The procedures and forms will be different for each department.  Below is the set of documents that need to be filled out for each respective department. 

Exposure: Defined as a needle stick or cut with a sharp object, or contact of mucous membrane or non-intact skin with blood, tissue, or other bodily fluids that are potentially infectious (per The Association for Professionals in Infection Control and Epidemiology, http://text.apic.org/toc/infection-prevention-for-occupational-health/occupational-exposure-to-bloodborne-pathogens).


  • Blood Borne - General information about exposures to blood for healthcare workers.

  • Airborne - General information about airbone diseases.

  • Contact - General information about contact diseases.

  • Other - Other type of exposures, including ticks and bedbugs.


Possible Exposures:

  1. Chickenpox

  2. Shingles

  3. Hepatitis A, B, C

  4. HIV

  5. Shingles

  6. Meningitis

  7. Scabies

  8. Bedbugs

  9. Methicillin-resistant Staphylococcus aureus

  10. Ticks

  11. Tuberculosis

  12. Mumps Measles Rubella