HIPAA:HIPAA training will be given during the week <strong>of</strong> Orientation.N L K H F E D C AInfection control policies are established for the surveillance, prevention, and control <strong>of</strong> infection caused by a variety<strong>of</strong> microorganisms. These guidelines include definitions, symptoms, mode <strong>of</strong> transmission, as well as prevention andcontrol information. Blood, semen, and vaginal fluids are the three most potentially infectious body fluids but otherbody fluids such as cerebrospinal fluid, synovial fluid, pericardial fluid, peritoneal fluid, amniotic fluid, and unfixedbody tissues should be considered potentially infectious, especially if contaminated with blood. Universal precautionsshould always be followed, even when handling fluids and tissues that are not normally infectious such as saliva,feces, urine, sweat, sputum, vomitus, and tears; it should be noted that these body fluids carry a greater risk <strong>of</strong>infection if contaminated with visible blood, which can result from an accidental occurrence or complication <strong>of</strong> patientcontact and procedures.Standard Universal PrecautionsStudents are required to follow appropriate infection control procedures, including the use <strong>of</strong> personal protectiveequipment, whenever there is a risk <strong>of</strong> parenteral, cutaneous, or mucous membrane exposure to blood, body fluids,or aerosolized secretions from any patient, irrespective <strong>of</strong> the perceived risk <strong>of</strong> a blood borne or airborne pathogen.Regardless <strong>of</strong> the real or perceived communicable disease status <strong>of</strong> the patient, all <strong>student</strong>s and staff should followstandard universal precautions when providing patient care. The basic precautions include:• Always wash hands before and after patient contact, according to the policy <strong>of</strong> the clinical site, even if glovesare used.• Always wear gloves when exposure to blood, body fluids, and other body excretions is likely.• Use gloves appropriately according to aseptic and/or sterile techniques and always change gloves betweenpatients.• Wear gowns/aprons when soiling <strong>of</strong> clothing with blood or body fluids is likely.• Wear masks, face shields, and eye protection when aerosolization <strong>of</strong> blood or body fluids may occur.• Dispose <strong>of</strong> sharps in designated rigid sharp containers. Never recap needles by hand.• Dispose <strong>of</strong> waste saturated with blood or body fluids in designated red biohazardous waste containers.The FAU Department <strong>of</strong> Environmental Health and Safety (EHS) handles cases <strong>of</strong> occupational exposure for<strong>student</strong>s and staff in clinical settings. The FAU policies and procedures pertaining to occupational exposure tocontaminated body fluids (e.g., a needle stick injury) in both laboratory and clinical care settings for both <strong>student</strong>s andstaff are described in the website http://med.fau.edu/medicine/<strong>student</strong>_affairs/emergency_info.htmlExposure at FAUStudents who become exposed to contaminated body fluids while at a clinic or lab site on the FAU campus will followthe established follow-up protocols at FAU in order to receive diagnostic and therapeutic care post-exposure.Depending on the level <strong>of</strong> complexity, diagnostic testing and treatment may be provided at the Student HealthServices during normal business hours; if complex services are required or exposure takes place when the FAUStudent Health Services facility is closed, the <strong>student</strong> will be referred to obtain care at an outpatient facility in thecommunity.Exposure at a <strong>College</strong> <strong>of</strong> <strong>Medicine</strong> Affiliate Site Not Located on the Campus <strong>of</strong> FAUA <strong>student</strong> who becomes exposed to contaminated body fluids while at a clinic or lab site that is not located at the FAUCampus is required to contact his/her supervising faculty member at the affiliate site. This physician will ensure thatthe <strong>student</strong> follows the appropriate needle stick protocols established at the specific affiliate site in order to receiveimmediate diagnostic and therapeutic care post-exposure incident. All clinical care sites that are affiliated with theCOM are required to have established bio-safety protocols to provide follow-up diagnostic, preventive, andtherapeutic care for medical <strong>student</strong>s who sustain needlestick injuries.34
The <strong>student</strong> will need to complete the FAU “Exposure Incident Investigation Form” available from the Office <strong>of</strong>Student Affairs and included below. Upon exposure to blood and body fluid, the <strong>student</strong> assumes the responsibilityfor all charges associated with diagnosis and treatment that are not covered by his/her health insurance plan.35
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