Emergency Instructions for Blood and Body –Fluid Exposures

All puncture wounds and other exposures to blood and body fluids should be reported immediately to the Student Health Service or to the NYPH-Weill Cornell Center (NYPH WCC) Emergency Department.

This policy applies to all matriculated students at the Medical College and the Graduate School of Medical Sciences

An exposure is defined as contact by: (1) needle stick or sharp puncture wound; (2) open cut, burn or abrasion contaminated by body fluids or tissues (blood, blood products, bloody fluids, semen, CSF, amniotic fluid, menstrual discharge, pleural, peritoneal, pericardial fluid, inflammatory exudates, any other body fluid or tissue contaminated with blood); or (3) splash to mucous membranes (e.g., eye or mouth) with such materials.

In the event of a needle stick or body fluid exposure, follow these steps immediately:

  1. Cleanse the injury with soap and water, or flush mucous membranes with water/saline.

  2. Inform your supervising resident, preceptor or attending to arrange prompt counseling and testing of the source patient for HIV, Hepatitis B and Hepatitis C.

  3. Let your resident, preceptor or attending know you are expected to receive immediate medical attention after an incident. Obtain source patient information and bring with you.

    • During business days between 8 am and 4 pm report to the Weill Cornell Student Health Service

    • If SHS is closed, report to the NYPH WCC Emergency Department for initial evaluation and follow up at SHS next business day.

    • If you are at a local campus affiliate (eg. NYHQ, Lincoln, Methodist, Brooklyn Hospital, MSKCC, HSS) observe local reporting procedures to expedite source testing, but you must still report to Weill Cornell SHS for evaluation, management and reporting. Taxi receipts will be reimbursed.

    • If you are at an away rotation, follow the requirements of the visiting institution or report to the nearest Emergency Department and report the incident on your return to campus.

  4. Additional instructions will be provided by SHS after initial evaluation.

Students are advised to carry their health insurance cards at all times.

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