Postexposure requirements and counseling issues resulting from the bloodborne pathogens standard

The management of employees during follow up for an occupational exposure for bloodborne pathogens presents clear opportunities and challenges for the occupational health nurse. These include understanding the intent of the OSHA Bloodborne Pathogens Standard, identifying postexposure follow up requirements, counseling workers for pre- and posttest procedures, protecting the confidentiality of medical records and information, and educating both employees and management about bloodborne pathogens and the potential for transmission. Postexposure follow up is also another opportunity for the occupational health nurse to educate employees about health promotion and disease prevention.