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Personal Service Settings Blood Exposure Records

Download this template to use for collecting records related to blood exposure in a Personal Service Setting.

Ontario Regulation 136/18 Personal Service Settings states that owners/operators of personal service settings must document ALL accidental blood and/or body fluid exposures that happen during a procedure for both clients AND operators. All fields must be filled out completely.

Records must be kept onsite for at least 1 year, and in a secure location for 2 years afterwards.

DATE/TIME

SERVICE

INJURY 

SERVICE PROVIDER

PERSON EXPOSED

ACTIONS TAKEN

Date/Time of service:

E.g. July 1st, 2019, 9:00AM

Type of personal service:

E.g. Manicure

Body part exposed:

E.g. Right hand, pinky finger cuticle  

First and last name with contact information

E.g. Jane Smith (manicurist)

519-123-4567

First and last name with contact information

E.g. Mary Jones

519-555-1234

E.g. Told client to wash their hands and see a doctor. Washed and disinfected scissors with bleach.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Personal Service Settings Client Records

Download this template to use for collecting records related to maintaining client records.

Ontario Regulation 136/18 Personal Service Settings states that owners/operators of personal service settings must collect contact information for clients receiving a service in their premises. All fields must be filled out completely for each client.

Records must be kept onsite for at least 1 year, and in a secure location for 2 years afterwards.

DATE

SERVICE

NAME

CONTACT INFO

Date of service:

E.g. July 1st 2019

Type of personal service:

E.g. hair cut

First and last name:

E.g. John Smith

Contact information:

E.g. 519-123-4567

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Personal Service Settings Invasive Procedure Records

Download this template to use for collecting records related to invasive procedures.

Ontario Regulation 136/18 Personal Service Settings states that owners/operators of personal service settings must document ALL services that are of an invasive nature. All fields must be filled out completely.

Records must be kept onsite for at least 1 year, and in a secure location for 2 years afterwards.

DATE/TIME

SERVICE

BODY PART

SERVICE PROVIDER

CLIENT INFORMATION

STERILE EQUIPMENT

Date/Time of service:

E.g. July 1st, 2019, 9:00AM

Type of invasive procedure

E.g. Tattoo

Body site services

E.g. Inner left forearm  

First and last name with contact information

E.g. Jane Smith (Tattoo artist)

519-123-4567

First and last name with contact information

E.g. Mary Jones

519-555-1234

Lot number & expiry date of sterile needles/items.

E.g. LOT #10001, EXP. APR 6 2022

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Baylisascaris procyonis

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Urban Chickens

The practice of urban agriculture is not a new concept and has been accepted in other parts of the province to empower local communities to develop sustainable food systems. An example of urban agriculture is the raising of urban chickens (backyard chickens) as a source of fresh eggs.