Needlestick Injuries

Post Exposure to Human Blood or Body Fluid Protocol

PURPOSE: To provide guidelines for personnel to follow when an exposure to human blood or body fluid occurs.

POLICY: Subsequent to a exposure to human blood or body fluid, the area supervisor will immediately complete an Employee Accident Report OR a Quality Risk Report, as appropriate to the situation, and have the exposed person report to Employee Health (EH) department (Tower I- 5th floor) Monday-Friday 7:00-4:00 p.m. or the Emergency Department in the Clinical Center (after hours).

University of Florida (UF) faculty, residents, and students, who are off campus, when a work related exposure occurs, should report to the nearest Emergency Department (ED). The UF faculty and residents, regardless of where the initial evaluation and treatment is begun, must report all blood and body fluid exposures to your supervisor. The exposed person or their supervisor must contact the UF workers' compensation office (UFWC) at 352-392-4940 immediately after your evaluation/treatment is complete to report your exposure.

Students will be informed that because they are not an employee of the hospital or UF, they are not eligible for worker's compensation benefits (although they may be required to complete similar paperwork to document the details of the exposure). The student will be responsible for the cost of their care, either through their own health insurance or other personal means.

POLICY APPLIES TO: Shands Jacksonville personnel, UF faculty and residents, and students from both the UF and other institutions on approved rotations except where otherwise specified.

STANDARD PRECAUTIONS:

The Occupational Safety and Health Administration (OSHA) mandates that Standard Precautions be used in the provision of care for all patients.

  1. Hand hygiene must be performed according to hospital policy, even after gloves are removed.
  2. Any Resident who has draining lesions or weeping dermatitis will not perform or assist with invasive procedures or other direct patient care activities or handle equipment used for patient care until the condition is resolved.
  3. Safe needle or needle-less systems must be utilized as designed.
  4. All residents must routinely use personal protective equipment when there is a potential for exposure to blood or other infectious body fluids or materials.
  5. Gloves must be worn when the resident has the potential to have direct skin contact with blood, other potentially infectious body fluids or materials, mucous membranes, non-infectious body fluids or materials. Any Resident who develops hypersensitivity to standard latex gloves will be provided an acceptable alternative.
  6. Fluid-resistant, disposable clothing (e.g. gowns, aprons, lab coats) must be worn if there is potential for splashing or spraying of blood or other potentially infectious material.
  7. Disposable masks and disposable eye protection and/or face shields must be worn whenever splashes, sprays, droplets or aerosols of blood or other potentially infectious materials may be generated and there is a potential for eye, nose or mouth contamination.

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