USF BBP Exposure Control Plan

Healthcare Worker's Requirements to Reduce the Risk of Bloodborne Pathogen (BBP) Exposure
The following safeguards are mandated by law:
- Use Standard Precautions for the care of all patients in all settings.
- Use Personal Protective Equipment (PPE) when there is a possibility of exposure to blood or body fluids.
- Gloves
- Water-resistant gowns/aprons
- Protective eyewear
- Masks
- Use of "Safer Sharps" whenever possible.
- Disposal of sharps in labeled, puncture resistant containers.
- Hepatitis B vaccination.
- File an incident report post exposure.
- Follow clinical site's post exposure prophylaxis protocol.
Bloodborne Pathogen (BBP) Exposure - Hepatitis B, Hepatitis C, HIV
Transmission: Blood, blood products, semen, vaginal secretions, breast milk, and any body fluid visibly contaminated with blood.
Use Standard Precautions.
Exposure definition:
- Exposure via needlestick/sharp to blood, tissues, or infectious body fluids
- Exposure of mucous membranes (eyes, nose, mouth) to blood, tissues, or infectious body fluids
- Exposure of non-intact skin (chapped, abraded, weeping, inflamed, open lesions, lacerations) to blood, tissues, or infectious body fluids
Immediate action:
If exposure occurs in an acute care facility (hospital-based)
- Express blood from wound
- Cleanse wound with soap and water; flush mucous membranes with water
- Notify supervisor immediately
- Report to clinical site's Employee Health Services
- After hours: Report to nursing supervisor "on call" or emergency room
If exposure occurs in an outpatient facility
- Express blood from wound
- Cleanse wound with soap and water; flush mucous membranes with water
- Ask "source patient" to remain in clinic for possible lab testing (consent must be signed)
- Notify supervisor immediately
- Report to USF Medical Health Administration (Division of Infectious Disease)
- Call Employee Health 813-974-3163 or page 813-216-0153
- After hours: ID Fellow "on call" 813-974-2201
Mycobacterium Tuberculosis Exposure
Isolation: Use Airborne Precautions.
Exposure definition:
- Airborne exposure to a person who is sputum smear positive for Acid Fast Bacilli and/or sputum culture positive for Mycobacterium tuberculosis.
Immediate action:
- Report to Employee Health Services.
Meningococcal Meningitis Exposure
Isolation: Use Droplet Precautions.
Exposure definition:
- Intensive, direct contact with respiratory secretions.
- Mouth to mouth resuscitation
- Prolonged, direct care for > 4 hours within enclosed area
Immediate action:
- Report to Employee Health Services.
Varicella Zoster Virus (VZV or Chicken Pox) Exposure
Isolation: Use Airborne Precautions and Contact Precautions.
Exposure definition:
A susceptible healthcare worker in the same room as person who is incubating varicella or has varicella lesions that are not crusted. You are considered susceptible (non-immune) if you have:
- Negative history of varicella vaccine x2 or
- Negative varicella titer
Immediate action:
- Report to Employee Health Services (see list).
Pertussis Exposure
Isolation: Use Droplet Precautions.
Exposure definition:
- Susceptible healthcare worker with close, face to face contact with a person who has a clinical syndrome highly suggestive of Pertussis.
Immediate action:
- Report to Employee Health Services
Exposure Contacts at USF and USF Affiliates - Employee Health Services (EHS)
Remember: Site of injury is responsible for initial exposure management
All Children's Hospital:
- Contact: 727-892-4483
- *After hours: Page evening/night nursing supervisor
Bayfront Medical Center:
- Contact: Employee Health Coordinator 727-893-6189
- *After hours: Go to emergency room
Bay Pines VA Hospital:
- Contact: Occupational Health 727-398-6661 x5212
- *After hours: Go to emergency room
Community Health Fair:
- Contact: "On site" student event coordinator, medical supervisor, and USF ID Fellow "on call" 813-974-2201
Hillsborough County Health Department:
- Contact: 813-307-8015 x6402 or 813-307-8015 x3103
H. Lee Moffitt Cancer Center:
- Contact: Employee Health 813-745-4276
- *After 4:30pm page evening/night nursing coordinator
James A. Haley VA Hospital:
- Contact: Occupational Health 813-972-2000 x7046
- *After hours: Go to emergency room
Morton Plant Mease Hospitals:
- Contact: 727-825-6225
- *After hours: Go to emergency room
Shriners Hospital:
- Contact: Sheryl Chewning RN 813-975-7141
- *After hours: Page evening/night nursing coordinator
St. Anthony's Hospital:
- Contact: 727-825-1269
- *After hours: Go to emergency room
Suncoast Community Health Centers:
Tampa General Hospital:
- Contact: Employee Health 813-844-7649/4525/4526/4527
- *After hours: Page evening/night nursing supervisor
- Genesis
- Health Park
- Specialty Clinic
- Medical Examiners Office
- Hyde Park Medical Building
Florida Hospital - Tampa:
- Contact: Occupational Health 813-615-7840
- *After hours: Go to emergency room
University Psychiatry Center:
- Contact: Maureen Tavrell 813-974-4657
- *After hours: Call USF ID Fellow "on call" 813-974-2201
USF Health:
- Contact: Medical Health Admmnistration 813-974-3163 or page 813-216-0153
- USF Medical Clinic
- USF Morsani Center
- USF South Tampa Center
- All other outpatient sites
- USF Health Laboratories
USF Expert Consultation:
- Call USF ID Fellow "on call" 813-974-2201