Bloodborne pathogen – occupational exposure protocol
Proper treatment and recording of any potentially infectious exposure should begin as soon as possible. Potential bloodborne pathogen exposure could include the following: needle stick, cut, splash, abrasion or exposure to blood, tissue, or bodily fluids.
- Perform basic first aid:
- Clean the wound, skin or mucous membrane immediately with soap and running water. Allow blood to flow freely from the wound. Do not attempt to squeeze or “milk” blood from the wound.
- If exposure is to the eyes, flush eyes with water or normal saline solution for several minutes, or use an eye wash station.
- Notify your supervisor immediately. If you are at UK Good Samaritan, page the nursing House Supervisor.
- If you are at UK Chandler Hospital, locate a “red exposure packet” in your patient care area. This contains the Reportable Occurrence form and the Occupational Exposure form.
- If you are located in UK Good Samaritan, the nursing House Supervisor will have a red exposure packet containing the Reportable Occurrence form and the Occupational Exposure form.
Please follow these guidelines to report the exposure and schedule an appointment
If exposure happens between 8 a.m. and 4:30 p.m. Monday - Friday:
- Call Workers' Care at 800-440-6285.
- Workers' Care will schedule an appointment at Employee Health located in the University Health Service building.
- Call 323-APPT (2778) to schedule an appointment at Employee Health located in the University Health Service building.
If exposure happens between 4:30 p.m. and 8 a.m. or on a weekend or holiday:
- Call Workers' Care at 800-440-6285.
- Workers' Care will report the incident and will connect you with the UHS physician on-call who will provide a consultation and determine the risk of exposure.
- Page the UHS physician on call at 323-5321.
- The UHS on-call physician will provide a consultation and determine the risk of exposure.
When speaking with Workers’ Care or the appointment line, inform them immediately if it is a high-risk exposure (i.e. the source patient is HIV+, Hepatitis B+ or Hepatitis C+).
Do not attempt to have your own blood drawn. Your blood tests will be ordered by Employee Health personnel.
Please fill out the forms in the "red exposure packet":
- Fill out the "Physician Order Form and Miscellaneous Lab" slip:
- Enter the source patient's name, DOB, Date/Time collected and collector's name
- Enter the source patient's name and DOB on the tube stickers provided and label each tube(the lab will not accept the blood if the tubes are not properly labeled). The white copy is to go to the lab and the yellow copy to Infection Prevention and Control.
- Have the source patient's blood drawn:
If the source patient is a Hospital Patient, the RN or Phlebotomist is responsible for the patient will draw the blood: (1) Purple Top and (2) Gold Tops, place blood tubes in a bag and send blood and lab request to lab central receiving.
If the source patient is a Kentucky Clinic Patient, the source patient may be escorted to the Kentucky Clinic lab along with the patient request.
(If you have questions about the blood, call the lab at 323-5432 or if using the tube system, tube to station #161.)
- Fill out the "Source Patient Occupational Exposure Form" and place patient stickers on both copies:
- If the source patient is not known, write "unknown" at the name.
- Enter the dates, source patient's Attending MD, and select the type of exposure.
- The white copy (or electronic copy) will go to Medical Records and discarded upon the source patient's discharge, the white copy will go to Infection Prevention & Control, and the yellow copy goes back into the red envelope for you to take to your Employee Health visit.
- Take red envelope with the pink and yellow copies to your appointment at UHS.
- Fill out an incident report online.
There are five points of distribution for the new “red exposure packets”:
- The Information desk on the first floor of the Kentucky Clinic across from the pharmacy
- Capacity Command/Central Staffing Office in Chandler Medical Center
- Pavilion A Emergency Department
- Good Samaritan Laboratory
Please see any of these five locations for a new “red exposure packet” or contact Leslie Ehrmantraut at firstname.lastname@example.org.
Read the complete UK HealthCare policy (PDF, 173 KB) on Occupational Exposure to Bloodborne Pathogens.