If the required controls are in place and the standard is correctly implemented, then exposure incidents will be relatively uncommon events. Note: The standard is designed to prevent occupational exposure to blood or OPIM. The licensed health care professional also will evaluate any reported illness to determine if the symptoms may be related to Human Immunodeficiency Virus (HIV) or Hepatitis B Virus (HBV) infection. He or she will prescribe appropriate follow-up in accordance with current U.S. The health care professional will counsel the individual about what happened and how to prevent further spread of any potential infection. This means a person who is licensed under the laws of the state where he/she practices to independently provide the post-exposure evaluation and follow-up services required by the standard. The dental employer must refer the exposed employee to a licensed health care professional. (For example, a puncture from a contaminated sharp such as an injection needle or a cut from a scalpel blade or suture needle.) Saliva in dental procedures is treated as OPIM. An exposure incident is any eye, mouth, mucous membrane, non-intact skin, or other parenteral contact with blood or other potentially infectious material (OPIM). OSHA's final rule for Occupational Exposure to Bloodborne Pathogens requires the dental employer to make immediately available confidential medical evaluation and follow-up to an employee reporting an exposure incident.
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