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House Staff Policies and Procedures Manual section navigation

  • Section 1: House Staff General Responsibilities
  • Section 2: School of Medicine's General Responsibilities
  • Section 3: Summary of Benefits
  • Section 4: Leave Time
  • Section 5: Requirements For Appointment
  • Section 6: Clinical Experience and Educational Work Hours and Moonlighting Policies
  • Section 7: Disciplinary Actions
  • Section 8: Counseling and Support Services
  • Section 9: Behavioral Health Statement
  • Section 10: Graduate Medical Education Committee
  • Section 11: Personnel Files
  • Section 12: Other Services
  • Section 13: Workers' Compensation
  • Section 14: Infection Control
  • Section 15: EEO Employer-Disability/Veteran Statement
  • Section 16: Liability Insurance and Risk Management Programs
  • Section 17: Standards of Conduct
  • Section 18: The Health Insurance Portability and Accountability Act
  • Section 19: Release of Information to the Media
  • Section 20: Conflict of Interest
  • Section 21: No Solicitation
  • Section 22: Weapons
  • Section 23: Smoke-Free Workplace
  • Section 24: Drug-Free Workplace
  • Section 25: Dress Code
  • Section 26: Conflict of Interest/Industry Relations
  • Section 27: Care and Use of Property/Equipment
  • Section 28: Pastoral Services
  • Section 29: Security
  • Section 30: Teaching Responsibilities
  • Section 31: Department Orientation
  • Section 32: Policy on Consensual Teacher (Faculty or Resident)-Student (Resident or Student) Relationships
  • Section 33: Grievance
  • Section 34: Hearing and Appellate Review Procedures for Termination of a Residency Appointment
  • Appendix A: Policy and Procedure on Resident Recruitment & Appointment
  • Appendix B: Residency Appointment Agreement
  • Appendix C: EEO Employer-Disability/Veteran Statement and Department of Accessibility Services
  • Appendix D: Clinical Experience and Educational Work Hours and Moonlighting
  • Appendix E: Professional & General Liability Insurance
  • Appendix F: Institutional Policies

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  • Section 14: Infection Control

Section 14: Infection Control

NEEDLESTICKS AND OTHER BLOOD/BODY FLUID EXPOSURES

  1. Always observe Standard Precautions.
  2. If you have a significant exposure to blood or other body fluids (e.g., needlestick, cut), immediately clean the wound with soap and water.
  3. Exposed oral and nasal mucosa should be decontaminated by vigorously flushing with water.  Exposed eyes should be irrigated with clean water or sterile saline.
  4. Follow the protocol of the hospital in which the incident occurred to the fullest including all follow-up (through the hospital's Employee Health Service). If you are uncertain of the hospital’s post-exposure protocol, you may call the WHSC Needlestick Hotline for guidance (404-727-4136).  It is especially important that you report your exposure to the hospital’s Employee Health Service as soon as possible so that a timely evaluation can be performed.  If prophylactic medications are indicated, it is recommended they be initiated as soon as possible after the exposure. 
  5. Acute serology should be drawn at the Employee Health Service to establish your baseline antibody titers to hepatitis B virus (if you have not previously been determined to be HBsAb positive [immune to Hepatitis B]) and, if indicated, to HIV and/or Hepatitis C Virus [HCV].
  6. Depending on the results of your serology and the baseline serology of the source patient (from whom the exposure occurred), you may need follow-up serologies and additional testing as per the hospital protocol where the injury occurred.
  7. If the source patient is HIV-infected, the administration of post-exposure prophylaxis (PEP or "prophylactic” antiretroviral medications) to decrease the risk of patient to health care worker transmission should be strongly considered.  Medications may be initiated pending results of HIV serology on the source patient.  If used, these medications should be taken as soon as possible after the exposure.  The hospitals have protocols and will counsel you and give advice as needed.  PEP regimens are complicated; therefore be sure that the individual who manages your exposure consults with the Hospital Epidemiologist.  Call/page the Hospital Epidemiologist or ID service if you have any questions about management of the needlestick or other occupational exposure.
  8. The following list of specific areas and/or individuals should be contacted at the facility in which the exposure occurs:

GRADY MEMORIAL HOSPITAL AND AFFILIATED SITES:

Daytime hours, Monday thru Friday:
Employee Health & Wellness Services  call 404-616-7849 (STIX)
After hours and on weekends:  
Needlestick Hotline Call 404-616-7849 (STIX)


Susan Ray, MD Hospital Epidemiologist, Division of Infectious Diseases
Office: 404-251-8712, Pager: 404-837-8946; Home: 404-373-8537

Henry Blumberg, MD Physician, Division of Infectious Diseases
Office: 404-727-5096; Pager: 404-686-5500, ID#15029; Home: 404-377-5095

If you are unable to reach any of the above individuals, ask the paging operator at 404-616-4307 to contact the Infectious Diseases Attending on call; if not available contact the Infectious Diseases Fellow on call.

VA MEDICAL CENTER:
Daytime hours, Monday thru Friday: Infection Control/Employee Health
Room 611, Joyce Thompson RN:   
404-321-6111, Ext. 6471
After hours and on weekends: Emergency Room  404-321-6111, Ext. 6640

Robert Gaynes, MD, Division of Infectious Diseases
Office:  404-321-6111, ext. 7508; Cell: 770-315-3335

Abeer Moanna, MD, Division of Infectious Diseases
Office: 404-321-6111 ext 12093.   Pager 404-225-0576   Home: 404-846-6362

Kali Crosby, MSN, RN, CIC, Infectious Control Manager
Office: 404-318-6111 ext 207463; Cell: 678-372-1331

If you are unable to reach any of the above individuals, ask the paging operator at 404-321-6111 to contact the Infectious Diseases Attending on call; if not available contact the Infectious Diseases Fellow on call.

EMORY UNIVERSITY HOSPITAL MIDTOWN:

Daytime hours:
7:30am-4:00pm

Occupational Health Services (OHS)
Orr Bldg 6th floor, 550 Peachtree St 
404-686-8587
After hours and on weekends: Page Administrative Nursing Supervisor
Hospital Epidemiologist on call:
(PIC#11917)
Pager: 404-686-5500, ID#51427
OHS (APP) on-call: 404-686-550, PIC# 50464
Medical Director: Dr. Scott Henderson scott.henderson@emory.edu


Jesse Jacob, MD, Associate Hospital Epidemiologist, Division of Infectious Diseases

Office: 404-686-1564; Pager: 404-686-5500, ID# 16623

James Steinberg, MD, Associate Hospital Epidemiologist, Division of Infectious Diseases
Office, 404-686-1564, Pager 404-686-5500, ID# 15770

If you are unable to reach any of the above individuals, ask the paging operator at 404-686-1000 to contact the Infectious Diseases Attending on call; if not available, contact the Infectious Diseases Fellow on call by dialing 404-686-5500, PIC# 50260.

EMORY UNIVERSITY HOSPITAL

Daytime hours:
 7:30am-4:00pm

Occupational Health Services (OHS)
D219 Emory Hospital 
404- 686-8587
After hours and on weekends: Page Administrative Nursing Supervisor
Emergency Room
(PIC#13087)
404-712-7100
OHS (APP) on-call: 404-686-550, PIC# 50464
Medical Director: Dr. Scott Henderson scott.henderson@emory.edu


Jav Varkey, MD, Hospital Epidemiologist, Emory University Hospital and Emory Division of Infectious Diseases

Office:  404-727-1580; Pager: 404-686-5500, PIC# 15326

If you are unable to reach any of the above individuals, ask the paging operator at 404-727-4611 to contact the Infectious Diseases Attending on call; if not available, contact the Infectious Diseases Fellow on call.

CHILDREN'S HEALTHCARE OF ATLANTA

Employee Health, Needlestick Hotline: 404-785-7777 (available 24/7) for suspected or confirmed bloodborne pathogen exposures:

 
CHILDREN'S HEALTHCARE OF ATLANTA

Infection Prevention on-call

404-785-0577

(If you do not get a response within 15 minutes, please call Children's Contact Center - 404-785-7778 and request to be connect to the Infectious Disease Service on call. the nursing supervisor or the hospital operator for additional contact information)

Children's System Epidemiologist
Andi Shane, MD Pediatric Infectious Diseases
ashane@emory.edu


Updated 2024

House Staff Policies and Procedures Manual
  • Section 1: House Staff General Responsibilities
  • Section 2: School of Medicine's General Responsibilities
  • Section 3: Summary of Benefits
  • Section 4: Leave Time
  • Section 5: Requirements For Appointment
  • Section 6: Clinical Experience and Educational Work Hours and Moonlighting Policies
  • Section 7: Disciplinary Actions
  • Section 8: Counseling and Support Services
  • Section 9: Behavioral Health Statement
  • Section 10: Graduate Medical Education Committee
  • Section 11: Personnel Files
  • Section 12: Other Services
  • Section 13: Workers' Compensation
  • Section 14: Infection Control
  • Section 15: EEO Employer-Disability/Veteran Statement
  • Section 16: Liability Insurance and Risk Management Programs
  • Section 17: Standards of Conduct
  • Section 18: The Health Insurance Portability and Accountability Act
  • Section 19: Release of Information to the Media
  • Section 20: Conflict of Interest
  • Section 21: No Solicitation
  • Section 22: Weapons
  • Section 23: Smoke-Free Workplace
  • Section 24: Drug-Free Workplace
  • Section 25: Dress Code
  • Section 26: Conflict of Interest/Industry Relations
  • Section 27: Care and Use of Property/Equipment
  • Section 28: Pastoral Services
  • Section 29: Security
  • Section 30: Teaching Responsibilities
  • Section 31: Department Orientation
  • Section 32: Policy on Consensual Teacher (Faculty or Resident)-Student (Resident or Student) Relationships
  • Section 33: Grievance
  • Section 34: Hearing and Appellate Review Procedures for Termination of a Residency Appointment
  • Appendix A: Policy and Procedure on Resident Recruitment & Appointment
  • Appendix B: Residency Appointment Agreement
  • Appendix C: EEO Employer-Disability/Veteran Statement and Department of Accessibility Services
  • Appendix D: Clinical Experience and Educational Work Hours and Moonlighting
  • Appendix E: Professional & General Liability Insurance
  • Appendix F: Institutional Policies
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