It is extremely important for residents to know the policy and procedures for needlestick/sharp injuries and blood/body fluid exposure in order to ensure safety and care of themselves and the students who work with them. The UAMS Medical Center policy http://intranet.uams.edu/uh/Policy/Policy-PDF/Human%20Resources/HR401.pdf which describes all procedures, in detail, which must be followed if a resident or student sustains a needlestick injury or blood/body fluid exposure. The most important points of that policy are:
All faculty, employees, residents or students who suffer a needlestick, cut, or mucus membrane (e.g. splash to the eye or mouth) exposure to blood or other body fluids, or who have a cutaneous exposure involving large amounts of blood or prolonged contact with blood regardless of the type of exposure or risk status of the source patient shall:
- Report the incident immediately to their supervisor or instructor.
- Call immediately to Employee Health/Student Preventative Health Services (EH/SPHS), 686-6565 or page 501-405-6734, if it is during regular business hours OR the Emergency Department (ED) 686-6236, if it is after business hours.
- The amount of risk incurred as a result of the exposure must be evaluated and prophylactic treatment must be started within 2 hours to be effective.
- Complete the UAMS Incident and Injury (I&I) Report form — Employee Injury Form
Information about the source patient shall be documented on the Employee Incident and Injury (I&I) report form by the nursing supervisor or his/her designee from which the source patient is receiving care. The I&I form shall accompany the resident/fellow to EH/SPHS or the ED at the time of the initial evaluation.
It is the responsibility of the resident/fellow’s attending physician to make sure that all information relevant to the I&I has been completed and the resident/fellow has called either EH/SPHS or the UAMS ED, for triage. It is the responsibility of the Nursing Supervisor or designee to record all information regarding the source patient on the I&I, notify either EH/SPHS or the ED with the risk factors for HIV, and ensure that orders are written for lab work on the source patient’s chart.
Last modified: 04/13/12