Bloodborne Pathogen Exposure

IF EXPOSED DURING ECSHC BUSINESS HOURS, CALL (323) 442-5631. IF EXPOSED DURING ECSHC AFTER HOURS, PLEASE CALL THE NEEDLESTICK HOTLINE AT (323) 442-7900.

Quick Instructions

  1. Please remember that residents and attending physicians have a different protocol for blood borne pathogen exposures than do students. All you need to remember is to call the Eric Cohen Student Health Center (ECSHC) immediately for guidance. The ECSHC covers all costs associated with needlestick and bodily fluid exposures while you are an active registered student at the USC health science campus AND if the care is received at the ECSHC.
  2. DO NOT SEEK CARE AT LAC-USC COUNTY HOSPITAL FOR FOLLOW-UP FOR THE BLOODBORNE PATHOGEN EXPOSURE. If you have the Aetna Student Health Insurance, this facility is an out-of-network hospital and you will have a $750 deductible for any care received.

Protocol Instructions/Information to Students and Providers

What is an exposure?

  • Percutaneous injury (e.g. needlestick or cut with a sharp object)
  • Eye splash or contact with other mucous membrane or non-intact skin (chapped, abraded, or dermatitis)
    • Potentially infectious bodily fluids:
      • Blood
      • Semen
      • Vaginal secretions
      • Cerebrospinal fluid
      • Pleural/pericardial/synovial/peritoneal fluid
      • Amniotic fluid
      • Feces
      • Any bodily fluid that may contain blood

If exposed what should I do?

  • Wash needle sticks and cuts with soap and water
  • Flush splashes to the nose, mouth, and skin with water
  • Irrigate eyes with clean water, saline, or sterile irritants
  • Obtain as much demographical data on the source patients as possible
  • Ask your supervisor to consent the source patient to testing for HIV, HBV, HCV at the time of exposure or when medically able to obtain consent
  • CALL THE ECSHC IMMEDIATELY
    • During business hours, please call (323) 442-5631. You will either be scheduled a same day visit or a phone consultation with one of the physicians.
    • During afterhours or weekends – please call either the needlestick hotline at (323) 442-7900 or call the ECSHC at (323) 442-5631 and ask for the nurse on call. The physician on call will evaluate the situation and determine what further evaluation and treatment is indicated.

Is there treatment to prevent blood borne disease after exposure?

  • Human Immunodeficiency Virus (HIV) – may be prevented by taking post exposure prophylaxis (PEP) medications for up to 4 weeks (if indicated).
  • Hepatitis B (HBV) – in persons who have not been vaccinated or in non-responders to the vaccines, post exposure prophylaxis with two doses of HBV immune globulin is recommended.
  • Hepatitis C (HCV) – there is no vaccine against hepatitis C and no treatment after an exposure that will prevent infection.

How soon after an exposure should treatment start?

  • Post exposure treatment for Hepatitis B and HIV should be started as soon as possible, preferably within hours after the exposure.
  • Immediate follow-up with the ECSHC even if source patient’s rapid HIV is negative.

How do I pay for these services?

  • If you are an active registered student at the health science campus, all required initial baseline care, follow-up laboratory testing and prophylactic medications for a reported episode of potential occupational bodily fluid exposure are covered if received at the ECSHC.