Occupational Exposures and Injuries

OCCUPATIONAL EXPOSURE TO A BLOODBORNE PATHOGEN (BBP) PROCEDURE FOR QUEEN’S UGME STUDENTS INCLUDING FAMILY MEDICINE, INTEGRATED OR OTHER REGIONAL ROTATIONS 
Last Revised: October 12, 2017.

A. Immediate actions:

a) Percutaneous injury: allow the puncture, cut or abrasion to bleed freely (do not “milk”), then wash well with soap under running water (use antiseptic if available).
Contact with mucous membranes: flush thoroughly with water (use eyewash station if available).

b) Immediately notify the Supervisor, Resident or attending physician.

c) Present to the nearest Emergency Department (or urgent care clinic) as soon as possible. If source pt known or suspected HIV positive, exposure prophylaxis must be started ideally within 1 hour.  If you are unable to receive medical care within this time frame, call Hotel Dieu Hospital (HDH) (613-544-3400 x 2265) and ask to speak to Occupational Health. If you are unable to reach Hotel Dieu Hospital Occupational Health, page the Emergency Department attending physician at Kingston General Hospital for instructions (613-549-6666). Identify yourself as a Queen’s medical student.

d) After initial care, you must follow up with Occupational Health at HDH within 24 hours. For follow-up care you may also choose to see Student Health Services at Queen’s (146 Stuart Street) or your own family physician. Ensure that requisitions for specimens sent for student and source patient indicate that this is for “exposure follow-up” and that a copy of the results goes to the applicable Occupational Health Department (see Occupational Health Contacts section B).

e) Reporting: At KHSC, the online incident reporting tool Safe Reporting should be used (access is available on the KHSC intranet.) For other sites, see the occupational health contacts below in order to report the event. If you are at a site that is not listed, ask your supervisor how to contact Occupational Health.

f) Advise the Undergraduate Office of the incident.

B. Contact Information for local, integrated and regional health offices:

Kingston Health Sciences Centre - Hotel Dieu Hospital (HDH) site: Contact Rachel Sheldon, Occupational Health Nurse, 613-544-3400 ext. 2265 or Joanna Noonan, Director, Occupational Health, Safety and Wellness

Kingston Health Sciences Centre - Kingston General Hospital (KGH) site: Contact Christine Genier, HDH Occupational Health Nurse, 613-549-6666 ext 6724 or Joanna Noonan, Director Occupational Health, Safety and Wellness

Providence Care Mental Health Services: During regular hours contact Shannon Murray, Occupational Health Nurse, 613-544-4900 ext. 53564.  After hours, the Nursing Coordinator may be contacted between 1600 hours and 2000 hours at extension 51801.

 

Providence Manor: During regular hours contact Jackie Purchase, Occupational Health Nurse, 613-549-4164 ext. 3166.

 

Oshawa: Contact the Director of Occupational Health, Safety and Wellness at 905-576-8711 ext.3710.

 

Markham Stouffville Hospital: Contact Sue Brown, Occupational Health Nurse; 905-472-7373 Ext. 1545 or Elaine Roache, Occupational Health Nurse; 905-472-7373 ext. 6271. If neither is available, please page through Telecommunications. Office location, Room B1603.

 

Belleville: Contact Lisa Botting, Occupational Health Department 613-969-7400 ext. 2328.

 

Brockville General Hospital: Contact Debbie Allingham, Occupational Health Nurse, 613-345-5645 ext. 1174.

Perth: Contact Phillipa Thompson, Occupational Health Nurse, Perth Smith Falls District Hospital. Perth Site, 613-267-1500 ext. 4283 or by email at: pthompson@psfdh.on.ca.

Brockville Mental Health Centre: Contact Jill Row, RN, Senior Coordinator, Occupational Health Service at 613-345-1461.

 

Peterborough Regional Health Centre: Contact the Occupational Health Department
Location: W3900 Phone: 705-743-2121 ext.3716


Further information on exposure to blood borne pathogens and mucosal exposure can be found here:

OMA/OHA Communicable Disease Surveillance Protocol Bloodborne Diseases Protocol:
https://www.oha.com/labour-relations-and-human-resources/health-and-safety/communicable-diseases-surveillance-protocols


Occupational Health and Safety Act Ontario Regulation 474/07:
http://www.e-laws.gov.on.ca/html/regs/english/elaws_regs_070474_e.htm.

Queen's University Policy and Procedures for Reporting and Managing Infectious Diseases:
http://www.safety.queensu.ca/safety/policy/infectiousdisease.pdf