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Needle

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I Just Got Stuck With a Contaminated Needle, HELP!

What should I do if I have been stuck with a contaminated needle or got blood in my eye or on open skin?
First, let common sense guide you. If you are stuck with a contaminated needle, go to nearest sink, squeeze the skin around the puncture site to let it bleed if possible, then wash with soap and running water. If blood (or visibly bloody body fluid) splashes in your eye, go to the nearest eyewash station or sink and flush your eye with water. Likewise, if a cut or other open skin area is exposed, go to the nearest sink and wash with soap and running water.
Second,
REPORT your exposure to your supervisor (charge nurse, team leader, etc.)
FILL OUT an Employee Accident & Injury Report form (the form employees fill out for accidents at work that you obtain from your supervisor, nursing coordinator, or Sharepoint).
SEND your completed accident report to RMH Employee Health. DO NOT take it to the ED.
GO TO THE ED for evaluation and treatment of your needlestick, blood exposure.

Can I wait a while before going to the ED?
No. Quick, timely evaluation and treatment of your exposure is VERY important. Your exposure needs to be evaluated to determine if the exposure is a higher risk for HIV transmission. If it is determined that your exposure is higher risk, you will be offered medications (called Post Exposure Prophylaxis) that have been found to greatly reduce the risk of HIV transmission. BUT these medications are most effective if started within one to two hours after your exposure and there is much information, lab work, and other things that need to be completed prior to starting these medications.

What will the Emergency Room do when I go there?
The ED has treatment packets that have been developed by RMH Employee Health. The treatment packets are up to date with the latest Center for Disease Control (CDC) guidelines for assessing and treating exposures. The ED will follow these guidelines. They will draw bloodwork on you and order labs on the source patient of your exposure, update your tetanus status and perform any other necessary treatment.

After I am treated for my exposure, how will I get my lab results and the patients’?
Employee Health will notify you when these results are available and advise if any additional follow up is needed. These specific post exposure tests are sent out of the hospital and results are typically returned in 3 days.

*Rapid HIV testing will be performed on source patients that are high risk for HIV or exposures that are high-risk exposures BEFORE HIV prophylaxis would be initiated.

How can I get more information on prevention of blood exposures and treatment?
You may call Employee Health at 689-6212.

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