Healthcare Worker Exposure Follow-Up Checklist
Comprehensive healthcare worker exposure follow-up including bloodborne pathogen exposure assessment, post-exposure prophylaxis, and surveillance.
- Industry: Healthcare
- Frequency: Per exposure incident
- Estimated Time: 30-60 minutes
- Role: Employee Health/Infection Control
- Total Items: 30
- Compliance: OSHA Bloodborne Pathogen Standard, CDC PEP Guidelines, Hospital Employee Health Policy
Immediate Care
First aid measures
- Wound/exposure site washed?
- Mucous membranes flushed (if applicable)?
- Supervisor notified?
Exposure Assessment
Risk evaluation
- Source patient identified?
- Source patient testing ordered/obtained?
- Exposure severity assessed?
- Risk of transmission determined?
Employee Evaluation
Employee assessment
- Baseline labs drawn?
- Hepatitis B immune status checked?
- Medical evaluation completed?
Post-Exposure Prophylaxis
PEP administration
- PEP indicated?
- PEP offered and discussed?
- PEP initiated within 72 hours (if indicated)?
Follow-Up Plan
Surveillance plan
- Follow-up testing scheduled?
- Counseling provided?
- OSHA log documentation complete?
Pre-Assessment Information
Initial assessment documentation and patient/facility identification
- Assessor Name / Credentials
- Assessment Date
- Department / Unit
- Assessment Type (Routine/Annual/Complaint)
- Previous assessment findings reviewed?
Infection Prevention & Control
Verify infection control practices per CDC and Joint Commission standards
- Hand hygiene compliance observed?
- Appropriate PPE available and properly used?
- Isolation precautions properly implemented?
- Sharps containers available and not overfilled?
- High-touch surfaces properly disinfected?
Patient Safety & Identification
Verify patient safety protocols and identification procedures
- Two patient identifiers used before procedures?
- Fall risk assessment completed?
- Call light within patient reach?
- Bed in lowest position with brakes locked?
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Why Use This Healthcare Worker Exposure Follow-Up Checklist?
This healthcare worker exposure follow-up checklist helps healthcare teams maintain compliance and operational excellence. Designed for employee health/infection control professionals, this checklist covers 30 critical inspection points across 8 sections. Recommended frequency: per exposure incident.
Ensures compliance with OSHA Bloodborne Pathogen Standard, CDC PEP Guidelines, Hospital Employee Health Policy. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Healthcare Worker Exposure Follow-Up Checklist cover?
This checklist covers 30 inspection items across 8 sections: Immediate Care, Exposure Assessment, Employee Evaluation, Post-Exposure Prophylaxis, Follow-Up Plan, Pre-Assessment Information, Infection Prevention & Control, Patient Safety & Identification. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed per exposure incident. Each completion takes approximately 30-60 minutes.
Who should use this Healthcare Worker Exposure Follow-Up Checklist?
This checklist is designed for Employee Health/Infection Control professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.