Policies and procedures concerning bloodborne pathogen exposures and exposures to communicable diseases (e.g., tuberculosis, chicken pox) are in place at each of the major clinical teaching facilities.  Students should familiarize themselves with the policies and procedures of each clinical facility to ensure they comply with all requirements in case they are injured or exposed to communicable disease. All needle sticks and other exposures to blood or other potentially infectious body fluids should be immediately reported to the student’s supervisor and to the designated contact at the facility where the incident occurs, as well as to the Office of Student Affairs for the College of Medicine.  For more information, please refer to the Infectious and Environmental Hazard Student policy.

To report an incident, students must complete the Student Incident Report Form.

GENERAL PROCEDURES

General procedures in the case of an exposure to a bloodborne pathogen are listed below.

Prophylaxis for Hepatitis B and HIV

HOSPITAL SETTING DURING REGULAR BUSINESS HOURS

HOSPITAL SETTING DURING NON-REGULAR BUSINESS HOURS/HOLIDAYS

OTHER SETTINGS DURING REGULAR/NON-REGULAR BUSINESS HOURS AND/OR HOLIDAYS

Important Contact Information

All exposures will be reported to the Office of Student Affairs of the College of Medicine and to UCF Health Services. The Associate Dean for Students will provide assistance should students encounter difficulties and in informing and coordination of follow-up care with UCF Health Services.

Contact:

Assistance in obtaining evaluation, prophylaxis and follow-up care can be obtained through the Office of Student Affairs for the College of Medicine and UCF Health Services. Code names are used for all laboratory testing performed through UCF Health Services to assure confidentiality.

Financial Information

Through a waiver of the in-network requirements specified in the United Healthcare Student Health Services contract with UCF Student Health Services, BBP exposures and post-exposure prophylaxis can be obtained from immediately accessible medical facilities (both in-network and out-of-network) by medical students who are undergoing training in the clinical education environment in modules, clerkships, electives and selectives. Follow-up care for exposure must be obtained through arrangements with UCF Student Health Services and their arrangement with in-network providers.

Note: Students will be responsible for deductibles specified in the United Healthcare Student Health policy, or as specified in their health insurance policy (if other than United Healthcare Student Health).  Students ARE NOT covered under workmen’s’ compensation.

Bay Pines VA Healthcare System

Time of exposure: 8a–5p (M-F)
Report exposure to: Immediate Supervisor and Employee Health (Building 22, Room 116, extension 4225)
If during non-regular hours, weekends, or holidays, report to immediate supervisor.

Central Florida Behavioral Hospital

Time of exposure: 8a–5p (M-F)
Report exposure to: Immediate Supervisor and Infection Control Practitioner
If during non-regular hours, weekends, or holidays, report to immediate supervisor.

Flager Hospital

Time of exposure: anytime
Report exposure to: Nursing Supervisor and to the Emergency Department for treatment

Advent Health

Time of exposure: 7a–3:30p (M, T, W, F), 8a–3:30p (Thurs)
Report exposure to: Attending/Resident or other immediate supervisor
Report to: Employee Clinic – 407-303-7135,
2604 N Orange Avenue
Needlestick Hotline: 407-200-4702
If during non-regular hours, weekends, or holidays, report to nearest FH emergency department.

Heart of Florida

Time of exposure: anytime
Report exposure to: Immediate Supervisor and to Occupational Health for treatment

Health First

Time of exposure: 8a-5p (M-F)
Report exposure to: Immediate supervisor
Call the Exposure Help Line within two hours at 321-434-7500 for treatment recommendation and follow-up. On the next working day, contact Employee Health to begin follow-up.
If during non-regular hours, weekends, or holidays, contact the hospital operator to contact the Infection Control Professional on-call.

Lakeside Behavioral Healthcare, Inc.

Time of exposure: 8a–5p (M-F)
Report exposure to: Human Resources Specialist and Immediate Supervisor
Report to: FH emergency department 407-303-6611, 601 E. Rollins Street, Orlando

Nemours

Time of exposure: 7a-4p (M-F)
Report exposure to: Immediate supervisor and Employee Health Services at 407-650-7573
Call the Exposure Help Line within two hours at 321-434-7500 for treatment recommendation and follow-up. On the next working day, contact Employee Health to begin follow-up.
If during non-regular hours, weekends, or holidays, contact the patient flow coordinator at 407-567-2364.

Orlando Health

Time of exposure: 7a–5p (M-F)
Report exposure to: Patient Care Coordinator (PCC)
Report to: Occupational Health 321-841-5212, 77 West Underwood Street, 2nd Floor
If during non-regular hours, weekends, or holidays, report to PCC and report to the emergency department 321-841-5133.

Orlando Veteran Affairs Medical Center

Time of exposure: 7:30a–4p (M-F)
Report exposure to: Attending/Resident or other Immediate Supervisor
Report to: Occupational Health Provider, 407-629-1599 ext. 6279
If during non-regular hours, weekends, or holidays, report to immediate supervisor and go to Emergency Department
407-646-7302, 200 N. Lakemont Avenue, Winter Park

Osceola Health Department

Time of exposure: 8a–5p (M-F)
Report exposure to: Supervising Attending or his/her Designee. For questions, contact Nathaly Acosta – EPI/TB Program Manager 407-516-9001 ((cell) or extension 2155).
If during non-regular hours, weekends, or holidays, report to immediate supervisor.

Osceola Regional Medical Center

Time of exposure: 8a-5p (M-F)
Report exposure to: Occupational Health Provider, Brenda Allen 407-518-6302
If during non-regular hours, weekends, or holidays, report to immediate supervisor and go to Osceola Regional Medical Center Emergency Department
407-846-2266, 700 West Oak Street, Kissimmee

Pasadena Villas

Time of exposure: anytime
Report exposure to: Human Resources Specialist and Immediate Supervisor
Report to: FH Emergency Department 407-303-6611, 601 E. Rollins Street, Orlando
If during non-regular hours, weekends, or holidays, report to immediate supervisor and go to FH Emergency Department
407-303-6611, 601 E. Rollins Street, Orlando

Naples Community Hospital (NCH Baker Hospital)

Time of exposure: Anytime; Students that experience a needle stick or some other form of exposure to BBP are directed to the Emergency Room at NCH following completion of a First Report of Injury form.  See details below.
Report exposure to: Nurse Manager or Administrative Manager on site.  Student will be directed to complete a First Report of Injury form provided by manager on site.
Report to: Student then reports immediately to the Emergency Room at the nearest NCH facility.  Students will be seen by the ED physician and a decision will be made about treatment.

Occupational Health ((239) 624-4630) will follow up with the student on the next business day to coordinate their care or treatment with the NCH Business Health team.

North Florida Regional Medical Center (HCA)

Time of exposure: (M-F 7:00 a.m. – 5:00 p.m.)

Report exposure to: Program Director David Quillen (david.quillen@hcahealthcare.com), Program Coordinator Shana Ninan with exposure patient’s name (Shana.Ninan@hcahealthcare.com) (352) 333-5152 (PC will contact insurance company & House Supervisor for source testing)

Report to: Care Spot (3 locations in Gainesville) for needlestick or NFRMC ER for open wounds or emergency treatment

If during non-regular hours, weekends, or holidays, report to: Same procedure, however if PD or PC not reachable contact GME Coordinator Veronica Stehouwer at (352) 538-7385 and then contact House Supervisor directly with exposure patient’s name

Ocala Regional Medical Center (HCA)

Time of exposure: Any time of day, 24/7

Report exposure to: Notify Attending and Senior Resident.  Immediately call Nursing Supervisor at (352) 401-1184 and then notify Program Coordinator.  Nursing Supervisor will complete the Post Exposure Packet.  Program Coordinator will inform Employee/Occupational Health.  Student will be directed to complete a Non-Patient Occurrence Report in Meditech (Nursing Supervisor or Floor Manager can assist with completing the Non-Patient Occurrence Report).

Report to: Nursing Supervisor will then instruct the Student to report immediately to the Emergency Room.  Students will be seen by the ED physician and a decision will be made about treatment.  Occupational Health will follow up with the student on the next business day to coordinate their care or treatment.

Needlestick Hotline: (888) 448-4911 for questions or concerns.