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Bloodborne Pathogens

Model Exposure Control Plan for Wisconsin Schools

All Wisconsin school districts are expected to develop and implement an exposure control plan to prevent and minimize employee exposure to blood borne pathogens. This document is a model of such a plan. It includes all of the required elements of an exposure control plan, but it is only a template in a suggested format. The plan can be modified to fit the district's needs.

SAMPLE Model Bloodborne Pathogens Exposure Control Plan

Bloodborne Pathogens Training

Target Audience: School Nurses, Teachers, Paraeducators, Secretaries, Administrators, School First Aid Responders, Other School Staff 

Time Needed to Complete Module: 20 minutes 

This training module may be used by school district personnel for bloodborne pathogen (BBP) training. A district BBP knowledgeable person must be available for staff members to ask questions of during the time that they are taking the training. The school district must also notify the employee of where to find a copy of the district's BBP plan and of any district specific procedure.

Bloodborne Pathogens Online Training Module

Bloodborne Pathogens Online Training Module (Spanish Version)

Resources

Annual Review of Exposure Control Plan

Exposure Task and Procedure Record

Employee Exposure Checklist Sample

Employee Exposure Incident Record Sample

Exposure Incident Investigation Form

Hepatitis B Vaccination Sample Form

Hepatitis B Vaccine Declination Sample Form

Job Classification Exposure Determination

Needle Stick Sharps Injury Log

Physician Written Opinion Sample