Needle Stick/Blood and Body Fluid Exposures
Downtown and Community Campuses (General Student Instructions)
In the event of exposure to blood or body fluids you should IMMEDIATELY:
- Wash the affected area with soap and water.
- Notify Employee Health during weekday hours (7:30 am – 4:00 pm) at 464-4260.
- Report to the Emergency Department after hours or on weekends, and identify yourself as an Upstate employee, student or affiliate. Follow up with Employee Health on the next business day.
- Complete Injury Report
If an exposure occurs while you are visiting another facility, please follow that facility’s exposure protocol. Also, please contact the Student Health Office at (315)464-5470, ext 4, as soon as possible to make us aware of the exposure.
Medical Student Exposure to Infectious and Environmental Hazards
(Specific Student Guidelines)
- Methods of Prevention: The policies below outline procedures aimed at preventing exposure to infectious and environmental hazards in a healthcare setting.
- Proper Response to Blood and Body Fluid Exposure
- Immediately wash the affected area with soap and water or for eye involvement, flush with clean water or normal saline
- Call Employee/Student Health (ESH) at 464-4260 on weekdays between 7:30 AM - 5 PM
- Report to the University Hospital Emergency Department after hours, weekends and holidays
- An Injury Report must be completed and submitted to Employee/Student Health
- Immediately wash the affected area with soap and water or for eye involvement, flush with clean water or normal saline.
- Immediately report to the nearest Emergency Department unless the student is familiar with the specific facility procedure for exposures.
- If exposure occurs in an outpatient setting, report to the nearest Emergency Department without delay.
- Call ESH to report the exposure. If after hours, leave a voicemail message and a contact number.
- Follow-up testing is coordinated by ESH
- Notify ESH as soon as possible, regardless of the facility where the exposure occurred
- ESH or the Emergency Department practitioner determines the type and extent of exposure and coordinates assessment and testing of the source patient for HIV, hepatitis B and hepatitis C
- Baseline testing is obtained on the exposed individual for hepatitis B, hepatitis C, and HIV, if indicated
- Testing of source patient is done with appropriate consent
- Counseling is provided by the ESH or Emergency Department practitioner - information about the risk of the exposure, risk/benefit of post-exposure prophylaxis (PEP) and follow-up plan
- No risk of blood borne infection – PEP is not indicated
- Source patient is HIV positive or unknown – begin PEP (ideally within 1 hour of exposure, but no later than 36 hours)
- Source patient is HIV negative – PEP is not indicated
- Follow-up testing is arranged by ESH
- Effects on Medical Student Learning Activities
- Financial Responsibility
Exposures in University Hospital and Other Syracuse Area Facilities
Exposures in Facilities Outside of the Syracuse Area
Post-exposure Evaluation and Management
Needlestick/Body Fluid Exposure General Guidelines (Policy #: IC E-04)
Needlestick/Body Fluid Exposure Follow-up Policy (Policy #: IC E-03)