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STUDENT HEALTH SERVICES

WSU Spokane students have who have paid the student health fee may see health care practitioners at one of the Providence Medical Group facilities listed below:

Preferred Primary Care Centers:  (8:00 am - 5:00 pm weekdays)

  • Providence Family Medicine Residency, 104 W. 5th Ave., Suite 200W, Spokane, WA 99204, 509-624-2313
  • Providence Internal Medicine Residency, 104 W. 5th Ave., Suite 200W Spokane, WA 99204, 509-744-3750

Alternate Primary Care Centers: (8:00 am - 5:00 pm weekdays)
Call for extended hours at certain locations

  • Providence Family Medicine Hawthorne, 551 E. Hawthorne Rd., Spokane, WA 99208, 509-252-1900
  • Providence Family Medicine Indian Trail, 5011 W. Lowell, Suite 100, Spokane, WA 99208, 509-385-0610
  • Providence Family Medicine Manito, 1919 S. Grand Blvd., Spokane, WA 99203, 509-789-9925
  • Providence Family Medicine North, 212 E. Central Ave., Suite 440 Spokane, WA 99208, 509-252-9602
  • Providence Family Medicine Spokane Valley, 13102 E. Mission, Spokane Valley, WA 99216, 509-928-0300
  • Providence Valley Family Medicine, 12509 E. Mission Ave., Suite 202, Spokane Valley, WA 99216, 509-928-7100
  • Deaconess Family Medicine Center, 801 W. 5th Ave., Suite 205, Spokane, WA 99204, 509-755-5965

Urgent Care: (8:00 am - 8:00 pm everyday)

  • Providence Urgent Care Hawthorne, 551 E. Hawthorne Rd., Spokane, WA 99204, 509-489-2369
  • Providence Urgent Care South Division, 421 S. Division, Spokane, WA 99204, 509-474-2100
  • Providence Urgent Care Valley Medical Park, 16528 E. Desmet Court, Suite A1200, Spokane Valley, WA 99016, 509-944-8910

Summer Health Services »

Check back in late Spring. A form to fill out for optional Summer health Services.

STUDENT HEALTH & WELLNESS FEE

    • All WSU Spokane students enrolled for seven or more credit hours are required to pay a mandatory $85.00 student health and wellness fee, which provides them with access to primary outpatient health care by Providence Health & Services - Washington dba Providence Medical Group.
    • 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.

AVAILABLE SERVICES INCLUDE

  • Primary care office visits (including Providence Medical Group urgent care centers), no co-pay
  • A preventative exam, at age-appropriate frequency
  • A pap and pelvic screening exam on an interval recommended by the American College of Obstetrics and Gynecology
  • Blood borne pathogen testing and treatment wihile at clinical setting. Student should contact their academic program for appropriate protocol.
  • 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

Any Providence Medical Group services, medications, immunizations or procedures not available under this plan will be subject to cash payment by the student.  Providence Medical Group will give a 20% discount for time of service cash payments.  All students will be accorded the same access and privileges as any other Providence Medical Group patients, and shall be subject to the same clinic rules regarding conduct and financial obligations.  Once a student is confirmed for the semester, they are covered under the plan, even if they withdraw from classes.

ADDITIONAL MEDICAL SERVICES

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

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 Riverpoint Campus (WSU Spokane) 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 Providence Family Medicine Residency or Providence Internal Medicine Residency Clinics. Phone (509)624-2313 or (509)744-3750. 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 Sacred Heart Medical Center Emergency Room.
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. [WWAMI student immunization records should be in electronic health record.]
  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

UW Medical & WSU College of Medical Sciences students
Complete WSU Incident Report (see below for link) and use the Spokane campus 4-digit mail code: 1495.
Students in Spokane
should report to:
8-5PM: Providence FMR or IMR, 104 W. 5th Ave, Ste 200W, Spokane, WA
(509) 624-2313 or (509) 744-3750
After Providence FMR or IMR clinic hours: Sacred Heart Medical Center ED
Students outside of Spokane
should report to their community’s clinic or ER
If UW med students have unanswered questions, contact:
1. Office of Student Affairs: 206-543-5560 (8am-5pm PST), ask for ‘Compliance Staff’
2. If after hours, call:
AMY BAERNSTEIN, MD at 206-547-5227 (cell) or
DOUG PAAUW, MD at 206-598-6190 (pager)
For All UW Medical Students: If testing, prophylaxis, or counseling is deemed necessary and the training site outside the Seattle area cannot absorb these costs, call or email UW Health Sciences Immunizations Program (HSIP) at 206-616-9074 or myshots@uw.edu (9am-4pm PST) to inform them of the event. They will be responsible for your subsequent follow-up testing and treatment.

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 ($85.00) are entitled to services at:

8-5PM: Providence FMR or IMR, 104 W. 5th Ave, Ste 200W, Spokane, WA
(509) 624-2313 or (509) 744-3750

After Providence FMR or IMR clinic hours: Sacred Heart Medical Center ED

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 ($85.00) are entitled to services at:


8-5PM: Providence FMR or IMR, 104 W. 5th Ave, Ste 200W, Spokane, WA
(509) 624-2313 or (509) 744-3750

After Providence FMR or IMR clinic hours: Sacred Heart Medical Center ED


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

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.