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Student Accident and Needle Stick Form - Texas A&M College

Student Accident and Needle Stick Form - Texas A&M College 2025

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The document is a Student Injury/Exposure Incident Report Form for Texas A&M Health Science Center, designed to be completed within 48 hours of any incident involving student injuries or exposure to infectious diseases during coursework. It includes sections for personal information, incident details, injury descriptions, and witness information. The form emphasizes the importance of privacy and compliance with state laws regarding health information.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your personal information in the 'STUDENT' section, including your name, email address, phone number, and UIN. Ensure all details are accurate for proper identification.
In the 'TIME & PLACE' section, specify the date and time of the incident along with a detailed location description. Be as specific as possible to aid in incident tracking.
Describe the incident in detail under 'INCIDENT DESCRIPTION'. Include what happened and any injuries sustained. Use additional sheets if necessary.
Indicate whether first aid was given and if you will seek treatment later. Mark affected body parts clearly using the provided options.
Complete the 'WITNESSES' section by providing contact information for any witnesses present during the incident.
Finally, review all entries for accuracy before submitting your form via email to HSC-IncidentReporting@tamhsc.edu.

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2019	4.8 Satisfied (203 Votes)

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How to report a needle stick injury?

Immediately after the injury If you are at work, notify your supervisor or occupational health and safety officer - you will need to fill out an accident report form. Go straight to your doctor, or to the nearest hospital emergency department.

What information is necessary when filing an injury report after a needlestick?

The incident should be reported and an exposure report sheet completed. The exposure should be assessed (type of fluid, type of needle, amount of blood on the needle, etc).

How do you write an incident report for a needle stick injury?

Sharps Injuries: Completing the Injury Report Date and time of the exposure. Procedure or action being performed during the injury. Specific information about the exposure (e.g., profession, department or unit, shift, injury to user or non-user, etc.) Specific type of device being used, if known indicate brand and model.

How do you describe a needle stick injury?

Needlestick injuries happen when a sharp object, such as a needle, syringe or blade, accidentally breaks the skin. A needlestick injury can expose you to blood-borne viruses (for example hepatitis B, hepatitis C and HIV) or dangerous substances, such as medicines, drugs or chemicals.

What is needle stick injury policy?

Immediately after the injury Wash the wound with soap and water. If soap and water arent available, use alcohol-based hand rubs or solutions. If you are at work, notify your supervisor or occupational health and safety officer - you will need to fill out an accident report form.

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How to write an injury incident report?

How to create an incident report Have all basic facts prepared. In order for an incident report to be useful, it is helpful for all facts listed in the report to be specific and accurate. Explain the sequence of events step-by-step. Analyze the incident. Describe any injuries. Proofread your work. Submit your report.

Student Accident and Needle Stick Form - Texas A&M College 2025

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How to report a needle stick injury?

What information is necessary when filing an injury report after a needlestick?

How do you write an incident report for a needle stick injury?

How do you describe a needle stick injury?

What is needle stick injury policy?

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