BOP Program Statement 6130.01 § 2

Exposed employees must report all exposures to their immediate supervisor or manager as

soon as possible and will be relieved immediately. Prompt reporting of exposure incidents

permits timely medical evaluation and follow-up. If evaluation of the circumstances indicates

post-exposure treatment, the exposed employee will benefit from the prompt initiation of

treatment. In addition, timely reporting enables the BOP to more effectively evaluate the

circumstances surrounding the exposure incident to determine preventive measures. All post-exposure management (including all laboratory testing and prescribing of medication) for BOP

employees who sustain a BBP exposure will be provided by an outside Health Care Provider

except for the initial assessment of the exposure and, if indicated, provision of one dose of HIV

PEP.

Each institution must make an effort to establish a relationship with nearby healthcare facilities

(emergency room or urgent care center), where licensed health care providers (HCPs) are

familiar with Occupational Safety and Health Administration (OSHA) standards for BBP, as

well as Centers for Disease Control (CDC) guidelines for post-exposure prophylaxis for HIV,

Hepatitis B, and Hepatitis C and are capable of providing recommended post-exposure follow-up. Employees can then be referred to these facilities for medical evaluation and follow-up care,

including baseline and follow-up labs, with the understanding that each affected employee can

seek medical attention at a place of his/her choice. The goal is to obtain PEP within 2 hours if

clinically indicated.

In instances where an exposure to blood or other potentially infectious material occurs while at

work, any costs for evaluation, follow-up, and prophylaxis (when medically indicated, as

recommended by the CDC) that are not borne by OWCP are paid by the BOP at no cost to the

employee, in accordance with 29 CFR 1910.30f(1)(ii)(A).