If an accident such as a needlestick occurs, the injured health care worker should immediately:

If you pierce or puncture your skin with a used needle, follow this first aid advice immediately:

  • encourage the wound to bleed, ideally by holding it under running water
  • wash the wound using running water and plenty of soap
  • do not scrub the wound while you're washing it
  • do not suck the wound
  • dry the wound and cover it with a waterproof plaster or dressing

You should also seek urgent medical advice as you may need treatment to reduce the risk of getting an infection:

  • contact your employer's Occupational Health service if you injure yourself at work
  • otherwise call your GP, NHS 111 or go to the nearest accident and emergency (A&E) department

Needle-stick injuries

Injuries from needles used in medical procedures are sometimes called needle-stick or sharps injuries.

Sharps can include other medical supplies, such as syringes, scalpels and lancets, and glass from broken equipment.

Once someone has used a needle, viruses in their blood, such as hepatitis B, hepatitis C or HIV, may contaminate it. This includes needles used to inject illegal drugs. Blood can also contaminate sharps.

Assessing your injury

The healthcare professional treating you will assess the risks to your health and ask about your injury – for example, how and when it happened, or who had used the needle.

Samples of your blood may need to be tested for hepatitis B and C or HIV.

Although rare, there's also a small risk of other infections being transmitted through contaminated blood, such as cytomegalovirus (CMV) and Epstein-Barr virus, which causes glandular fever.

Your healthcare professional may also arrange to test samples of the other person's blood if they give their consent.

Will I need any treatment?

If your healthcare professional thinks you're at low risk of infection, you may not need any treatment.

If there's a higher risk of infection, you may need:

  • antibiotic treatment – for example, if you have cellulitis (infection of the skin)
  • vaccination against hepatitis B
  • treatment to prevent HIV

If there's a high risk of infection with HIV, your healthcare professional may consider treatment called post-exposure prophylaxis (PEP).

Getting support

Your healthcare professional may recommend that you get:

  • support from your employer's occupational health service – they can also advise about sick leave
  • psychological support – such as counselling to help with any stress the injury has caused

If you injure yourself with a used needle at work, report the incident immediately to your supervisor or manager.

Read the answers to more questions about accidents, first aid and treatments.

Further information

  • How should I dispose of used needles or sharps?
  • Hepatitis B
  • Hepatitis C
  • HIV and AIDS
  • Health and Safety Executive: sharps injuries

Page last reviewed: 8 July 2021
Next review due: 8 July 2024

Bloodborne Pathogens and Needlestick Prevention

Overview

What are bloodborne pathogens?

Bloodborne pathogens are infectious microorganisms in human blood that can cause disease in humans. These pathogens include, but are not limited to, hepatitis B (HBV), hepatitis C (HCV) and human immunodeficiency virus (HIV). Needlesticks and other sharps-related injuries may expose workers to bloodborne pathogens. Workers in many occupations, including first responders, housekeeping personnel in some industries, nurses and other healthcare personnel, all may be at risk for exposure to bloodborne pathogens.

What can be done to control exposure to bloodborne pathogens?

In order to reduce or eliminate the hazards of occupational exposure to bloodborne pathogens, an employer must implement an exposure control plan for the worksite with details on employee protection measures. The plan must also describe how an employer will use engineering and work practice controls, personal protective clothing and equipment, employee training, medical surveillance, hepatitis B vaccinations, and other provisions as required by OSHA's Bloodborne Pathogens Standard (29 CFR 1910.1030). Engineering controls are the primary means of eliminating or minimizing employee exposure and include the use of safer medical devices, such as needleless devices, shielded needle devices, and plastic capillary tubes.

If an accident such as a needlestick occurs, the injured health care worker should immediately:

General Guidance

Provides information on the revised standard.

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Enforcement

Highlights directives and letters of interpretation related to bloodborne pathogens and needlestick prevention.

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Hazard Recognition

Provides references that aid in recognizing workplace hazards associated with bloodborne pathogens.

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Evaluating and Controlling Exposure

Provides information for evaluating and controlling bloodborne pathogens and needlestick hazards.

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Standards

Bloodborne pathogens and needlesticks are addressed in specific OSHA standards for general industry.

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Additional Resources

Provides links and references to additional resources related to bloodborne pathogens and needlestick prevention.

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What to do if you are stuck by a needle:

If you are stuck by a needle or other sharp or get blood or other potentially infectious materials in your eyes, nose, mouth, or on broken skin, immediately flood the exposed area with water and clean any wound with soap and water or a skin disinfectant if available. Report this immediately to your employer and seek immediate medical attention.

CDC: Emergency Needlestick Information also provides immediate access to treatment protocols following blood exposures involving HIV, HBV and HCV, including the Clinicians' Post Exposure Prophylaxis Hotline (PEPline) at 1-888-448-4911.