Hazard Alert


Worker stuck by
contaminated needle

In the instrument processing area of a dentist's office, a dental assistant was trying to remove the needle from a re-capped syringe. The syringe had been used to administer anaesthetic to a patient. When the assistant tried to remove the needle, the cap fell off. While trying to put the cap back on the needle, she pricked her finger. Safety-engineered hollow-bore needles were not being used as required. Safe work procedures for handling contaminated sharps were also not in place. The dental chart listed the patient's positive hepatitis C status.

Safe work practices: A safety-engineered needle with the guard retracted (above) and the guard extended (below).
  • Use a needleless device or a safety-engineered needle for any dental or medical procedure that poses a risk of an accidental needle-stick injury, including — but not limited to — the following:
    • - administering medications or fluids (including anaesthetic)
      - withdrawing body fluids
      - accessing a vein or artery
  • Establish safe work procedures — along with appropriate training and supervision — to minimize exposure to blood and body fluids, including the following:
    • - prohibiting re-capping and manual removal of contaminated needles
      - activating safety features on needles after use
      - properly disposing of needles after use
      - ensuring workers' vaccinations are current
      - wearing gloves, face protection, and gowns as required
  • Advise workers who have been stuck by a contaminated sharp to seek immediate medical attention — preferably within 2 hours of being injured.

Industry: Health care
INJURY
2009-07