University Health ServicesUniversity of CincinnatiUniversity Health Services

University Health Services

UC Employee- Needlestick or Body Fluid Exposure

AFTER A NEEDLESTICK OR BODY FLUID EXPOSURE
IF indicated, HIV prophylaxis needs to be started within 2 hours.

  • Cleanse wound with soap and water and irrigate area with saline.  For eyes, irrigate with water, saline, or sterile irrigants.

  • Arrange for source patient blood tests to be ordered by the provider responsible for the source patient's care (see below)

  • Receive care from your medical provider or the nearest Emergency Department that accepts your insurance.

  • Tell the provider that this is a worker's compensation event.

UC Employee’s report to:

  • Monday - Friday
    (except University Holidays). 8:00 a.m. - 4:00 p.m.
    University Health Services, Holmes Building, 1st floor, room 1007, Phone: 513-584-4457
  • Nights, weekends, and University holidays.
    Go to the nearest Emergency Department or the University Hospital Emergency Department, Follow up with University Health Services (513-584-4457) the next workday.
  • If away from Cincinnati.
    Go to the hospital emergency room where you can get immediate care.  If you need advice, call University Health Services (513-584-4457) or the University Hospital operator (513-584-7777 or 513-584-PAGE) and page the University Health Services provider on call.  Report your exposure to University Health Services (513-584-4457) the next workday.

REQUIRED SOURCE PATIENT LAB WORK

  • Rapid HIV antigen test (OCCEXP or other)
                    (written informed consent required)
  • HBsAg, HBclgM, HCVab
  • Hepatic profile
  • Collect 3 serum separator tubes and label with source name, medical record number, date, and time collected.
  • At University Hospital UC students and employees should request an orange packet from the Immediate Response Lab (IRL)  by calling 584-3700.

REQUIRED RECIPIENT LAB WORK

  • HIV antibody (HIVR)
  • NDSTKII (includes HBsAg, HBsAb,HBcAb, SGPT, SGOT, and HCVab)

Note: Call University Health Services (513-584-4457) or have the University Hospital Operator (513-584-7777 or 513-584-PAGE) page the UHS provider on call for any questions regarding appropriate medical care. You will need to follow the protocol of the site at which you are rotating regarding documentation, obtaining source blood, etc.

Revised 5/20/05