Health Science Students - Blood Borne Pathogen Exposure
Time is of the essence! Protect yourself!
Blood and body fluids can be infected
with Hepatitis or HIV. Exposures to
blood borne pathogens can occur via a needle stick or mucus membrane
Campus Health Services offers care
to UNC students who may have had a blood borne pathogen exposure. This service is available 7 days a week, 24
hours a day. When Campus Health Services
is closed, the physician on call can be contacted through HealthLink, a nurse
advice service affiliated with UNC Healthcare. If you
have had a possible exposure to blood borne pathogens, follow the steps below:
Step 1. Immediately clean the affected area.
splashes to the nose, mouth or eyes, flush the area with water. Irrigate the eyes with clean water, saline or
sterile irrigants. If you are stuck with a sharp, clean the site with soap and
Step 2. Immediately notify your supervisor (clinical
instructor, resident, attending, etc) to document the incident.
Step 3. Obtain source patient information (patient
name, medical record number and location).
Step 4. CALL CAMPUS HEALTH SERVICES AND ASK TO SPEAK
TO THE PHYSICIAN ON DUTY.
After hours and weekends, ask the Health Link
nurse to page the on-call CHS physician.
If the exposure occurred at a
clinical site outside of Chapel Hill, still call the Campus Health Services
physician. Follow the instructions
provided for you at that site. The Campus Health Services medical provider and your supervisor
will help you determine if your exposure fits the Center for Disease Control
and Prevention (CDC) definition of a blood borne pathogen exposure.
For Source Patient Testing
Dental student: Inform the dental
clinical instructor and follow the protocol on the dental school’s website.
other student: Campus Health Services will coordinate source
patient testing for you, including a rapid HIV test. Please have source patient's name and medical
record number available.
Baseline Testing for Yourself for HIV, Hepatitis B, Hepatitis C
Baseline testing for you is ordered through Campus Health Services if you are
seen at the Campus Health clinic. If UNC
Campus Health is closed, the CHS physician will advise you as to whether an
urgent evaluation at another medical clinic is warranted or if testing can wait
until our clinic is open. An urgent
evaluation is usually needed only when post-exposure prophylaxis (PEP) is
Source Patient HIV/Hepatitis
B/Hepatitis C risk/status
- If source patient is known HIV-positive or high risk for HIV: Post-exposure prophylaxis (PEP) will likely be recommended. If PEP is recommended, it should be started as soon as possible!
- If source patient is positive for Hepatitis B: If you have an adequate HBsAb titer, no further action is necessary. If your titer is inadequate, Hepatitis B
immune globulin will be given to you and you should have follow-up testing.
- If source patient is positive for Hepatitis C: There is no known prophylaxis for Hepatitis C. You should, however, receive follow-up testing
after the exposure.