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.