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Attachment 5 - Protocols for Occupational Exposure
Terms in this set (16)
The Designated Infection Control Officer (DICO) is the EMS Program Manager or designee......?
Janet Woodside, RN, MSN, EMS Program Manager Occupational Health & Infectious Disease Program
Step 1. In the event of a significant blood borne exposure, the exposed employee will:
-Provide immediate care to the exposure site
-Wash wounds and skin with soap and water if available, or disinfectant
-Flush mucous membranes with water
-Rinse and spit if blood is in mouth
A Level 3, significant blood-borne exposure is:
1) Contact with blood or body fluids to non-intact skin
2) Contact with blood/ body fluids to mucous membranes (eyes, nose, mouth)
3) A needle-stick with a dirty needle
Step 2. In the event of a significant blood borne exposure, the exposed employee will:
1) During work hours (Monday-Friday 630am-3pm) officers (on behalf of the exposed employee) will contact the DICO (Designated Infection Control Officer) at EMS at 503-823-3879 or 503-942-0549 (pager). (Janet Woodside, RN, MSN)
2) If Janet does not respond to a page or phone call within 15 minutes of reportable exposure contact EMS Deputy Chief Ryan Gillespie at 503-778-3558 (pager).
3) If neither is available, such as on a holiday, vacation day, after hours, or weekends, the company officer will call their Battalion Chief. They will then call the on-duty Deputy Chief to determine if this is a significant exposure.
***Sending the exposed firefighter to the emergency room for follow-up requires authorization of the on-duty C-103!
Step 3. In the event of a significant blood borne exposure, the exposed employee will:
• The company officer shall call the BC then C-103, if authorized, then ensure completion and routing of all applicable forms by the end of the shift the exposure or injury occurs.
What is Form 900.02 in the Personnel system?
Personnel Exposure Form
What is form 900.43 in the Personnel system?
Sharps Exposure Report Form
Who will send an email or leave a voice mail message to the DICO confirming that authorization was provided to go to the emergency room?
When the DICO (Janet Woodside, RN, MSN) or her back up or the Deputy Chief determines the exposure is significant, the following shall be accomplished by the officer:
1) In the Personnel System, under the employee's name on the Exposure Tab, a Personnel Exposure Report (Form 900.02) shall be completed and this will be sent to the EMS office automatically (electronically), when you complete the report. Do not send hard copies.
2) An Injury Report must be entered by the officer into PF&R's Personnel System for all exposures requiring medical care. Appropriate Fire & Police Disability & Retirement Fund (FPD&RF) or Public Employees Retirement System (PERS) forms should also be completed.
3) If a needle stick occurs, in addition to the electronic completion of Form 900.02 in the personnel system, the officer will complete a Sharps Exposure Report Form 900.43 after investigating the incident.
***The C-103 will send an email or leave a voice mail message to the DICO confirming that authorization was provided to go to the emergency room.
what must be entered by the officer into PF&R's Personnel System for all exposures requiring medical care?
An Injury Report
Appropriate Fire & Police Disability & Retirement Fund (FPD&RF) or Public Employees Retirement System (PERS) forms should also be completed.
Step 4. The C-103 will do the following:
1. Send the employee to the hospital where the source patient was treated if a substantial exposure occurred and you think PEP (Post exposure Prophylaxis) is indicated. Remind them to bring the instruction sheet to the emergency room.
Who will follow up with the exposed employee within 72 hours of the exposure to gather information on follow up recommendations from the treating hospital.
-If the DICO is on vacation, the EMS Deputy Chief will follow up and forward it to the DICO.
The DICO will follow up with the exposed employee within 72 hours of the exposure to gather information on follow up recommendations from the treating hospital. If the DICO is on vacation, the EMS Deputy Chief will follow up and forward it to the DICO.
If a patient is treated by PF&R and found to have a reportable infectious disease, federal and state laws require?
1) 1st responders (PF&R Firefighters) to be notified in a timely manner to ensure they are properly treated with prophylaxis medications. You will get a call if the patient has confirmed bacterial meningitides, active tuberculosis, etc. You will be notified where/when to get medication, if needed.
Levels of Exposure
Level 1 Exposure-contact limited to being in the presence of a patient suspected communicable disease
Level 2 Exposure-Contact with blood/body fluids on intact skin, clothing or equipment
What does ORS 433.085 allow?
Emergency medical services provider, licensed health care provider or firefighter who in the performance of the individual's official duties comes into contact with the bodily fluids of another person may seek to have the source person tested for HIV and hepatitis B or C. This is allowed if it is believed the exposure was substantial and the testing would be appropriate. Information presented must include information sufficient to identify the alleged source person and the location of the alleged source person, if known.
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