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Needle Stick Injury Protocol Guide

The document outlines the protocol to follow after a needlestick injury or blood/body fluid exposure. It details 6 steps: 1) Perform first aid by washing the area. 2) Report and document the exposure. 3) Obtain blood tests from the healthcare worker and source. 4) Immediately assess risk and provide counseling, post-exposure prophylaxis, or refer to an infectious disease consultant depending on risk level. 5) If risk is unknown, provide hepatitis B immune globulin, vaccine, and advise safe sex until results are available. 6) Complete hepatitis B vaccine series, follow up HIV tests, and complete paperwork.

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MrLarry Dolor
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442 views1 page

Needle Stick Injury Protocol Guide

The document outlines the protocol to follow after a needlestick injury or blood/body fluid exposure. It details 6 steps: 1) Perform first aid by washing the area. 2) Report and document the exposure. 3) Obtain blood tests from the healthcare worker and source. 4) Immediately assess risk and provide counseling, post-exposure prophylaxis, or refer to an infectious disease consultant depending on risk level. 5) If risk is unknown, provide hepatitis B immune globulin, vaccine, and advise safe sex until results are available. 6) Complete hepatitis B vaccine series, follow up HIV tests, and complete paperwork.

Uploaded by

MrLarry Dolor
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© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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  • Protocol for Needlestick Injury or Blood/Body Fluid Exposure

Protocol to be followed after Needlestick Injury or

Blood/Body Fluid Exposure


1. First Aid:
Contaminated Intact Skin- wash the area with soap and water.
Contaminated Eyes - Gently rinse the eyes while open with Saline or water.
Contaminated Mouth- Spit out any fluid- rinse the mouth and spit out again.

2. Report and Document:


The exposure so that appropriate investigations and treatment are initiated.

3. Blood Testing: (consent required).


Health Care Worker: Hep B Status, HIV, Hep C Status
Source: Hep B Status, HIV, Hep C Status.

4. Immediate Action:
Assess risk of transmission of infection to the exposed person and initiate treatment
according to risk.
If the patient is known to be HIV positive, high risk or unknown then the exposed
Health Care Worker should be given counseling and offered Post Exposure
Prophylaxis (PEP).
PEP drugs if required should be given within 1-2 hours and up to 72 hours following
exposure. The earlier PEP is commenced, the more effective it may be.
Refer to an infectious diseases consultant if the exposure is high risk.

5. Further Action:
If status of Patient and Health Care Worker is unknown and immune status cant be
obtained within 48 hours then give:
- Hepatitis B. Immune Globulin
- Hepatitis B. Vaccine (first dose)
If Health Care Worker is HBV immune then no further Hep B Vaccine required. Check
Hep B antibody titre of Health Care Worker, if low give Hep B booster.
If the H.C.W. is not HBV immune or HBV susceptible, then treat with Hyperimmune Hep
B Immunoglobulin and offer Hep vaccine course.
Give dTpa if indicated and advise safe sex until blood test results and source history
are reviewed.

6. Follow Up:
a. Complete the course of hepatitis B vaccine.
b. Follow up HIV serology 6 weeks and 3 months.
c. Complete Workcover/Adverse Outcome report and medical records.
Resources:
RACGP Infection Control Guidelines 4th Edition
Brisbane South Division of General Practice.
Reviewed February 2011
Whilst every reasonable effort has been made to ensure that the information given in this guide/document/resource is accurate, Tasmania Medicare Local will
not accept liability for any injury, loss or damage arising directly or indirectly from any use or reliance on this information

Resources: RACGP Infection Control Guidelines – 4th Edition Brisbane South Division of General Practice. Reviewed Februa

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