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Nature of Incident
Nature Other
PPE
Body fluids Involved
Type of Exposure
Blood/ Fluid Borne
Exposure to
Needle Stick Puncture
Exposure to skin
Exposure to skin
Laceration
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Post Exposure Action
Wound Care
Has the Officer exposed been immunized against HBV
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Signature HereExposure Officer Will Sign Here
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Signature HereClick to Sign
05/14/2026Click to Sign
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05/14/2026
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