11 Bloodborne Pathogens Environmental Health and Safety • Affected personnel choosing not to receive Hepatitis B vaccination must complete the Consent or Decline of Vaccination Form. The completed and signed declination form is returned to the Occupational Medicine office (G11 Technical and Administrative Services Facility (TASF), 2408 Pammel Drive ) and filed in the individual’s medical history file. • If affected personnel desire to be tested for Hepatitis B virus antibodies prior to deciding to receive immunization, the testing will be made available at no cost. If an adequate antibody titer is found, the offer of immunization is not required. • It is highly recommended that healthcare workers receive an HBV antibody titer test one to two months after the third and final vaccination dose. This will also be provided at no cost to the employee. If an Exposure Occurs Exposure to bloodborne pathogens can occur when human blood or other PIMs contact the eyes, mouth, other mucous membranes or non-intact skin, or when PIMs enter the body through an injury to the skin, such as a puncture wound with a contaminated object. First Aid If an exposure to human blood or other PIMs occurs or is suspected to have occurred, contaminated broken skin must be washed immediately with soap and water. If mucous membranes are involved, they must be flushed with water immediately for a minimum of 15 minutes. After thorough washing, apply first aid. Medical Evaluation Immediately following washing and application of first aid, a confidential post-exposure medical evaluation must be offered to the exposed individual. Costs of the post-exposure evaluation will be billed to the department in which the exposure occurred. • Iowa State University employees exposed or injured while at work or in the course of employment must seek medical attention at the McFarland Clinic PC, Occupational Medicine Department (1018 Duff Ave, Ames, IA; (515) 239-4496). Supervisors should call the McFarland Clinic Occupational Medicine Department during regular work hours to schedule an appointment for the employee. Any relevant safety information such as a Material or Pathogen Safety Data Sheet (MSDS or PSD) should accompany the employee to the appointment. • The post-exposure medical evaluation will include: ◦ Documentation of the exposure route, the HBV and HIV antibody status of the exposure source individual (if known), and the circumstances under which the exposure occurred.