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.

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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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