Stanford University

Healthcare Workers Exposures Assessment Questionnaire

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Last updated: September 26, 2017

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This questionnaire is to help Stanford University Principal Investigators and other supervisors in determining if healthcare workers under their supervision (including university-affiliated postdoctoral scholars) need respiratory protection against Airborne Infectious Diseases (AirIDs) and/or need safety training and medical surveillance for other hazards associated with their assigned healthcare activities.

AirIDs
Healthcare workers determined to need respiratory protection will be included in the Stanford University Respiratory Protection Program per Cal/OSHA (Occupational Safety and Health Administration) requirements [Title 8, CA Code of Regulations, Sections 51445199].

Blood or Other Potentially Infectious Materials (OPIM)
Healthcare workers determined to have or potentially have contact with blood or other potentially infectious materials (OPIM) will participate in medical surveillance per Cal/OSHA requirements [Title 8, CA Code of Regulations, Section 5193].

Hazardous Drugs
Healthcare workers determined to have or potentially have contact with hazardous drugs shall receive job-specific training on the hazards of these drugs and how to reduce risk of exposure [Title 8, CA Code of Regulations, Section 5194] as well as participate in medical surveillance as recommended by Federal OSHA.

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