recommended source of information is the CDC°s Guidelines for <br />Hospital Environmental Control: Cleaning, Disinfection and <br />Sterilization of Hospital Equipment. <br />I. Bagging of Articles: <br />Objects that are contaminated with potentially infectious <br />materials shall be placed in an impervious bag. If outside <br />contamination of the bag is likely, a second bag shall be <br />added. <br />J. Handwashing: <br />After removing gloves, hands or other skin surfaces shall be <br />washed thoroughly and immediately after contact with body <br />fluids. <br />K. Follow-up Procedures After Possible Exposure to HIV or HBV: <br />1. If a health care worker has a percutaneous (needlestick or <br />cut) or mucosa membrane (splash to eye, nasal mucosa, or <br />mouth) exposure to body fluids or has a cutaneous exposure <br />to blood when the worker's skin is chapped, abraded, or <br />otherwise non -intact, the source resident shall be informed <br />of the incident and tested for HIV and HBV after consent is <br />obtained. <br />2. Follow up procedures shall be taken for health care workers <br />exposed or potentially exposed to HBV. The types of <br />procedures depends on the immunization status of the worker <br />(i.e., whether HBV vaccination has been received and <br />antibody response is adequate) and the HBV serologic status <br />of the source patient. <br />3. If an employee refuses to submit to the above procedures <br />when such procedures are medically indicated, no adverse <br />action can be taken on that ground alone since the <br />procedures are designed for the benefit of the exposed <br />employee. <br />-222- <br />