{"id":16333,"date":"2019-01-25T14:11:30","date_gmt":"2019-01-25T14:11:30","guid":{"rendered":"https:\/\/www.process.st\/templates\/needlestick-protocol\/"},"modified":"2025-04-30T19:01:46","modified_gmt":"2025-04-30T19:01:46","slug":"needlestick-protocol","status":"publish","type":"post","link":"https:\/\/www.process.st\/templates\/needlestick-protocol\/","title":{"rendered":"Needlestick Protocol"},"content":{"rendered":"\n<section id=\"read-first\">\n <h2>READ FIRST:<\/h2>\n <div class=\"text-content\">\n  <p>The goal of this process:<\/p>\n  <ul>\n   <li>quickly and safely treat the injured staff member<\/li>\n   <li>injured staff member MUST be sent to Concentra clinic ASAP(especially if patient is high-risk for HIV or unknown risk)<\/li>\n   <li>if needle\/instrument was contaminated with a patient's blood - inform patient, get their contact info (confirm contact info is correct)<\/li>\n  <\/ul>\n  <p>\"Run\" this checklist (so you can fill out fields) - use green button to the upper right of your screen now.<\/p>\n  <p>Then Re-name this checklist with the staff member's name and today's date:<\/p>\n  <ul>\n   <li>e.g. \"Todd Minars - 1\/12\/2019\"<\/li>\n  <\/ul>\n <\/div>\n<\/section>\n<section id=\"treat-the-wound\">\n <h2>Treat the wound<\/h2>\n <div class=\"text-content\">\n  <ol>\n   <li>Stop work and check if the person is okay. <br>\n    -&gt; If they are in danger, move them away.<\/li>\n   <li>Call 911 if the injury is serious (e.g., unconsciousness, heavy bleeding, fractures).<\/li>\n  <\/ol>\n  <p>Treat the wound:<\/p>\n  <ul>\n   <li>Immediately wash the wound with soap and water. Let the water run over it and let it bleed for a few moments to flush out the wound.&nbsp;<\/li>\n   <li>Dress the wound.<\/li>\n   <li>Tell a supervisor or manager ASAP.<\/li>\n  <\/ul>\n <\/div>\n<\/section>\n<section id=\"send-injured-staff-for-treatment-asap-with-form\">\n <h2>Send injured staff for treatment ASAP (with form)<\/h2>\n <div class=\"text-content\">\n  <p>Send staff to Concentra clinic IMMEDIATELY:<br>\n   - To be evaluated and possibly treated<br>\n   - To have a post-accident drug and alcohol test<\/p>\n  <p style=\"text-align: center;\"><strong>They don\u2019t make appointments- walk ins only!<\/strong><\/p>\n  <p style=\"text-align: start;\">Employee should take to the clinic the below:<br><strong>*NO Chain of Custody form needed*<\/strong><\/p>\n  <ol>\n   <li><a href=\"https:\/\/drive.google.com\/file\/d\/1bc2636ZaVQ4X8VD7XlPI1ccoHSavNzIk\/view?usp=drive_link\" rel=\"nofollow\" target=\"_blank\">Concentra - VitalMD Subsidiaries - Employer Authorization for Initial Treatment form<\/a><\/li>\n   <li>Picture ID<\/li>\n   <li>And&nbsp;<a href=\"https:\/\/drive.google.com\/file\/d\/142RbytVb_YyouZ92LfIgLvZkwV4hgUXq\/view?usp=drive_link\" rel=\"nofollow\" target=\"_blank\">Pharmacy card<\/a><\/li>\n  <\/ol>\n  <hr>\n  <p style=\"text-align: start;\">&nbsp;At Concentra, the employee should state that they are there for:<\/p>\n  <ul>\n   <li><span style=\"color: rgb(51, 51, 51);\">a 10-panel Post Accident&nbsp;drug screen (urine) and a Breathalyzer Alcohol test for post-accident<\/span><\/li>\n   <li><span style=\"color: rgb(51, 51, 51);\">initial medical treatment under Workers Comp<\/span><span style=\"color: rgb(51, 51, 51);\"><\/span><\/li>\n  <\/ul>\n  <hr>\n  <p style=\"text-align: start;\"><u>How to complete forms:<\/u><\/p>\n  <ul>\n   <li>Complete the&nbsp;<a href=\"https:\/\/drive.google.com\/file\/d\/1bc2636ZaVQ4X8VD7XlPI1ccoHSavNzIk\/view?usp=drive_link\" rel=\"nofollow\" target=\"_blank\">Concentra - VitalMD Subsidiaries - Employer Authorization for Initial Treatment form<\/a><br>\n    &nbsp; &nbsp;-&gt; Complete the top sections<br>\n    &nbsp; &nbsp;-&gt; Write the employees\u2019 information on the left-hand side<br>\n    &nbsp; &nbsp;-&gt; Write the LLC's info on the right-hand side<\/li>\n   <li>Client company name = LLC name and address. Authorized by = name of Manager<\/li>\n  <\/ul>\n  <p style=\"text-align: center;\"><strong>Concentra will provide the employee with a work status report.&nbsp; It is the employee\u2019s responsibility to provide a copy of the work status report from Concentra to the Office Manager.<br><\/strong><\/p>\n  <p><span style=\"text-decoration: underline;\"><strong>Concentra<\/strong><\/span><br>\n   17601 NW 2nd Avenue<br>\n   Miami , FL&nbsp;&nbsp;33169<br><strong>Phone<\/strong>:&nbsp;305.770.4500<\/p>\n  <p><strong>Hours of operation are:<\/strong> <br>\n   Monday \u2013 Friday 8:00 am - 6:00 pm <br>\n   Saturday 10:00 am - 3:00 pm<strong><\/strong><strong><\/strong><\/p>\n <\/div>\n <div class=\"text-content\">\n  <p class=\"style-danger\" style=\"text-align: center;\">If Concentra clinic is closed - send staff member to ER.<\/p>\n  <ul>\n   <li>At ER they can use their health insurance (save receipts to submit to Worker's Comp &amp; Femwell HR ) for reimbursement.<\/li>\n   <li>Will still need to go to Concentra (after ER) within 24 hours for drug and alcohol testing.<\/li>\n  <\/ul>\n <\/div>\n<\/section>\n<section id=\"inform-and-test-the-patient\">\n <h2>Inform and Test the patient<\/h2>\n <div class=\"text-content\">\n  <p><strong>If the injury was a needlestick injury from a contaminated needle (aka - used needle)<\/strong><\/p>\n  <p><strong>Inform the patient of the situation:<\/strong><\/p>\n  <ul>\n   <li>record their information on form below<\/li>\n   <li>appeal to their kindness when asking them to get bloodwork in a timely manner (to give our injured staff member peace of mind.)&nbsp;<\/li>\n   <li>we will give them a lab slip (Quest or Labcorp)<\/li>\n  <\/ul>\n  <p><strong>Patient can use their insurance for lab test:<\/strong><\/p>\n  <ul>\n   <li>(if the patient does receive a bill from the lab, our office will reimburse them)<\/li>\n  <\/ul>\n <\/div>\n <div class=\"text-content\">\n  <p><strong>Tests to check off on Lab Slip:<\/strong><\/p>\n  <ul>\n   <li>Acute Hepatitis Panel<\/li>\n   <li>Hep B Surface Antibody<\/li>\n   <li>Hep B Surface Antigen<\/li>\n   <li>HCV ab w\/ reflex to Ab Verification<\/li>\n   <li>HIV -1\/0\/2, 4th Generation<\/li>\n  <\/ul>\n  <p>See examples of correctly filled lab slips below:<\/p>\n  <p><strong>Lapcorp:<\/strong> &nbsp;<a href=\"https:\/\/drive.google.com\/file\/d\/1D8zLrSpFqbqTrZ8G8Gq_qEpIU47L2Q4c\/view?usp=sharing\" rel=\"nofollow\">https:\/\/drive.google.com\/file\/d\/1D8zLrSpFqbqTrZ8G8Gq_qEpIU47L2Q4c\/view?usp=sharing<\/a><\/p>\n  <p><strong>Quest:<\/strong> &nbsp;<a href=\"https:\/\/drive.google.com\/file\/d\/1DM1HwAiau_2S8T2ozfidHMQOIJQdyZyq\/view?usp=sharing\" rel=\"nofollow\">https:\/\/drive.google.com\/file\/d\/1DM1HwAiau_2S8T2ozfidHMQOIJQdyZyq\/view?usp=sharing<\/a><\/p>\n <\/div>\n <div class=\"text-field-content form-field-content\">\n  <div class=\"form-group\">\n   <label> Patient name (if it was a contaminated needle) <\/label> <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\">\n  <\/div>\n <\/div>\n <div class=\"text-field-content form-field-content\">\n  <div class=\"form-group\">\n   <label> Patient Date of Birth <\/label> <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\">\n  <\/div>\n <\/div>\n <div class=\"textarea-field-content form-field-content\">\n  <div class=\"form-group\">\n   <label> Does the patient have HIV or Hepatitis B or C or any other infectious disease (be specific)? Does the patient have any risk factors for infectious disease (IV drug use etc...)? Be specific: <\/label> <textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled class=\"form-control\"><\/textarea>\n  <\/div>\n <\/div>\n<\/section>\n<section id=\"after-patient-and-staff-member-leave\">\n <h2>AFTER PATIENT AND STAFF MEMBER LEAVE:<\/h2>\n<\/section>\n<section id=\"record-details-of-incident\">\n <h2>Record details of incident<\/h2>\n <div class=\"text-field-content form-field-content\">\n  <div class=\"form-group\">\n   <label> Staff Member Name <\/label> <input type=\"text\" placeholder=\"Something will be typed here...\" disabled class=\"form-control\">\n  <\/div>\n <\/div>\n <div class=\"date-field-content form-field-content\">\n  <div class=\"form-group\">\n   <label> Today's Date <\/label>\n   <div class=\"date-container\">\n    <button type=\"button\" disabled class=\"btn btn-default\"><i class=\"fa fa-calendar btn-icon\"><\/i> Date will be set here<\/button>\n   <\/div>\n  <\/div>\n <\/div>\n <div class=\"textarea-field-content form-field-content\">\n  <div class=\"form-group\">\n   <label> Describe the Injury and how it happened: <\/label> <textarea placeholder=\"Something will be typed here...\" rows=\"3\" disabled class=\"form-control\"><\/textarea>\n  <\/div>\n <\/div>\n <div class=\"multi-choice-content form-field-content\">\n  <div class=\"form-group\">\n   <label> Was the needle or sharp contaminated with patient blood? <\/label> <select disabled class=\"form-control\"> <option value=\"\">Multiple options can be selected from this list<\/option> <\/select>\n  <\/div>\n  <ul class=\"items\">\n   <li class=\"item\">\n    <div class=\"step-number-container\">\n     <div class=\"step-number\">\n      1\n     <\/div>\n    <\/div>\n    <div class=\"step-checkbox-container\">\n     <div class=\"step-checkbox\"><\/div>\n    <\/div>\n    <div class=\"item-name-static\">\n     YES\n    <\/div><\/li>\n   <li class=\"item\">\n    <div class=\"step-number-container\">\n     <div class=\"step-number\">\n      2\n     <\/div>\n    <\/div>\n    <div class=\"step-checkbox-container\">\n     <div class=\"step-checkbox\"><\/div>\n    <\/div>\n    <div class=\"item-name-static\">\n     NO\n    <\/div><\/li>\n  <\/ul>\n <\/div>\n<\/section>\n<section id=\"report-incident-to-femwell\">\n <h2>Report incident to Femwell<\/h2>\n <div class=\"text-content\">\n  <p>Report the incident to Femwell:<\/p>\n  <ul>\n   <li>Contact HR - Norraine Alicea from Femwell at 305-273-4641 ext 9253 or email her at <a href=\"mailto:nalicea@femwell.com\" rel=\"nofollow\" target=\"_blank\">nalicea@femwell.com<\/a><\/li>\n  <\/ul>\n  <p class=\"style-danger\">All incidents need to be reported ASAP.&nbsp; Our practice can be fined by the state for late reporting of a worker's comp incident.<\/p>\n <\/div>\n <div class=\"text-content\">\n  <p>She will ask for the following forms:<\/p>\n  <p><a href=\"https:\/\/drive.google.com\/open?id=1RiUWU8Zg-NhjEgHxPHkTVpxp6rRux3y2\" rel=\"nofollow\" target=\"_blank\">Employee's Statement of Acknowledgement Form<\/a><\/p>\n  <p><a href=\"https:\/\/drive.google.com\/open?id=1vJnOIrb8li0LQuHRpB6qhN4YQFx2vlvP\" rel=\"nofollow\" target=\"_blank\">Employer's Report of Work Related Injury<\/a><\/p>\n <\/div>\n<\/section>\n<section id=\"work-status-report\">\n <h2>Work Status Report<\/h2>\n <div class=\"text-content\">\n  <p><strong>Work Status Report:<\/strong><\/p>\n  <ul>\n   <li>***Concentra will provide the employee with a <em><strong>work status report<\/strong><\/em>. It is the employee\u2019s responsibility to provide a copy of the work status report from Concentra to you.<\/li>\n   <li>This needs to be emailed to Norranie <a href=\"mailto:nalicea@femwell.com\" rel=\"nofollow\">nalicea@femwell.com<\/a><\/li>\n   <li>The employee will have follow up appointments at Concentra, each appointment will have their own work status report that will need to be sent to Norranie.<\/li>\n  <\/ul>\n <\/div>\n<\/section>\n<section id=\"folllow-up-and-resolution\">\n <h2>Folllow up and resolution<\/h2>\n <div class=\"multi-select-content form-field-content\">\n  <div class=\"form-group\">\n   <label> (Subtasks) <\/label>\n  <\/div>\n  <ul class=\"items\">\n   <li class=\"item\">\n    <div class=\"step-number-container\">\n     <div class=\"step-number\">\n      1\n     <\/div>\n    <\/div>\n    <div class=\"step-checkbox-container\">\n     <div class=\"step-checkbox\"><\/div>\n    <\/div>\n    <div class=\"item-name-static\">\n     Patient's baseline test results (place in patient's medical chart)\n    <\/div><\/li>\n   <li class=\"item\">\n    <div class=\"step-number-container\">\n     <div class=\"step-number\">\n      2\n     <\/div>\n    <\/div>\n    <div class=\"step-checkbox-container\">\n     <div class=\"step-checkbox\"><\/div>\n    <\/div>\n    <div class=\"item-name-static\">\n     Staff Member's baseline test results (place in staff member's medical chart)\n    <\/div><\/li>\n   <li class=\"item\">\n    <div class=\"step-number-container\">\n     <div class=\"step-number\">\n      3\n     <\/div>\n    <\/div>\n    <div class=\"step-checkbox-container\">\n     <div class=\"step-checkbox\"><\/div>\n    <\/div>\n    <div class=\"item-name-static\">\n     Staff Member's 6 month follow up test results (place in staff member's medical chart)\n    <\/div><\/li>\n  <\/ul>\n <\/div>\n<\/section>\n<section id=\"process-review-q6months\">\n <h2>Process Review Q6months:<\/h2>\n <div class=\"multi-select-content form-field-content\">\n  <div class=\"form-group\">\n   <label> (Subtasks) <\/label>\n  <\/div>\n  <ul class=\"items\">\n   <li class=\"item\">\n    <div class=\"step-number-container\">\n     <div class=\"step-number\">\n      1\n     <\/div>\n    <\/div>\n    <div class=\"step-checkbox-container\">\n     <div class=\"step-checkbox\"><\/div>\n    <\/div>\n    <div class=\"item-name-static\">\n     Review this process (see below)\n    <\/div><\/li>\n   <li class=\"item\">\n    <div class=\"step-number-container\">\n     <div class=\"step-number\">\n      2\n     <\/div>\n    <\/div>\n    <div class=\"step-checkbox-container\">\n     <div class=\"step-checkbox\"><\/div>\n    <\/div>\n    <div class=\"item-name-static\">\n     Review \"needle sticks\" with staff (see below)\n    <\/div><\/li>\n  <\/ul>\n <\/div>\n <div class=\"text-content\">\n  <p>Review this process:<\/p>\n  <ul>\n   <li>check links and accuracy of phone numbers and contacts etc...<\/li>\n   <li>simplify, improve, or automate the process wherever you can<\/li>\n  <\/ul>\n  <p>Review \"needle-sticks\" with MA's:<\/p>\n  <ul>\n   <li>drill them on how to handle a needle stick<\/li>\n   <li>walk them through this process<\/li>\n   <li>review stories of how previous needlesticks happened (so we can learn from them and prevent repeats)<\/li>\n  <\/ul>\n  <p>Previous Needle-Stick stories:<\/p>\n  <ul>\n   <li>Tammy - stuck when banging the sharps container to settle contents (and needle inside pierced the container)<\/li>\n   <li>Taylor - stuck when dropping syringe in sharps container - it popped back out and stuck her<\/li>\n   <li>Nayra - stuck when cleaning up a procedure tray - gathered up everything to throw away and a syringe was still hiding under some gauze<\/li>\n  <\/ul>\n <\/div>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>READ FIRST: The goal of this process: quickly and safely treat the injured staff member injured staff member MUST be sent to Concentra clinic ASAP(especially if patient is high-risk for 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