Instructions for Bloodborne Pathogen Exposures
Instructions for Bloodborne Pathogen Exposures
The Office of Occupational Health and Safety has laminated badge-sized cards printed with these procedures available. Please contact firstname.lastname@example.org to request the cards. You can also download a poster version (8.5 X 11) that can be printed, posted, and distributed in your department:
1. Clean it.
Wash the exposed area immediately.
- Wash needlesticks and cuts with soap and water
- Flush splashes to the nose, mouth, or skin with water
- Irrigate eyes with clean water, saline, or sterile irrigants
2. Get treated.
Seek medical treatment as soon as possible. The Centers for Disease Control and Prevention recommend that the exposed person seek treatment within 1-2 hours after initial exposure. Residents, fellows, and other clinical staff
are encouraged to seek immediate care at their training/work site through Employee Health Services or in the Emergency Department. Talk to your supervisor to learn site-specific exposure protocols when you begin your employment. You can always receive treatment at Health Partners Occupational and Environmental Medicine (HPOEM)
. Service can be obtained during normal and urgent care hours on a walk-in basis. It is recommended that you call ahead at 952-883-6999 to reduce wait times. Outside of normal hours, call the HPOEM 24/7 CareLine at 612-339-3363 or 800-284-9745 (TTY 952-883-5474) for directions on where to go for treatment.
Other University employees
should go to the nearest HealthPartners Occupational and Environmental Medicine (HPOEM) location during normal and urgent care hours on a walk-in basis. It is recommended that you call ahead at 952-883-6999 to reduce wait times. Outside of normal hours, call the HPOEM 24/7 CareLine at 612-339-3363 or 800-284-9745 (TTY 952-883-5474) for directions on where to go for treatment or visit the nearest Emergency Department. Please note: Regardless of where initial care is obtained, follow-up post exposure care should be obtained at HPOEM. HPOEM clinic locations are:
- Riverside Clinic, located at 2220 Riverside Avenue in Minneapolis, offers Occupational Health services as well as Urgent Care/After Hours.
- St. Paul Clinic, located at 205 S. Wabasha Street just outside of downtown St. Paul, offers Occupational Health services as well as Urgent Care/After Hours.
- Como Avenue Clinic, located at 2500 Como Avenue in St. Paul, offers Urgent Care/After Hours services near the St. Paul Campus.
- West Clinic, located at 5100 Gamble Drive in St. Louis Park, offers Occupational Health services as well as Urgent Care/After Hours.
Regular appointment hours are Monday through Friday, 8 AM-5 PM. Urgent Care/After Hours service hours vary. Please call 952-853-8800 for hours, locations, and approximate wait times. You can also check the Urgent Care website
for this information. Medical students
are encouraged to seek care at their rotation site through Employee Health Services or in the Emergency Department. You can always visit Boynton Health Service for an immediate appointment during normal and urgent care hours
. If Boynton is closed, please call the 24-hour Medical Information Nurse Line at 612-625-7900 for advice on where to go for care.
The initial evaluation should include:
- Documentation of the route(s) of exposure and the circumstances under which the exposure incident occurred.
- Identification and testing of the source patient’s blood and evaluation of risk factors.
- Collection and testing of your blood and evaluation of risk factors.
- Post-exposure prophylaxis when medically indicated.
- Evaluation of reported illnesses.
3. Identify the source patient.
Identify the source patient with the help of your preceptor and/or the designated representative of the facility. The source patient’s blood should be tested after consent is obtained according to your treatment site practices. If the source patient has a known history of HBV, HCV, or HIV, it is unnecessary to test for the specific disease. Results of the source patient’s testing will be made available to you to the extent possible under the laws and regulations concerning disclosure of the identity and infection status of the source patient.
If it is not possible to identify the source patient or obtain a blood sample, the institution’s standard procedures should be used to assess the level of risk to you and then provide treatment accordingly.
4. Report it.
Employees must complete the electronic University of Minnesota First Report of Injury (E-FROI) online within 8 business hours after injury in order to ensure appropriate follow-up and to be eligible for Workers Compensation coverage.
For additional information on reporting Workers Compensation Related Injuries please see: http://www.policy.umn.edu/Policies/hr/Benefits/WORKERSCOMP.html.
Students are not eligible for Workers Compensation. Students should submit any bills for post-exposure care to their insurance plan, and contact the Office of Occupational Health and Safety at email@example.com for assistance with costs not covered by insurance.
Students must report exposures to their preceptors and to Boynton Health Service at (612) 625-7900.
5. Get a follow-up exam.
After you complete the E-FROI, you will be contacted for post-exposure care within 3 business days by HealthPartners Occupational and Environmental Medicine (HPOEM).
If you are a student, make an appointment for a follow-up assessment at Boynton Health Service within 72 hours of the exposure.
All medical records shall be kept confidential and will not be disclosed to any person within or outside the workplace without the exposed person’s express written consent except as may be required by law. Records shall be maintained for the duration of employment plus 30 years. If a resident, fellow, or medical student is infected with HCV, HBV, or HIV, he/she must report this infection to the Medical School’s Bloodborne Infectious Disease Review Panel by contacting the University of Minnesota Office of Occupational Health and Safety at firstname.lastname@example.org or 612-626-5008. This reporting is required by Minnesota law.
If the exposure occurred as a result of contact with a contaminated sharp, the injury must be reported to the Office of Occupational Health and Safety at email@example.com or the address below. The log will protect the confidentiality of the injured employee but will contain the following information:
- the type and brand of device involved in the incident;
- the department or work area where the exposure incident occurred; and
- explanation of how the incident occurred.