1. Immediately wash the affected area thoroughly with soap and water. If you can, press below the puncture site and
increase bleeding.
2. Complete an incident report (found on the intranet) and include all the information available about the source
patient. (i.e., name, age, account number, etc.)
3. Complete a 1st report of injury (found on the intranet)-this must be brought with you to the lab/facility along with
the lab order. A copy of the incident report and first report of injury must be sent to Sonya Jones at sljones@familyallergy.com, your regional manager, as well as the metro Louisville Clinic Manager(s).
4. The employee must call and file a claim(save claim# and write on incident report) with one of FAA's two
Worker's Comp carriers below:
For all States except Ohio: The Hartford - 860-547-5000
Policy # for PSF/Clinical: 33WEBD8MCF
Policy # for MSO/Non-Clinical: 33WECBC3MEB
Policy # for AAAF-33WBCAJ7208
For Ohio: Sedgwick Manager Care Ohio -888-627-7586 Policy #: 80034083-0
5. Complete a lab order form for the following blood tests:
HIV (HIV 1/2 AG/AB test preferred)
Hepatitis B Surface Antibody
Hepatitis B Surface Antigen