Policies,Administrative,UWHC,Department Specific,UW Organ and Tissue Donation

Management of Biohazardous Exposures at Donor Hospitals (1.05)

Management of Biohazardous Exposures at Donor Hospitals (1.05) - Policies, Administrative, UWHC, Department Specific, UW Organ and Tissue Donation


Established Date: March 2008
Effective Date: 23 June 2016
Title: Management of Biohazardous Exposures at
Donor Hospitals
Policy Number: 1.05

Electronically Approved By: Michael E. Anderson, PA-C Anthony M. D’Alessandro, M.D.
Executive Director Medical Director

Page 1 of 1

The purpose of this policy is to provide guidance to University of Wisconsin Organ and Tissue Donation (UW
OTD) staff if a biohazardous exposure occurs at a UW OTD donation service area (DSA) hospital.


Occupational Illness and Accident Report Form


Biohazardous Exposure: A puncture or laceration caused by a needle or sharp instrument contaminated
with blood or other body fluids, blood or blood-tinged secretions which contaminate the eyes, nose, mouth
or non-intact skin, or human bites.

A. Prevention of biohazardous injuries will always be the first goal of each UW OTD staff member.
B. This will be achieved through following the measures in University of Wisconsin Hospital and
Clinics (UWHC) policy 9.28, policy 4.1.8, and policy 4.1.10.
C. If a biohazardous exposure occurs, immediate first aid will be administered.
D. After administration of first aid, UW OTD staff members will seek medical attention immediately
at the DSA emergency room (ER) as soon as possible after the event for evaluation and
treatment of the exposure.
E. The DSA ER will provide an invoice for the services to the UW OTD staff member. UW OTD staff
members will not use his/her health insurance to pay for the ER visit.
F. By the next business day after the exposure, UW OTD staff will notify his/her manager.
G. By the next business day after the exposure, the exposure will be reported to UWHC Employee
Health Service (EHS) and reported to Workers Compensation using the online accident form per
UWHC policy 9.28.
H. UWHC EHS will provide guidance on next steps including invoice processing.


UWHC Policy 9.28, 4.1.8, and 4.1.10