Which order should you follow after a spill of blood or other potentially infectious materials quizlet?

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In the event of a needle stick or sharps injury, or if you are exposed to blood or other potentially infectious materials, follow the steps as outlined below.

Bloodborne Pathogen Exposure Action Items

Immediate action checklist for bloodborne pathogen exposure and needle stick incidents at UND's School of Medicine & Health Sciences.

Immediate Steps

  1. Clean the site
    • Needle-stick injuries and cuts: Wash affected area with soap and water
    • Splashes to the nose, mouth or skin: Rinse with water for 10 minutes
    • Splashes to the eyes: Proceed to the nearest eyewash station and flush for a minimum of 15 minutes, rolling the eyes left to right and up and down. Contact lenses may be gently taken out during flushing. 
      • If no eyewash station is available, irrigate eyes with clean water, sterile saline or sterile irrigants in the same manner as above. 
  2. Report the incident to your immediate supervisor

Within One Hour

  1. Go to a licensed health care provider for an immediate medical evaluation, counseling, testing and devise a plan for followup care. Considerations for post-exposure prophylaxis: the type of exposure, type and amount of fluid/issue, infectious state of the source, and susceptibility of the exposed student. Prophylaxis should be started as soon as possible after HIV exposure.

Within Two Hours

  1. The student’s immediate supervisor where the incident occurred requests both the student’s and the source patient’s lab test workup (if blood or body fluid exposure). A minimum of HIV-1, HIV-2, Hepatitis B Surface Antigen and Hepatitis C Antibody testing is to be completed on both the student and the source patient. If possible, the supervisor should determine and document the identity of the source individual who should be referred for testing to the health care professional that is treating the exposed student (see Appendix 6).

Within 24 Hours

  1. Student reaches out to SMHS contact to advise of incident
    • Medical student in the pre-clinical years: Associate Dean for Student Affairs and Admissions
    • Medical student in the clinical years: Respective Campus Dean
    • Health Sciences student: Chairperson of respective program
    • Biomedical Sciences student: Chairperson of the Department of Biomedical Sciences
    • Clinical and Translational Science student: Chairperson of the Department of Pathology
  2. Student and immediate supervisor, along with assistance from SMHS contact above, complete UND Incident Reporting Form, and submit to the Office of Safety at  and the SMHS Dean’s Office at . The student’s academic department shall keep a copy of the record, and retain it according to UND’s retention schedule. If the incident happened on UND’s campus, the Sharps Injury Log Form must also be completed and sent to UND’s Safety Office.
  3. Immediate supervisor ensures that test results of source patient are relayed to student’s health care provider. If the student chooses to withhold consent for testing, their collected blood sample must be retained by the medical evaluation/collecting facility for 90 days or until consent to test is obtained, whichever period of time is shorter.
  4. Student, immediate supervisor and health care provider complete the SMHS Return to Educational Experiences Form and return it to the respective SMHS contact (see Step 1 under 24 Hours).     
  5. If the student refuses care, the student must complete the Refusal of Care Form and send to respective UND contact noted above, who will forward on to UND Office of Safety.

Within 48 Hours

  1. Associate Dean for Student Affairs and Admissions/Campus Dean/Chairperson investigates the incident and completes Part One and Part Two of the UND Incident Investigation Form and forwards on to UND’s Office of Safety.

Financial Obligation Notes

  • Students, including visiting students, are required to carry health insurance.
  • Many major North Dakota clinical affiliates cover the initial bloodborne exposure testing costs and initial care related to the student exposure (after insurance), if the exposure and care occur at that facility.

The Occupational Safety and Health Administration (OSHA) defines Universal Precautions as an approach to infection control to treat all human blood and body fluids as if they contain bloodborne pathogens. Bloodborne pathogens are microorganisms found in human blood that can cause disease.

A Better Understanding of Universal Precautions

In 1987, the Center for Disease Control (CDC) published “Recommendations for Prevention of HIV Transmission in Health-Care Settings,” which recommended that blood and body fluid precautions be used for all patients, regardless of their infection status. Prior to this, blood and body fluid precautions were only recommended when a patient was known or suspected to be infected with a bloodborne pathogen. Universal precautions include:

Which order should you follow after a spill of blood or other potentially infectious materials quizlet?

  • Using disposable gloves and other protective barriers while examining all patients and while handling needles, scalpels, and other sharp instruments.
  • Washing hands and other skin surfaces that are contaminated with blood or body fluids immediately after a procedure or examination.
  • Changing gloves between patients and never reusing gloves.

Universal precautions apply to the following body fluids:

  • Blood
  • Semen and vaginal secretions
  • Cerebrospinal fluid (CSF)
  • Synovial fluid
  • Pleural fluid
  • Pericardial fluid
  • Amniotic fluid

How are Bloodborne Pathogens Spread?

According to the American National Red Cross: “Bloodborne pathogens, such as bacteria and viruses, are present in blood and body fluids and can cause disease in humans. The bloodborne pathogens of primary concern are hepatitis B, hepatitis C and HIV. These and other bloodborne pathogens are spread primarily through:

  • Direct contact. Infected blood or body fluid from one person enters another person’s body at a correct entry site, such as infected blood splashing in the eye.
  • Indirect contact. A person’s skin touches an object that contains the blood or body fluid of an infected person, such as picking up soiled dressings contaminated with an infected person’s blood or body fluid.
  • Respiratory droplet transmission. A person inhales droplets from an infected person, such as through a cough or sneeze.
  • Vector-borne transmission. A person’s skin is penetrated by an infectious source, such as an insect bite.

Follow standard precautions to help prevent the spread of bloodborne pathogens and other diseases whenever there is a risk of exposure to blood or other body fluids. These precautions require that all blood and other body fluids be treated as if they are infectious. Standard precautions include maintaining personal hygiene and using personal protective equipment (PPE), engineering controls, work practice controls, and proper equipment cleaning and spill cleanup procedures.”

Call the Professionals at Aftermath for Blood Cleanups

Although developed for healthcare professionals, universal precautions should be taken by anyone who may have contact with blood or body fluids. It is recommended to call a bioremediation company to clean up a blood spill that is larger than a standard dinner plate. After an accident, homicide, suicide, or other trauma, many families do not know where to turn for help in the cleanup.

Aftermath safely and thoroughly cleans up potential bloodborne pathogens that are left behind after a trauma, and like hospital workers, we employ universal precautions to ensure the safety of our technicians and those we serve. To learn more about Aftermath and our services, read through these frequently asked questions.

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Sources:

OSHA: https://www.osha.gov/SLTC/etools/hospital/hazards/univprec/univ.html
CDC: http://wonder.cdc.gov/wonder/prevguid/p0000255/p0000255.asp
CDC: http://wonder.cdc.gov/wonder/prevguid/p0000255/p0000255.asp
NIH: http://www.nlm.nih.gov/medlineplus/ency/imagepages/19698.htm
The American National Red Cross: http://www.in.gov/isdh/files/BBP_American_Red_Cross_Fact_Sheet_xps(1).pdf

What is the first step you should take when cleaning up a spill of blood or other potentially infectious materials?

Wash the exposed area thoroughly with soap and running water. Use non-abrasive, antibacterial soap if possible. If blood is splashed in the eye or mucous membrane, flush the affected area with running water for at least 15 minutes.

What is the first step in any incident involving blood or other potentially infectious materials?

If you aren't sure what to do, these 5 steps can help: Wash exposed skin, cuts, and needlestick injuries thoroughly with soap and water. If you have been splashed by potentially infectious fluids around the eyes, nose or mouth, flush the area with water. Immediately report the incident to emergency medical services.

What steps follow blood spill procedure?

STOP service..
GLOVE hands of licensee..
CLEAN injured area as appropriate..
APPLY antiseptic and/or liquid or spray styptic as appropriate (see NOTE)..
COVER the injury with the appropriate dressing to prevent further blood exposure..
BAG and dispose of all contaminated objects. ... .
RETURN to service..

What is the 3 step procedure for cleaning up a blood spill?

Procedure for Spills on Hard, non-porous surfaces: Cleanup and decontamination is a 3 step process requiring proper personal protection equipment, removal of gross filth (visible material), followed by disinfection of surface.