1. FIRST AID
o Contaminated Wound - Encourage bleeding from the skin wound and wash the injured area with copious soapy water, disinfectant, scrub solution or water.
o Contaminated Intact Skin - Wash the area with soap and water.
o Contaminated Eyes - Gently rinse the eyes while open with Saline or water.
o Contaminated Mouth - Spit out any fluid - rinse the mouth with water and spit out again.
2. REPORT ACCIDENT
3. BLOOD TESTING (Consent required)
Health Care Worker: HIV, Hep B and Hep C status
Source: HIV, Hep B and Hep C status
4. IMMEDIATE ACTION
If the patient is known to be HIV positive then the exposed Health Care Worker should be given counselling and offered Post exposure prophylaxis (PEP).
The Austin Hospital, Alfred and Royal Melbourne Hospital, have Infectious Diseases Physicians on call who can discuss the case and recommend the best treatment in line with the CDC guidelines.
Phone Nos (Austin) (9496 5000); (Alfred) (9276 2000) and (RMH) (9342 7000).
Post Exposure Prophylaxis (PEP) pdf information sheet
5. FURTHER ACTION
1. If status of Patient and Health Care Worker is unknown and immune status can’t be obtained within 48 hours then give:-
(a) Hepatitis B. Immune Globulin
(b) Hepatitis B. Vaccine (first dose).
2. If the Health Care Worker is HBV immune then no further Hep B Vaccine is required. Check Hep B antibody titre of health care worker and if low give Hepatitis B booster.
3. Give Tetanus Toxoid booster if indicated.
6. FOLLOW UP
i. complete the course of Hepatitis Vaccine.
ii. follow up HIV serology 1, 3 months and 6 months.
Reference: Kerang and District Hospital, Infection Control Manual and other.