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Exposure Procedure

Care of Clean Needle Stick

  1. Wash the exposed area stat.
  2. Report the incident to the clinical instructor stat.
  3. If in hospital clinical, follow the clinical agencies procedure.
  4. Student & Faculty member complete the Exposure to Clean Needle Stick in Clinical & Lab Report.
  5. Student will receive a copy of the Instructions for Observation for Infection and Treatment written information sheet about signs and symptoms of infection.
  6. Student signs form, agreeing to report to SDSU Student Health Services or healthcare provider if any signs of infection are noted.
  7. Student & Faculty complete Report of Accident, Incident or Unsafe Condition (Non-State Automobile) within 24 hours.

Exposure to Blood and/or Body Fluids

  1. Identify the client (source) by name and location.
  2. Request the client to stay if she/he is an outpatient of the agency.
  3. Request another nurse or student to stay with the client if possible.
  4. Wash the exposed area as instructed stat.
  5. Report the exposure to the clinical instructor, preceptor (N495) and agency supervisor stat.
  6. NURS 495 student will seek the assistance of their preceptor to complete the process; student will notify their clinical faculty of the exposure within 24 hours
  7. Student and faculty must complete the  Exposure to Body Fluids Report within 24 hours.

If Exposure is at Hospital or Clinical Facilities

  1. Immediately contact the Occupational Health Nurse, who will initiate an exposure investigation.
  2. Follow facilities’ Occupational Exposure policy.

Exposure in a non-hospital/clinical facility

  1. Follow that agencies exposure policy.
  2. If no assistance is available, report to SDSU Student Health Services or seek assistance at the closest emergency room.

Exposure in Community Setting

  1. If an exposure occurs in a rural area, the client or individual source should be directed or taken to the nearest health care facility to have their blood drawn.
  2. Inform the individual that the CON will pay for the testing. Have the agency send the bill to: College of Nursing, Dean's Office, Wagner Hall 255, College of Nursing, Box 2275, University Station, Brookings, SD 57007.
  3. If the individual does not want a local physician to have access to the information then the testing may be completed through the local Emergency Room. Supply the individual with telephone number.
  4. Inform the receiving agency or Student Health Nurse of the need for testing (HBsAg Antigen, Hepatitis C and HIV Antibody).
  5. If the individual refuses to be tested then the faculty member indicates this on the Exposure to Body Fluids report so that Occupational Health Nurse or the student’s Health Care Provider is aware of what testing has been completed.
  6. The individual should be supplied with the respective Health Services phone number and name of the health provider who receives the report of the exposure.
  7.  Inform client of confidentiality and need to contact physician for results in several days.
  8. Report the incident to the Assistant Dean stat.

Follow-up Care Expectations

  1. The student is responsible to pay all costs, including but not limited to emergency room visit, procedures, follow-up treatments and medications ordered for prophylaxis.
  2. Student must remain in contact with the Assistant Dean and inform her/him about current home phone number and address as designated by the timeline of follow up care.

Faculty’s Responsibility

  1. Assist student with contacting the Nursing Supervisor and or Occupational Health Nurse.
  2. Assist student with completing exposure process, i.e., lab work, etc.
  3. Provide emotional support as needed.
  4. Clinical Faculty must notify Semester Coordinator and/or Assistant Dean within 24hours.
  5. Notify the Assistant Dean if student chooses to have follow-up care.

Documentation

  1. Faculty and student must complete the Exposure to Body Fluids Report.
  2. Student & faculty complete Report of Accident, Incident or Unsafe Condition (Non-State Automobile) within 24 hours. The form is found at Bureau of Administration.
  3. Take or fax all completed forms and to the Assistant Dean within 24 hours.

Assistant Dean or Designee

  1. Receives notice of needle stick or incident, without and with exposure.
  2. Verifies that student received immediate care as dictated by type of exposure per the current Recommended Guidelines for Blood/Body Fluid Post-Exposure Testing as set forth by the Center for Disease Control Administration of prophylaxis is followed. Care will be given at the most expedient site of care. Prophylaxis will take place within the nearest clinical facility or agency of student’s choice. The student will be responsible for the cost of prophylaxis treatment given.
  3. Acts as a resource and ensures that appropriate CON forms are completed
  4. Verifies that the Report of Accident, Incident or Unsafe Condition (Non-State Automobile) report completed.
  5. This completed report is taken or faxed to the Dean’s Office, who will send copies to University Police Department (UPD) and Risk Management in Purchasing.
  6. Assistant Dean will maintain a copy of the Exposure Determination Report and informs the Semester Coordinator or others as needed.

Updated: 04/09/2019