Bloodborne Pathogens Post-Exposure Procedures & Forms
This information is designed to:
- Assist WSU personnel and health care interns to respond correctly after an occupational exposure to human blood
- Ensure compliance with the OSHA Bloodborne Pathogens Standard
- Facilitate timely resolution of workers compensation claims resulting from exposures
What is an occupational bloodborne pathogen exposure?
An occupational bloodborne pathogen exposure is contact with blood or other potentially infectious materials that may result from the performance of an employee's duties.
What are the possible exposure methods?
Methods of exposure: An occupational exposure to human blood other potentially infectious material occurs in one or more of the following ways:
- A stick with a contaminated sharp object (i.e., needle)
- A splash to the eyes, nose, or mouth (i.e., mucous membrane)
- A contact with non-intact skin (i.e., cut on hand)
- Prolonged contact with intact skin
Post Exposure ProceduresInvolving a needle stick or other potential exposure to a bloodborne pathogen by an employee, student intern, or assigned volunteer
Revised August 2014
2. Inform your supervisor or clinical instructor to call the appropriate infection control/blood exposure triage staff on duty, and alert them to expect you for immediate evaluation and treatment. (Evaluation must be completed within two hours of exposure. If the Health Care practitioner has any questions about the course of action or evaluation of the exposure potential, refer them to Dr. Petronella Adomako, an infectious disease physician at McKay Dee Hospital. Dr. Adomako's 24-hour telephone number is (801) 387-7900.)
3. Report to IHC WorkMed or hospital triage staff according to where the exposure occurs:
♦At McKay-Dee Hospital: Report to the McKay-Dee Hospital Emergency Room and ask for the Health Coordinator, Carolyn Taylor. Telephone (801) 387-7715.
♦On campus, Off campus, or in any other hospital or facility:
(*Hours vary by location. Consult IHC websites linked below for specific facility hours)
Between 9:00 pm – 7:30 am*: Report to the McKay-Dee Hospital Emergency Room, 4401 Harrison Blvd., and ask for the Health Coordinator, Carolyn Taylor. Telephone (801) 387-7715.
report to the nearest hospital and ask for the Blood Exposure Triage Staff.
On-site triage may be used if available as a policy of your worksite.
Consult your supervisor or call EH&S at (801) 626-8004 for any questions.
5. Request the source individual to complete the Consent or Refusal (By source individual) for HIV, HBV, and HCV Infectivity Testing form, if appropriate. (Once the source individual gives consent for testing, your department is responsible for coordinating blood testing.)
6. Inform the EH&S Specialist of your exposure as soon as possible at (801) 626-7823.
7. Complete the WSU Occupational Bloodborne Pathogens Exposure Incident form within 24-hours of your exposure, and send a copy to WSU EH&S, Dept. 2621 (Full Address Below)
If hospital triage personnel determine the risk is low, you may request follow up treatment at IHC WorkMed.
Follow up treatment should begin within 48 hours following exposure, and includes initial screening; counseling concerning risk, health, and relationships; and follow up testing.
Direct questions about these procedures to WSU's Environmental Health and Safety:
Pat Patitas, Hazardous Materials Safety Specialist
Telephone: (801) 626-7823; (801) 626-8004
3700 Skyline Parkway, Dept. 2621
Facsimile: (801) 626-8530
Ogden, Utah 84408-2621
IHC WorkMed is WSU's preferred Workers Compensation provider.
What are the exposed bloodborne individual's responsibilities?
The exposed individual is responsible for:
- Becoming familiar with post-exposure procedures before an exposure occurs
- Obtaining medical treatment and follow up. (See "Post Exposure Procedures" above)
- Completing necessary forms
- Notifying his/her supervisor or clinical instructor of your exposure
What are the responsibilities of the department?
The department is responsible for:
- Disseminating post exposure information to faculty, staff, and interns who are at risk for exposures to human blood
- Coordinating blood testing of the source individual once consent is given
What are the responsibilities of the supervisor?
The supervisor or clinical instructor is responsible to:
- Becoming familiar with these procedures before an exposure occurs
- Knowing the location of the nearest health care provider able to perform post-exposure evaluation and treatment
- Having available rapid access to the health care provider's telephone number
- Supervisor's Report of Incident
The supervisor or instructor of the exposed individual must complete and submit this form to EH&S within 24 hours following an occupational exposure to human blood or other bio-hazardous material.
- Incident Information Form
The exposed individual must complete and submit this form to EH&S within 24 hours following an occupational exposure to human blood or other bio-hazardous material.
- Source Individual's Consent or Refusal for Infectivity Testing Form
The individual whose blood or bio-hazardous material was involved in the occupational exposure (not the exposed individual) must complete and sign this form before submitting to testing.
- Refusal of Post-Exposure Medical Evaluation Form
The exposed individual must complete this form only if refusing post-exposure medical evaluation by a health care professional.
- A printable copy of the information on this page.