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within 24 hours of providing first-a id/M in an incident and shall be administered under the <br /> supervision of a licensed physician Employees may at their own discretion decline the <br />' vaccination, in which case documentation of declination will be completed and employees <br /> may be assigned immediately If an employee covered by this exposure plan decides to <br /> raccept the vaccination at a later date, the vaccination will be offered at that time at no cost to <br /> the employee <br /> 1 . 11.4.2 Post-Exposure Procedures and Evaluation <br /> Subsequent to all reported exposure incidents, a confidential medical evaluation and follow-up <br /> rshall be made available to each employee exposed in the incidents <br /> 11.4.2.1 Documentation Procedures <br /> Documentation of the exposure incident shall be recorded as soon as possible, and include the <br /> route(s) of exposure, the circumstances surrounding the incident, and the identification of the <br /> source individual Additionally, each incident shall be placed on the "first-aid incident list" <br /> attached to the location OSHA Log of Occupational Injuries and Illnesses <br /> 11.4.2.2 Blood Testing <br /> 11.4.2.2.1 Source Individuals <br /> As soon as feasible, the source individual in an exposure incident will be asked to consent to <br /> a blood test to determine HBV and HIV infectivity Where applicable laws require employee <br /> consent, documented consent shall be obtained prior to testing If an employee refuses the <br /> blood test, documentation of the refusal will be made Documentation of the test results shall <br /> ' be made available to the exposed employee(s) All results should be kept confidential, as <br /> criminal and civil penalties may be charged against persons negligently or wilfully releasing <br /> ' such information, depending on local laws <br /> r 11.4.2.2.2 Exposed Employees <br /> Exposed employees will be asked to consent to a blood test for HBV and HIV serological <br /> status If consent to HIV testing is denied, the blood sample will be preserved for 90 days, <br /> ' within such time the employee may elect to consent to the HIV test. <br /> ' MV11-29-94/RMA4ASP/94-0037.JAF 11-6 <br /> r <br />