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Post-Exposure (Needlestick) Protocol

Immediate response protocol for needlestick injuries and other bloodborne pathogen exposures. Time-sensitive - initiate within minutes of the exposure event.

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12 steps · about 162 minutes · published by Dental Document

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The steps

01

Perform immediate wound care

Wash the wound immediately with soap and water. For mucous membrane exposure, flush with water.

2 min Required timestamp
Why this matters

Immediate washing reduces viral load at the exposure site. This is the single most important first step.

How to do it

1. For puncture wounds or cuts: wash with soap and running water for at least 30 seconds. 2. For splash to eyes: flush at the eyewash station for at least 5 minutes. 3. For splash to mouth or nose: rinse thoroughly with water. 4. Do NOT squeeze the wound. 5. Apply a bandage.

02

Report the exposure to the office manager and doctor immediately

Notify the office manager and doctor of the exposure event right away.

5 min Required timestamp
Why this matters

Timely reporting initiates the protocol and ensures prompt medical evaluation. PEP for HIV must be started within 72 hours (ideally within 2 hours).

How to do it

1. Inform the office manager and doctor immediately. 2. Provide basic details. 3. The manager should begin this checklist. 4. If PEP may be needed, send the employee for evaluation within 2 hours.

03

Document the exposure incident in detail

Complete a detailed written report of the exposure event.

15 min Required timestamp
Why this matters

Detailed documentation is required by OSHA and protects both the employee and the practice.

How to do it

1. Record date, time, and location. 2. Describe the exposure. 3. Identify the source patient. 4. Describe the wound/exposure. 5. Identify the device involved. 6. List PPE worn. 7. Have employee and witness sign.

04

Refer the exposed employee to a qualified healthcare professional (QHCP)

Send the employee to a designated healthcare provider for post-exposure medical evaluation.

10 min Required timestamp
Why this matters

OSHA requires employers to make available a confidential medical evaluation. This must happen the same day.

How to do it

1. Contact the designated QHCP. 2. Provide the QHCP with the BBP standard, incident report, source patient status, and employee vaccination records. 3. Send the employee immediately. 4. The visit is at no cost to the employee.

05

Request source patient testing (with consent)

Ask the source patient to consent to blood testing for HBV, HCV, and HIV.

15 min Required timestamp
Why this matters

Testing the source patient allows accurate risk assessment and determines whether prophylaxis is needed.

How to do it

1. Have the doctor speak with the source patient privately. 2. Request consent for blood testing. 3. If the patient consents, draw blood and send to the lab. 4. If the patient declines, document the refusal. 5. Check state laws. 6. Results must be kept confidential.

06

Establish follow-up testing schedule per QHCP recommendations

Set up the follow-up blood testing schedule for the exposed employee.

10 min Required timestamp
Why this matters

Follow-up testing monitors for seroconversion at defined intervals. Missing follow-up tests means missing the window to detect early infection.

How to do it

1. Obtain the follow-up schedule from the QHCP. 2. Schedule all follow-up appointments. 3. Calendar the appointments. 4. Ensure the employee understands the importance. 5. All testing is at no cost to the employee.

07

Contact PEPLine if HIV exposure risk exists

Call the National Clinicians Post-Exposure Prophylaxis Hotline (PEPLine) for guidance.

15 min Required timestamp
Why this matters

PEPLine (1-888-448-4911) provides expert guidance on whether PEP is indicated. PEP must be started within 72 hours (ideally within 2 hours).

How to do it

1. Call PEPLine: 1-888-448-4911. 2. Have exposure details ready. 3. Follow the PEPLine recommendations. 4. If PEP is recommended, start as soon as possible. 5. Document the consultation.

08

Complete the OSHA Sharps Injury Log

Record the incident on the OSHA Sharps Injury Log as required by the Needlestick Safety and Prevention Act.

10 min Required timestamp
Why this matters

The Sharps Injury Log is a separate record specifically for sharps injuries and must be maintained for 5 years.

How to do it

1. Obtain the OSHA Sharps Injury Log. 2. Record: date, type of device, department, and description. 3. Do NOT include employee name. 4. File the log with OSHA records. 5. Review during annual Exposure Control Plan review.

09

Update the OSHA 300 Log (if recordable)

Determine if the incident is OSHA-recordable and update the OSHA 300 Log if required.

10 min Required timestamp
Why this matters

OSHA recordability depends on whether the exposure results in medical treatment beyond first aid, lost work days, or job restrictions.

How to do it

1. Determine if the incident is OSHA-recordable. 2. If recordable, enter on the OSHA 300 Log within 7 calendar days. 3. Include required information. 4. Do NOT include medical details on the 300 Log.

10

Conduct root cause analysis

Investigate the circumstances of the exposure to identify the root cause.

30 min Required timestamp
Why this matters

Root cause analysis turns an incident into a learning opportunity and feeds the annual safer sharps device review.

How to do it

1. Interview the exposed employee in a non-punitive tone. 2. Interview witnesses. 3. Examine the device involved. 4. Identify contributing factors. 5. Determine root cause(s). 6. Document findings.

11

Implement corrective actions to prevent recurrence

Based on root cause analysis, implement specific changes to prevent similar exposures.

30 min Required timestamp
Why this matters

Corrective actions demonstrate commitment to employee safety and satisfy OSHA expectations.

How to do it

1. Based on root cause, identify corrective actions. 2. Implement changes with a timeline. 3. Communicate changes to all staff. 4. Update the Exposure Control Plan if procedures change.

12

Obtain return-to-work clearance from QHCP

Ensure the exposed employee has medical clearance before returning to patient care duties.

10 min Required timestamp
Why this matters

Return-to-work clearance protects both the employee and patients.

How to do it

1. Request a written opinion from the QHCP per OSHA requirements. 2. The opinion should include evaluation results and any limitations. 3. The opinion should NOT include medical diagnoses or test results. 4. File the written opinion. 5. Support any work modifications recommended.

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