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Campus Health

OUCH Page Instructions

Needlesticks and other exposures to Blood and Body Fluids

Please follow the following procedure:

If you have a laceration, needlestick or percutaneous injury, please wash the wound with soap and water.

If you had a splash to your eye(s), flush the affected eye(s) with saline or tap water for 5-10 minutes.

If fluids entered your mouth, rinse it. If fluids contacted your skin, wash it off and note whether you have any fresh cuts or scratches to the affected area.

Collect the name and medical record number of the patient to whom you were exposed.

You can call the OUCH pager while you-

Check the patient's chart or speak to the patient about known HIV, Hepatitis B and Hepatitis C infections.

Check the patient's chart or speak to the patient about risk factors: unprotected sex with multiple partners, blood transfusions prior to 1986, and IV drug abuse.

The ouch pager to call for exposures for IU physicians, IU Medical students, IU Dental Students, other IU students (nursing, OT/PT) IU staff, Riley and University Hospital employees is 312-6824.

Methodist or other IUHealth employees and students should call the Methodist Hospital operator (962-5500) and ask the operator to page the person on call for the Methodist OUCH line.

The person on call for the OUCH pager will give instructions regarding blood to be collected. The person answering the pager will contact the lab and order the tests.

Rapid HIV test

A Rapid HIV test can be completed within 20 minutes of the specimen being received in the lab. The results are called to the person on OUCH call. You will be notified of the result by the person with the OUCH pager.

If the patient is known to be HIV positive, antiviral medications may be initiated-depending on the specifics of the incident.

If blood cannot be collected to do the rapid HIV test, antiviral medications may be initiated.

Truvada, with or without Kaletra, may be prescribed , depending upon the exposure risk and contraindications.

The regimen is well tolerated and known to significantly reduce the risk of transmission.

Hepatitis B and C

Most healthcare providers and students have been vaccinated against Hepatitis B. The person on call will ask about your vaccination status and if you have ever had titres drawn to see if you are immunie to Hep B.

Currently there is no preventive regimen to decrease risk of acquiring Hepatitis C. However, exposures infrequently result in infection. Few infections become chronic. Effective treatment for Hepatitis C is available.

The exposed person will need to report to Coleman Hall during usual business hours for basline testing. The exposed person is tested for HIV, HepB and HepC. Depending upon the source patient's results, re-testing of the exposed person may be done at 6, 12, & 24 weeks (and possibly at 52 weeks) after exposure. Additional tests will be done if antiviral medications are initiated.

More information regarding risks of transmission are found on the risks page.