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Republic of the Philippines Doc. No.
PROVINCE OF DAVAO OCCIDENTAL Rev. No.

DAVAO OCCIDENTAL GENERAL HOSPITAL Effective date:
Lacaron, Malita, Davao Occidental
“QUALITY HEALTH CARE FOR ALL”
POLICY ON THE PREVENTION AND

TREATMENT OF
NEEDLESTICK INJURIES AND SAFE Page
DISPOSALOF NEEDLES
POLICY ON THE PREVENTION AND TREATMENT OF
NEEDLESTICK INJURIES AND SAFE DISPOSALOF NEEDLES
INTRODUCTION
A needle stick injury (NSI) is an accidental skin-penetrating stab wound from a hollow-bore
needle containing another person's blood or body fluid. Healthcare workers (HCWs) are at an
occupational risk of exposure to blood-borne pathogens following NSIs and sharps injuries
(SIs). A thorough understanding of the safe practices while handling needles and sharps and
its proper disposal is crucial for HCWs to create a risk-free work place environment.
RATIONALE
Globally, needle stick injuries (NSI) are the most common source of occupational exposures
to blood and the primary cause of bloodborne infections of healthcare workers (HCW). These
workers incur 2 million NSI that result in Hepatitis B, C, and HIV infections per year.
In the Philippines, 68% of the institutions have current data pertaining to NSI and have
existing policies and guidelines regarding reporting of NSI. Thirty- two percent (32%) said
that recapping of needles was the primary cause of NSIs.
PURPOSE
 To minimize the risks of transmission of hazardous sources.
 To promote awareness safe management of sharps and occupational exposure.
 To provide a framework for the education of healthcare workers in the safe handling
of sharps.
 To equip the staff on the proper course of action in cases of exposure to blood and
blood-stained fluids by sharps and needle prick injuries.
DEFINITIONS
Needle prick injury exposure occurrences due to needle stick injuries include: Percutaneous,
needle sticks, puncture wounds or lacerations from a contaminated needle or other sharp
instrument
Prepared by: Reviewed by: Approved by:
Bonnie Jane S. Ranches,RN Julius D. Lucenara, RN Glinard L. Quezada, M.D.

Health Officer I Nurse III Medical Center Chief I

TREATMENT OF
DISPOSALOF NEEDLES
Recapping
Recapping needles using two-handed methods increases the risk of needle-stick injuries and
is not recommended. However, where such action is unavoidable, the one-hand scoop
technique reduces the risk of needle-sticks.
Sharp
Any object that can penetrate the skin; sharps include needles, scalpels, broken glass, broken
capillary tubes and exposed ends of dental wires.
Sharps container:
A puncture-resistant, rigid, leak-resistant container designed to hold used sharps safely during
collection, disposal and destruction
POLICY
 All sharps are considered medical waste.
 Disposable syringes with needles, scalpel blades and other sharps items shall
be placed into puncture-resistant containers located in the area of use.
 Needles must not be recapped, purposely broken, bent or otherwise manipulated by
hand.
 If recapping is absolutely necessary, use "SCOOP" method
 Disposable needles and syringes are considered as one unit and not separated and
shall be disposed as one unit.
 Sharps containers shall not be reopened once they are closed. They also shall not be
cleaned in any other manner that would expose the employees to the risk of
percutaneous injury.
 Do not keep syringes, needles or any other item in your pocket.
 Never leave sharps lying around, dispose immediately.
 Replace sharps container when the container is three quarters full and manage in a
secure manner.
 Sharps containers while being in use shall be kept away from pathways above the
level of the floor


TREATMENT OF
DISPOSALOF NEEDLES


TREATMENT OF
DISPOSALOF NEEDLES
POLICY FOR POST NEEDLE STICK INJURY

In the event of a needle stick or sharps injury, immediately:
1. Wash area with soap and water
2. Allow to bleed freely
3. Wrap the wound with sterile gauze;
4. Proceed to the Emergency Room for immediate treatment, appropriate to the injury.
Treatment must include:
 Examination
 Screening
 Infection prophylaxis
 Wound care


TREATMENT OF
DISPOSALOF NEEDLES
5. Treatment must be documented in the employee's MR file.

6. The Emergency room must inform the following:
 Unit Manager/Supervisor
 Infection Control Physician
7. The ER must complete a report including:
 Precise description of how, where, and when the injury occurred
 Follow-up treatment
 Description of the involved sharp
8. The ER must forward the report to the IC Physician for completion
9. Any contamination following needle stick or sharp injury requiring long treatment
must be indicated for recommended Post Exposure Prophylaxis.
DISPOSAL OF SHARPS
When sharps containers are 3/4 full they should be securely sealed by healthcare worker:
1. Plaster the lid with tape.
2. Put the sharps containers in yellow infectious plastic bag, sealed with plastic cable.
3. Label with date, unit/clinic and initials and ID number of healthcare worker.
4. The containers shall be picked up by housekeeping staff with other bio-hazardous waste to
the waste storage room.
RESPONSIBILITY
1. The staff has a responsibility to ensure they follow instructions, in accordance with policy,
and not place themselves or others in danger.
2. It is the responsibility of the injured employee to report and follow-up his own treatment.
3. ER Staff must ensure that entries in the OVR (occurrence/variance report) form are
completed.
4. Each individual has an obligation to adhere to these recommendations and comply with
best practice.


TREATMENT OF
DISPOSALOF NEEDLES
BLOOD, BODY FLUID AND SHARP INJURIES FORM
Name:
Date of injury:
Exposed part:
o Intact skin
o Non intact skin
o Eyes
o Nose
o Mouth
o Others________
Needle Stick Monitoring Form
Name: Department: Date of incident:
Results:
Tests Done 1st month 3rd month 6th month
HIV X X
HCV X X
HBsAg X X


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Republic of the Philippines Doc. No.

PROVINCE OF DAVAO OCCIDENTAL Rev. No.

“QUALITY HEALTH CARE FOR ALL”

POLICY ON THE PREVENTION AND

POLICY ON THE PREVENTION AND TREATMENT OF

NEEDLESTICK INJURIES AND SAFE DISPOSALOF NEEDLES

Prepared by: Reviewed by: Approved by:

Bonnie Jane S. Ranches,RN Julius D. Lucenara, RN Glinard L. Quezada, M.D.

“QUALITY HEALTH CARE FOR ALL”

POLICY ON THE PREVENTION AND

Prepared by: Reviewed by: Approved by:

Bonnie Jane S. Ranches,RN Julius D. Lucenara, RN Glinard L. Quezada, M.D.

“QUALITY HEALTH CARE FOR ALL”

POLICY ON THE PREVENTION AND

Prepared by: Reviewed by: Approved by:

Bonnie Jane S. Ranches,RN Julius D. Lucenara, RN Glinard L. Quezada, M.D.

“QUALITY HEALTH CARE FOR ALL”

POLICY ON THE PREVENTION AND

POLICY FOR POST NEEDLE STICK INJURY

Prepared by: Reviewed by: Approved by:

Bonnie Jane S. Ranches,RN Julius D. Lucenara, RN Glinard L. Quezada, M.D.

“QUALITY HEALTH CARE FOR ALL”

POLICY ON THE PREVENTION AND

5. Treatment must be documented in the employee's MR file.

Prepared by: Reviewed by: Approved by:

Bonnie Jane S. Ranches,RN Julius D. Lucenara, RN Glinard L. Quezada, M.D.

“QUALITY HEALTH CARE FOR ALL”

POLICY ON THE PREVENTION AND

BLOOD, BODY FLUID AND SHARP INJURIES FORM

Name: Department: Date of incident:

Prepared by: Reviewed by: Approved by:

Bonnie Jane S. Ranches,RN Julius D. Lucenara, RN Glinard L. Quezada, M.D.

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