Management of Needlestick & Contamination Injuries - Royal ...

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Emergency Management of Needlestick Injuries and Accidentsinvolving exposure to blood and body fluids flowchartExposure to Blood and/or Body Fluids1. Wash / clean affected area / encourage to bleed. Do not suck.2. Notify Duty Manager (Bleep 2002).3. Go to Occupational Health immediately, if out of hours attend EmergencyDepartment immediately.4. Complete AIRS form.5. Have blood sample taken for storage.Further action depends on risk assessment. See policy and guidance below.Staff immuneProtective level documented. No action requiredHepatitis Bpositive patientStaff not vaccinatedReceive 1 st dose Hep. B plus Hep B immunoglobulin within48 hours (via on-call Microbiology Consultant RBCH)Staff vaccinated but unsure of statusHepatitis B Booster serum store and Anti-HBs (2 monthslater)HIV positivepatientSeek immediate adviceFollow flowchart Appendix DHepatitis CpositivepatientsSerum Store requiredDiscuss with Occupational Health.PatientsHepatitis B or Cor HIV statusunknownDonor /-Arrange for Donor to be tested for Hep B, C and HIVfollowing appropriate consent. This must be recorded inpatient’s notesRBCHOCCHEALTH\DATA\WS\POLICIES\NEEDLESTICKPOLICY\SHARPS POLICY\VERSION6LP2011Page 4 of 33
2.0 POLICY STATEMENTRoyal Bournemouth and Christchurch Hospitals NHS Foundation Trust recognises itsresponsibilities and duties under the Health Act 2006 and the Health and Safety at Workregulations. The Trust is committed to ensuring, so far as is reasonably practicable, theHealth, Safety and Welfare of its staff, patients, visitors and other persons who may beaffected by its activities.Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust recognises thatinjuries caused by Needles and Sharp instruments account for a significant number ofinjuries within the NHS. Every Needlestick injury has the potential to cause seriousharm. These sharp devices may have been in contact with infected blood borne viruses(BBV) such as Hepatitis B, C and HIV.Royal Bournemouth and Christchurch Foundation Trust is committed to ensuring thatthe risk of injury from Sharps is reduced to the lowest possible level. This will beachieved by promoting safe sharp practice and the use of safer sharps devices.In the event of a sharps injury, the Trust will endeavour to reduce the effects of thatinjury to the absolute minimum.Preventing sharps injuries and the related prevention of infection are health and safety,risk management and clinical governance issues. All employers in the NHS have legalobligations under the Health and Safety at Work Act 1974 (HSWA). They have a duty toprotect their staff and others that may be affected by their work such as contractors,agency staff, patients and visitors. Under the HSWA, employers must ensure that theirstaff are appropriately trained and proficient in the procedures necessary for workingsafely.The Management of Health and Safety at Work regulations 1999 places a duty on theemployer to provide a workplace that is, so far as is reasonably practicable, without riskto health or safety.The Control of Substances Hazardous to Health (COSHH) regulations 2002 includesrisks relating to health and including a specific duty in relation to micro-organisms e.g.bacteria and viruses etc.Any person handling a sharp therefore, has a clear mandatory duty to ensure that everyprecaution is taken to prevent an Injury to themselves or others.The purpose of this Policy is to offer advice and guidance on safe sharp practices inorder to prevent or reduce the number of sharps injuries to the lowest practical level.RBCHOCCHEALTH\DATA\WS\POLICIES\NEEDLESTICKPOLICY\SHARPS POLICY\VERSION 6 LP 2011Page 5 of 33
Page 1 and 2: Management of Needlestick& Contamin
Page 3: CONTENTS:SectionsPage Nos1.0 Flow c
Page 7 and 8: 4.2 Sharp Injury Prevention and Man
Page 9 and 10: • All sharps boxes must be sited
Page 11 and 12: must include: assurance of confiden
Page 13 and 14: 7.3.3 Exposed person vaccinated but
Page 15 and 16: Unconscious patients, or those with
Page 17 and 18: CRITERIA HOW WHERE WHEN LEADReview
Page 19 and 20: Appendix ANeedlestick/Sharps Incide
Page 21 and 22: HIV TESTING: PRE TEST DISCUSSION?Af
Page 23 and 24: Appendix DMANAGEMENT OF HIGH RISK E
Page 25 and 26: Appendix F7.0 ADVICE AND SUPPORT FO
Page 27 and 28: 6. Minutes of Meetings6.1 The Secre
Page 29 and 30: 10. AuthorityThe Committee is autho
Page 31 and 32: Regular Reports Provided to Health
Page 33: 7. Does this document affect anindi

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