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IR FIVES'TAR A QUALITY CARE,INC. • Protective equipment or clothing that was used at the time of the exposure incident, • Location of the incident, • Procedure being performed when the incident occurred, and • Employee's training. 15. A Sharps Injury Log must be maintained for the recording of percutaneous injuries from contaminated sharps. The log shall contain, at a minimum, the type and brand of device involved in the incident, work area where the exposure incident occurred and an explanation of how the incident occurred. The information contained on the log must be maintained in a manner that protects the privacy of the injured employee. The Infection Prevention Committee will review the logs to evaluate the risk and device effectiveness. 16. The Infection Prevention Committee uses the investigation of the exposure incident and the Sharps Injury Log review to identify/correct problems to prevent similar incidents from recurring. 4.0 DOCUMENTATION 1. An exposure incident is reported on Part A, Occupational Exposure Incident Report. 2. Evaluation of the incident is recorded on Part B, Post-Exposure Incident Evaluation. 3. Obtain source's permission for testing on Source Individual's Consent or Declination to HIV/HBV Testing (Briggs). 4. Information pertinent to the employee's medical evaluation is recorded on Information to Health Care Provider (Briggs). 5. The results of the post-exposure medical evaluation are provided to the employee on Health Care Professional's Written Opinion (Briggs). 6. Complete the Sharps Injury Log and forward to the Safety Committee. The designated Safety Committee Chairperson shall maintain the Sharps Injury Log in a separate file. 5.0 RELATED COMPANY GUIDELINES • OSHA Record-keeping Manual • Safety Committee Guidelines 3/14/01 CL-IP-3051 Post-Exposure Evaluation Page 4 of 4