Needlestick Procedure

It is extremely important for residents to know the policy and procedures for needlestick/sharp injuries and blood/body fluid exposure in order to ensure safety and care of themselves and the students who work with them. The UAMS Medical Center policy which describes all procedures, in detail, which must be followed if a resident or student sustains a needlestick injury or blood/body fluid exposure. The most important points of that policy are:

All faculty, employees, residents or students who suffer a needlestick, cut, or mucus membrane (e.g. splash to the eye or mouth) exposure to blood or other body fluids, or who have a cutaneous exposure involving large amounts of blood or prolonged contact with blood regardless of the type of exposure or risk status of the source patient shall:

  • Report the incident immediately to their supervisor or instructor.
  • Call immediately to Employee Health/Student Preventative Health Services (EH/SPHS), 686-6565 or page 501-405-6734, if it is during regular business hours OR the Emergency Department (ED) 686-6236, if it is after business hours.
  • The amount of risk incurred as a result of the exposure must be evaluated and prophylactic treatment must be started within 2 hours to be effective.
  • Complete the UAMS Incident and Injury (I&I) Report form — Employee Injury Form

Information about the source patient shall be documented on the Employee Incident and Injury (I&I) report form by the nursing supervisor or his/her designee from which the source patient is receiving care. The I&I form shall accompany the resident/fellow to EH/SPHS or the ED at the time of the initial evaluation.

It is the responsibility of the resident/fellow’s attending physician to make sure that all information relevant to the I&I has been completed and the resident/fellow has called either EH/SPHS or the UAMS ED, for triage. It is the responsibility of the Nursing Supervisor or designee to record all information regarding the source patient on the I&I, notify either EH/SPHS or the ED with the risk factors for HIV, and ensure that orders are written for lab work on the source patient’s chart.


Last modified: 04/13/12