Exposure Reporting and Management Procedure, Baltimore Campus
If an exposure has or may have occurred:
- STOP and IMMEDIATELY remove item responsible for exposure to prevent a DOUBLE exposure
- Note if item is visibly bloody.
- Remove PPE and set aside gloves for checking later if a glove breach is not obvious (SOD nurse can help with this).
- Wash all wounds with soap and water, and flush exposed mucous membranes with cool water
- Do not force wounds to bleed
- DO NOT dismiss source patient/stop patient from leaving (if possible)
- Prepare to report the incident, make note of patient medical history/risk factors and have patient ID #
- Report incident to your attending faculty (student/resident), or department supervisor (staff)
- Report exposure to an SOD nurse; the most efficient way to do so is to use the emergency pager system
- To place an emergency page:
- Locate the button marked Emergency on a clinic wall phone and press (emergency pager number will be auto dialed) or dial 410-389-1324 (dial 9 first if using an SOD phone)
- After 3 beeping tones are heard, enter your room or quad number, followed by the # sign (lower level dial 777)
- Nurse(s) will respond to your area within a few minutes (page again, if no response in 3-5 minutes)*
* If unable to contact SOD nurse, phone the University of Maryland Immediate Care, Bloodborne Pathogen Exposure Hotline (BBPE Hotline) at 667-214-1886; if using an SOD phone, dial 9 first. DO NOT go to the ER without a referral from Dr. Baronas or a member of his staff.
- Complete the required forms (all incident details must be provided to an SOD nurse as soon as possible)
Required Injury Reporting Forms:
- Student/Resident, Staff, Employee and Volunteer forms will be provided by a SOD nurse, or can located in bins on SOD nurses’ office doors
| Students |
Employees* (Staff and Faculty) |
Volunteers |
1) U of MD Post Occupational Exposure Information Sheet
2) Adverse Incident Report (done by SOD nurse) |
1) First Report of Injury (needed for medical follow-up)
2) Accident Witness Statement (indicate if no witness)
3) Supervisor’s report of Injury *department must fax to corporate or state EHS within 3 days (copy to SOD nurse), unless done online
4) U of MD SOD Post Occupational Exposure Information Sheet
5) Adverse Incident Report (done by SOD nurse) |
1) U of MD SOD Post Occupational Exposure Information Sheet
2) JE Authorization Form (needed to receive treatment at U of MD Immediate Care
3) Adverse Incident Report (done by SOD Nurse) |
Adverse Incident Forms (old format) in bin on nurses’ doors and can be used to record the facts, or write the details on paper until a nurse can enter them online. Never refer to an incident report in the EPR; record incident facts only.
J. Naglik, RN 4/12/2016