SAINT JOSEPH'S COLLEGE DEPARTMENT OF NURSING

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NU 420 Clinical 2012 14puncture-resistant containers should be located as close as practical to the use area. (Large-bore reusableneedles should be placed in puncture-resistant container for transport to the reprocessing area.)4. Although saliva has not been implicated in HIV transmission, to minimize the need for emergency mouth-tomouthresuscitation, mouthpieces, resuscitation bags, or other ventilation devices should be available foruse in areas in which the need for resuscitation is predictable.5. Health care workers who have exudative lesions or weeping dermatitis should refrain from all direct patientcare and from handling patient care equipment until the condition resolves.6. Pregnant health care workers are not known to be at greater risk of contracting HIV or HBV/HCV infectionsthan health care workers who are not pregnant; however, if a health care worker develops HIV infection orHep B during pregnancy, the infant is at risk of infection resulting from perinatal transmission. Because ofthis risk, pregnant health care workers should be especially familiar with and strictly adhere to precautions tominimize the risk of HIV and Hepatitis B transmission.C. Policies Related to Accidental Exposures to Blood/Body FluidsStudents who experience an exposure in the clinical setting of any kind (splash, contact, airborne, sharps-related) must informtheir clinical faculty person immediately. The Department Chair will be notified of the exposure by the clinical faculty person.The student will be encouraged to report the exposure to Saint Joseph’s College Student Health Services.If the agency at which the exposure occurred has a post-exposure policy/procedure that meets or exceeds the most currentCDC guidelines particularly for HIV, Hepatitis B and C, the student shall be encouraged to immediately take full benefit of allservices offered. If the clinical agency does not have a policy/procedure that at least meets current CDC guidelines, studentswill be instructed to seek immediate care through the nearest facility that does offer such care and to then seek additionalcare through the facility of their choice. Students are responsible for costs not covered by the clinical facility in which theexposure occurred. All full and part time students in the Department of Nursing must maintain/obtain medical insuranceprivately (to at least $10,000 per incident) or purchase at least Health Insurance Plan 2 offered by Saint Joseph’s College beforeengaging in clinical experiences.Each student shall attend a training session at the beginning of each year with a clinical component during which standardprecautions, which include Universal Precautions from the CDC, are clearly and fully explained. Session attendance ismandatory and documented.ProcedureProcedure in the event of an exposure, particularly a sharps-related incident:1. Student immediately washes exposed site with soap and water or flushes eyes with water.2. Report the exposure immediately to faculty and facility representative and change clothes soiled with blood or bodyfluids.3. Student completes all incident reports and faculty reviews agency exposure protocols.4. Faculty seeks student’s written permission to call parents or a significant other.5. Student seeks care at the closest ER or Employee Health Department that uses CDC accepted guidelines for postexposureprophylactic care. We encourage students to take advantage of services offered by the agency at which theincident occurred.6. When feasible and desired by the student, faculty may accompany the student to attain care.7. Faculty notifies Department Chair of the incident and student is encouraged to report the incident to Saint Joseph’sCollege Student Health Services so that the injury/exposure and treatment may be noted in the health record.
NU 420 Clinical 2012 15D. Annual ReviewAll nursing majors enrolled in clinical courses and nursing faculty members will review these policies annually.Students and faculty members will also review universal precautions on an annual basis. Copies of evidence thatfaculty and students have reviewed these policies will be placed in a special file in the Nursing Office.AIDS National Hot Line: 1-800-342-2437Maine Hot Line: 1-800-851-2437Resources:Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HIV and Recommendationsfor Postexposure Prophylaxis. (September 30, 2005). MMWR 54(RR09), 1-17.http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5409a1.htmUpdated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HBV, HCV, and HIV andRecommendations for Postexposure Prophylaxis. (June 29, 2001). MMWR 50(RR11), 1-42http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5011a1.htmACADEMIC ACCOMMODATIONS:Any student with a documented disability (physical, learning or psychological) needing academic accommodations shouldcontact Holly Sanborn in The Academic Center (328 Alfond Hall, ext. 7562) as early in the semester as possible. All discussionswill remain confidential.Please visit http://www.sjcme.edu/academics/ for more information on disability services.SAINT JOSEPH'S COLLEGE OF MAINE’S PANDEMIC CRISIS MANAGEMENT PLAN:It is possible that a pandemic flu alert may close the College for two or more weeks during the course of an academicsemester. The College and its faculty understand the unusual nature of closing due to a pandemic crisis and will extend to itsstudents every consideration in accordance with its academic standards and goals.Should a closure due to a pandemic flu alert occur, each course being taught during the semester, including this course, willcontinue its instruction for students, to the extent possible, while they are at home. Therefore, students shall take their booksand instructional materials with them when they leave the campus and continue their reading and other assignments until theCollege reopens. To the extent possible, assignments and readings that would have been due during this period will be due atthe first class upon reopening. Assignments, readings, quizzes, and exams that would have been scheduled in the weeks afterreopening will be due according to the schedule in this syllabus. Instructors reserve the right to modify syllabi in the case of anemergency and to keep in touch with students through their media of choice.This syllabus may be changed, if necessary, at the discretion of the faculty.
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SAINT JOSEPH'S COLLEGE DEPARTMENT OF NURSING

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