School of Nursing

Student Incident Exposure Tracking Procedure and Form

Student is Exposed Bloodborne Pathogen (e.g., needle stick)

1. Student should immediately clean the site (e.g., wash injured skin – needle stick or cut with soap and water; flush splashes to the nose, mouth, or skin with water; irrigating eyes with clean water, saline or sterile irrigant).

2. The student and his/her faculty member should contact the source person (per agency policy), if known, to determine his/her willingness to release medical information and/or undergo applicable testing (e.g., hepatitis B, hepatitis C, HIV antibodies). If the source person is willing to do either or both of the above the student should write down the person’s name, phone number, and health care provider’s name. The student should notify his/her health care provider that he/she has source person contact information. The student’s health care provider may elect to follow-up with the source person and/or his/her health care provider. If the source person can be accessed at a later time the student should go immediately for initial testing, counseling around treatment, and treatment (see step 3).

3. Initial testing, counseling around treatment, and treatment may be available at the clinical agency, if applicable. If initial testing, counseling around treatment, and treatment are not available at the clinical agency the student should go immediately to an emergency room. The student should not delay getting initial testing, counseling around treatment, and treatment.

4. After initial testing, counseling around treatment, and treatment, the involved faculty member works with the student to complete:

5. The faculty notifies the Undergraduate or Graduate Nursing coordinator and the clinical agency, if applicable, and follows their policies/procedures.

6. After the initial testing, counseling around treatment, and treatment the student can elect to follow-up with any of the following:

  • Health care provider of choice.
  • Maine Medical Center, Falmouth Family Practice Clinic (207) 781-1500, or
  • Maine Medical Center Family Practice Center 272 Congress St., Portland, (207) 874-2466.
  • Portland Public Health, 103 India St.  (207) 874-8446. It is important to note that Portland Public Health’s days and times for testing are limited

7. Involved faculty provides student with CDC hotline 1-800-232-4636 or for the most up-to-date information on testing and follow-up. The faculty should strongly encourage the student to call the hotline. Additional resources are identified in note 7 below. Involved faculty, Undergraduate or Graduate Nursing Coordinator, and the USM Director of Environmental Health and Safety will treat student exposure with utmost confidentiality.


  • Student and/or his/her health care insurer (as allowed for under benefit package) are responsible for costs associated with testing, treatment and follow-up.
  • USM University Health Services is not able to do testing and follow-up at this time.
  • The USM form is forwarded to the Director of Environmental Health and Safety solely for USM tracking purposes.
  • If unable to reach the Undergraduate or Graduate Nursing Coordinator, notify the Director of Nursing.
  • If the student is covered by USM’s student health insurer, Cross Insurance, he/she must contact USM University Health Services Director for an automatic referral.
  • Cross Insurance’s policy regarding confidentiality may be found both in the Claims Appeal Process section of the student brochure or at  Medical information is not released to any entity other than the one involved in the process of adjudicating a specific claim. State law prevents any health insurance carrier from discriminating in the acceptance of an applicant if they have been previously insured elsewhere.
  • Hepatitis B virus and hepatitis C virus: 1-888-443-7232 or visit CDC hepatitis website The HIV/AIDS Treatment Information Service (1-800-448-0440) can be contacted for information on the clinical treatment of HIV/AIDS. For free copies of printed material on HIV infection and AIDS, please call or write the CDC National Prevention Information Network, PO Box 6003, Rockville, MD 20849-6003, 1-800-458-5231  Additional information about occupational exposures to blood borne pathogens is available on the CDC’s National Institute of Occupational Safety and Health’s web site at  or call 1-800-232-4636. The National Clinicians Post Exposure Prophylaxis Hotline (PEPline) is 1-888-448-4911.