This tool was developed to assist hospitals in collecting data about BBP exposure incidents and to standardize data collection. It is in MSWord and it can be tailored to fit the needs of the facility. MDPH does not require that this form be used to collect information, but many hospitals have found it to be useful. A subset of the data collected on this form for sharps injuries is submitted to MDPH each year using the Annual Summary of Sharps Injuries.
MA Dept of Public Health: Annual Summary of Sharps Injuries
Objective B: Determine if exposure control plan or other resource is actively used to prevent occupational exposures
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