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  • Exposure Prone Procedure Declaration Form

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(mIU/ml): Year 5 Date of HBsAg test: HBsAg level (mIU/ml): continued over page / / / / / / / / / / Doctor initials Doctor initials Doctor initials Doctor initials Doctor initials EPPDF V1.5 160713. Approved Document No:20090002606 Date of HBsAb test: HBsAb level (mIU/ml): Year 1 Date of HBsAg test: HBsAg level (mIU/ml): 1 PART B HIV & hepatitis C (HCV) PART C Student Declaration 5. Do you know yourself to be infected with HIV or HCV? 6. Yes In accordance with Uni.

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How to fill out the Exposure Prone Procedure Declaration Form online

Filling out the Exposure Prone Procedure Declaration Form is an essential step for students enrolled in medicine and health-related programs. This guide provides detailed instructions on how to complete the form accurately and efficiently online.

Follow the steps to complete the Exposure Prone Procedure Declaration Form.

  1. Press the ‘Get Form’ button to obtain the Exposure Prone Procedure Declaration Form and open it in your preferred digital editor.
  2. Begin by completing Part A which focuses on Hepatitis B. Answer the questions related to your vaccination status and ensure you provide the required information accurately.
  3. Proceed to Part B to address questions related to HIV and hepatitis C. If you are aware of any infections, please follow the instructions provided.
  4. In Part C, provide your declaration, including your name, student number, date of birth, signature, and the date you are signing the form.
  5. Complete Part D, which must be filled out by your doctor or registered nurse. They will provide their details and confirm your health status.
  6. Review all sections of the form to ensure that all questions are answered completely and accurately before submission.
  7. Once completed, save any changes you made to the form, and consider downloading or printing a copy for your records. Share the completed form with the appropriate placement staff member at your School.

Complete your Exposure Prone Procedure Declaration Form online today to ensure compliance with your program requirements.

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What is EPP Clearance? A series of blood tests are required including HIV, Hepatitis C and Hepatitis B. More information regarding these tests are given on commencing your studies. Blood Test Results for EPP clearance.

EPPs are those procedures where there is potential for contact between the skin (usually finger or thumb) of the HCW and sharp surgical instruments, needles or sharp tissues (splinters or pieces of bone or teeth) in body cavities or in poorly visualised or confined body sites (including the mouth).

Midwives are involved with some exposure prone procedures when attending labour and birth. EPPs include procedures where the worker's gloved hands may be in. contact with sharp instruments, needle tips or sharp tissues inside.

Emergency Medicine. EPPs are those procedures where the worker's gloved hands may be in contact with sharp instruments, needle tips or sharp tissues (e.g. bone or teeth) inside a patient's open body cavity or wound, where the hands or fingertips may not be completely visible at all times.

Exposure-prone procedures ( EPP s) are those where there is a risk that injury to the worker may result in exposure of the patient's open tissues to the blood of the worker.

What are exposure prone procedures (EPPs)? EPPs are procedures where there is a risk of injury to the healthcare worker resulting in exposure of the patient's open tissue to the blood of the healthcare worker.

The occupational health department is responsible for taking the blood sample and photographic identity validation will be required. Healthcare workers who apply for a post or training which may involve EPP's and who decline to be tested for HIV, hepatitis B and hepatitis C should not be cleared to perform EPP's.

The Department of Health defines Exposure Prone Procedures (EPPs) as 'invasive procedures where there is a risk that injury to the worker may result in the exposure of the patient's open tissues to the blood of the worker.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232