Needlestick safety

Needlestick and other sharps injuries are a serious hazard in any healthcare setting. Contact with
contaminated needles, scalpels, broken glass, and other sharps may expose healthcare workers to
blood that contains pathogens which pose a grave, potentially lethal risk. ACTIVITIES WITH
POTENTIAL FOR NEEDLESTICK INJURIES Home healthcare workers can be at risk for
needlestick or sharps injuries when they:

• Handle needles that must be taken apart or manipulated after use.
• Dispose of needles attached to tubing.
• Manipulate the needle in the client.
• Recap a needle.
• Use needles or glass equipment to transfer body fluid between containers.
• Fail to dispose of used needles in puncture-resistant sharps containers.
• Lack proper workstations for procedures using sharps.
• Work quickly.
• Bump into a needle, a sharp, or another worker while either person is holding a sharp.

EMPLOYERS SHOULD

• Eliminate the use of needle devices whenever safe and effective alternatives are available.
• Provide needle devices with safety features.
• Provide sharps containers for workers to bring into clients’ homes.
• Investigate all sharps-related injuries.
• Provide post-exposure medical evaluations.

EMPLOYEES SHOULD

• Avoid using needles whenever safe and effective alternatives are available.
• Avoid recapping or bending needles that might be contaminated. How to Prevent Needlestick
  and Sharps Injuries
• Bring standard-labeled, leak-proof, puncture-resistant sharps containers to clients’ homes.
  Do not assume such containers will be available there. Promptly dispose of used needle devices and
  sharps, which might be contaminated, in the containers.
• Plan for the safe handling and disposal of needles before use.
• Store sharps containers out of the reach of children, pets, and others not needing access. •
  Secure used sharps containers during transport to prevent spilling.
• Follow standard precautions, infection prevention, and general hygiene practices
  consistently.
• Participate in your employer’s bloodborne pathogens training program.
• Help your employer select and evaluate devices with safety features.
• Use devices with safety features provided by your employer.
• Report any needlestick and other sharps injury immediately to your employer. If you
  experience a needlestick or sharps injury or are exposed to the blood or other body fluid of a client
  during the course of your work, immediately follow these steps:
• Wash needlesticks and cuts with soap and water.
• Flush splashes to the nose, mouth, or skin with water.
• Irrigate eyes with clean water, saline, or sterile irrigants.
• Report the incident to your supervisor.
• Immediately seek medical treatment.

Q&A

1. Needlestick injuries are hazardous to healthcare workers True or false
2. List two scenarios whereby HHAs are at risk of needlestick injuries
3. To avoid needlestick injuries, caregivers should _ (list one care procedure)
4. As an HHA, it is important to avoid using needles when safe alternatives are available T or F
5. If you experience a needlestick injury, what must one immediately do?
6. Promptly disposing of used needle devices and sharps, which might be contaminated, in the
   containers is a
   a. Means of keeping client and aide safe (safety proceedure)
   b. Means of addressing a needlestick injury (after-injury porceedure)
7. General hygiene practices are important means of avoiding needlestick injuries. Briefly
   explain
8. Report any needlestick and other sharps injury immediately to your employer. True or false
9. Explain what a needlestcik injury is
10. HHA workers engage in activities with potential needlestick injuries. List two