Accident/Injury/Illness in a Clinical Setting

Accident/Injury/Illness in a Clinical Setting

A student who is involved in an accident or who is injured while participating in a clinical activity (including clinical learning lab), must complete a WGU Accident/Injury/Illness report (found in the attachments section below the text of this handbook article) within four hours of the event (or as soon as possible if being treated for serious injuries) and submit it to the appropriate clinical faculty member (i.e. learning lab instructor and /or clinical instructor). Students must also seek medical attention if needed, and are responsible for expenses incurred for treatment.

  1. Students who are involved in an accident or injured while participating in a clinical activity (including learning lab), must:
    1. Notify the appropriate clinical faculty immediately.
    2. Report the accident/injury as required by the clinical agency/facility.
    3. Seek medical attention promptly, if indicated. 
    4. Complete a WGU Accident/Injury/Exposure report, available in the Nursing Student Handbook on the WGU student portal, within four hours (or as soon as possible if being treated for serious injuries) and submit it to the appropriate clinical faculty member, State Director of Nursing, and program mentor, along with the licensed health care provider's statement, if consulted. (The report form is linked to an electronic Word document. It can be completed online, saved and then emailed to the program mentor.) 
    5. Complete a clinical agency/facility incident report as required.
  2. Immediately following the accident/injury, the clinical faculty member, will notify the appropriate State Director of Nursing and the health placement specialist of any missed clinical time, and will assist with coordination of make-up time as indicated. 
  3. The State Director of Nursing will follow up with the student and/or WGU clinical faculty member as to resolution of the accident/illness/injury and any health care provider recommendation/ treatment.  
  4. The State Director of Nursing will provide a follow-up report to the CNO/National Director and will work with student and appropriate WGU Nursing program personnel regarding any needed clinical learning lab/clinical intensive status/progression change.

 


Body Substance Exposure

Healthcare personnel are at risk for occupational exposure to bloodborne pathogens such as HIV, Hepatitis B and Hepatitis C. Body substance exposure must be reported to both the clinical partner and the University. All clients must be considered to be potentially infected with bloodborne pathogens. Universal precautions must be followed at all times. Body substances that may transmit infection include but are not limited to blood, urine, feces, seminal fluid, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, and any body fluid visibly contaminated with blood.
 
Body substance exposure occurs when non-intact skin or mucous membranes come into contact with body substances that may be infected by bloodborne pathogens. Common sources of exposure include needle sticks, cuts, bites, splashes to eyes or mouth, or prolonged contact with open wounds, abrasions, or dermatitis.
 
Preventive techniques, including the use of personal protective equipment and sharps containers, abstaining from recapping needles, and the use of needleless devices are to be used consistently by WGU students. Students are expected to be cognizant of, and adhere to, clinical agency/facility infection control policies regarding body fluid exposure.

  1. Needle stick injuries, cuts with contaminated objects, body substance splashes, or exposure to mucous membranes are managed according to CDC guidelines. Reporting and follow-up should be conducted quickly to prevent infection.
    1. Immediate action:
      • Wash needle sticks and cuts with soap and water. 
      • Flush splashes to the nose, mouth, or skin with water. 
      • Irrigate eyes with clean water, saline, or sterile irrigant. 
      • Report the exposure to the clinical coach and clinical instructor or the clinical learning lab instructor immediately
    2. Report the exposure as required by the clinical agency/facility.
    3. Follow clinical agency/facility’s policy for post exposure treatment and/or seek evaluation from primary care provider, urgent care center, or emergency department if indicated.
    4. Complete a Student Accident/Injury/Exposure Report available in the Nursing Student Handbook on the WGU student portal, within four hours of the event and submit to the program mentor who forwards it to the appropriate clinical faculty member, State Director of Nursing, and program mentor along with the licensed health care provider’s statement if consulted.
  2. Following exposure, the clinical faculty member notifies the appropriate State Director of Nursing and the health placement specialist of any missed clinical time occurring immediately after the incident and assists with coordination of make-up time as indicated. 
  3. The State Director of Nursing follows up with students and/or clinical faculty member as to resolution of the exposure incident and any health care provider recommendation/treatment. 
  4. The State Director of Nursing provides a follow-up report to the Vice President of Academics and works with the student and appropriate WGU Nursing personnel regarding clinical learning lab/clinical intensive status/progression change.

 

 


Article Number: 20518, 2486

Version history
Revision #:
21 of 21
Last update:
‎09-23-2019 03:35 PM
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