Notification and Counseling Share test results with the exposed employee, who should also be counseled about his or her health status and, if necessary, treatment options. Wound Cleansing For a puncture cleanse with betadine immediately and follow up by soaking the site for five minutes in a solution of betadine and sterile water. For skin contact, first wash the area with soap and water. Then, clean it with betadine.
For mucous membranes: if in mouth, rinse out mouth with large quantity of tap water; if eyes, flush with water from eyewash. If eyewash is not available, use tap water.
Administrative Responsibilities Once the area of contact has been cleansed, and the exposed employee referred for further medical treatment, the supervisor should do all paperwork needed to document the incident. Prepare an incident report and note the incident on the prehospital care report for the call in which the exposure took place.
Advise the employee to initiate a Workers' Compensation claim. Verify that appropriate employee health records have been updated. Follow-up on the employee's medical care, and confirm that appropriate medical care has been given. Testing Guidelines Supervisors should arrange to have the source individual's blood tested for HIV and various forms of hepatitis as soon as possible after consent has been obtained. Treatment Possibilities HIV prophylaxis may include the administration of antiretroviral treatment.
Questions or comments: dohweb health. The use of gloves also decreases the risk of disease transmission if you are pricked with a needle. Always wear gloves for handling items or surfaces soiled with blood or body fluids.
Wear gloves if you have scraped, cut, or chapped skin on your hands. Change your gloves after each use. Wash your hands immediately after removing your gloves.
Wash your hands and other skin surfaces immediately after they come in contact with blood or body fluids. Masks and protective eye wear , such as goggles or a face shield, help protect your eyes, mouth, and nose from droplets of blood and other body fluids. Always wear a mask and protective eye wear if you are doing a procedure that may expose you to splashes or sprays of blood or body fluids.
Gowns or aprons protect you from splashes of blood or body fluids. Always wear a gown or apron if you are doing a procedure that may expose you to splashes or sprays of blood or body fluids. How else can I reduce my risk? If you give injections to a family member or to yourself: Use puncture-resistant containers to dispose of needles, scalpels, and other sharp instruments.
Do not recap needles. Do not bend or handle used needles or disposable syringes. Avoid touching objects that may be contaminated. Sharps safety for healthcare settings. Updated February 11, Accessed October 22, Management of sharps injuries in the healthcare setting.
PMID: www. Wells JT, Perrillo R. Hepatitis B. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. Key messages Exposure to blood and body fluids or substances Exposures and infection control protocols Exposures — immediate action Post-exposure management of the source individual Management of the exposed person Summary: management of exposure to blood and body fluids or substances.
Key messages Exposure is an injury that involves direct skin contact with a body fluid, and with compromised skin integrity. The source and the person who was exposed both need to be managed. All health services must have their own infection prevention and control procedures for exposure incidents. This page makes recommendations for immediate and follow-up actions.
Exposures and infection control protocols All health services must develop their own infection control protocols for communicable diseases.
Exposures — immediate action Treatment protocols should include removal of contaminated clothing and thorough washing of the injured area with soap and water. The exposed person must report any occupational exposures immediately. Document the incident and include: date, time and type of exposure how the incident occurred name of the source individual if known.
Source individual unknown Reasonable efforts should be made to identify the source. If the source remains unknown, appropriate follow-up should be determined on an individual basis depending on: the type of exposure the likelihood of the source being positive for a blood pathogen the prevalence of HIV, HBV and HCV in the community of the likely source on whom the instrument or needle was used. Management of the exposed person Immediate care of the exposure site Contaminated clothing should be removed, and the injured area should be washed well with soap and water an antiseptic could also be applied.
Evaluation of the exposure The exposed person should be examined to confirm the nature of exposure and counselled about the possibility of transmission of bloodborne disease. Evaluation and testing of the exposed person The exposed person should have a medical evaluation, including information about medications they are taking, and underlying medical conditions or circumstances.
Depending on the circumstances of the exposure, the following may need to be considered: tetanus immunoglobulin a course of adsorbed diphtheria tetanus vaccine, adult formulation Td vaccine Td booster. Postexposure counselling A specialist with knowledge of bloodborne infections should do the follow-up.
Summary: management of exposure to blood and body fluids or substances Table 1 summarises the management of exposures to blood, body fluids or body substances. Table 1: Management of exposures to blood, body fluids or body substances.
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