Precautions of accidental contact to blood

Authors: Rednenko V.V., Rednenko L.I., Poplavets E.V., Brikez Yu.

Editor: Rednenko V.V.

Equipment for the practical skill:

• liquid soap
• saline
• 3% hydrogen peroxide or skin antiseptic
• container with a working solution of a chemical disinfectant: "Disinfection of dressings, PPE"
• non-sterile gloves - 1 pair
• reel adhesive plaster - 1 reel
• scissors
• a swab
• waterproof bag for medical waste disposal

Clinical situation:

• An emergency blood contact during an injection

Order of the skill performance:

Contamination of the skin with biological material with damage of the skin integrity (puncture, cut):

• immediately remove gloves
• put gloves in a container: “Disinfection of dressings, PPE”
• Wash the skin damage site under running water (if there is no water, rinse with saline)
• wash your hands with soap under running water (if there is no water, rinse with saline)
• treat the wound with 3% hydrogen peroxide or other skin antiseptic  
• put a patch of plaster on the wound
• if needed:
• put on new gloves and continue medical manipulations 
• report the incident to the chair of department, in health care organizations - and the head of the commission for the prevention of Healthcare Associated Infections (hereinafter - responsible persons)

Contamination of the skin with biological material without any damage of the skin integrity:

• rinse the contaminated  area under running water (if there is no water, rinse with saline) 
• than wash  the contaminated area with soap under running water (if there is no water, rinse with saline) 

Contamination of mucous membrane with biological material:

• immediately remove gloves with the work surface inward
• put your gloves in a container: “Disinfection of dressings, PPE”  or put in waterproof bag for further disinfection
• wash your hands with soap under running water (if there is no water, rinse with saline) 
• rinse the mucous membrane  (do not rub) under running water (if there is no water, rinse with saline)
• if biological material gets on the nasal mucosa, carefully rinse the nasal passages with a swab moistened with water (if there is no water, rinse with saline)
• wash your hands with soap under running water
• Inform those responsible

Contamination of personal clothing, shoes with biological material:

• wash the surface of the gloves without removing them from your hands, under running water
• take off contaminated clothing, shoes
• put clothing and shoes in waterproof bags for further disinfection
• remove gloves with the work surface inward
• put gloves in a container: “Disinfection of dressings, PPE”
• wash your hands with soap under running water
• perform hygienic hand antisepsis
• treat the skin in the area of ​​the contamination projection under clothing, PPE or shoes with  soap and running water

In case of environmental contamination with biological material:

• biological contaminants on the surface of environmental objects are disinfected with a disinfectant solution and removed from the surface with a cloth  followed by wet cleaning