Refusal of Medical Treatment and Exposure Testing

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14 Δεκ 2013 (πριν από 3 χρόνια και 8 μήνες)

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1

of 2


Updated 9/5/2012

Adopted from the US Dept of Labor OSHA

NCNM

EXPOSURE PROTOCOL

National College of Natural Medicine

Bloodborne Pathogen Post
-
Exposure


Following the guidelines listed below if a
student
, staff or faculty member

has




p
ercutaneous injury (needlestick or cut) from a contaminated instrument.



m
ucous

membrane (spash to eye, nasal, mucosa, or mouth) exposure to body
fluids



1.

Immediately wash the exposed area with soap and water.

Mucous membranes should be
flushed with water.


2.

Immediately r
eport
the exposure

to
the supervising faculty member.

The supervising
faculty member

must

fill out a
n

NCNM
Incident Rep
ort

whic
h is found on the NCNM web site
(
www.ncnm.edu
)
under
faculty
/exposure
and incident
forms
.

Incident Report

form
is filled
o
ut on line and is

routed

immediately

to NCNM’s Campus Security Chief

and the dean of
students.

In the case of an exposure in the NCNM Clinic or NCNM community clinics, the
Campus Security Chief and/or the dean of students will notify the dean of clinical operations.


3.

The supervis
ing faculty member will immediately call the Exposure Control Officer

with the
exposed student, staff or faculty member’s name and phone number.


Contac
t information:

Jill Sanders
,
Interim
Exposure Control Officer




503
-
552
-
1994

(office)




503
-
206
-
2180

(cell)




jsanders@ncnm.edu


4.

If the exposure occurs during NCNM Clinic business hours, send the source patient to the
NCNM Lab to

have

their bl
ood drawn immediately or ASAP.
The lab personnel will fill
out appropri
ate consent forms with the patient.
The HIV test is done in house and the
r
esults are back within 30 minutes. T
he hepatitis panel will be sent out and results are
back within 2
-
4 days.


5.

If the exposure occurs when the N
CNM Lab is closed, or at an off
-
site
facility and the patient
is unable to get to the NCNM Lab, give the patient the
Off
-
Site Testing Form

instruction
sheet. Ask the patient to follow the instructions by going to an urgent care center or
emergency department for a blood draw.

(These instructi
ons include steps for c
ontacting the
dean of clinical o
perations for pa
yment of the outside lab fees.)


6.

The student, staff or faculty member

is request
ed to return the lab at 6 weeks, 3 months and
6

months following the incident for follow
-
up free HIV and Hepatitis panel testing (OSHA
panel follow
-
up).


7.

Lab results are
sent to the Exposure Co
ntrol Officer and kept on file.


2

of 2


Updated 9/5/2012

Adopted from the US Dept of Labor OSHA


8.

All HIPAA and, in the case of student exposure, FERPA rules regarding confide
ntiality of the
source patient’s and NCNM student, staff or faculty member’s protected health information
must

be followed.


9.

The
Exposure Control Officer

will record the incident in the “Log of Work
-
Related Injuries and
Illnesses” in the

NCNM Clinic

OSHA m
anual.


10.

The Exposure Control Officer will conduct follow
-
up procedures and review the test
results
with the exposed student, staff or faculty member. The student, staff or faculty member may
begin post
-
exposure prophylactic treatment with his or her physic
ian or can choose to have
post
-
exposure treatment begun at an urgent care or emergency room. The Exposure Control
Officer will explain all options to the exposed student, staff or faculty member.



Refusal of Medical Treatment and Exposure Testing

If
the student
, staff or faculty member

refuses to be tested, he/she must fill out
the "Medical
Evaluation
Refusal" form
(Form
G)
and make 2 copies. The original should

be given to the
Exposure Control Officer. If a student is exposed, a copy is given to the
dean of students. If an
NCNM staff or faculty member is exposed, a copy is given to human resources.