High Risk Exposure Policy and Procedures
(Please refer to the most recent OSHA and CDC guidelines for updated information.)
It is the policy of OSU-CHS College of Osteopathic Medicine that all students having occupational exposure to blood or other potentially infectious materials will be offered the post-exposure evaluation and follow-up required by OSHA. Should an exposure incident occur, it must be immediately reported to the student's supervising physician, site administration and/or Employee Health, and Student Health Services at OSU-COM.
It is the policy of the College to offer immediate medical evaluation and follow-up to all students who have an exposure incident. This service is provided at no charge to the student. All costs, at Medicare approved rates, for the student will be reimbursed by the College while the site will incur all costs for source patient testing and follow-up. All post-exposure evaluations and follow-ups must remain confidential.
If an exposure incident occurs, the student must identify the source patient, if known. The incident must be documented on the appropriate form located with this policy and be faxed to the Student Health Services at OSU-COM (FAX: 918-561-1261).
The source patient will be contacted for consent and appropriate testing should the HBV/HIV antibody status be unknown. Test results should be reported to Student Health Services at OSU-COM within 48 hours. If the patient consents and the testing is negative, the student and College will be notified and no further action will be necessary. If the testing shows the source patient to be positive or if the patient refuses to be tested, refer to the following sections for guidelines. Patients cannot be legally forced to submit to testing, however if blood was drawn prior to the incident, then that sample may be tested for HBV and HIV.
Post-exposure evaluation and/or source testing should include the following:
- A blood sample will be drawn and tested as soon as feasible for HBV, HIV and HCV status (baseline HIV, Hepatitis panel ABC).
- Counseling will be provided.
- The student will be advised that they are entitled to a medical evaluation in addition to testing for HIV status.
- If the initial test is seronegative for HIV, retesting will be offered through the OSU-COM Health Care Center at 3 months, 6 months and 12 months after the incident.
Steps to Take in Case of an Exposure Incident:
- Report the incident immediately so the status of the source patient can be determined if at all possible. Refer to the following charts for actions to be taken. Management post-exposure guidelines for Hepatitis B Virus and guidelines for post-exposure to HIB are included.
- The site must make an immediate, confidential medical evaluation available to the exposed student. This is available at no charge to the student (College pays cost of the student - site pays cost of the source patient) and should include evaluation, counseling, and post-exposure prophylaxis when medically indicated. Post-exposure prophylaxis will be at the cost of the student and/or applicable health insurance.
- Complete the Exposure Incident Form. A copy of this form should be included in the test results provided to OSU Student Health Services within 48 hours of the exposure.