(a) Each program must establish an infection control plan appropriate for the services provided including, at a minimum, the following:

1. (1) prevention of circumstances which could result in staff or patient(s) becoming exposed to a significant risk body substance including but not limited to:

   1. (i) use of scientifically accepted preventive barriers during job-related activities which involve, or may involve, exposure to significant risk body substances. Such preventive actions must be taken with each patient as an essential element for the prevention of bi-directional spread of HIV; and
   2. (ii) use of scientifically accepted preventive practices and equipment during job-related activities involving the use of contaminated instruments or equipment which may cause puncture injuries;
2. (2) a system for monitoring preventive activities to ensure compliance and safety.

(b) Procedures must be developed in response to circumstances in which a staff or patient is exposed to a significant risk body substance including a system for:

1. (1) reporting any such exposure to a designated individual in the program;
2. (2) evaluating the circumstances of a reported exposure and procedures for appropriate medical and epidemiological follow-up services for the exposed individual, including access to medications for post-exposure prophylaxis.