Time is of the essence! Follow the steps below to protect yourself.
Campus Health Services offers care to student who may have had a blood borne exposure through a needle stick or another method. The Blood Borne Pathogen Exposure Service is available on a 24 hour basis. When the Campus Health Services is closed, there is a physician on call that can be contacted through Health Link. The services cooperate and coordinate with various other University departments, such as the Health Affairs schools. Follow the steps below to begin our service.
Step 1 Clean the area immediately.
Wash needle sticks 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.
Step 2 Notify your supervisor (clinical instructor, resident, attending, etc) immediately after washing/irrigating to document the incident. Step 3 Obtain source patient information (patient name, medical record number and patient location). Step 4 Call Campus Health Services. See below chart During Academic Year: | Hours | Day
| Contact Number
| | 8a-5p | Monday - Friday
| 966-6551
| | 5p-8p | Monday - Friday
| 966-6573
| After Hours and
Weekends
| | 966-2281 and have the HealthLink nurse
page the on-call CHS physician
| During Summer Session: | Hours | Day
| Contact Number
| | 8a-5p | Monday - Friday
| 966-6551
| AfterHours and
Weekends | | 966-2281 and have the HealthLink nurse
page the on-call CHS physician
| If the exposure occurred at a clinical site outside of Chapel Hill, follow the instructions provided for you at that site. If you have questions, call Campus Health Services at 966-6573. 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. Source patient testing:
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. - Dental student: Call Linda Stewart at 966-3064 as soon as the exposure has occurred so she can arrange for source patient testing as soon as possible.
- Any 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. Baseline testing for Hepatitis B is not necessary if you have a documented protective post-vaccination titer. The majority of professional schools provide baseline testing and appropriate follow-up testing at no cost to you. If your school does not cover the cost of testing, many insurance plans will.
Source patient HIV/Hepatitis B/Hepatitis C risk/status. - If source positive/high risk for HIV
Post-exposure prophylaxis -PEP (prescribed medication) may be recommended. Time is of the essence! YOU HAVE A WINDOW OF TIME IN WHICH TO BEGIN THIS MEDICATION. - If source patient is positive for Hepatitis B
If you have a protective post-vaccination titer, no further prevention is necessary. If you do not have a protective hepatitis B titer, there are prophylactic measures to be taken and you should receive follow-up testing. Campus Health Services can provide this preventive care. - 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.
Centers for Disease Control and Prevention Internet resources and guidelines can be accessed through the Virtual Health Library: Bloodborne Pathogen Exposure/Needlestick.
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