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Resident and Fellow Policy Manual

Appendix 1 - Infection Control Guidelines:

For University of Rochester Residents & Fellows

Prepared by University of Rochester, University Health Service, Occupational Health Office, phone 275-1164

Exposure Management for Blood/Body Fluid Exposure:

  • Wash/irrigate affected area
  • Intact skin:  wash with soap & water
  • Non-intact skin, needlestick or cut:  wash with soap & water
  • Mouth:  rinse well with water
  • Eyes:  rinse with sterile water, saline or tap water

Reporting exposures to University Health Service (UHS), Exposure Hotline, 275-1164

Universal Precautions

Universal precautions apply to all exposures to blood, body fluids, tissues and secretions

  • HAND HYGIENE: WASH hands before and after each contact with patients.
  • Wash with alcohol-based hand gel when hands not visibly soiled
  • Wash with soap and water when hands visibly soiled
  • GLOVES are required for all anticipated contact with human blood, body fluids, or mucous membranes. Double glove for surgical procedures.
  • CHANGE GLOVES and wash your hands after each procedure and before contact with another patient.
  • WEAR MASK and GOGGLES when blood or body fluids would potentially splash into your face.
  • WEAR WATERPROOF GOWN when blood or body fluids may soak through a cloth gown.
  • YOU ARE RESPONSIBLE for properly disposing of any sharps or infectious materials you have used in designated containers.

Potential for Blood Borne Pathogen Transmission

  • Human blood and blood products
  • Semen and vaginal secretions
  • Cerebrospinal fluid (CSF), synovial fluid, peritoneal fluid, pericardial fluid, amniotic fluid
  • Saliva in dental procedures (assume blood contamination)
  • Any body fluid visibly contaminated with blood
  • Any unfixed human tissue or organ
  • HIV-containing cell, tissue, or organ cultures or solutions, and blood, organs, or other tissues from experimental animals infected with HIV or hepatitis B virus (HBV) Saliva, urine, stool, vomitus, tears, sweat, breast milk and respiratory secretions are not considered a risk unless visibly contaminated with blood

REPORTING EXPOSURES

Call UHS Occupational Health Exposure Hotline at 275-1164 ASAP including nights/weekends/holidays

Leave the following information on voicemail when prompted:

  • Your name & social security number
  • Phone number
  • Hospital where exposure occurred & name of source patient
  • Date of exposure
  • Type of exposure (ex: needlestick, scalpel cut, splash in eyes, etc.)

Weekdays: The UHS Occupational Health Nurses (Bonnie Smith & Susan Antenozzi) will give you further instructions for follow-up care. The OH Nurse is available Monday-Friday, 8:00 AM to 5:00 PM.

Nights/weekends/holidays: Voicemail will give you further instructions. A UHS on-call physician is available for consultation and coordination of ongoing treatment as needed.

EXPOSURE AT SMH

See Reporting Exposures

You MUST complete a University of Rochester Employee Incident Report and notify your Residency Program Director/Chair within 24 hours of the incident. This form is available at: http://www.safety.rochester.edu/SMH115.html to insure payment for services.

 

EXPOSURE AT AFFILIATED SITES

Report the exposure to the hospital’s employee health office and the infection control office at the institution where the incident occurred. Treatment and counseling can be done at the affiliated site. However, ASAP, you must report details of the exposure to University Health Service exposure hotline, (275-1164) to coordinate proper follow-up.

Even though this occurred off site you must also report the incident by completing the U of R Employee Incident Report at:

http://www.safety.rochester.edu/SMH115.html to insure payment for services

 

Employee Health at Local Hospitals:

Highland Hospital

Employee Health: 341-8017

After hours: contact nurse supervisor

Monroe Community Hospital

Employee Health: 760-6208

After hours: contact nurse supervisor

Rochester General Hospital

Employee Health: 338-4026

After hours: contact nurse supervisor

Unity Health System

Employee Health: 723-7880

After hours: contact nurse supervisor

OTHER INFECTIOUS DISEASES

If you think you have been exposed to contagious diseases such as below, please contact the UHS Occupational Health Nurse for follow-up investigation:

  • Chickenpox/zoster
  • Meningococcal disease
  • Pertussis
  • Scabies
  • Tuberculosis

If you are ill, there are contagious diseases that may limit your contact with patients. Please contact the UHS Occupational Health Exposure Hotline at 275-1164 about the advisability of working with patients. Examples below:

  • Chickenpox or shingles
  • Conjunctivitis
  • Diarrheal illness
  • Measles
  • Skin infections
  • Upper respiratory illness with fever

For Tuberculosis: N95 respirator masks are required to be worn for potential tuberculosis exposures

Links:

SMH INFECTION CONTROL MANUAL:

http://intranet.urmc.rochester.edu/InfControl/index.htm

CENTER FOR DISEASE CONTROL:

http://www.cdc/gov