What measures should medical staff take immediately after occupational exposure?

The principle of one squeezing, two flushing, three disinfection and four reporting should be followed after sharp instrument injury.

Wash the contaminated skin with soap and running water, and wash the mucosa with normal saline. If there is a wound, gently squeeze it on one side of the wound, squeeze out the blood from the injured part as much as possible, and then rinse it with soap and tap water. It is forbidden to locally crush the wound. After the wound of the injured part is cleaned, it should be disinfected with disinfectant, such as 75% ethanol or 0.5% iodophor, and the wound should be bandaged. Exposed mucosa should be washed repeatedly with normal saline.

After occupational exposure, medical staff should fill in the registration form of sharp instrument injury in hospital infection management department in time, and carry out relevant laboratory tests and vaccination according to relevant regulations. After occupational exposure to HIV, medical staff should assess and determine the viral load level of the exposure source under the guidance of higher-level hospitals and experts, and make corresponding disposal.

Extended data:

Precautions:

Establish and improve the supervision and reporting system: timely reporting of occupational exposure events is the premise of taking preventive intervention measures. Once occupational exposure occurs, the accident reporting system will be started immediately, and the hospital infection management department will intervene and guide the post-exposure treatment to minimize the harm of occupational exposure.

Strengthen occupational protection training: Strengthen occupational safety education for medical personnel (including interns) and workers. According to the professional characteristics of different personnel, the training and assessment of occupational protection knowledge are carried out, and the awareness of self-protection is enhanced through various forms to improve the level of occupational protection knowledge.

People's Daily Online-Beijing: Management measures for infectious occupational exposure of medical staff will be introduced soon.