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TITLE 4

MUNICIPAL PERSONNEL

CHAPTER

1.  SOCIAL SECURITY FOR OFFICERS AND EMPLOYEES.

2.  PERSONNEL SYSTEM.

3.  OCCUPATIONAL SAFETY AND HEALTH PROGRAM.

4.  INFECTIOUS DISEASE CONTROL POLICY.

5.  TRAVEL REIMBURSEMENT REGULATIONS.

6.  DEFENSE AND INDEMNIFICATION OF TOWN OFFICIALS AND

            EMPLOYEES.

CHAPTER 1

SOCIAL SECURITY FOR OFFICERS AND EMPLOYEES

SECTION

4‑101.  Policy and purpose as to coverage.

4‑102.  Necessary agreements to be executed.

4‑103.  Withholdings from salaries or wages.

4‑104.  Appropriations for employer's contributions.

4‑105.  Records to be kept and reports made.

 

          4‑101.  Policy and purpose as to coverage.  It is hereby declared to be a policy and a purpose of the Town of Eagleville to provide for all eligible employees and officials of the town, whether employed in connection with a governmental or proprietary function, the benefits of the system of federal old age and survivors insurance.  In pursuance of said policy, and for that purpose, the town shall take such action as may be required by applicable state and federal laws or regulations.  

 

          4‑102.  Necessary agreements to be executed.  The mayor is hereby authorized and directed to execute all the necessary agreements and amendments thereto with the state executive director of old age insurance, as agent or agency, to secure coverage of employees and officials as provided in the preceding section. 

 

          4‑103.  Withholdings from salaries or wages.  Withhold­ings from the salaries or wages of employees and officials for the purpose provided in the first section of this chapter are hereby authorized to be made in the amounts and at such times as may be required by applicable state or federal laws or regulations, and shall be paid over to the state or federal agency designated by said laws or regulations. 

 


          4‑104.  Appropriations for employer's contributions.  There shall be appropriated from available funds such amounts at such times as may be required by applicable state or federal laws or regulations for employer's contributions, and the same shall be paid over to the state or federal agency designated by said laws or regulations. 

 

          4‑105.  Records to be kept and reports made.  The recorder shall keep such records and make such reports as may be required by applicable state and federal laws or regulations. 

 

CHAPTER 2

PERSONNEL SYSTEM

SECTION

4‑201.  Purpose. 

4‑202.  Coverage. 

4‑203.  Administration.

4‑204.  Personnel rules and regulations.

4‑205.  Records.

4‑206.  Right to contract for special services.

4‑207.  Discrimination.

4‑208.  Amendments.

 

          4‑201.   Purpose.  The purpose of this chapter is to establish a system of personnel administration in the Town of Eagleville that is based on merit and fitness.  The system shall provide a means to select, develop, and maintain an effective municipal work force through the impartial application of sound management and personnel principals free of personal and political considerations and without regard of race, sex, age, creed, national origin or disability.

 

          4‑202.   Coverage.  All offices and positions of the municipal government are divided into the classified service and the exempt service.  The classified service shall include all regular full‑time positions in the town's service unless specifically placed in the exempt service.  All offices and positions of the municipal government placed in the exempt service are as follows:

            (1)       Members of appointed boards and commissions;

            (2)       Consultants, advisers, and legal counsel rendering temporary professional service;

            (3)       Independent contractors;

            (4)       Persons employed by the municipality for not more than three (3) months during a fiscal year;

            (5)       Part‑time employees paid by the hour or by the day, and not considered regular;

            (6)       Volunteer personnel appointed without compensation;

            All positions of the municipal government not expressly exempted from coverage by this section shall be subject to the provisions of the town charter.

 

          4‑203.   Administration.  The personnel system shall be administered by the city council.   

 

          4‑204.  Personnel rules and regulations.  The city council shall develop rules and regulations, necessary for the effective administration of the personnel system by resolution to the city council. 

 

          4‑205.   Right to contract for special services.  The city council may contract with any competent agency for the performance of such technical services in connection with the operation of the personnel system as may be deemed necessary. 

 

          4‑206.   Discrimination.  No person in the classified service or seeking admission thereto, shall be employed, promoted, demoted, or discharged, or in any way favored or discriminated against because of political opinions or affiliations, or ­because of race, color, creed, national origin, sex, ancestry, age, or religious belief. 

 

          4‑207.   Amendments.  Amendments or revisions of these rules may be effected by resolution of the city council and shall become effective after approval by the city council.

 

CHAPTER 3

OCCUPATIONAL SAFETY AND HEALTH PROGRAM

SECTION

4‑301.  Creation and title.

4‑302.  Town's commitments.

4‑303.  Definitions.

4‑304.  Coverage.

4‑305.  Employer's rights and duties.

4‑306.  Employees' rights and duties.

4‑307.  Standards authorized.

4‑308.  Variances from standards authorized.

4‑309.  Abatement.

4‑310.  Inspection.

4‑311.  Administration.

4‑312.  Funding the program.

4‑313.  Compliance with other laws, etc., no excuse for noncompliance with program and vice versa.

 

          4‑301.   Creation and title.  There is hereby created a safety and health program for the employees of the Town of Eagleville as follows.  This section shall provide authority for establishing and administering the Occupational Safety and Health Program for the employees of Eagleville.

          4‑302.   Towns's commitments.  The Town of Eagleville, in electing to establish and maintain an effective occupational safety and health program for its employees, shall:

            (1)       Provide a safe and healthful place and condition of employment.

            (2)       Acquire, maintain, and require the use of safety equipment, personal protective equipment, and devices reasonably necessary to protect employees.

            (3)       Make, keep, preserve, and make available to the state Commissioner of Labor, his designated representative or persons within the agency to whom such responsibilities have been delegated, adequate records of all occupational accidents and personal injuries for proper evaluation and necessary corrective action as required.

            (4)       Consult with the state Commissioner of Labor or his designated representative with regard to the adequacy of the form and content of records.

            (5)       Consult with the state Commissioner of Labor or the state Commissioner of Public Health, as appropriate, regarding safety and health problems of the agency which are considered to be unusual or peculiar to the town and are such that they cannot be achieved under a standard promulgated by the state.

            (6)       Make an annual report to the state Commissioner of Labor to show accomplishments and progress of the total occupational safety and health program.

            (7)       Provide reasonable opportunity for the participation of employees in the effectuation of the objectives of this program, including the opportunity to make anonymous complaints concerning conditions or practices injurious to employee safety and health.

            (8)       Provide for education and training of personnel for the fair and efficient administration of occupational safety and health standards, and provide for education and notification of all employees of the existence of this program.

 

          4‑303.   Definitions.  For the purpose of the program established pursuant to this chapter, the following definitions shall apply:

            (1)       "Commissioner of Labor" means the chief executive officer of Tennessee Department of Labor.  This includes any person appointed, designated, or deputized to perform the duties or to exercise the powers assigned to the Commissioner of Labor.

            (2)       "Commissioner of Public Health" means the chief executive officer of the Tennessee Department of Health.  This includes any person appointed, designated, or deputized to perform the duties or to exercise the powers assigned to the Commissioner of Public Health.

            (3)       "Employer" means the town, and shall include each administrative department, commission, board, division, or other agency of the town.

            (4)       "Director of safety and health" means the chief executive officer designated by the town to perform duties or to exercise powers assigned so as to plan, develop, and administer the town's safety and health program.

            (5)       "Inspector(s)" means the individual(s) appointed and designated by the director of safety and health to conduct inspections provided for herein.  If no such compliance inspector(s) is appointed, the inspections shall be conducted by the director of safety and health.

            (6)       "Appointing authority" means any town official or group of officials having legally designated powers of appointment, employment, or removal for a specific department, commission, board, division, or other agency of the town.

            (7)       "Employee" means any person performing services for the town and listed on town payrolls either as part‑time seasonal, or permanent, full‑time employees; provided, however, that such definition shall not include independent contractors, their agents, servants, and employees.

            (8)       "Person" means one or more individuals, partnerships, associations, corporations, business trusts, legal representatives, or any organized group of persons.

            (9)       "Standard" means an occupational safety and health standard promulgated by the Tennessee State Commissioner of Labor or the state Commissioner of Public Health which requires conditions or the adoption or the use of one or more practices, means, methods, operations, or processes necessary or appropriate to provide safe and healthful employment and places of employment.

            (10)     "Eminent danger" means any conditions or practices in any place of employment which are such that a danger exists which could reasonably be expected to cause death or serious physical harm immediately or before the eminence of such danger can be eliminated through normal enforcement procedures.

            (11)     "Establishment or workplace" means a single physical location where business is conducted or where services or industrial operations are performed.

 

          4‑304.   Coverage.  The provisions of the program shall apply to employees of each administrative department, commission, board, division, or other agency of the town.

 

          4‑305.   Employer's rights and duties.  Rights and duties of the employer shall include, but are not limited to, the following provisions:

            (1)       Employer shall furnish to each of his employees conditions of employment and a place of employment free from known and recognized hazards that are causing or are likely to cause death or serious injury or harm to employees.

            (2)       Employer shall comply with occupational safety and health standards or regulations promulgated pursuant to the State Occupational Safety and Health Act of 1972.

            (3)       Employer shall assist the state Commissioner of Labor and state Commissioner of Public Health in the performance of their monitoring duties by supplying necessary information to the commissioners or to their respective assistants or deputies.

            (4)       Employer is entitled to participate in the development of standards by submission of comments on proposed standards, participation in hearings on proposed standards, or by requesting the development of standards on a given issue.

            (5)       Employer is entitled to request an order granting a variance from an occupational safety and health standard.

            (6)       Employer shall inspect all installations, departments, bureaus, and offices to insure the provisions of this program are complied with and carried out.

            (7)       Employer shall notify and inform any employee who has been or is being exposed in a biologically significant manner to harmful agents or material in excess of the applicable standard of corrective action being taken by the town.

 

          4‑306.   Employees' rights and duties.  Rights and duties of employees shall include, but are not limited to, the following provisions:

            (1)       Each employee shall comply with occupational safety and health standards and all rules, regulations, and orders issued pursuant to this program which are applicable to his or her own actions and conduct.

            (2)       Each employee shall be notified by the placing upon bulletin boards or other places of common passage of any application for a temporary order granting a variance from any standard or regulation.

            (3)       Each employee shall be given the opportunity to participate in any hearing which concerns an application for a variance from any standard.

            (4)       Any employee may bring to the attention of the person in charge of the program any violation of the standards or other health or safety hazard.

            (5)       Any employee who has been exposed or is being exposed to toxic materials or harmful physical agents in concentrations or at levels in excess of that provided for by an applicable standard shall be notified by the employer and informed of such exposure and the corrective action being taken.

            (6)       Subject to regulations issued pursuant to his program, any employee or authorized representative of employees shall be given the right to request an inspection.

            (7)       No employee shall be discharged or discriminated against because such employee has filed any complaint or instituted or caused to be instituted any proceedings, or inspection under or relating to this program.  Any such charges of discrimination are subject to investigation by the Commissioner of Labor.

            (8)       Nothing in this section or any other provision of this program shall be deemed to authorize or require medical examination, immunization, or treatment for those who object thereto on religious grounds, except where such is necessary for the protection of the health or safety of others, and except when such medical examination is reasonably required for performance of a specified job.

 

          4‑307.   Standards authorized.  The standards adopted by the Town of Eagleville are the State of Tennessee safety and health standards developed under Section 6 of the state Occupational Safety and Health Act of 1972.

 

          4‑308.   Variances from standards authorized.  The Town of Eagleville may upon written application to the state Commissioner of Labor or the state Commissioner of Public Health request an order granting a temporary variance from any approved standards.  Prior to requesting such temporary variance, the employer shall notify or serve notice to employees or interested parties and present them with an opportunity for a hearing.  The posting of notice on the main bulletin board as designated by the town shall be deemed sufficient notice to employees.

 

          4‑309.   Abatement.  The program will provide for administrative procedures for abating hazard. 

 

          4‑310.   Inspection.  (1) In order to carry out the purpose of this program resolution, the safety and health inspectors are authorized:

                        (a)       To enter at any reasonable time any establishment, construction site, plat, or other area, workplace, or environment where work is performed by an employee of the Town of Eagleville, and,

                        (b)       To inspect and investigate during regular working hours and at other reasonable times, and within reasonable limits and in a reasonable manner, any such place of employment and all pertinent conditions, processes, structures, machines, apparatus, devices, equipment, and materials therein, and to question privately any supervisor, operator, agent, or employee working therein.

            (2)       The Town of Eagleville shall establish and maintain a system for collecting, maintaining, and reporting safety and health data.

            (3)       The program shall comply with the record keeping regulations pursuant to the Tennessee Occupational and Safety Act of 1972.

            (4)       After the provisions of this chapter have been enacted, the Town of Eagleville shall report within forty‑eight hours, either orally or in writing, to the Commissioner of Labor any accident which is fatal to one or more employees or which results in the hospitalization of five (5) or more employees. 

 

          4‑311.   Administration.  For the purpose of this chapter, the mayor has the authority to designate the director of safety and health program to perform duties or to exercise powers assigned so as to plan, develop, and administer the town's occupational safety and health program.

 

          4‑312.   Funding the program.  Sufficient funds for administering the program pursuant to this chapter shall be made available as authorized by the budgeting authority.

 

          4‑313.  Compliance with other laws, etc., no excuse for noncompliance with program and vice versa.  (1)  Compliance with other law, statute, or town ordinance which regulates safety and health in employment and places of employment shall not excuse the town, any town employee, or any other person from compliance with the provisions of this program.

 

            (2)       Compliance with any provisions of this program pursuant to this resolution or any standard or regulation promulgated pursuant to this program shall not excuse the town, any town employee, or any other person from compliance with any state law or town ordinance regulating and promoting safety and health unless such law or ordinance is specifically repealed.  

 

CHAPTER 4

INFECTIOUS DISEASE CONTROL POLICY

SECTION

4‑401.  Purpose.

4‑402.  Coverage.

4‑403.  Administration.

4‑404.  Definitions.

4‑405.  Policy statement.

4‑406.  General guidelines.

4‑407.  Hepatitis B vaccinations.

4‑408.  Reporting potential exposure.

4‑409.  Hepatitis B virus post‑exposure management.

4‑410.  Human immunodeficiency virus post‑exposure management.

4‑411.  Disability benefits.

4‑412.  Training regular employees.

4‑413.  Training high risk employees.

4‑414.  Training new employees.

4‑415.  Records and reports.

4‑416.  Legal rights of victims of communicable diseases.

 

          4‑401.  Purpose.  It is the responsibility of the Town of Eagleville to provide employees a place of employment which is free from recognized hazards that may cause death or serious physical harm.  In providing services to the citizens of the Town of Eagleville, employees may come in contact with life‑threatening infectious diseases which can be transmitted through job related activities.  It is important that both citizens and employees are protected from the transmission of diseases just as it is equally important that neither is discriminated against because of basic misconceptions about various diseases and illnesses.

            The purpose of this policy is to establish a comprehensive set of rules and regulations governing the prevention of discrimination and potential occupational exposure to Hepatitis B Virus (HBV), the Human Immunodeficiency Virus (HIV), and Tuberculosis (TB).

 

          4‑402.   Coverage.  Occupational exposures may occur in many ways, including needle sticks, cut injuries or blood spills.  Several classes of employees are assumed to be at high risk for blood borne infections due to their routinely increased exposure to infectious materials from potentially infected individuals.  Those high risk occupations include but are not limited to:

            (1)       Police and security personnel;

            (2)       Firefighters;

            (3)       Any other employee deemed to be at high risk per this policy and an exposure determination.

 

          4‑403.   Administration.  This infection control policy shall be administered by the mayor or his/her designated representative who shall have the following duties and responsibilities:

            (1)       Exercise leadership in implementation and maintenance of an effective infection control policy subject to the provisions of this chapter, other ordinances, the town charter, and federal and state law relating to OSHA regulations;

(2)               Make an exposure determination for all employee positions to determine a possible exposure to blood or other potentially infectious materials;

(3)               Maintain records of all employees and incidents subject to the provisions of this chapter;

            (4)       Conduct periodic inspections to determine compliance with the infection control policy by municipal employees;

            (5)       Coordinate and document all relevant training activities in support of the infection control policy;

            (6)       Prepare and recommend to the board of mayor and aldermen any amendments or changes to the infection control policy;

            (7)       Identify any and all housekeeping operations involving substantial risk of direct exposure to potentially infectious materials and shall address the proper precautions to be taken while cleaning rooms and blood spills; and

            (8)       Perform such other duties and exercise such other authority as may be prescribed by the board of mayor and aldermen.

 

          4‑404.   Definitions.  (1)  "Body fluid" ‑ fluids that have been recognized by the Center for Disease Control as directly linked to the transmission of HIV and/or HBV and/or to which universal precautions apply: blood, semen, blood products, vaginal secretions, cerebrospinal fluid, synovial fluid, pericardial fluid, amniotic fluid, and concentrated HIV or HBV viruses.

            (2)       "Exposure" ‑ the contact with blood or other potentially infectious materials to which universal precautions apply through contact with open wounds, non‑intact skin, or mucous membranes during the performance of an individual's normal job duties.

            (3)       "Hepatitis B Virus (HBV)" ‑ a serious blood‑borne virus with potential for life‑threatening complications.  Possible complications include: massive hepatic necrosis, cirrhosis of the liver, chronic active hepatitis, and hepatocellular carcinoma.

            (4)       "Human Immunodeficiency Virus (HIV)" ‑ the virus that causes acquired immunodeficiency syndrome (AIDS).  HIV is transmitted through sexual contact and exposure to infected blood or blood components and perinatally from mother to neonate.

            (5)       "Tuberculosis (TB)" ‑ an acute or chronic communicable disease that usually affects the respiratory system, but may involve any system in the body.

            (6)       "Universal precautions" ‑ refers to a system of infectious disease control which assumes that every direct contact with body fluid is infectious and requires every employee exposed to direct contact with potentially infectious materials to be protected as though such body fluid were HBV or HIV infected.

 

          4‑405.  Policy statement.  All blood and other potentially infectious materials are infectious for several blood‑borne pathogens.  Some body fluids can also transmit infections.  For this reason, the Center for Disease Control developed the strategy that everyone should always take particular care when there is a potential exposure.  These precautions have been termed "universal precautions."

            Universal precautions stress that all persons should be assumed to be infectious for HIV and/or other blood‑borne pathogens.  Universal precautions apply to blood, tissues, and other potentially infectious materials.  Universal precautions also apply to semen, (although occupational risk or exposure is quite limited), vaginal secretions, and to cerebrospinal, synovial, pleural, peritoneal, pericardial and amniotic fluids.  Universal precautions do not apply to feces, nasal secretions, human breast milk, sputum, saliva, sweat, tears, urine, and vomitus unless these substances contain visible blood.

 

          4‑406.   General guidelines.  General guidelines which shall be used by everyone include:

            (1)       Think when responding to emergency calls and exercise common sense when there is potential exposure to blood or other potentially infectious materials which require universal precautions.

            (2)       Keep all open cuts and abrasions covered with adhesive bandages which repel liquids.

            (3)       Soap and water kill many bacteria and viruses on contact.  If hands are contaminated with blood or other potentially infectious materials to which universal precautions apply, then wash immediately and thoroughly. Hands shall also be washed after gloves are removed even if  the gloves appear to be intact.  When soap and water or handwashing facilities are not available, then use a waterless antiseptic hand cleaner according to the manufacturers recommendation for the product.

            (4)       All workers shall take precautions to prevent injuries caused by needles, scalpel blades, and other sharp instruments.  To prevent needle stick injuries, needles shall not be recapped, purposely bent or broken by hand, removed from disposable syringes, or otherwise manipulated by hand.  After they are used, disposable syringes and needles, scalpel blades and other sharp items shall be placed in puncture resistant containers for disposal.  The puncture resistant container shall be located as close as practical to the use area.

            (5)       The town will provide gloves of appropriate material, quality and size for each affected employee.  The gloves are to be worn when there is contact (or when there is a potential contact) with blood or other potentially infectious materials to which universal precautions apply:

                        (a)       While handling an individual where exposure is possible;

                        (b)       While cleaning or handling contaminated items or equipment;

                        (c)        While cleaning up an area that has been contaminated with one of the above;

            Gloves shall not be used if they are peeling, cracked, or discolored, or if they have punctures, tears, or other evidence of deterioration.  Employees shall not wash or disinfect surgical or examination gloves for reuse.

            (6)       Resuscitation equipment shall be used when necessary.  (No transmission of HBV or HIV infection during mouth‑to‑mouth resuscitation has been documented.) However, because of the risk of salivary transmission of other  infectious diseases and the theoretical risk of HIV or HBV transmission during artificial resuscitation, bags shall be used.  Pocket mouth‑­to‑mouth resuscitation masks designed to isolate emergency response personnel from contact with a victims' blood and blood contaminated saliva, respiratory secretion, and vomitus, are available to all personnel to provide or potentially provide emergency treatment.

            (7)       Masks or protective eyewear or face shields shall be worn during procedures that are likely to generate droplets of blood or other potentially infectious materials to prevent exposure to mucous membranes of the mouth, nose, and eyes.  They are not required for routine care.

            (8)       Gowns, aprons, or lab coats shall be worn during procedures that are likely to generate splashes of blood or other potentially infectious materials.

            (9)       Areas and equipment contaminated with blood shall be cleaned as soon as possible.  A household (chlorine) bleach solution (1 part chlorine to 10 parts water) shall be applied to the contaminated surface as  a disinfectant leaving it on for a least 30 seconds.  A solution must be changed and re‑mixed every 24 hours to be effective.

            (10)     Contaminated clothing (or other articles) shall be handled carefully and washed as soon as possible.  Laundry and dish washing cycles at 120° are adequate for decontamination.

            (11)     Place all disposable equipment (gloves, masks, gowns, etc...) in a clearly marked plastic bag.  Place the bag in a second clearly marked bag (double bag).  Seal and dispose of by placing in a designated "hazardous" dumpster.  NOTE: Sharp objects must be placed in an impervious container and properly dispose of the objects.

            (12)     Tags shall be used as a means of preventing accidental injury or illness to employees who are exposed to hazardous or potentially hazardous conditions, equipment or operations which are out of the ordinary, unexpected or not readily apparent.  Tags shall be used until such time as the identified hazard is eliminated or the hazardous operation is completed.

            All required tags shall meet the following criteria:

                        (a)       Tags shall contain a signal word and a major message.  The signal word shall be "BIOHAZARD", or the biological hazard symbol. The major message shall indicate the specific hazardous condition or the instruction to be communicated to employees.

                        (b)       The signal word shall be readable at a minimum distance of five (5) feet or such greater distance as warranted by the hazard.

                        (c)        All employees shall be informed of the meaning of the various tags used throughout the workplace and what special precautions are necessary.

            (13)     Linen soiled with blood or other potentially infectious materials shall be handled as little as possible and with minimum agitation to prevent contamination of the person handling the linen.  All soiled linen shall be bagged at the location where it was used.  It shall not be sorted or rinsed in the area.  Soiled linen shall be placed and transported in bags that prevent leakage.

            The employee responsible for transported soiled linen should always wear protective gloves to prevent possible contamination.  After removing the gloves, hands or other skin surfaces shall be washed thoroughly and immediately after contact with potentially infectious materials.

            (14)     Whenever possible, disposable equipment shall be used to minimize and contain clean‑up.

 

          4‑407.   Hepatitis B vaccinations.  The Town of Eagleville shall offer the appropriate Hepatitis B vaccination to employees at risk of exposure free of charge and in amounts and at times prescribed by standard medical practices.  The vaccination shall be voluntarily administered.  High risk employees who wish to take the HBV vaccination should notify their department head who shall make the appropriate arrangements through the Infectious Disease Control Coordinator.  

 

          4‑408.   Reporting potential exposure.  Town employees shall observe the following procedures for reporting a job exposure incident that may put them at risk for HIV or HBV infections (i.e., needle sticks, blood contact on broken skin, body fluid contact with eyes or mouth, etc...):

            (1)       Notify the Infectious Disease Control Coordinator of the contact incident and details thereof.

            (2)       Complete the appropriate accident reports and any other specific form required.

            (3)       Arrangements will be made for the person to be seen by a physician as with any job‑related injury.

            Once an exposure has occurred, a blood sample should be drawn after consent is obtained from the individual from whom exposure occurred and tested for Hepatitis B surface antigen (HBsAg) and/or antibody to human immunodeficiency virus (HIV antibody).  Testing of the source individual should be done at a location where appropriate pretest counseling is available. Post‑test counseling and referral for treatment should also be provided.  

 

          4‑409.   Hepatitis B virus post‑exposure management.  For an exposure to a source individual found to be positive for HBsAg, the worker who has not previously been given the hepatitis B vaccine should receive the vaccine series. A single dose of hepatitis B immune globulin (HBIG) is also recommended, if it can be given within seven (7) days of exposure.

            For exposure from an HBsAg‑positive source to workers who have previously received the vaccine, the exposed worker should be tested for antibodies to hepatitis B surface antigen (anti‑HBs), and given one dose of vaccine and one dose of HBIG if the antibody level in the worker's blood sample is inadequate (ie., 10 SRU by RIA, negative by EIA).

            If the source individual is negative for HBsAg and the worker has not been vaccinated, this opportunity should be taken to provide the hepatitis B vaccine series.  HBIG administration should be considered on an individual basis when the source individual is known or suspected to be at high risk of HBV infection.  Management and treatment, if any, of previously vaccinated workers who receive an exposure from a source who refuses testing or is not identifiable should be individualized.

          4‑410.   Human immunodeficiency virus post‑exposure management.  For any exposure to a source individual who has AIDS, who is found to be posi