The following guidelines provide for the Corporation's compliance with Federal regulations for protecting staff members against exposure to blood pathogens and other infectious materials which can cause Hepatitis B and/or HIV viruses.
A. Exposure Determination
Staff members in the following job classifications have responsibilities for which they could reasonably anticipate exposure to blood and other potentially-infectious materials:
1. school nurses
3. special education teachers and instructional assistants who work with students who are prone to biting, scratching, and other such actions that can cause bleeding or exposure to saliva and other body fluids
4. teachers in vocational/technical education whose students work with equipment that can cause cuts or other injuries that produce bleeding
5. members of a school staff who have been designated to provide first aid when and if necessary
Each of the staff members in the above-named categories shall be offered free vaccination with the Hepatitis B vaccine after training and within ten (10) days after reporting for duty at the start of the school year or when employed.
The staff member will receive orientation and vaccination from a school nurse.
A plan should be developed to identify the likely situations where staff members could be exposed, to describe how such situations can be minimized, and the ways in which exposure will be managed. Administrative Guideline 8453 provides a set of procedures for the proper handling of bodily fluids. Each of the staff members in the "at-risk" categories identified above are to be trained in these procedures when employed and at the beginning of each school year. The instructor is to be someone knowledgeable about blood-borne pathogens and other potentially-infectious materials, how they may be transmitted in a school setting, vaccinations, and the precautionary procedures.
D. Post-Exposure Evaluation and Follow-up
Whenever a staff member has contact with blood or other potentially-infectious material, s/he shall immediately contact the Personnel Department. The Corporation shall offer the staff member a confidential medical evaluation by the school corporation physician.
The parents of the student who caused the exposure are to be contacted promptly to obtain permission for the testing of the student's blood for Hepatitis B and HIV viruses either in cooperation with their physician or by the school corporation physician.
The exposed staff member is to be informed of the test results, if available, with the parents consent and of the Federal and State laws concerning confidentiality.
The staff member's blood should then be tested with his/her consent. The staff member shall also receive post-exposure treatment, if so indicated by the Public Health Service or treating physician.
The healthcare professional conducting the medical evaluation is to be provided:
1. a copy of the Federal regulations concerning the Exposure Control Plan;
2. a copy of the staff member's job responsibilities vis-a-vis the exposure;
3. the results of the student's blood test, if available;
4. a copy of the staff member's medical records.
The health care professional shall, within five (5) days after the evaluation provide the Corporation with a written opinion containing:
1. a possible recommendation for Hepatitis B vaccination, if the staff member has not already been vaccinated;
2. confirmation that the staff member has been adequately informed of the evaluation results and any further evaluation or treatment deemed necessary.
The staff member is to be given a copy of the written opinion within fifteen (15) days after receipt by the Corporation. The original opinion is to be filed in the staff member's confidential medical file.
E. Medical and Training Records
Medical records of the staff members must identify them by name and social security number and include any and all results of the status to Hepatitis B, examinations, testing, follow-up care, and written opinions. All such information shall be kept in the staff member's confidential files (Administrative Guideline 8320) and retained for the period of their employment plus thirty (30) years.
Training records must include the dates and content of the training, the name and qualifications of the instructors, and the names and job titles of the staff members. Each staff member's training record shall be kept in his/her personnel file for three (3) years after the training date.
29 CFR 1910.1030