In case of injury during the clinical internship, the student must immediately:

• Notify the Operating Unit/Service Coordinator or other referring professional.
• Follow the specific directions of the Hospital/Facility at which he/she is conducting training (the same for nurses and students).
• Go to the emergency room promptly to report and complete the medical certification of work injury - INAIL.
• Have the Coordinator complete the "Declaration of Student Internship Attendance" form and prepare a copy of the planned monthly schedule.

IN ALL CASES OF ACCIDENT (occurring during the internship)

After following the specific instructions of the hospital/facility where the internship is taking place, the injured student must promptly send an email to the following address: flavia.dinoi@unimore.it attaching the following documentation:

• Medical certificate of work-related accident - INAIL issued by the Emergency Room.
• Declaration of attendance at the internship by the injured student (attached form to be completed by the AFP Director of Professional Education or Degree Programme Tutor).
• Photocopy of the injured student's monthly timetable.
• Tax code of the injured student
• Identity document of the injured student

BIOHAZARD INJURY 

Immediately inform the staff doctor and/or the Head Nurse of the department or Delivery Room to fill in the first part of the INAIL form together

 a) If the source patient is known, you must request his or her written consent using the appropriate form, available from the Operating Unit/Service, in order to perform all or part of the blood tests for hepatitis B, C, and HIV. Once consent is obtained, it is possible to draw the patient and go to the Emergency Room, with the patient's tube and a blood sample from the injured student, as quickly as possible (optimal time within 4 hours of injury).

b) If the source patient is not known, go to the Emergency Room as soon as possible with a blood sample from the injured student and follow the directions given.

In the event that the known patient does not provide consent to the performance of blood tests, act as in point b).

After 5/6 days contact HEALTH SURVEILLANCE to withdraw test results: HBV, HCV, HIV ,(Possible follow up).

IN-TRANSIT ACCIDENT

If the injury occurs en route, i.e., 30 minutes before the start of the internship/class time or 30 minutes after the end, the student should go to the Emergency Room and follow the directions provided (the same for nurses and students).

Go to the emergency room immediately, the doctor will issue the certificate with the prognosis and the INAIL form.

In all cases of injury

After following the specific directions of the Hospital/Facility at which he/she is doing the internship, the injured student should go promptly (within 48 hours) to the front desk of the Service Center, Polyclinic, 71 Via del Pozzo, whose staff will collect the following documentation:

• Medical certification of work injury-INAIL issued by the emergency room.
• Declaration of Injured Student's Attendance at Internship (form attached to be completed by AFP Coordinator or Tutor).
• Copy of the injured student's monthly schedule.
• Social security number of the injured student.

In the event that the injured student is unable to go to the above office in person, the person delegated by him must present himself with a copy of the injured student's identity card and health card.

PATHWAY - BIOLOGICAL RISK INJURY 

Contact with blood or other biological material (body fluids, organs or tissues), caused by punctures or wounds with needles or sharp objects, as well as splashes or spills on mucous membranes or broken skin.

Immediate treatment of the area exposed to biological risk

• Wound or puncture with a contaminated needle or other sharp object: Allow the wound to bleed for a few moments, avoiding bringing the injured area to the mouth; Wash the wound thoroughly (for about 10 minutes) with running water and detergent and/or antiseptic.
• Contamination of broken skin: Wash with running water and, if available, detergent and/or antiseptic.
• Contamination of mucous membranes: Wash thoroughly with running water, saline solution or sterile water for 10-15 minutes.

a) If the source patient is known, it is necessary to request their written consent using the appropriate ‘Information and consent form for virological tests aimed at protecting the health of third parties’ (or specific document from the internship company), available from the Operational Unit/Service and on the Degree Course notice board, in order to perform all or part of the blood tests for hepatitis B, C and HIV. Once consent (medical responsibility) has been obtained, the patient's blood sample can be taken and taken to the Emergency Department as soon as possible (ideally within 4 hours of the accident).

b) If the source patient is unknown, go to the Emergency Room as soon as possible with a blood sample from the injured student and follow the instructions provided. If the known patient does not give consent for the blood tests to be performed, proceed as in point b)   

The student must fill in the “Consent to serological testing - operator exposed to biological risk” form (or specific document from the internship company), available from the Operational Unit/Service and on the Degree Course notice board, and take it with them when they go to the Emergency Department.

It is necessary to go to the Health Surveillance Department to close the accident report and obtain any instructions for further follow-up tests.

All documentation relating to the accident is included in the personal risk file.

These are essential infection prevention practices to be used in all care settings and at all times during care, regardless of whether infection is confirmed or suspected. All biological samples must be handled and treated as potentially infectious.

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(i.e. 30 minutes before the start of the internship/lesson or 30 minutes after the end)

The student must go to the Emergency Room and follow the instructions provided (the same as those given by the obstetric staff).

The following documentation must be attached in addition to that for accidents on site: 

• The CID or, if the police were involved, their report 
• Vehicle insurance 
• Driving licence of the driver (of the intern or the driver if the intern was a passenger) 
• Identity document of the vehicle owner (if not owned by the intern

Documents must be in PDF or JPEG format, in the form of scans and not photos.