Exposure Management

Potentially Infectious Exposure

Step 1: Watch video - Exposure Management 101 or download PowerPoint

Step 2: Print and follow the steps: Exposure Response Outline

Step 3: Contact your Primary Agency. Agency Assignment List 

Provide your name and two call-back numbers. You should receive a call back from the Infection Control Liaison (ICL) within 15 minutes. If no call is received after 15 minutes, call them back.

Step 4: Complete the KCEMS Exposure Worksheet  (tip: read the back)

Step 5: Review exposure with the ICL. State Exposure Management Document

Step 6: If there is a reasonable risk of exposure, you will be asked to complete some additional paperwork . Fax the completed Exposure Worksheet and the appropriate PA form to the ICL. 

If the source patient went to jail use:

 

Exposure Worksheet -      KCEMS EXPOSURE WORKSHEET (E).docx

State Form -                      PA-57 Dch-1169(E).doc

Reference Statute -           PA 57 MCL 333.5204.pdf


If the source patient went to the hospital, the morgue, a funeral home or was not transported use:

Exposure Worksheet -         KCEMS EXPOSURE WORKSHEET (E).docx

State Form -                         PA-419 Dch-1179(E).doc   

Referenced Statute -            PA 419 MCL 333.20191.pdf

 

Step 7:  The ICL will utilize some additional guides to provide proper notifications and to send documents where they need to go. You should receive a call back from the hospital within 1 hour, if the patient went to the hospital. If they went elsewhere (jail, no-transport, funeral home, etc. it will likely take longer than 1 hour) If you are an ICL and need the secure forms, click here to log in.

 

Educational Calendar

Educational Calendar

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