Who is covered: All employees with reasonably anticipated occupational exposure to blood/OPIM. Mirrors federal with explicit HCV in post-exposure source testing.
Evaluation performed by: Licensed physician or other licensed healthcare professional (California licensure scope)
🩺 Baseline / Pre-Placement
Hepatitis B vaccination made available within 10 working days of initial assignment to all employees with occupational exposure — 8 CCR 5193(f)(2)
- Hepatitis B vaccine and full vaccination series MADE AVAILABLE at no cost (unless previously vaccinated, immune by antibody testing, or contraindicated) — 8 CCR 5193(f)(1)
- Performed by or under the supervision of a licensed physician or other licensed healthcare professional, per current USPHS recommendations — 8 CCR 5193(f)(1)/(f)(2)
- No antibody prescreening may be required as a condition of receiving vaccination — 8 CCR 5193(f)(2)
- If the employee declines, a signed Hepatitis B Vaccine Declination statement (Appendix A) — 8 CCR 5193(f)(2)
- If USPHS later recommends routine booster doses, they must be made available — 8 CCR 5193(f)(1)/(f)(2)
Abnormal results & exposure-event protocols
Abnormal Results & Exposure-Event Protocols
- An EXPOSURE INCIDENT (eye, mouth, mucous-membrane, non-intact skin, or parenteral contact with blood/OPIM) 8 CCR 5193(f)(3): Make immediately available a confidential post-exposure medical evaluation and follow-up: document route(s) and circumstances; identify and test the SOURCE individual's blood AS SOON AS FEASIBLE for HBV, HCV, AND HIV (California explicitly names HCV in the source-testing panel); collect and test the EXPOSED employee's blood after consent (sample preserved if HIV testing declined); provide post-exposure prophylaxis when medically indicated; provide counseling and evaluation of reported illnesses. Tests: Documentation of route(s) of exposure and circumstances, Source-individual blood testing for HBV, HCV, and HIV (as soon as feasible) — HCV explicit in California text — 8 CCR 5193(f)(3), Exposed-employee baseline blood collection and testing after consent; sample preserved if HIV testing declined, Post-exposure prophylaxis when medically indicated, Counseling and evaluation of reported illnesses, Information provided to the evaluating healthcare professional (copy of standard, duties, route/circumstances, source results, relevant records)
Reporting Requirements
| Who performs the evaluation | Licensed physician or other licensed healthcare professional — 8 CCR 5193(f). |
|---|---|
| Reported to employer | Employer receives the healthcare professional's WRITTEN OPINION, limited to: (HBV) whether vaccination is indicated and whether the employee has received it; (post-exposure) that the employee was informed of evaluation results and of any medical condition resulting from the exposure that requires further evaluation or treatment. ALL OTHER findings/diagnoses remain confidential and are NOT in the written report — 8 CCR 5193(f)(5). |
| Reported to / for the employee | Employer provides the employee a copy of the healthcare professional's written opinion; post-exposure evaluation results communicated to the employee — 8 CCR 5193(f)(5). |
| Time limits | Employer provides the written opinion to the employee within 15 days of completion of the evaluation — 8 CCR 5193(f)(5). |
| Recordkeeping | Confidential medical records retained for the duration of employment plus 30 years; not disclosed without written consent — 8 CCR 5193(h). |
Medical Removal Protection
No MRP. Vaccination + post-exposure evaluation/follow-up (see abnormal_protocols). No routine periodic schedule.