Friday, September 4, 2015

OSHA Needle-stick Injury Checklist

Needle-stick Injury Checklist

The following is a checklist for you to follow in the event of a needle-stick:
● Immediately wash the exposed area with soap and water.
● Notify your OSHA Compliance Officer.
● Notify doctor “of record” for the patient.
● If the source is known to be HIV positive, OR is at high risk, THIS IS AN EMERGENCY! (In this situation, the employee SHOULD have been double gloved!).
● Offer Chemoprophylaxis (PEP) within 1-2 hours.
● Obtain consent from “source“ to draw blood.
● Source Patient: Draw a “STAT” HIV screen, HBsAg, HbsAb, and Hep C Ab.
● The “STAT” HIV screen needs an EDTA (purple) tube, the rest require serum. One purple top and one 6-8 cc serum tube is needed.
● If the source is NOT infected with a bloodborne pathogen, no further baseline testing is required on the employee.
● Perform Anti-HCV and ALT testing in 4-6 months.
● A previously vaccinated known responder to HBV requires no further testing.
● Perform HIV-antibody testing at 6 weeks, 3 months, and 6 months post-exposure.
● Complete Sharps Injury Log.
● Lastly, complete your Post-Exposure Checklist.