Part F Part F Blood and fluid exposureBlood and fluid exposure

ExposureExposure??

Injury with sharp objectInjury with sharp object..

Contamination of open wound with blood Contamination of open wound with blood or body fluidor body fluid..

Eye or mucosal splash with blood or Eye or mucosal splash with blood or body fluidbody fluid . .

BLOOD & BODY FLUID EXPOSUREBLOOD & BODY FLUID EXPOSURE

RisksRisks

PreventionPrevention

Action PlanAction Plan

RisksRisks

Risks

level of virus in blood of the sourcelevel of virus in blood of the source..

route of transmission: per-cutaneous or route of transmission: per-cutaneous or mucosalmucosal..

volume of infected fluid transferredvolume of infected fluid transferred..

HCW’s performing HCW’s performing exposure prone exposure prone proceduresprocedures should know their should know their immune/infectious statusimmune/infectious status..

Risk Risk of infection from an exposure of infection from an exposure dependsdepends on on::

PreventionPreventionStandard Precautions: Hand washing and Personal Standard Precautions: Hand washing and Personal

Protective Equipment (PPE)Protective Equipment (PPE)..

Safe handling and disposal of sharpsSafe handling and disposal of sharps . .

Decontamination / disinfection of blood spillsDecontamination / disinfection of blood spills . .

Adequate cleaning and sterilization of all instrumentsAdequate cleaning and sterilization of all instruments..

Careful first aid following potential exposureCareful first aid following potential exposure..

Re-sheathing of needlesRe-sheathing of needles

Don’t re-sheath needles Don’t re-sheath needles

unless absolutely unless absolutely

necessarynecessary..

Use disposable syringe Use disposable syringe

with automatic re-with automatic re-

sheathing devicesheathing device

Sharps disposalSharps disposal

Sharps container MUST BE EASILY ACCESSIBLE, Sharps container MUST BE EASILY ACCESSIBLE,

preferable close to where sharps usedpreferable close to where sharps used..

Sharps container MUST BE LOCATED SAFELY Sharps container MUST BE LOCATED SAFELY

AWAY FROM CHILDRENAWAY FROM CHILDREN..

Dispose as soon as possible after using sharpDispose as soon as possible after using sharp..

Operator is responsible for disposal of sharpOperator is responsible for disposal of sharp..

Exposure Action Plan protocolsExposure Action Plan protocols

All health care establishments must All health care establishments must have protocols for dealing with have protocols for dealing with needle-stick and other blood or needle-stick and other blood or

body fluid incidentsbody fluid incidents . .

Protocol should include Physician or Protocol should include Physician or M.O. to be contactedM.O. to be contacted . .

Incident reporting & evaluation & Incident reporting & evaluation & counseling, treatment & follow up counseling, treatment & follow up

optionsoptions . .

Action Plan

Incidents must be reported immediately.

Affected person should be examined to confirm nature of exposure and counselled about the possibility of transmission of blood borne disease.

medical evaluation and insurance notification.

expert counselling and support.

Exposure Action PlanExposure Action Plan

Stop work immediatelyStop work immediately..

Wash immediately with soap & running waterWash immediately with soap & running water. .

Do not express bloodDo not express blood . .

Eye or mucosal splash: immediately rinse & flush Eye or mucosal splash: immediately rinse & flush

continuously with running watercontinuously with running water..

Tell what has happenedTell what has happened . .

Follow procedure Follow procedure (*Notify the (*Notify the office/clinic office/clinic/area /area

manager or go to next step manager or go to next step MO) MO)..

Referral to Occupational Health or MO for follow upReferral to Occupational Health or MO for follow up..

Exposure Action Plan for Exposure Action Plan for Needle-stick Needle-stick and blood accidentsand blood accidents

ANCAHARD – comprehensive document - Bulletin 16 ANCAHARD – comprehensive document - Bulletin 16 Needle-stick and blood accidents-Appendix 8Needle-stick and blood accidents-Appendix 8

http://www.health.gov.au/pubhlth/strateg/communic/reviewhttp://www.health.gov.au/pubhlth/strateg/communic/review

Plan ahead prepare a clinic /ward /area Plan ahead prepare a clinic /ward /area specific protocolspecific protocol . .

STAFF Immune History & vaccinations record STAFF Immune History & vaccinations record current & documentedcurrent & documented . .

ActionAction plan flow chart plan flow chart . .

Frequently asked questions Frequently asked questions after a potential exposureafter a potential exposure

Where and who should the incident be reported toWhere and who should the incident be reported to??

Where do I record and document the incidentWhere do I record and document the incident??

Should I take HIV prophylactic medicationShould I take HIV prophylactic medication??

What solvents do I wash the injured area withWhat solvents do I wash the injured area with??

Do I disinfect the injured areaDo I disinfect the injured area??

Will I be stopped from working after a stick injuryWill I be stopped from working after a stick injury??

If I am stopped from working then for how longIf I am stopped from working then for how long??

What about hepatitis C – what exactly would it mean if I got hepatitis CWhat about hepatitis C – what exactly would it mean if I got hepatitis C??

What else do I need to worry aboutWhat else do I need to worry about??

How do I ask the patient to find out if they are infected with anything – what How do I ask the patient to find out if they are infected with anything – what

personal questions are appropriatepersonal questions are appropriate??