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COUG HEALTH NET

Primary and Urgent Care

Primary Care Services are available at the following Rockwood Clinic sites:

  • Main Clinic (Downtown), 400 E. 5th Ave., Spokane, WA 99202
  • Valley Clinic, 14408 E. Sprague Avenue, Spokane Valley, WA  99216
  • North Clinic, 9001 Country Homes Blvd., Spokane, WA  99218
  • Quail Run Clinic, 2214 E. 29th Avenue, Spokane, WA  99203
  • Cheney Clinic, 19 N. Seventh Street, Cheney,  WA 99004
  • Deer Park Clinic, 20 E. J Street, Deer Park, WA  99006
  • Medical Lake Clinic, 317 N. Broad Street, Medical Lake, WA  99022
  • Airway Heights Clinic, 10414 W. Highway 2, Suite 10, Airway Heights, WA  99224
  • Northpointe Specialty Center, 605 W. Holland, Spokane, WA 99218
  • Liberty Lake Clinic, 1326 N. Stanford Ln., Liberty Lake, WA 99019
  • South Valley Clinic, 13221 E. 32nd Ave, Suite 1, Spokane Valley, WA 99216

Rockwood Urgent Care Services are available at the following sites:

  • Downtown Urgent Care, 400 E. 5th Avenue, Spokane, WA  99202
  • Valley Urgent Care, 14408 E. Sprague Avenue, Spokane Valley, WA  99216
  • North Spokane Urgent Care, 9001 Country Homes Boulevard, Spokane, WA  99218
  • Argonne Urgent Care, 2713 N. Argonne Road, Spokane, WA  99212
  • South Hill Urgent Care, 3016 E 57th Ave, Suite 24, Spokane, WA  99223
  • Liberty Lake Urgent Care, 1326 N. Stanford Ln, Liberty Lake, WA 99019

COUG HEALTH NET

Student Health & Wellness Fee

  • All WSU Spokane students enrolled for seven or more credit hours are required to pay a mandatory $87.00 student health and wellness fee, which provides them with access to primary outpatient health care at Rockwood Clinic, PS.
  • This fee is not intended as a substitute for a health/medical insurance policy and does not cover care for dependents.
  • Regardless of whether a student has government or private health care insurance, the university requires payment of the fee. Health and Wellness Services receives no funding from the university or the state to provide health care for students.

Fee Coverage Dates:

  • Fall semester coverage begins the Monday two weeks prior to the first day of classes and continues through December 31st.
  • Spring semester coverage begins on January 1st and continues through the week following commencement.
  • Optional summer coverage begins the Monday after commencement and continues one week after the last day of the final summer session.

COUG HEALTH NET AVAILABLE SERVICES

RWC will supply students with the following services:

  • Primary care office visits (including visits to Rockwood Urgent Care Centers).
  • A preventive exam, at an age-appropriate frequency (once every two years for most of the students in this group)
  • A pap and pelvic screening exam on an interval recommended by the American College of Obstetrics and Gynecology (ACOG).
  • Testing at treatment for Blood Borne Pathogen exposures.  Students will immediately go to the Main Rockwood Clinic Urgent Care, or after clinic hours, to the Deaconess Emergency Department.
  • Lab tests for the following as requested by the primary care physician:
    • Gonorrhea screen (limit 1 test per term)
    • Chlamydia screen (limit 1 test per term)
    • Complete Blood Count (CBC)
    • Urine Dip and Micro
    • Strep Screen
    • Mono Spot
    • HPV (included with pap/cytology per ACOG guidelines)
    • TB skin test annually
  • There will be no copay for the services named in this section. 
  • Any additional services received by the student will be available at standard RWC prices, including a 44% discount for cash payment.
  • Services will be limited to those within the normal scope of primary care practice.
  • There is no prescription coverage under this plan.

ADDITIONAL MEDICAL SERVICES

WSU Spokane makes other medical and health services available to its students.

  • 24-hour Consulting Nurse:  509-335-3575
  • For students without medical insurance, go to the Washington Health Benefit Exchange. For coverage that begins January 1, 2015, open enrollment dates are November 15, 2014 through February 15, 2015.

Counseling Services
There are a variety of counseling services offered free of charge to students at Washington State University Spokane.  Those include counseling for individuals, partners and groups, psychological testing, and workshops.

Pharmacy Services
Students have the option of purchasing prescription drugs directly from the WSU Health and Wellness pharmacy (509-335-5742, fax 509-335-5745) and having the drugs mailed to their home free of charge.  Note that your physician can fax your prescription to the HWS pharmacy.

Campus Wellness Collaborative
The WSU Health Sciences Spokane Campus Wellness Collaborative promotes physical fitness, nutritional health, emotional and psychological well-being, environmental stability, and community vibrancy. Contact Becki Meehan (rebecca.meehan@wsu.edu) for more information.

STUDENTS IN YAKIMA

All students enrolled for seven or more credit hours are required to pay a mandatory health fee, which provides  access to primary outpatient health care. In Yakima this service is provided by Central Washington Family Medicine.

Health and Counseling Services for Students in Yakima (pdf) »

BLOODBORNE PATHOGENS CAMPUS STUDENT PROCEDURE

WSU Guidelines for Bloodborne Pathogen Occupational Exposure Management / Medical Services


Background
Health care professionals are at risk that they might be injured at work by being stuck, cut or splashed with fluids containing infectious agents. Even though the risk is small, you still need to know what to do.

The bloodborne pathogens that worry us are hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV). The chance of developing infection depends on the type of injury, the type and amount of fluid involved and the type of virus. Potentially infectious body fluids are blood or blood products, cerebrospinal fluid, pleural fluid, peritoneal fluid, pericardial fluid, amniotic fluid, vaginal secretions and semen.

One approach to remembering the approximate risk of being infected by a needle-stick is that there is an approximately 10-fold difference in the level of risk between each of the three worrisome viruses when listed in the alphabetic order:

Virus Risk
HBV 6-30%
HCV 2%
HIV 0.3%


(Online resources are listed on the last page on this monograph BUT please follow the protocol below first)


WHAT IF YOU ARE EXPOSED?

One of the vaccines you received provides antibodies to prevent infection for highest acquisition risk virus, HBV. For the HCV and HIV, we do not yet have effective immunizations. Do your best to not have to trigger the following protocols by remembering that you can prevent exposure by being alert, aware, and careful while using and disposing of a sharp and being around infectious bodily fluids.

Should an exposure occur, please don't panic. The vast majority of body substance exposures do not result in harm. Time matters though, so please proceed as follows:

WSU Guidelines for Bloodborne Pathogen Occupational Exposure Management / Medical Services

Immediate Actions

Wash:

  • For punctures or lacerations, bleed the site well under running water and wash with soap and water.
  • For mucous membrane splashes (eyes, nose or mouth), immediately flush with copious amounts of water.
  • Carefully remove all soiled clothing and wash again if it was necessary to remove soiled clothing.

Gather and write down information about what happened because this is needed to do testing on the patient and to decide whether you might need post-exposure prophylaxis:

  • The source patient's name, hospital number, date of birth, and location in the hospital or clinic.
  • Name and contact information of your clinical supervisor at the time of the incident.
  • The date and time the incident occurred.
  • The type of potentially infectious materials that was involved in the incident - blood, amniotic fluid, etc.
  • The details of the incident - for example, the type of needle or splash, what that needle had been in, the depth of the injury, whether you were wearing protective equipment such as gloves or face mask, etc.

Notify the nurse or health care provider in charge of the area where the incident occurred. The hospital's or clinic's personnel will initiate the process of consenting the patient to have blood tests to determine if he or she might be harboring an infectious agent. You are NOT the person to consent the patient or to draw the blood from the source patient. Complete the clinical agency’s Incident Report form.

Tests that designated personnel will do on the source patient if the exposure warrants it and the patient's infectivity is not known are:

  • Hepatitis B surface antigen (HBsAg).
  • Hepatitis C antibody (anti-HCV).
  • HIV antibody (with consent).
  • In high risk source patients believed or known to be HIV positive, and/or known to be anti-HCV positive, viral “load” studies (i.e., quantitative viral RNA) should also be sent for each respective virus.
  • If the patient refuses to have blood drawn, the Spokane Health Department will be contacted.


Actions within Two Hours

Physician evaluation to determine if the Affected Person might need post-exposure prophylaxis.

During regular work hours:Affected persons who are residents or students should report to the Main Rockwood Clinic Urgent Care, (509) 838-2531, or after clinic hours, to the Deaconess Emergency Department. Call the clinic immediately and an urgent visit will be arranged. It is important to tell the receptionist that an exposure has occurred so that the individual will be seen quickly.

After hours or on weekends or holidays: Affected Persons should report to the Deconess Emergency Department.
While the Affected Person is in clinic or in the ER being evaluated, he/she must contact one of the course/clerkship/rotation preceptors or supervisors (course director, clerkship coordinator, or an attending physicians or small group leader) depending on which program is involved. Don't waste time calling the supervisor or preceptor prior to being evaluated.

  1. Tests that will need to be ordered if the exposure warrants it are:
  2. Hepatitis B surface antibody (HBsAb) if the Affected Person has not completed Hepatitis B immunization series or if the level of protective antibody from such a series is unknown.
  3. Hepatitis C antibody (anti-HCV).
  4. HIV antibody (with consent).
  5. If indicated and the affected person elects to take prophylactic treatment, additional Baseline blood tests will include CBC, renal function, hepatic function, and pregnancy test.


Actions within 24 Hours

WSU students must complete a WSU incident form that is available on-line within 24 hours of the incident (https://hrs.wsu.edu/forms/incident_report.aspx). The attending provider will be asked to send the “health care professional’s written opinion” to the respective program supervisor stating that the student was seen and advised as to follow-up care. Files will be kept confidentially in each program office.


WSU Guidelines for Bloodborne Pathogen Occupational Exposure Management / Medical Services

Students in Spokane report to:
8-5 p.m.: Rockwood Clinic Urgent Care, 400 E. 5th Ave.
(509) 838-2531
After Rockwood Urgent Care hours: Deaconess Emergency Department

Students outside of Spokane


Students outside of Spokane report to their community’s clinic or ER

WSU Nursing students
Complete WSU Incident Report (see below for link) and use the Spokane campus 4-digit mail code: 1495.

The clinical instructor or preceptor should contact the College of Nursing Associate Dean for Academic Programs (509) 324-7335 or Assistant Dean (509) 324-7241.

Spokane-based students
Students who do not carry personal medical insurance but have paid for the WSU mandatory Health and Wellness Plan ($87.00) are entitled to services at:

8-5PM: Rockwood Clinic Urgent Care, 400 E. 5th Ave., Spokane, WA
(509) 838-2531

After Rockwood Clinic Urgent Care hours: Deaconess Emergency Department

Identify yourself as a WSU student when you report.

Yakima-based students
Central Washington Family Medicine: 1806 West Lincoln, Yakima, WA 98902
(509) 452-4520
For Yakima-based faculty
Occupational Health Clinic-Yakima
Should WSU students in Yakima incur an exposure, the student must notify their clinical faculty. The clinical faculty will notify the Program Director.
Vancouver and Tri-Cities students
WSU does not have official agreements established with any medical facilities in the Vancouver and Tri-Cities areas. If medical treatment is necessary, students will need to be seen at their assigned clinical location or nearest medical facility. Students in Vancouver and Tri-Cities are not required to pay the mandatory health fee, but are responsible for any medical costs associated with medical treatment for exposure to infectious agents.

WSU Pharmacy students
Complete WSU Incident Report (see below for link) and use the Spokane campus 4-digit mail code: 1495.


The student should notify their Preceptor, who will notify the Assistant Director of Experiential Programs (509) 358-7659.

Spokane-based students
Students who do not carry personal medical insurance but have paid for the WSU mandatory Health and Wellness Plan ($87.00) are entitled to services at:


8-5PM: Rockwood Clinic Urgent Care, 400 E. 5th Ave.
(509) 838-2531

After Rockwood Clinic Urgent Care hours: Deaconess Emergency Department


Identify yourself as a WSU student when you report

Yakima-based students
Central Washington Family Medicine: 1806 West Lincoln, Yakima, WA 98902
(509) 452-4520
Students in other geographic locations
WSU does not have official agreements established with any medical facilities in the other geographic locations. If medical treatment is necessary, students will need to be seen at their assigned clinical location or nearest medical facility. Students in other geographic areas are not required to pay the mandatory health fee, but are responsible for any medical costs associated with medical treatment for exposure to infectious agents.


**WSU Students must understand that the health and wellness fee only covers the first three days (72 hours) of evaluation, counseling, and post-exposure treatment for bloodborne incidents, until laboratory results are back. Students are responsible for all clinic visits, medication, laboratory, and any other related costs that occur 72 hours or more after the incident. Based on practitioner recommendations, coverage for continuation of post exposure medications will be handled on a case-by-case basis. Students should consider purchase of health care insurance that may assist with these additional costs. Students should notify their clinical site faculty and college program directors of financial issues pertaining to bloodborne pathogen exposure. The mandatory health and wellness fee is applicable to students enrolled in 7 or more credits (optional coverage is available for those enrolled in fewer).


WSU Guidelines for Bloodborne Pathogen Occupational Exposure Management / Medical Services

Online Resources:

  1. CDC Emergency Needlestick Information:
    http://www.cdc.gov/niosh/topics/bbp/emergnedl.html
  2. Needlestick Risk Assessment Calculator:
    http://www.medicinecalculator.com/hiv-needle-stick-risk-assessment-stratification-protocol-rasp/index.html

CONTACT US

Kristie Brink
Student Academic Support
Academic Center 145
Telephone: 509-358-7963
Fax: 509-358-7538
kkclark@wsu.edu

Rockwood Patient Portal »

Blood Borne Pathogens Campus Student Procedures (pdf)»
Blood Borne Pathogens Abbreviated Procedures (pdf)»

Report an accident »

Remember to inform the safety committee of the incident by forwarding a copy of the report to Norene Phillipson, Facilities Operations.