Patient Safety Tool: CDC Form for Employee Exposure to Blood/Body Fluids

The Centers for Disease Control and Prevention offers a sample form designed to allow internal reporting of employee exposure to blood and bodily fluids.

The CDC's National Healthcare Safety Network provides forms which can be used for routine data collection within individual facilities. This particular form addresses several questions pertaining to a recent event during which a healthcare employee may have been exposed to blood or bodily fluids.

Download the form for employee exposure to blood/body fluids for use in your facility.

Note: View our database providing reports that link to free, downloadable and adaptable tools for use in hospitals, surgery centers and other organizations by clicking here.

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