Oregon daily emerald. (Eugene, Or.) 1920-2012, June 08, 1987, Page 6, Image 6

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AIDS cases re-emphasize guidelines
By |anet Paulson
IN I hr Imrrild
A ri’iHirl published in late May by the
Massac husetts Medic al Society revealed that
three health care workers were infected with
the AIDS virus in incidents not involving nee
dle stick exposures to infected blood.
Local health cart* professionals say that
these unusual cases re-emphasize the need to
strictly follow existing guidelines in caring for
AIDS patients.
Bobbie Kalbfleisch, nurse epidemiologist
at Sacred Heart (Jeneral Hospital, said that two
of the three cases could have been avoided by
following guidelines suggested by the Center
for Disease Control.
According to the Morbidity and Mortality
Weekly Report of May 22, one of the thrc*« ex
posures occurred when a health care worker
applied pressure for 20 minutes to an artery
where a catheter, a slender tula;, had been
removed from a patient. The nurse was not
wearing gloves and later reported that her
hands were chapped. It was not known at the
time that the patient had AIDS
A second exposure occurred when a
blood-separating machine broke and splashed
blood on a woman's hands and forearms. The
woman was not wearing gloves and may have
touched her inflamed ear before washing up.
The third accident could not have been
anticipated. Kalbfleisch said In that case, a
vacuum-sealed test tula; filled with infected
blood popped open in the lab. splashing the
woman in the face and in the mouth.
"But that's one out of more than l.(MK)
health workers who have had confirmed ex
posure. And that's just not contact — that’s
needle slicks and on-the-job injuries of some
type or other," she said.
Guidelines for caring for AIDS patients
have been suggested by both the Center for
Disease Control and the Health Division of
Oregon's Department of Human Resources.
Sacred Heart has its own guidelines, but they
closely parallel those of the state and the CDC,
she said.
The guidelines include the use of gloves,
masks, gowns, and prescribe caution when
handling sharp instruments, she said.
"The problem for health care workers is
not going to be the knowns. but the
unknowns,” she said. "Therefore it's impor
tant to apply the general guidelines to all
patients."
Based on current information of known
AIDS cases and medical assumptions about the
number of undiagnosed cases. Kalbfleisch
estimates there is one known case to every fit)
unknown cases.
"This is going to get worse and we need to
have health care workers as comfortable as
possible in their work setting and as protected
as possible. At the same time, once the infor
mation is given, it becomes an individual's
responsibility to do what we recommend." she
said.
Dr. James Jackson, director of the Student
Health Center, said that the MMW report has
increased the awareness of health care workers
in taking appropriate precautions in caring for
AIDS patients.
"The risk is there — but it’s minimal,” he
said. "The majority of health care workers
look at it as an occupational hazard, but one
that is manageable. And if one takes ap
propriate precautions, the risk is minimal."
Bookstore more accessible to disabled
Automatic doors to aid the
handicapped wen; installed at
the University Bookstore last
week.
With a push of a button, peo
pie in wheelchairs, with
strollers or on crutches can
open the doors and enter or exit
the store on 13th Avenue and
Kincaid Street
"It's probably one of the more
visible things we've done."
bookstore (General Manager |im
Williams said Installation of
the automatic doors marks one
in a succession of renovation
projects to make the store more
accessible to disabled persons.
At the beginning of the school
year store employees refurbish
ed u freight elevator in the rear
of the store by painting and
carpetinx it Sixns describing
how to operate the elevator, as
well as decorative pictures,
were |H>sted.
Customers who are
wheelchair-bound or who are
unable to climb stairs for other
reasons can use the freixht
elevator to x«t from floor to
floor, Williams said.
The bookstore also recently
purchased a wheelchair for any
shopper who mixht need to use
it.
With the wheelchair-bound
shopper in mind, Williams said
his staff has maintained wide
and clutter-free aisles for many
years.
The store’s manaxement team
attended a seminar last month
that dealt with the retailer's
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responsibility of keeping a store
accessible to the handicapped.
The seminar included in
struction about the needs of
people with hearing and visual
impairments, speech im
pediments. mental retardation,
learning disabilities and
physical handicaps.
Store managers are now pass
ing this information on to the
employees, and literature on
disabilities can Ih« found in the
employee lounge, Williams
said
Williams applauded the
bookstore's l!t8t>-87 board of
directors, which consists of
University students, faculty and
classified personnel, for em
phasizing the store's recent
renovation.
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