TWU faculty, staff and students may face a significant health risk from occupational exposure to blood and other potentially infectious materials (OPIM). Blood and OPIM may contain bloodborne pathogens, including the Hepatitis B virus, causing a serious liver disease; and the human immunodeficiency virus, which causes Acquired Immunodeficiency Syndrome (AIDS).
Faculty, staff and students who are exposed to blood or OPIM as a necessary part of their employment or education are covered by TWU’s Bloodborne Pathogen URP and the Exposure Control Plan which describes required procedures. Specifically, the Exposure Control Plan covers the following:
- Exposure determination (listing specific employees and students who are exposed to bloodborne pathogens)
- Methods of compliance including universal precautions, engineering and work practice controls, personal protective equipment, and waste handling/disposal
- Hepatitis B and other vaccinations
- Prevention of transmission while providing health care services where applicable
- Evaluation and follow-up following accidental exposure to bloodborne pathogens
- Communication of hazards to employees (warning labeling)
- Annual plan reviews
Exposure Incident Procedure Summary
The following is a summary of the required procedures when an employee or student has an “exposure incident” (a specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious materials that results from the performance of an employee’s duties or as part of a student’s education). Reminder — for employees who are in a deferred vaccination position, they must receive the vaccine within 24 hours of rendering assistance, even if they did not have an "exposure incident." For complete instructions, refer to the Post Exposure Evaluation and Follow-Up section of the Exposure Control Plan.
Following an exposure incident all of the following must be completed:
- Cleanse the wound and surrounding area with soap and water (for a puncture, cut or similar incident), and/or flush eyes, nose or mouth with copious amounts of tap water (for a splash to the face).
- Report the incident to exposed individual’s supervisor immediately, regardless of the location or time the incident occurred.
- Exposure incidents are to be considered urgent medical concerns. The supervisor of the exposed individual must ensure that he/she receive medical attention promptly The CDC states that post-exposure preventive medications are most likely to be effective if administered as soon as possible after the exposure (within hours of the incident, not days). The exposed individual must immediately be sent to a nearby hospital or clinic to receive the post-exposure evaluation described below. Students may be sent to Student Health Services in Denton, or to a local clinic or hospital. Employees must be sent to a clinic or hospital within the IMO Med-Select network if available in the area (call 888-466-6381 or visit www.injurymanagement.com to find a provider).
- The exposed individual must receive a confidential medical evaluation and follow-up including identification and documentation of source individual, collection and testing of blood, post-exposure prophylaxis when medically indicated, and appropriate counseling regarding infection status/results of tests/necessary precautions.
- The information on the Exposure Incident Procedure and Forms must be provided to the healthcare professional providing the medical evaluation as soon as possible (but do not delay sending the exposed individual for treatment). This may be accomplished verbally or by using the form, but all information on the form must be provided.
- The exposed individual’s supervisor must obtain and provide the individual with a copy of the medical provider’s written opinion within 15 days of completion of the evaluation. This opinion must be limited to the items listed on the Exposure Incident Procedure and Forms.
- Employees and their supervisor must complete the Employee's Report of Injury form (SORM-29) and the Incident/Accident Investigation form (SORM-703) and submit them to TWU Human Resources as soon as possible after the employee receives medical care.
- Students can submit a claim for post-incident medical care under the BBP insurance program.
- If the exposed individual is an employee who has not previously been offered the Hepatitis B vaccination (deferred vaccination position), the individual must be offered the vaccination within 24 hours. This includes any incident where they render assistance, even if they have not had an actual exposure incident and may not require full medical evaluation.
- If the incident involved a percutaneous injury from contaminated sharps, the DSHS “Contaminated Sharps Injury Reporting Form” must be completed by the supervisor and mailed to the local health department and a copy provided to EH&S within 10 days of the incident.