PURPOSE
To prevent and address student blood and/or body fluid exposures

AUDIENCE
All medical students

LCME STANDARD
12.8: Student Exposure Policies/Procedures - A medical school has policies in place that effectively address medical student exposure to infectious and environmental hazards, including the following:

  1. The education of medical students about methods of prevention
  2. The procedures for care and treatment after exposure, including a definition of financial responsibility
  3. The effects of infectious and environmental disease or disability on medical student learning activities

POLICY

  1. Refer to UC David Health Policy 2167 Blood Body Fluid Exposure (Needlesticks)
  2. Refer to the UC Davis Health Blood Borne Pathogen Exposure Control Plan, and policy on aerosol transmissible diseases on the UC Davis Safety Services Website

PROCEDURE

  1. Education
    1. All students are expected to complete an on-line training module once it is assigned by the Registrar’s Office. The training module will be assigned the first quarter the student is enrolled in the MD program and must be renewed annually.
    2. Prior to participating in clinical clerkships and at the beginning of their third year of medical school, all students are required to participate in the Transition to Clerkships (T2C) Course. During this training, the UCDH Needlestick Policy and reporting procedure is shared with them.
  2. Care, Treatment and Financial Responsibility
    1. Exposure at UCDH: During T2C, the students are instructed to follow the UC Davis Health procedures outlined in Policy 2167.  This policy outlines the four steps (Decontaminate, File Online Exposure Report, Obtain HIV Consent and Contact Bloodborne Pathogen Exposure Nurse), as well as after-hour instructions. The student will not incur any costs related to an onsite exposure.
    2. Exposure at Away Sites:  As outlined in the AAMC standard affiliation agreement, the HOST Agency agrees to the following:  The HOST AGENCY agrees to comply with applicable state and federal workplace safety laws and regulations. In the event a student is exposed to an infectious or environmental hazard or other occupational injury (i.e., needle stick) while at the HOST AGENCY, the HOST AGENCY, upon notice of such incident from the student, will provide such emergency care as is provided its employees, including, where applicable: examination and evaluation by HOST AGENCY’s emergency department or other appropriate facility as soon as possible after the injury; emergency medical care immediately following the injury as necessary; initiation of the HBV, Hepatitis C (HCV), and/or HIV protocol as necessary; and HIV counseling and appropriate testing as necessary. In the event that HOST AGENCY does not have the resources to provide such emergency care, HOST AGENCY will refer such student to the nearest emergency facility.
  3. Effects on medical student learning: Students who are infected with any other potentially transmissible disease will not be excluded from participating in patient-care activities, or restricted in their access to patient-care services or facilities because of their health status, unless medically-based judgments in individual cases establish that exclusion or restriction is appropriate for the welfare of patients, the welfare of other members of the patient-care community, or the welfare of the individual.

RESPONSIBILITY
Associate Dean of Students

REFERENCES

UCDH Policy 2167
UCDH Bloodborne Pathogen Brochure
UCDH Bloodborne Pathogen Exposure Guidelines
T2C PIV and Phlebotomy Faculty Guide
Medical student compliance with administrative tasks

POLICY OWNER
Associate Dean of Students

REVIEWED BY
Associate Dean of Students

REVIEWED DATE and REVIEW CYCLE
October 11, 2020; 3 year review