Operating Procedure 153-31
June 14, 2010
(3)
Unit/Department Personnel will initiate the Resident/Employee Possible Blood/
Body Fluid Exposure Report and will be responsible for ensuring that the resident receives the
required follow-up testing at six (6) weeks, three (3) months, and six (6) months. During this
follow-up period, especially during the first 6-12 weeks when most infected persons are
expected to sero-convert, the exposed person should receive counseling and follow the
precautions for prevention of HIV transmission.
(a)
Employee: Any employee, who in the performance of job duties, sustains a
possible exposure to HIV, will report to the supervisor for immediate referral to the current
Hospital Workers Compensation Provider.
(b)
Resident: Any resident who sustains a possible exposure to HIV will be
immediately referred to the attending physician. Informed consent and pre-test counseling is
required prior to testing. Post-test counseling will be provided, informing the resident of test
results.
(c)
All Resident/Employee Possible Blood/Body Fluid Exposure Report Forms
are to be completed and forwarded to the Office of Quality Assessment and Planning--Infection
Control and Office Of Risk Management.
f.
Education:
(1)
All resident/employee HIV/AIDS education will be provided in conjunction with
Staff Development and Office of Quality Assessment and Planning--Infection Control, to ensure
continuity and currency of the information provided. Additionally, members of the Hospital
Nursing Management Team, under the section “Developing and Planning Program” of their Role
and Function statement, will provide consultation on curriculum and delivery guidelines for
resident education.
(2)
Staff Education:
(a)
New employees will complete the Infection Control Module of New
Employee Training within 30 days of employment.
This module includes the Bloodborne
Pathogen Standard and HIV/AIDS. The HIV/AIDS training program will include;
1.
modes of transmission;
2.
infection control practices;
3.
clinical management;
4.
prevention of HIV and AIDS with emphasis on appropriate behavior
and attitude change.
5.
Current Florida Law and its impact on testing, confidentiality of test
results, and treatment of residents; and
6.
Protocols and procedures applicable to HIV counseling, testing,
reporting and partner notification.
(b)
updated training will be provided for staff if laws, regulations, treatments, or
protocols change.
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