While administering a prescribed intramuscular injection to a client, a practical nurse sustains an accidental needlestick injury to the index finger. Arrange the following actions the nurse must take in the correct chronological order to comply with standard precautions and occupational safety guidelines.
- 1Cleanse the needlestick site immediately with soap and running water.
- 2Notify the unit charge nurse or nursing supervisor about the exposure.
- 3Proceed to the employee health department for an exposure risk assessment.
- 4Provide a blood sample for baseline serologic testing.
- 5Return for follow-up serologic testing at scheduled intervals.
Answer
The correct sequence for managing an occupational needlestick exposure is: first aid (washing the site), notifying the supervisor, seeking immediate medical evaluation, obtaining baseline testing, and completing long-term follow-up.
According to the Centers for Disease Control and Prevention (CDC) guidelines for occupational exposure to bloodborne pathogens, the immediate priority is first aid: washing the site with soap and water. Squeezing the wound or using harsh chemicals like bleach should be avoided. Once first aid is complete, the nurse must notify the supervisor to activate the exposure protocol. The nurse is then directed to occupational health or the emergency department for a time-sensitive risk assessment, as post-exposure prophylaxis (PEP) should be started within hours if indicated. Baseline serology is drawn during this initial visit, followed by scheduled serial testing in the months following the exposure to monitor for delayed seroconversion.
Step-by-Step Solution
Key Concept
Occupational Exposure Protocol for Bloodborne Pathogens