Safety & Infection ControlQuestion 45 of 200

A CNA is accidentally stuck by a discarded needle while making a bed. The first action is:

a.Squeeze the site to make it bleed for several minutes, apply alcohol, and report it at the end of the shift
b.Wash the area immediately with soap and water, report to the supervisor without delay, and follow the facility's post-exposure protocol including baseline labs and prophylaxis as indicated
c.Finish making the bed, then report the exposure to the supervisor at the end of the shift, wash the site with soap and water at that time, and ask the nurse to order baseline laboratory tests the next morning
d.Apply an adhesive bandage and watch the site for redness over the next few days before reporting it

Explanation

OSHA Bloodborne Pathogen Standard requires immediate post-exposure response: wash area with soap and water (or flush mucous membranes with water/saline), report to supervisor immediately, complete an incident report, and access post-exposure evaluation (source-patient testing, baseline labs, possible HIV/HBV prophylaxis per CDC guidance—within hours). Delay (c, d) reduces prophylaxis effectiveness; aggressive squeezing (a) is not recommended and may worsen tissue damage.

Law Reference: OSHA 29 CFR §1910.1030; needlestick policy

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