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6. The public health nurse notifies the blood barjU nursing office of the test results and recommends follow-up procedure. I 7. The public health dept's telephone no. is 468-3841. It is open from 8:00 to 9:00 AM for employee vaccina- tion. 8. The nurse to contact at public health is Ann Enehiser, RN. Telephone 468-3830. 9. Record all information on form "Hepatitis B vaccine". 10. Place the completed record in the employee's personnel file. POST -EXPOSURE MANAGEMENT Exposures must be reported immediately after occurrence, to the employee's supervisor. Evaluation and appropriate interventions such as prophylaxis against hepatitis B infec- tion must be initiated promptly to be effective. After an exposure, the following information will be collected on the "Percutaneous Exposure Report", then placed in the employee's personnel record. 1. Date and time • :• 2. Job duty being performed by worker at time of ex- posure. 3. Details • •• including • • fluid, type of fluid or material, and severity of exposure (eg, for a percutaneous exposure, depth of injury and whether fluid was injected; for a skin or mucous mem- brane exposure, the extent and duration of contact and the condition of the skin, eg, chapped, abraded, intact) 4. Description of source of exposure, including donor number and, if known, whether the source material con- tained HIV • HBV 5. Details about counseling, postexposure management, and follow-up • g.3A0F0iVVJ= I 9NY4:VW11 � I ion V; I AW4010 W"20 4 � I VMS 411111.1 my, t114M:V_M:J *10 oxely:4 0� After occupational exposure, both the exposed employee and the source individual should be evaluated to determine the possible need for the exposed person to receive prophylaxis against hepatitis B according to CDC recommenda- tions. BIOSAFETY - HBVVAC - 0491 - PAGE 3