HSE HUB › Question of the Day archive › 6 November 2026
CSP practice question: Bloodborne pathogens: post-exposure evaluation and follow-up
Question of the Day for Friday, 6 November 2026
CSP · Occupational Health and Applied Science
A custodian at a clinic is stuck by a used needle protruding from an overfilled sharps container. The source patient is known and still on site. The custodian declined hepatitis B vaccination when he was hired. The clinic manager proposes first-aid cleansing, a note in the file, and a referral to the custodian's own doctor 'if symptoms appear'. Under 29 CFR 1910.1030(f), what must the employer do?
Explanation
Paragraph (f)(3) requires the employer, after an exposure incident is reported, to make a confidential medical evaluation and follow-up immediately available, including documentation of the route and circumstances, identification and testing of the source individual's blood as soon as feasible after consent, testing of the employee's blood with consent, prophylaxis when medically indicated, counseling and evaluation of reported illnesses. Paragraph (f)(1)(ii) requires all of it at no cost to the employee, and the earlier declination does not remove the post-exposure duty. Option C misstates the rule, which ties source testing to consent where the law requires it and makes the source results available to the exposed employee whatever they show. Option B waits for symptoms, when post-exposure prophylaxis depends on prompt evaluation. Source: 29 CFR 1910.1030(f)(1)(ii) and (f)(3), eCFR current text.Practise more questions like this
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