Submission and Maintenance of the Unprotected Exposure Form

(A) Immediately upon arrival at a health care facility, the transporting care provider shall provide the admitting agent or appropriate employee of the health care facility with an Unprotected Exposure Form for every patient transported from whom the care provider may have suffered an unprotected exposure. (B) Other care providers who may have sustained an unprotected exposure shall file at the health care facility to which the patient was transported an Unprotected Exposure Form for every patient from whom he or she may have suffered an unprotected exposure, within 24 hours of said exposure. (C) Each health care facility shall maintain the Unprotected Exposure Form in one safe and centralized location on its premises in accordance with 105 CMR 172.006. Such forms shall be so maintained for a minimum of seven years and shall be made available promptly to any agent of the Department seeking to determine compliance with 105 CMR 172.000. The forms may be released by the health care facility only in accordance with federal or state law or regulation, court order, or subpoena. (D) In the case of a patient identified on an Unprotected Exposure Form who is transferred to another health care facility before a diagnosis of an infectious disease dangerous to the public health has been made, the transferring facility shall file a copy of the Unprotected Exposure Form(s) with the receiving facility. (E) Any health care facility receiving an Unprotected Exposure Form pursuant to 105 CMR 172.002(D) shall comply with all applicable requirements of 105 CMR 172.000 et seq.