Page 24 - OCCUPATIONAL EXPOSURE GUIDELINE

01.FA 4/23/09 11:13 AM Page 14

APPENDIX 2

Work Process on the Management of Occupational Exposures to HIV, HBV
and HC amongst HCW

PERSON/S RESPONSIBLE
JOB DESCRIPTION
Hospital Primary Care

1. Immediate Action After Exposure

• Do First Aid
• Exposed HCW • Exposed HCW
• Notify Immediate Supervisor
2. Notification, Documentation and Referral
• Inform HCW of PEP protocol in hospital/ • Location • Location
district supervisor: supervisor:
• Refer exposed HCW to Designated Doctor - Sister in-charge/ - Sister in-
in Department of Medicine (in clinic/ on-call charge/on-call
Medical Officer on-call)/Family Medicine - Head of unit/On- - Public Health
Specialist (FMS) in district
call officer in- Nurse in-charge/
• Fill notification form charge on-call
• Documentation of the incident & submit to - Concession - Medical Assistant
Infection Control Unit/Occupational Health Company Safety in-charge/on-call
14 Unit Supervisor in-
charge/on-call

3. Risk Assessment of the Injury, the Source and the Exposed HCW
• Discussion with doctor in-charge of • Designated Doctor • FMS/Designated
source patient in Department of Medical Officer
Medicine (MO) trained in
• Review record of source
Post Exposure
• Interview source Prophylaxis (PEP)
• Counseling and verbal consent to take
blood from source and HCW

4. Management of Exposed HCW
• Treatment of Exposed HCW • Designated Doctor • FMS/Designated
in Department of MO trained in PEP
Medicine
• Infection Control • Person In Charge
• Monitoring of follow up and maintenance Unit/Occupational of Health Clinic
Health Unit (Sister/MA/PHN)

Guidelines On Occupational Exposures To Human Immunodeficiency
Virus (HIV), Hepatitis B Virus (HBV) And Hepatitis C Virus,
And Recommendations For Post Exposure Prophylaxis (PEP)