Adopted: 08/18/1988
Revised: 02/18/2008
523.4 Exhibit 5
School District of Prairie Farm
Information and Training of Employees with Potential Exposure to Blood Borne Pathogens
Date(s) of Training: _____________________________________________________________
Trainer(s) Name and Qualifications: ________________________________________________
Names and Job Titles of All Employees Attending this Training: (Attached)
Agenda and/or Materials Presented to Training Participants Include:
- An accessible copy of the text of the DILHR Standard.
- A general explanation of the epidemiology and symptoms of blood borne diseases.
- An explanation of the modes of transmission of blood borne pathogens.
- An explanation of the exposure control plan and the means by which employees can obtain a copy of the written plan.
- An explanation of the use and limitations of methods that will prevent or reduce exposure: i.e., engineering controls, work practices, and personal protective equipment.
- Information on the types and proper use, location, removal, handling, decontamination, and disposal of personal protective equipment or other contaminated items.
- An explanation of the basis for selection of personal protective equipment.
- Information on the HBV vaccine, its efficacy, safety, method of administration, benefits of the vaccination and provision at no cost to the employees.
- An explanation of the procedure to follow if an exposure incident occurs, the method of reporting, and the medical follow-up that is available.
- Information on the post-exposure evaluation and follow-up that is provided.
- An explanation of the signs, symbols, and color-coding of biohazards.
- A question and answer session between the trainer(s) and employee(s).
- Provisions of a list of contacts with the school districts and the health community that can be resources to the employees if they have questions after training.
Signature of Training Coordinator : _________________________________________________
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