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General Description
Policy Provisions
Performance Evaluation
Subject Experts
Infection Control and Communicable Disease Policy

Document Number: NURS--123 Revision #: 1.0
Document Owner: Executive VP Date Last Updated: 07/11/2013
Primary Author: Dean of the School of Nursing and Health Sciences and Health Sciences Status: Approved
Date Originally Created: 01/10/2012

General Description

Information about infection control and communicable disease and its requisite policies and procedure.


Delineation of policy and procedure.


All faculty, staff, students, and administrators

Responsibility: All faculty, staff, students, and administrators

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Relevant Knowledge: In order to comply with this policy you should know:
Current University policy
Federal statutes
Local statutes
Standard company policies
Standards of good practice
State statutes

Terms and Definitions: Additional training

Corrective Action

Loss of privilege, general


Staff members who knowingly and blatantly violate this policy may be terminated.

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Policy Provisions

Infection Control and Communicable Disease Policy


Use of Standard Precautions

The use of Standard Precautions is recommended by the Centers for Disease Control and OSHA and required by the School of Nursing and Health Sciences for each individual’s protection against Hepatitis, HIV, and other blood borne pathogens.  


Body fluid known to be associated with the transmission of HIV include semen, vaginal secretions, cerebrospinal fluid, pleural fluid, pericardial fluid, peritoneal fluid, and amniotic fluid.


The School of Nursing and Health Sciences recommends the following Standard Precautions during clinical performance:

1. Personnel- Standard Precautions applies to all students and Faculty that may have exposure to human blood or body fluids in their clinical experiences.

2. Gloves- Wear gloves when hands are likely to be in contact with blood or body substances.  Immediately wash hands after contact with blood or body fluids even if gloves are worn.  Routinely wash hands before and after all work with patients.  Have gloves with you at all times in the clinical area.  

3. Gown- Wear a fluid-resistant gown when soiling of clothing is likely to occur.

4. Face shield- Wear a face shield or other protective eyewear when eyes or mucous membranes are at risk for being splashed or sprayed with blood or body fluids.

5. Sharps Containers- Use extreme caution when handling contaminated needles, scalpels, pipettes, glass slides, etc.  Discard immediately into the container.  Never recap a needle after use.  Do not remove used needles from syringes.  Do not remove scalpel blades by hand (use an instrument).

6. Approved Disinfectants- Use approved germicides, disinfectants or sterilants when cleaning spills or surfaces contaminated with blood and body fluids.  A 15% chlorine bleach solution works as an effective disinfectant.



Post-Exposure to Blood/Body Fluids Procedure

Immediate Action by Nursing Student

1. Allow exposure site to bleed,

2. Cleanse site with antimicrobial soap and water,

3. Flush mucous membrane exposure sites with water or saline.


Reporting and Testing

1. Report the exposure immediately to your Clinical Instructor and to the Unit Charge Nurse.

2. The Agency protocol will be followed.

3. A physician or other designated person will determine the risk status of the source patient.

4. If the exposure is high risk (a deep injury, injection of source patient’s blood or body fluid, or long exposure, post-exposure prophylaxis should be begun within 1-2 hours with a chemoprophylactic agent (such as ZDV).

(Centers for Disease Control, 1997)


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Performance Evaluation
Performance Metrics: Compliance with standard policy and procedure
Compliance with federal mandate

Consequences: Further training
Job Termination
Loss of privileges

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Subject Experts
The following may be consulted for additional information.
Dean of the School of Nursing and Health Sciences and Health Sciences

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