To report injury, harm or near miss to a patient or client,

complete the Nursing Commission Incident Report found at: https://nursing.wsu.edu/nursing-commission-incident-report/.

This critical incident report documents “… events involving a student or faculty member that the program has reason to believe resulted in patient harm, an unreasonable risk of patient harm, or diversion of legend drugs or controlled substances” (WAC 246-840-513).

  1. The incident report must be completed by the student involved within 24 hours of the incident.
  2. The faculty and preceptors at the CON then have 24 hours to report to the NCQAC, on forms provided by the commission, on the events involving that student or faculty member that the program has reason to believe resulted in patient harm, an unreasonable risk of patient harm, or diversion of legend drugs or controlled substances.

When submitted via the online system, this report is delivered directly to the NCQAC as well as to the designated College of Nursing program director indicated on the form. Program directors review the reports and develop action plans with faculty case-by-case and annually.

To report student, faculty or staff injury or harm,

complete the WSU Incident Report found at http://hrs.wsu.edu/managers/incident-report/ .
This form is used throughout WSU to report a workplace injury or illness of a student, staff or faculty within twenty-four hours.

When submitted via the online system, the form goes to Human Resources and is reviewed by the Spokane campus safety committee. For students, faculty or staff who are harmed in a clinical agency, that agency’s report form may also be required.

Bloodborne Pathogen Occupation Exposure

Should an exposure occur, please don’t panic. The vast majority of body substance exposures do not result in harm. Time matters though, so please proceed as follows:

Immediate Actions

Wash:

  • For punctures or lacerations, bleed the site well under running water and wash with soap and water.
  • For mucous membrane splashes (eyes, nose or mouth), immediately flush with copious amounts of water.
  • Carefully remove all soiled clothing and wash again if it was necessary to remove soiled clothing.

Gather and write down information about what happened

  • The source patient’s name, hospital number, date of birth, and location in the hospital or clinic.
  • Name and contact information of your clinical supervisor at the time of the incident.
  • The date and time the incident occurred.
  • The type of potentially infectious materials that was involved in the incident – blood, amniotic fluid, etc.
  • The details of the incident – for example, the type of needle or splash, what that needle had been in, the depth of the injury, whether you were wearing protective equipment such as gloves or face mask, etc.

Notify the nurse or health care provider in charge of the area where the incident occurred. The hospital’s or clinic’s personnel will initiate the next step in their process regarding testing if HIV or Hepatitis status is not known. You are NOT the person to consent the patient or to draw the blood from the source patient.

During regular work hours: Affected persons who are residents or students in Spokane should report to the MultiCare Rockwood Urgent Care – Downtown (400 E. 5th Avenue) Spokane WA 509-342-3100. Call urgent care immediately and an urgent visit will be arranged. It is important to tell the receptionist that an exposure has occurred so that the individual will be seen quickly.

After hours or on weekends or holidays: Affected persons in Spokane should report to the Multicare Deaconess Emergency Dept (800 W 5th Avenue) Spokane WA (509) 473-5800. While the affected person is in clinic or in the ED being evaluated, they must contact one of the course instructor or preceptors. Don’t waste time calling the supervisor or preceptor prior to being evaluated.

The mandatory health and wellness student fee applies to Multicare facilities. It is a much easier process to go to one of these locations compared to the ER.

Actions within 24 Hours

WSU students must complete a WSU Incident Report that is available on-line within 24 hours of the incident: http://hrs.wsu.edu/managers/incident-report/.

WSU Students are responsible for all clinic visits, medication, laboratory, and any other related costs that occur after the incident. Based on practitioner recommendations, coverage for continuation of post exposure medications will be handled on a case-by-case basis. Students should consider purchase of health care insurance that may assist with these additional costs. Students should notify their clinical site faculty and college program directors of financial issues pertaining to Bloodborne pathogen exposure.