Sharps Mx

Question 1

Nurse sustains needle stick - what is immediate mx?

Answer 1

Advise nurse to stop and remove gloves
Encourage wound to bleed
Wash the wound and use running water and soap
Use disinfectant e.g CHX
Do not scrub wound
Dry wound and cover

Question 2

What would consider in risks assessment of transmission?

Answer 2

Mechanism injury - hallow bore needle most high-rsik
Use of BBPE
Risk of source pt

Question 3

What to do if high transmission risk?

Answer 3

Advice sought if blood sample required from pt
Contact local occupational health
Record incident

Question 4

What types of injury are highest risk?

Answer 4

Hollow bore needle
Penetrating injury by device contaminated visibly by blood
Injury w/ needle placed in artery or vein
Exposure to pt w/ end-stage HIV

Question 5

What are main BBV that can be transmitted?

Answer 5

HIV
Hep B
Hep C

Question 6

What is most contagious BBC?

Answer 6

Hep B

Question 7

What is tx if needle stick?

Answer 7

Depends on vaccination status of staff member
Booster vaccinations
Testing for Hep C at 3 and 5 months
PEP for HIV

Question 8

How to minimise risk of sharps?

Answer 8

Dispose of sharps after use
Safety syringes
Never re-sheath a used needle
Use correct PPE