This plan is designed to eliminate or minimize exposure to blood borne pathogens, as well as define reporting and follow-up procedures in case of an exposure incident. This plan refers to OSHA’s (Occupational Safety and Health Administration) blood borne pathogens standard.
Blood borne pathogens: Refers to infectious materials in blood that can cause disease in humans. This includes hepatitis B (HBV) and C and human immunodeficiency virus (HIV).
Exposure: The most obvious exposure incident is a needle stick, however any specific eye, mouth, other mucous membrane, non-intact skin, or contact with blood or other potentially infectious material is considered an exposure incident.
Prevention of Exposure Incident
Universal Precautions, Taken form 2003-2003 NCAA Sports Medicine Handbook, 16th edition, August 2003, page 39.
The following recommendations are designed to further minimize risk of blood borne pathogen transmission in the context of athletic events and to provide treatment guidelines for caregivers. These are sometimes referred to as “universal precautions”, but some additions and modifications have been made as relevant to the athletics arena.
- Pre-event preparation includes proper care for wounds, abrasions, cuts or weeping wounds that may serve as a source of bleeding or as a port of entry for blood borne pathogens. These wounds should be covered with an occlusive dressing that will withstand the demands of competition. Likewise, care providers with healing wounds or dermatitis should have these adequately covered to prevent transmission to or from a participant. Student-athletes may be advised to wear more protective equipment on high-risk areas, such as elbows and hands.
- The necessary equipment and/or supplies important for compliance with universal precautions should be available to caregivers. These supplies include appropriate gloves, disinfectant bleach, antiseptics, designated receptacles for soiled equipment and uniforms, bandages and/or dressings and a container for appropriate disposal of needles, syringes, scalpels, and other sharps materials.
- Preventative practice includes, use of gloves and other protective equipment such as one-way valve masks.
- Appropriate procedures for hand washing, sharps disposal, glove and biohazard disposal, contaminated laundry handling and material cleaning should also be practiced to reduce the likelihood of exposure.
OSHA protocol and standards shall be reviewed yearly with athletic training students.
Reporting an Exposure Incident
Employees of the University
In the event of an exposure incident, please inform the Head Athletic Trainer. Follow appropriate workers compensation guidelines including:
- Complete the employee injury report immediately.
- If medical treatment is required, contact 1-800-624-2354 to seek authorized medical care. Treatment not authorized will be at your own expense. (All exposure incidents should be medically treated)
- Complete the Authorization to Release Medical Records form granting access to medical records. These records must be received before payment of medical charges may be considered.
RETURN ALL FORMS TO YOUR EMPLOYER PROMPTLY. FALIURE TO COMPLETE THESE FORMS MAY DELAY CONSIDERATION OF WORKERS’ COMPENSATION BENEFITS.
Questions or concerns may be directed to the Central Accident Reporting Office (CARO) at (573)751-2837 or 1-888-622-7694.
Athletic Training Students
In the event of an exposure incident, students should report the incident to the supervising Certified Athletic Trainer immediately.
- Student will be sent immediately to Student Wellness, ext. 2348 for evaluation and testing. Treatment will be based on recommendations of medical personnel.
- Any questions or concerns may be addressed to Center for Health Counseling, 651-2270, contact Sallie Loos, R.N.
- Written documentation of the incident as soon as feasible following the exposure.
- Students: An exposure incident report should be used and properly filled out andreturned to your supervising ATC.
- Employees of the University: Fill out an Employee Injury Report-WorkersCompensation Form.
The Infected Athletic Trainer
An athletic trainer infected with a blood borne pathogen should practice the profession of athletic training taking into account all professionally, medically, and legally relevant issues raised by the infection. Depending on individual circumstances, the infected athletic trainer will or may wish to:
- Seek medical care and on-going evaluation
- Take reasonable steps to avoid potential and identifiable risks to his or her own health and the health of his or her patients.
- Inform, as or when appropriate, relevant patients, administrators, or medical personnel
Post-Exposure Follow Up
Follow up care will be based upon recommendation by medical personnel treating exposure.
Follow up care includes:
- Laboratory tests, confidential medical evaluation, identifying and testing the source of the individual (if feasible), testing the exposed employee’s blood, performing post-exposure prophylaxis, future screenings, preventative medicines, offering counseling, and evaluating reported illnesses.
- ALL DIAGNOSIS AND MEDICAL RECORDS SHALL REMAIN CONFIDENTIAL
Proper Disposal of Contaminated Material
Material that has been contaminated should be disposed in properly marked Biohazard containers as soon as possible after use. Sharps materials, i.e. needles, scalpels, lancets, etc., should be disposed of in a container explicitly designed for that purpose.
Removal and Disposal of Contaminated Waste Material
A designated person(s) will supervise marked Biohazard and Sharps containers. When full, the biohazard bag will need to be properly closed and Sharps containers properly sealed, then taken to the Microbiology Dept. in Rhodes Hall, 3rd floor.
Address questions to Risk Management at 986-6840, or the Biology Dept. at 651-2170.
As part of OSHA’s blood borne pathogens regulations, Southeast Missouri State University employees are eligible to receive the Hepatitis B vaccine and vaccination series.
OSHA regulations however, do not cover students who are not employees of the University. This includes students who are accepted into or who are applying to the Athletic Training Education Program. HBV Vaccinations are strongly recommended and encouraged for all individuals who risk exposure to blood born pathogens. Please note that the cost of this inoculation is NOT covered by the Department of Intercollegiate Athletics or the Athletic Training Education Program. Southeast Missouri State University Student Health Services is available to administer this vaccination series, or it may be obtained from your family physician. If the athletic training student does not obtain this vaccination, a declination form must be signed.
|Center for Health Counseling||651-2270|
|Authorization for treatment||1-800-624-2354|
|SEMO Human Resources,
Diane Johnson, Benefits Specialist
|St. Francis Medical Hospital,
Corporate Health Services
|Biohazard Disposal, Biology Department
3rd floor Rhodes Hall
Athletic Training Student Exposure Incident Report
This form should be filled out as soon as possible after incident. In case of exposure incident the Athletic Training Student should inform their supervising Certified Athletic Trainer, and proper action should be taken, including being sent to Student Wellness for medical attention.
Please print clearly.
Athletic Training Student Name:_________________________________
1.Date of Exposure:___________________
2.Time of Exposure:___________________
3.Describe clearly and in detail how the incident occurred:
4.Certified Athletic Trainer incident was reported to:
5.Were there any witnesses to incident, if so, list names:
6.Did you seek medical attention at Student Wellness Center?
7.In your opinion, how might the injury be prevented or avoided in the future?
Athletic Training Student Date
Certified Athletic TrainerDate