Injury/Exposure Sustained in the Clinical Setting (Policy SON-02)
Last Revision Date
Faculty, administrators and students in the School of Nursing.
Scope and Audience
All students in the School of Nursing.
Boise State Office of Risk Management, OSHA
1. Policy Purpose
Students participating in Boise State University School of Nursing Programs may be at risk for injury or exposure to communicable diseases or hazardous materials in a variety of clinical situations. The goal of the faculty is to preserve the health and safety of students, clients and faculty in any clinical setting. The purpose of this policy is to provide guidance to both the student and the clinical faculty regarding procedures, rights and responsibilities in the event of student injury/exposure in the clinical setting.
2. Policy Statement
All contaminated needle sticks or bloody body fluid splashes to mucous membranes or open skin should be treated as if there is a potential risk of pathogen exposure.
Should a puncture wound or other bloody body fluid exposure to mucous membrane/open skin area occur, the student should implement the following procedures:
If the student sustains a puncture wound:
- Withdraw needle or other object promptly.
- Immediately wash hands/area of puncture using soap and water; follow with application of povidone iodine and/or alcohol.
- Encourage increased bleeding for a few seconds and use gentle pressure at the site of the puncture.
- Wipe away any blood.
If the student receives a spray or splash of body fluids:
- To eyes, nose, or mouth–irrigate with a large amount of water.
- To a break in the skin, follow procedure for puncture wound (#1 above).
- The student will report the incident immediately to the clinical instructor, to the agency clinical supervisor and to the agency Infection Control Practitioner/Safety Officer/Employee Health Services. The student will follow the clinical agency’s procedures for reporting and follow-up of the exposure. Students must complete an incident report with their instructor according to the policy of the clinical agency before leaving the clinical facility.
- The student will seek a risk assessment and determination of recommended screening, treatment and/or follow up from the Infection Control practitioner, clinical supervisor, or other health care provider (if no infection control person/clinical supervisor in the agency). This assessment should be performed within one hour of the injury.
- The faculty will assist the student to complete the University Risk Management form. Both faculty and the student will sign the report. Please obtain the required forms from University Risk Management.
- The student should seek advice, screening and/or treatment immediately at any of the following agencies:
- Boise State University Student Health Services
- Any emergency department
- Private physician or other provider
- The student should seek information regarding the need for serum globulin (HBIG- hepatitis B immune globulin), Hepatitis B vaccination, testing for Hepatitis B and C, HIV testing, prophylactic treatment for HIV exposure and tetanus immunization or other recommended treatment.
- The student may seek assistance in decision-making from the Boise State University Student Health Services, private physician, or other provider of choice.
- The student may seek counseling and referral regarding implications of the exposure, risks and/or treatment from the following agencies:
- Boise State University Counseling Center
- Boise State University, University Health Center
- Private provider of choice
Exposure: An exposure is an occurrence in which a person is subjected to an infectious agent in such a way that could lead to acquisition of a disease. Should exposure to infectious diseases (such as COVID, TB, HIV) occur, the clinical faculty and/or agency clinical supervisor will supply information regarding the appropriate protocol.
4. Rights & Responsibilities
4.1 Student Rights and Responsibilities
4.1.1. Student Rights
- The student has the right to receive accurate information with which to make informed decisions.
- The student has the right to decide on the course of action regarding an injury/exposure.
- The student has the right to privacy of information regarding any injury/exposure.
4.1.2. Student Responsibilities
- The student has the responsibility to follow the clinical agency policy regarding an injury/exposure.
- The student has the responsibility to protect patient/public safety.
- Complete and submit the agency’s injury/exposure report form and the Boise State University Risk Management Report Form. A copy of both reports will be retained in the student’s file.
- The student may be eligible for Workmen’s Compensation for treatment of the injury as determined by the Boise State Insurer.
4.2 Faculty Responsibilities
- The clinical faculty will assist the student in completion of required reports and evaluation as required by the clinical agency policy.
- If needed, the clinical faculty will assist the student in completion of a risk assessment regarding the accidental exposure.
- The clinical faculty will ensure that the student is informed of his/her rights and responsibilities and the required procedures as described above.
- The clinical faculty will inform and may assist the student regarding accessing resources for risk assessment, screening, advice, referral for testing, treatment, and counseling.
- The clinical faculty will assist the student to analyze the occurrence regarding implications, if any, for future practice.
- The faculty member is to notify the Course Coordinator and Program Director of the incident within 24 hours of the occurrence.
- The faculty will ensure that students are oriented to the OSHA policies within each clinical agency.
- Faculty will ensure the completion of the Boise State University’s Risk Management forms as required.
Last Review Date
Spring 2008, Spring 2017, October 2018, July 2021, 4/1/2022