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01.LayOut  11/7/13  7:02 AM  Page 47






                    Process Flow On Notification Of Sharps Injury In Health  Lampiran 7
                                 Clinic/Dental Clinic In Health Side (cont.)


                        Patient
                    Management Flow            Data Flow         Responsible Persons

                      Refer injured      • Complete OHU/SIS-2a   Location supervisor
                  HCW to the designated   form
                    doctor for medical   • Send OHU/SIS-2a form
                  management within 24    to registry manager once
                 hours from the occurrence   complete             Attending doctor
                                                                  registry manager
                      of sharp injury    • Enter relevant data from
                                          OHU/SIS-2a form into
                                          the registry
                 Assess risk of disease
                 transmission following
                 injury, (Follow guidelines on  • Use OHU/SIS-2b form as   Attending doctor
                 Occupational Exposure to  work sheet while       registry manager
                 HIV, HBV and HCV and     carrying out post
                 recommendations for PEP)  exposure management
                                         • Keep the work sheet in
                                          between visits
                    No                   • Provide it to the
                        Post-exposure     attending doctor at every
                 End    prophylaxis and   clinic visit
                          follow-up      • Enter relevant data into
                          required        the registry after each visit
                                  Yes
                                                                  Attending doctor
                                         • Clinical management
                 Administer post-exposure  - Refer HCW to relevant   Hospital director
                 management (Follow         physician (hepatologist   Registry manager
                 guidelines on Occupational  or infectious disease
                 Exposure to HIV, HBV and   physician) for clinical
                 HCV and recommendations    management
                 for PEP)
                                          - Refer to hospital
                                            director/medical officer
                    No                      of health for
                                            occupational intervention
                 End    Development of   • Occupational intervention
                        seroconversion    - Fill in OHU/SIS-3 Form
                                          - Keep SIS 3 Form and
                                  Yes       make it available to the
                                            hospital director/
                     Carry out clinical     medical officer of
                    management and          health as needed
                  occupational intervention  - Follow up with hospital
                    (follow guideline on    director on the
                   management of HCW        occupational intervention
                  Infected with HIV, Hep B  & enter relevant
                     and Hep C Virus)       information into registry


                                         Garis Panduan Kawalan Infeksi Di Fasiliti Kesihatan Primer  47
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