Healthcare Personnel (HCP) Exposure

Healthcare Personnel Safety Component: Healthcare Personnel Exposure Module Protocol – January 2013 [PDF – 433 KB]
Guidelines and procedures monitored in the Healthcare Personnel Safety Component or download the chapters individually:

• Introduction to Healthcare Personnel Safety Component [PDF – 26K]
• Monthly Reporting Plan [PDF – 22K]
• Blood Body Fluid Exposure Options [PDF – 80K]
• Influenza Vaccination Exposure Management Option [PDF – 49K]
• Tables of Instructions (for completing data collection forms) [PDF – 184K]
• Key Terms [PDF – 61K]
• CDC Codes [PDF – 137K]

All Data Collection Forms are Print-only

• Table of Instructions for completing data collection forms – January 2013 [PDF – 200 KB]
• Healthcare Worker Demographic Data – February 2025 (57.204) [PDF – 80 KB]
  • Customizable form [DOCX – 50 KB]
• Exposure to Blood/Body Fluids – February 2025 (57.205) [PDF – 150 KB]
  • Customizable form [DOCX – 80 KB]
• Healthcare Worker Prophylaxis/Treatment BBF Postexposure Prophylaxis (PEP) – February 2025 (57.206) [PDF – 80 KB]
  • Customizable form [DOCX – 80 KB]
• Follow-up Laboratory Testing form – February 2025 (57.207) [PDF – 80 KB]
  • Customizable form [DOCX – 50 KB]
• Healthcare Worker Prophylaxis/Treatment Influenza form – February 2025 (57.210) [PDF – 120 KB]
  • Customizable form [DOCX – 50 KB]
• HPS Component—Annual Facility Survey form – January 2020 (57.200) [PDF – 80 KB]
  • Customizable form [DOCX – 50 KB]