Human Blood and Bodily Fluids

NEEDLE STICK INJURIES AND OTHER BLOOD-BORNE AND/OR BODY FLUID PATHOGEN EXPOSURE

Principles

The education of medical students about methods exposure prevention; procedures for care and treatment after exposure; definition of financial responsibility in care and treatment; and the effects of infectious and environmental disease or disability on learning.

Policy

  1. Student are introduced to the concept of infection control and work-related exposure during their first year of medical school. Education and training regarding exposures will be updated annually throughout medical school.
  2. Students, including visiting students, must contact WUSM Student Health Service during working hours 8:00am -4:00pm, Monday – Friday to report an exposure to blood and/or bodily fluid. The contact number is 314-362-3523.  After hours contact number is 314-871-2966.
  3. There are standardized protocols for exposures at WUSM addressing exposure to HIV, HBV, and HCV.
  4. Financial coverage of evaluation/treatment is fully covered by Student Health Service.
  5. Students who are infected with any other potentially transmissible disease will not be excluded from participating in patient-care activities, or restricted in their access to patient-care services or facilities because of their health status, unless medically based judgments in individual cases establish that exclusion or restriction is appropriate for the welfare of patients, the welfare of other member of the patient-care community, or the welfare of the individual.

Procedures

  1. Needle stick/BBP exposure are included in a mandatory policy attestation process for students. These procedures are also posted in the 2022- 2023 Bulletin on the Student Health & Safety Policy page: https://nextbulletin.wustl.edu/medicine/policies/student-health-and-safety/.
  2. Information about this policy is included on laminated cards distributed during Orientation week. (more details coming soon)
  3. Blood and Body Fluid Exposure procedures are introduced during the (more details coming soon)
  4. During orientation to the clerkship rotations, clerkship directors will review the policy with students. Effective 2022, the students will also re-attest to understanding the policy prior to the onset of their clerkships. (more details coming soon)
  5. Always wear Personal Protective Equipment!

Individuals exposed to the blood or body fluid of a patient should follow the guidelines below.

1.  Immediately following an exposure to blood:

  •      Wash needle sticks and cuts area with soap and water
  •       Flush splashes to the nose, mouth or skin with water
  •       Irrigate eyes with clean water or saline for 15 minutes

2.   Keep the source or patient available for HIV, Hepatitis B antigen and Hepatitis C ab testing.

3.   Contact Student Health Service at (314) 362-3523. After hours, call (314) 871-2966 and listen carefully for instructions.

All exposures to human blood and body fluids are to be reported immediately to the Health Service, which maintains a 24-hour reporting system.