Sara Companion Home Care Services

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 I have been informed that I might come in contact with blood, body substances and/or contaminated equipment, linen or waste while performing my job for Sara Companion Services, Inc. Please initial.

 I understand that all blood and body substances, as well as items that are contaminated with blood and body substances should be considered potentially infectious. Please initial.

with the policy

 I understand that the AIDS virus (HIV) and Hepatitis virus (HBV) may be transmitted by contact of blood or body substances of an infected person. Please initial.

 I have been informed of the types of protective equipment and clothing generally appropriate for performing my job and understand the basis for selecting clothing and equipment and where to obtain these items. Initial here.

 I have been informed of the proper procedures for removing, handling, cleaning and disposing of contaminated clothing, equipment, linen, waste and sharps. Initial here.

 I understand the limitations of protective clothing and equipment and that HAND-WASHING is essential for the prevention and control of infection among patients and hospital personnel. Please initial.

 I have been informed of the corrective actions to take in the event of blood or body substance spills. Initial here.

 I understand the appropriate reporting procedure in case of a needle stick, puncture by a contaminated item, or mucus membrane contact with blood or body substances. Initial here.

 I understand that it is my responsibility to report personal illnesses and infections to my supervisor. Initial here.

 I understand that I am responsible for being familiar with the concept and policy of Universal Precautions and that I must comply with this policy at all times. Initial here.

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