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1. 2. 3. 4. 5. 6. 7. Nursing Aim & Learning Outcomes Nursing Practicum I Core Learning Outcomes Departmental Infection Control Guidelines Nursing Practicum Schedule with Names of Students and Clinical Supervisors Notes to Supervisors and Students Student Group List Signatures and Initials of Students & Supervisors
(for All parties except students & Clinical Instructors)
Guidelines for Needlestick Injury Arrangement During Bad Weather Record of Absence from Nursing Practicum Record of Absence Appendix - Health Surveillance Form for Attending Clinical Practicum Incident Report Clinical Tutors Evaluation Form on Nursing Practicum
Achieved
Not Achieved
to learn
5. Accept new responsibilities as appropriate 6. Seek advice appropriately 7. Demonstrate accountability for own nursing practice 8. Identify own strengths and weaknesses 9. Display good team spirit and cooperate well with
Result of Assessment:
Pass / Fail
Signature of Student:
Date:
Achieved
Not Achieved
Not Observed
6. Ensure effectiveness and efficiency of nursing care 7. Perform care with legal considerations 8. Protect patients rights, dignity and interests 9. Communicate with patients/families/health team appropriately 10. Monitor patients progress 11. Report patients condition appropriately and promptly 12. Assess and provide health education to patients appropriately Evaluation: 13. Evaluate outcome of care 14. Modify care as appropriate Documentation: 15. Perform documentation completely and appropriately
Please tick the appropriate column
Remarks
Remarks:
Pass / Fail
Signature of Student:
Date:
Infection control guidelines for MBBS, Chinese Medicine, Nursing, and Pharmacy undergraduate students
SUMMARY 1 2 Standard precautions must be observed at all times for all patients regardless of their infection status. Perform hand hygiene either by hand-rubbing with alcohol-based hand rub or hand washing with soap and water in accordance with the WHO Five Moments of Hand Hygiene. This includes: (a) before touching the patient; (b) after touching the patient; (c) before clean or aseptic tasks; (d) after risk of body fluid exposure; and (e) after contact with inanimate surfaces and objects (including medical equipment) in the immediate vicinity of the patient. 3 4 One must NOT touch his/her mucous membrane (mouth, nose and eyes) without cleaning his/her hands with alcohol-based hand rub or soap and water. Wear surgical masks in clinical or patient areas in accordance to the current infection control guidelines of those areas. Dispose of the masks and perform hand hygiene before you leave the clinical or patient areas. Use other personal protective equipment (such as gloves, respirators, protective gowns, and eye shields) according to the instructions or guidelines in specific settings, such as the type of ward visiting, nature of clinical procedures being performed and the infective risks of the patients. Report all accidents sustained in health care facilities immediately. Do not come to class if you are suffering from a communicable disease or having symptoms of a viral illness. Seek medical advice if necessary. Make sure that you have received all the necessary vaccines including the seasonal influenza vaccine. Consult your supervisor if there is any uncertainty.
6 7 8 9
PRINCIPLES OF STANDARD PRECAUTIONS IN INFECTION CONTROL 1 2 Standard precautions must be observed at all times for all patients regardless of their infection status. Wear gloves whenever you come into contact with mucus membranes, blood and body fluids including secretions and excretions. Cover wounds on your hands with appropriate dressings.
3 4 5
Wearing gloves is not a substitute for hand hygiene. Perform hand hygiene after removal of sterile or non-sterile gloves. Remove gloves after caring for a patient. Do not wear the same pair of gloves for the care of more than one patient. When wearing gloves, change or remove gloves during patient care if you are moving from a contaminated body site to another body site within the same patient or the environment. Use of personal protective equipment (PPE) depends on the overall infection precaution level required at that time, and the specific setting of contact. There may be additional requirements from specific units or institutions, so please consult your teacher, supervisor, or staff in charge of the specific unit if necessary. Needles must never be recapped. Sharp objects must be disposed into sharps box properly. Do not come to class if you are suffering from a communicable disease. Seek medical attention as soon as possible.
7 8
GOVERNMENT RESPONSE LEVELS IN HOSPITAL AUTHORITY HOSPITALS 1 The Hospital Authority (HA) is currently using a three-level alert response system depending on the potential impact of an infectious disease outbreak to the hospital system and the community. These include the Alert (level one), Serious 1 and 2 (level two), and Emergency 1 and 2 (level three) responses. Clinical attachment and teachings may be restricted or suspended when the serious 2 level is in effect or under extraordinary circumstances. Please refer to the announcements made by the Faculty or individual departments under such situations.
INFECTION CONTROL GUIDELINES IN HOSPITAL SETTINGS General wards and other patient areas 1 2 Clean white coat or uniform should be worn in patient areas. Hand hygiene either by hand rubbing with alcohol-based hand rub or hand washing with soap and water must be performed in the following circumstances: (a) before touching the patient, (b) after touching the patient, (c) before clean or aseptic tasks, (d) after risk of body fluid exposure, and (e) after contact with inanimate surfaces and objects (including medical equipment) in the immediate vicinity of the patient. 3 4 Alcohol-based hand rubs should be used for hand disinfection. They should be used only if the hands are not visibly soiled. Wear surgical masks in clinical or patient areas in accordance to the current infection control guidelines of those areas. Dispose the masks and perform hand hygiene before you leave the clinical or patient areas.
Additional PPE such as gloves, masks, or respirators may be used when coming into contact with patients secretions, excreta, wounds, or during aerosolgenerating procedures and resuscitation. (See High-risk areas below.)
High-risk areas 1 2 3 4 These include the Accident and Emergency Department triage stations, isolation wards, isolation rooms, and cohort areas. Surgical masks must be worn before entering these areas. Protective gowns (disposable or reusable) must be worn before entering these areas. Gowns must be put on and taken off in dedicated areas of the wards. Additional PPE is used under special circumstances: a N95 respirators must be worn when: i Aerosol-generating procedures are being performed. Examples include resuscitation, bronchoscopy, sputum suction, and high-flow oxygen therapy; You need to have close contacts with patients infected with diseases that are transmissible via the airborne route.
ii b
Gloves should be worn for contacts with patients with suspected or confirmed infectious conditions of the skin, or when contacting the mucous membranes, open wounds, blood, or body fluids. Wearing gloves is not a substitute for hand hygiene. Perform hand hygiene after removing the gloves. Face shields or goggles should be worn during aerosol-generating procedures.
c 5
Perform hand hygiene in accordance to the WHO Five Moments of Hand Hygiene and after removal of PPE. (http://www.who.int/entity/gpsc/tools/PocketLeaflet.pdf) Different wards may have different requirements and protocols. You should consult the teacher, supervisor, or the staff in charge of the wards if you are not certain.
Private practitioner clinics and other outpatient clinics, private community centres, and nursing homes 1 2 3 The principles of infection control and the use of PPE are similar to those listed above. Standard precautions must be observed at all times if there is patient contact. Masks and other PPE should be used when there is a substantial risk for communicable diseases in the community setting. Consult your supervisor or the staff in charge centre if you are not certain.
Autopsy rooms 1 Surgical masks, gloves, disposable protective gowns, shoe covers, and clip cap will be provided prior to the autopsy sessions. These should be worn during the sessions.
2 3
Goggles should be worn by students who do not wear glasses. Consult the pathologists in charge of the session if there is any doubt.
Vaccination 1 All students should receive the hepatitis B and varicella vaccines and have the post-vaccination hepatitis B surface antibody level checked unless there are specific contraindications. The vaccination schedule will be distributed by the Faculty Office. All students should take the seasonal influenza vaccination unless there are specific contraindications. Students should ensure that they have completed the childhood immunization schedule and received the required booster doses (e.g. tetanus, diphtheria) unless there are specific contraindications.
2 3
Precautions 1 2 Students should wear a surgical mask if they are suffering from respiratory illnesses. If the student is suffering from an infection and the condition is clinically deteriorating or not responding to standard treatments, he or she should not attend classes or enter the health care facilities and should seek medical advice as soon as possible. Any accident (e.g. percutaneous injuries or mucosal exposures) sustained in the health care facilities must be reported to the teacher or supervisor, and the infection control unit of that facility immediately.
Arrangements for distribution of PPE to students 1 2 Masks and disposable protective gowns will be provided by the Faculty for clinical teaching sessions. PPE can be obtained from the following locations. a b c d e Medical students: Faculty Office, 2/F, William MW Mong Block, Faculty of Medicine Building. Nursing students: School of Nursing, 4/F, William MW Mong Block, Faculty of Medicine Building. Chinese Medicine students: School of Chinese Medicine, G/F, Estates Building. Pharmacy students: Department of Pharmacology & Pharmacy, 2/F, Laboratory Block, Faculty of Medicine Building. A small supply of pocket-sized alcohol-based hand rub, surgical masks, and gowns will be made available in clinical areas in case individual students forget to bring their own. The exact sites of placement will be arranged with
class/groups representatives. However, students are reminded that they should obtain and use their individual supply obtained from the Faculty Office as much as possible. *Students are advised to access the student portal for any update communications and Notices of The Centre for Health Protection frequently.
Clinical Instructor
Ms Maggie Chan
Group 2
Au Ka Yi Lam Hung Ting Lee Ka Yan Li Lori Tsang Sai Leong* Kwan Chun Yiu Charles* Ma Ka Yee Remedial Nursing Practicum Year IV Liu Lap Hang* (21/5/2012) Poon Kok Cheong Kenny* (22-24/2012) Wong Yip Sing (25/5/2012)
Ms Chole Yan
Group 3
Chan Hiu Suet Chan Ho Tin* Chan Hoi Ki Chan Vicky Wing Ki Cheng Wai Keung* Chung Chi Fong Remedial Nursing Practicum Year IV Tong Ka Ping (21/5/2012) Law Man Shan (22/5/2012) Ko Pak Fung*(23/5/2012) Lai Ka Ki(24/5/2012)
Ms Kathy Kan
Group 7
Lam Cheuk Ying Green Ho Long Kwan Wong Chau Ping Chow Hiu Yan Chuk Tak Ching Chan Ching Yu Tang Ka Hei Remedial Nursing Practicum Year IV
Ms Carol Chan
Clinical Mentors contact Name Ms Maggie Chan Ms Chole Yan Ms Kathy Kan Ms Carol Chan Year I Clinical Placement Coordinator Ms Maureen Chui Clinical Coordinator Dr Elizabeth Hui Address: 12 Po Yan Street, Sheung Wan
Contact Telephone No. 2819 2618 2819 2670 2819 2642 2819 2642 2819 2696 2819 2682
Mobile Number 6089 5062 9365 4555 5198 2389 9635 6528 6272 2759 6207 7162
Venue
TWH Ward L6 Mixed Medical Ward
Clinical Instructor
Ms Maggie Chan Ms Zoe Ng (8/6 only)
Group 16
Suen Kai Wa* Hui Tung Hei Andy* Wong Kung Shan Fu Chik Yu* Wai Sze Man Lui Ka Wai
Ms Chole Yan
Group 17
So Wing Yee Yam Ka Yi Tam Lik Yi Tsai Ka Hei* Tsang Nga Ping Tsoi Ka Yi Fiona
Ms Kathy Kan
Group 21
Lee Yi Lam Leung Lok Lam Natalie Leung Miu Yin Leung Sin Yu Wan Suet Yi Wong Yuk Ping
Ms Maggie Pun
* Male students Clinical Mentors contact Name Ms Maggie Chan Ms Chole Yan Ms Kathy Kan Ms Maggie Pun Year I Clinical Placement Coordinator Ms Maureen Chui Clinical Coordinator Dr Elizabeth Hui Address: 12 Po Yan Street, Sheung Wan
Contact Telephone No. 2819 2618 2819 2670 2819 2642 2819 2691 2819 2696 2819 2682
Mobile Number 6089 5062 9365 4555 5198 2389 6089 9587 6272 2759 6207 7162
Clinical Instructor
Ms Michelle Pang
Group 5
Leung Kwai Wah Li Hiu Wai* Sit Yan Lam* Siu Lee Hung Shing Yuen Kiu Chung Ka Ping Siu Hon Sang Jeffrey* Remedial Nursing Practicum Year IV
Ms Hellene Yiu
* Male students Clinical Mentors contact Name Ms Michelle Pang Ms Hellene Yiu Ms Rebecca Lee Mr William Lam Ms Zoe Ng Year I Clinical Placement Coordinator Ms Maureen Chui
Contact Telephone No. 2819 2618 2819 2694 2819 2687 2819 2694 2819 2618
Mobile Number 6276 1369 9635 8562 6275 2325 6075 7021 6085 7121
2819 2696
6272 2759
Clinical Coordinator Dr Elizabeth Hui 2819 2682 Address: 2 Wong Chuk Hang Path, Wong Chuk Hang
6207 7162
Venue
WCHH Ward 1B Male Ward
Clinical Instructor
Ms Carol Chan
Group 19
Lam Lok Ling Chu Hoi Man Ho Ka Kuen* Hong Wing Kiu Kwan Yik Hang* Kwok Tsz Ki Angela
Group 20
Chu Wing Yan Yeung Siu Ying Tong Lee Sha Law Wing Man Lorraine Wong Hoi Ming Tsai Hiu Ching Year I Supplementary Chan Miu Hin (5/6)
* Male students Clinical Mentors contact Name Ms Carol Chan Ms Hellene Yiu Ms Rebecca Lee Year I Clinical Placement Coordinator Ms Maureen Chui
2819 2696
6272 2759
Clinical Coordinator Dr Elizabeth Hui 2819 2682 Address: 2 Wong Chuk Hang Path, Wong Chuk Hang
6207 7162
Clinical Instructor
Mr John Fung
* Male students Clinical Mentors contact Name Mr John Fung Year I Clinical Placement Coordinator Ms Maureen Chui Clinical Coordinator Dr Elizabeth Hui Address: 147A Argyle Street, Kowloon
2819 2696
6272 2759
2819 2682
6207 7162
Clinical Instructor
Ms Bronya Luk
* Male students Clinical Mentors contact Name Ms Bronya Luk Year I Clinical Placement Coordinator Ms Maureen Chui Clinical Coordinator Dr Elizabeth Hui Address: 147A Argyle Street, Kowloon
2819 2696
6272 2759
2819 2682
6207 7162
Clinical Instructor
Ms Jessica Cheuk
* Male students Clinical Mentors contact Name Ms Jessica Cheuk Year I Clinical Placement Coordinator Ms Maureen Chui
2819 2696
6272 2759
Clinical Coordinator Dr Elizabeth Hui 2819 2682 Address: 266 Queens Road East, Wan Chai
6207 7162
Clinical Instructor
Ms Jessica Cheuk
* Male students Clinical Mentors contact Name Ms Jessica Cheuk Year I Clinical Placement Coordinator Ms Maureen Chui
2819 2696
6272 2759
Clinical Coordinator Dr Elizabeth Hui 2819 2682 Address: 266 Queens Road East, Wan Chai
6207 7162
Clinical Instructor
Mr Edmond Chan
Group 11
Cheng Wing Ying Cheung Oi Yi Cheung Pik Ying Cheung Tan Chan Natalie Yuen Yuen Tsang Yuen Lam Wong Wing Chi Remedial Nursing Practicum Year IV Kong Wing Yin 22/5
Ms Florence Yip
* Male students Clinical Mentors contact Name Mr Edmond Chan Ms Florence Yip Year I Clinical Placement Coordinator Ms Maureen Chui Clinical Coordinator Dr Elizabeth Hui Address: 9 Sandy Bay Road, Pokfulam
2819 2696
6272 2759
2819 2682
6207 7162
Venue
FYKH Ward 1B Male Ortho Ward
Clinical Instructor
Mr Edmond Chan
Group 25
Tsang Yuen Ki Fan Ka Yee Lam Chui Yan Lam Sha Lee Lam Wing Yi Lau Man King
Ms Florence Yip
* Male students Clinical Mentors contact Name Mr Edmond Chan Ms Florence Yip Year I Clinical Placement Coordinator Ms Maureen Chui Clinical Coordinator Dr Elizabeth Hui Address: 9 Sandy Bay Road, Pokfulam
2819 2696
6272 2759
2819 2682
6207 7162
Clinical Instructor
Ms Mary See Ms Maggie Pun
TWEH Ward BC2, DE2 BC2 Male & DE2 Female Ward
Group 13
Yu Sze Wai Christianna Yuen Shuk Ching Chan Po Chu Cheuk Ting Fung* Lai Hok Man* Lau Chi Wai* Lee Wai Han
Ms Mabel Lam
* Male students Clinical Mentors contact Name Ms Mary See Ms Mabel Lam Ms Maggie Pun Year I Clinical Placement Coordinator Ms Maureen Chui
2819 2696
6272 2759
Clinical Coordinator Dr Elizabeth Hui 2819 2682 Address: 19 Eastern Hospital Road, Causeway Bay
6207 7162
Venue
TWEH Ward A2, F2 A2 Male & F2 Female Ward
Clinical Instructor
Ms Mary See
Group 27
Au-Yeung Cheuk Man Chan Hiu Ying Chan Tsz Shan Cherry Lam Hoi Ting Lam Ling Chi* Lau Ying Ying
Ms Mabel Lam
* Male students Clinical Mentors contact Name Ms Mary See Ms Mabel Lam Year I Clinical Placement Coordinator Ms Maureen Chui
2819 2696
6272 2759
Clinical Coordinator Dr Elizabeth Hui 2819 2682 Address: 19 Eastern Hospital Road, Causeway Bay
6207 7162
Clinical Instructor
Ms Winnie Chung
* Male students Clinical Mentors contact Name Ms Winnie Chung Year I Clinical Placement Coordinator Ms Maureen Chui Clinical Coordinator Dr Elizabeth Hui Address: 7 Sha Wan Drive, Pokfulam
2819 2696
6272 2759
2819 2682
6207 7162
Clinical Instructor
Ms Winnie Chung
* Male students Clinical Mentors contact Name Ms Winnie Chung Year I Clinical Placement Coordinator Ms Maureen Chui Clinical Coordinator Dr Elizabeth Hui Address: 7 Sha Wan Drive, Pokfulam
2819 2696
6272 2759
2819 2682
6207 7162
Group 11 FYKH (2AB Female Orthro) Instructor: Ms Florence Yip Cheng Wing Ying Cheung Oi Yi Cheung Pik Ying Cheung Tan Chan Natalie Yuen Yuen Tsang Yuen Lam Wong Wing Chi Remedial Nursing Practicum Year IV Kong Wing Yin 22/5
Group 13 TWEH (BC2-Male DE2-Female) Instructor: Ms Mabel Lam Yu Sze Wai Christianna Yuen Shuk Ching Chan Po Chu Cheuk Ting Fung* Lai Hok Man* Lau Chi Wai* Lee Wai Han *Male Student
Group 14 MMRC (3/F Mixed Ward) Instructor: Ms Winnie Chung Chung Yui Sze Ho Wing Sze Hui Cheuk Yung Ko Po Yee Kwok Yik Ling Lai Yan Yi Lam Lai Ying
Group 21 TWH (Ward C6 Surgical Female) Instructor: Ms Maggie Pun Lee Yi Lam Leung Lok Lam Natalie Leung Miu Yin Leung Sin Yu Wan Suet Yi Wong Yuk Ping
Group 22 KH (Ward 3D Male Orthro) Instructor: Ms Bronya Luk Tong Hiu Kwan Wong Nga Wun Wong Yi Man Yu Hoi Yin, Joey Wong Hiu Ching Lee Cheuk Ying Ng Pui Shan
Group 23 RH (Ward A10 - Mixed) Instructor: Ms Jessica Cheuk Chan Wai Lok* Wong Yik Tung Yu Chiu Yi Eugenia Tsang Shuk Man Fan Ka Kin Yeung Ming Tak* Takemura Naomi
Group 24 FYKH (1B Male Orthro) Instructor: Mr Edmond Chan Yeung Wing Yu Queenie Choi Chun Lok* Chan Hak Yuen* Wong Ka Wai* Wong Po Yan Wong Pui Yee Miyuki Group 27 TWEH (BC2-Male DE2-Female) Instructor: Ms Mabel Lam Au- Yeung Cheuk Man Chan Hiu Ying Chan Tsz Shan Cherry Lam Hoi Ting Lam Ling Chi* Lau Ying Ying *Male Student
Group 25 FYKH (2AB Female Orthro) Instructor: Ms Florence Yip Tsang Yuen Ki Fan Ka Yee Lam Chui Yan Lam Sha Lee Lam Wing Yi Lau Man King Group 28 MMRC (3/F Mixed Ward) Instructor: Ms Winnie Chung Yeung Ho Ching Yu Hoi Yin Cheung Ka Yan Leung Tsz Man Ng Wing Seung Poon Chi Yan Jojo
Group 26 TWEH (A2 Male & F2 Female) Instructor: Ms Mary See Cheung Yiu Cheung* Yuen Yi Ming Emily Chan Ka Hing Ho Yiu Yiu Lau Pui Yan Yam Suet Yi Ng Lui
Students meet with their supervisor at the Lobby of the Main Block (next to Admission Office) at 8:45am. Then, they will meet Ms Chan, APN at CND. Students will have their
Orientation program on the first day of duty separately in each lot of clinical practicum before commencing duties at the designated wards. An orientation progamme will be held in Rm 815, NSD, 8/Fl., Admin. Building, RHTSK Hospital at 09:00am. Students MUST bring their own digital padlock for their locker storage. Cafeteria is available on site. Fung Yiu King Hospital: Students meet with their supervisors in 5/F, Conference Room at 8:45 am. Students (1st batch and 2nd batch) will have their Orientation program on the first day of duty together before practicum before commencing duties at the designated wards. An orientation programme will be held in Conference Room, 5/Fl., FYKH at 09:00am. Locker keys are provided to the students after Orientation Programme and please return the key back at the end of each lot of clinical practicum by themselves.
MacLehose Medical Rehabilitation Centre: Students meet their supervisor at 3/F, Nursing Department, MMRC at 8:45am on the first day of duty. Briefing and orientation will be provided afterwards. Two lots of students will have their Orientation programme on the first day of duty separately in each lot of clinical practicum in 3/Fl., Nursing Department, MMRC at 09:00am. Locker keys are shared
among students and will be provided to the students after Orientation Programme and please return the key back at the end of each lot of clinical practicum by themselves.
Tung Wah Eastern Hospital: Students are to meet with their supervisors at 1/F, Lobby, Main Block, at 8:45am on 21 May 2012 & 1st day duty. ALL two lots of students are compulsory required to attend the Orientation Programme together on 16 May 2011 (Monday) at 9am to be conducted by Tung Wah Eastern Hospital in Multi-function Room, 9/F Ophthalmic Centre, TWEH. Students ARE NOT required to bring digital locks. Keys will be provided and students are advised to return the keys to the hostel manageress on leaving TWEH. Details of the Orientation Programme are as follows:
Date: 21 May 2012 (Monday) for both groups Reception: 1/F, Lobby, Main Block Venue for Orientation: Multi-function Room, 9/F, Ophthalmic Centre, Tung Wah Eastern Hospital
Time 9:00 AM Description Reception Introduction & Orientation to Quarter Facilities Greeting & Welcome Introduction to Tung Wah Eastern Hospital 09:45 AM Briefing on Clinical Practicum Multi-function Room, 9/F Ophthalmic Centre Multi-function Room, 9/F Ophthalmic Centre Ms S H YEUNG, GM (N)/ Ms. Rosanna LEUNG, SNO Ms. H Y TSANG, Dep. DOM Venue 1/F, Lobby, Main Block Responsible Staff Ms. Angel LEUNG, Hostel Manageress
9:30 AM
A. Introduction to Medical & 10:00 AM Rehabilitation Services in TWEH B. C. Briefing on Clinical Attachment in AF2 & BCDE2 D. 10:30 AM E. BREAK F. Introduction to Infection 10:45 AM Control Precautions and PPE Recommendations in TWEH A. Tour of Tung Wah Eastern 11:00 AM
RN, NSD
On the last day of practicum Students are required to return ALL keys to related parties on the last day of practicum. There should be NO excuse for any delay in returning. A group leader in each group may facilitate the arrangement. Absenteeism from Practicum Student who is absent from practicum due to medical or any other reasons is required to inform both the clinical supervisor and the ward in-charge directly and immediately. A sick leave certificate or explanatory letter together with a completed Record of Absence from Nursing Practicum form should be submitted to respective supervisor and copies faxed to the Year I Clinical Coordinator, Dr Athena Hong as soon as the student resumes duty. Absence for more than two days will need to seek the Deans approval via a written document For special leave, students should inform the responsible clinical teacher and submit a written application to the Clinical Coordinator one week in advance with valid reasons.
NEEDLESTICK INJURY Proposed guidelines: 1. FIRST AID: (a) (b) First aid is of utmost importance for lowering the risk of infection. In case of needlestick injury, wash the wound immediately and thoroughly with soap and water. The wound should be disinfected and dressed. In case of mucosal contact, such as spillage into the eyes, wash immediately and liberally with running water.
(c)
2. 3.
COMPLETE USUAL PROCEDURE FOR ACCIDENT REPORTING REFER TO Accident & Emergency Department of Hospital Authority Hospitals IMMEDIATELY (There is a special team in Accident & Emergency Department of all Hospital Authority Hospitals for handling needle-stick injuries. If required, postexposure zidovudine prophylaxis reduces the HIV transmission rate by about 80% and should be started within 1-2 hours after exposure).
Dr K K C Chan Director
THE UNIVERSITY OF HONG KONG SCHOOL OF NURSING PRACTICUM ARRANGEMENTS DURING BAD WEATHER When Tropical Cyclone Warning Signal No.3 or the Red Rainstorm Warning Signal is in force, it should be assumed that all practicum will proceed as scheduled. When Tropical Cyclone Warning Signal No.8 (or a higher number) or the Black Rainstorm Warning Signal is hoisted, the following practicum arrangements will apply: For practicum that has not been started If either of the warnings is hoisted All AM practicum will be cancelled. or in force at or after 04:00 am If either of the warnings is hoisted or in force at or after 11:00 am. If either of the warnings is hoisted or in force at or after 06:00 pm All PM practicum will be cancelled.
For practicum that has already started: When Tropical Storm Warning All practicum will be suspended Signal 8 or above is to be hoisted in immediately. less than 2 hours (as announced by Hong Kong Observatory) When Black Rainstorm Warning Signal is hoisted All practicum, except those held outdoors, shall continue. For practicum held outdoors, such as community nursing, the responsible mentors on the spot shall suspend the activities immediately, ensuring all students are housed in a safe place, and remain there until it is safe for them to return home.
No resumption of practicum is needed once it is cancelled. Remarks: In situations where the practicum has been cancelled as above but students have already reached the hospital premises, they should stay in a sheltered environment until it is safe for them to return home