• Have immediate supervisor call in a “First Notice of Loss” to CorVel (Montgomery County claims reporting program) at 1-888-606-2562.
• Contact appropriate staff to clean up blood spills using universal precautions and a bloodborne pathogens clean-up kit.
• Have appropriate staff dispose of blood-contaminated waste in the red biohazard box located in the school health room. 
• When the red biohazard box is full, have the school health nurse contact Biomedical Waste Services, Inc. at 1-800-660-6581 for waste disposal pick-up and a replacement biohazard box, red bag, and lid.
• Have the employee contact the MCPS-contracted clinic listed below (within 24 hours) to receive a post-exposure medical evaluation and follow-up interview.
• tru HealthNow (formerly Medical Access), 12321 Middlebrook Road, Germantown, Maryland 20874, 301-428-1070
• Have the employee complete MCPS Form 230-33: Bloodborne Pathogens Post-Exposure Report, as soon as possible.  The form should be provided to the examining physician.  Additional copies must be provided, within five days of the incident, to the Employee and Retiree Service Center (ERSC) and Systemwide Safety Programs.  The employee must also provide the examining physician MCPS Form 230-34: Health Care Professional's Written Opinion Form, which must be sent to Systemwide Safety Programs by the physician. 

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• Ensure that each hand sink is supplied with dispensed soap and disposable paper towels.
• Alcohol-based (at least 60% ethanol or at least 70% isopropanol) hand sanitizer should be provided where water is not available.  Hand sanitizer should not be used instead of handwashing when hands are visibly dirty, greasy, or sticky.
• Wet hands thoroughly with running water.
• Dispense soap into wet hands; bar soap may be used if dispensed soap is unavailable.
• Lather soap by vigorously rubbing hands together for at least 20 seconds, paying particular attention to the backs of the hands, nails, cuticles, spaces between the fingers, and under jewelry.
• Wash hands above the wrist level.
• Rinse hands thoroughly.
• Dry hands using a disposable paper towel; avoid the use of common towels.
• Use the paper towel to turn off the water.
• Dispose of the paper towel in a waste receptacle.

When washing your hands, you can use any hand soap with clean water.  Antibacterial soap is not needed, and any temperature water is okay.  Hot water is not needed or recommended because it can cause excessive hand dryness.  To wash your hands: 

• Step 1: Wet hands thoroughly with clean, running water. 
• Step 2: Dispense soap into your wet hands.  If you are using a bar of soap, do not share that soap with others.
• Step 3: Lather up the soap by vigorously rubbing your hands together for at least 20 seconds, paying particular attention to the backs of the hands, fingertips, under the nails, cuticles, spaces between the fingers, and under jewelry.  Make sure you wash above the wrist level and also include your thumbs.  It is important to wash your hands for at least 20 seconds to ensure you thoroughly clean all surfaces of your hands.  Try humming the 'Happy Birthday' song twice while you wash your hands to make sure it takes at least 20 seconds. 
• Step 4: Rinse your hands thoroughly with clean, running water. 
• Step 5: Dry your hands using a disposable paper towel.  You may use the paper towel to turn off the faucet, but this is not necessary.  Avoid the use of shared towels.    

• Wear disposable nitrile gloves, face mask and goggles or face shield. Wear additional PPE, as needed, to prevent exposure.
• Wipe the surface with a paper towel. Disinfect the surface with a germicidal solution. A 10% bleach solution (1 part bleach, 9 parts water), properly-diluted Virex II 256 disinfectant cleaner, or properly-diluted 3M #5L Quat disinfectant cleaner is adequate when manufacturer's directions are followed.
• For large quantities of contamination, cover with an absorbent material (such as paper towels) and then pour (do not spray) disinfectant solution onto saturate the area.
• Allow the disinfectant to soak for the manufacturer-recommended contact time to effectively kill infectious agents. Re-apply solution, if needed, to keep the surface wet for the full contact time. Contact times are:
• 10 minutes for bleach (use bleach solution within 24 hours)
• 10 minutes for Virex II 256 and 3M #5L Quat
• Keep unauthorized people away from the contaminated area.
• Use tools, such as disposable scoops from a bloodborne pathogen spill kit, as much as possible to handle materials instead of gloved hands. Disposable tools should be discarded and reusable tools should be cleaned and disinfected using the provided procedure for cleaning objects.
• Wash the area using a general-purpose cleaning agent, if necessary. Rinse with clean water.
• Dispose of contaminated materials and disposable PPE in a lined waste container. Clean and disinfect reusable PPE and tools.
• Draw the plastic liner out of the waste container, tie, and immediately dispose of using exposure control procedures (dispose of visibly contaminated waste in the cardboard biohazard box located in the school health room).
• Wash hands thoroughly using the provided hand-washing procedures.

• Wear disposable nitrile gloves, face mask and goggles or face shield. Wear additional PPE, as needed, to prevent exposure.
• Discard contaminated objects that cannot be cleaned (such as porous materials that cannot be laundered) in the cardboard biohazard box located in the school health room.
• Wash using a general-purpose cleaning agent. Use paper towels to wipe, as needed.
• Disinfect with a germicidal solution. A 10% bleach solution (1 part bleach, 9 parts water), properly-diluted Virex II 256 disinfectant cleaner, or properly-diluted 3M #5L Quat disinfectant cleaner is adequate when manufacturer's directions are followed.
• To effectively kill infectious agents, allow the disinfectant to soak for the manufacturer-recommended contact time. Re-apply solution, if needed, to keep the surface wet for the full contact time. Contact times are:
• 10 minutes for bleach (use bleach solution within 24 hours)
• 10 minutes for Virex II 256 and 3M #5L Quat
• Keep the objects away from unauthorized people while cleaning and disinfecting.
• Objects that might be placed in a person's mouth of have prolonged contact with skin or other exposed body surface should be rinsed thoroughly with clean water after disinfection.
• Dispose of contaminated materials and disposable PPE in a lined waste container. Clean and disinfect reusable PPE and tools.
• Draw the plastic liner out of the waste container, tie, and immediately dispose of using exposure control procedures (dispose of visibly contaminated waste in the cardboard biohazard box located in the school health room).
• Wash hands thoroughly using the provided hand-washing procedures.

• Ensure exposed individuals receive first aid, if needed. Request assistance from health room staff or call 911, as needed.
• Wear disposable nitrile gloves, face mask and goggles or face shield. Wear additional PPE, as needed, to prevent exposure.
• Use a paper towel to wipe material from exposed skin, paying particular attention to the face. Allow person to rinse mouth, nose, and eyes with running water, if feasible. Place soiled towels in a lined waste container.
• If feasible, remove soiled clothing and place in a plastic bag for laundering at a later time. Assist in the cleansing of the affected body area. Put on clean clothing and/or notify parent or guardian. Soiled clothing should be laundered separately from the rest of the laundry. Use hot water and a cup of bleach in each load.
• Do not apply disinfectant solution to body surfaces. Request assistance from health room staff or medical personnel, as needed.
• Dispose of contaminated materials and disposable PPE in a lined waste container. Clean and disinfect reusable PPE and tools.
• Pull the liner from the waste container, tie, and immediately discard using exposure control procedures. Dispose of visibly contaminated waste in the cardboard biohazard box located in the school health room.
• Wash hands thoroughly using the provided hand-washing procedures.
• For assistance with runny nose, coughing, and/or drooling, provide facial tissues and discard in a plastic-lined trash can. Wash hands after procedure is finished.