Infection control

What to do after a needlestick injury

Other platforms explain it with text and video. In VMS you practice it on the patient.

MD / DOPANursing (NCLEX)EMS (NREMT)

A needlestick can spread HIV, hepatitis B and hepatitis C. Fast action matters, because HIV prevention medicine works best within hours.

Step by step

  1. Wash right away

    Wash the wound with soap and water. Do not squeeze or use bleach. [1]

  2. Flush mucous membranes

    For splashes, flush eyes, nose or mouth with plenty of water. [1]

  3. Report at once

    Tell your supervisor and employee health right away. [1]

  4. Identify the source

    Note the source patient so they can be tested with consent, per policy. [1]

  5. Get evaluated quickly

    A clinician decides on HIV prevention medicine, ideally within 2 hours, and hepatitis B vaccine or immune globulin. [1]

  6. Follow up

    Return for repeat blood tests as scheduled and report any symptoms. [1]

  7. Prevent the next one

    Use safety devices and never recap needles. [1]

Common errors

Practice it in VMS

In VMS you do this on the patient, not on paper: every step goes on the checklist with a score, and in Teach mode Blocky tells you what comes next.

VMS cases that train this skill

18 VMS cases train this skill: open the case library

Sources

  1. CDC, Guideline for Isolation Precautions (2007) and PPE sequence

Facts and steps follow CDC, Guideline for Isolation Precautions (2007) and PPE sequence. VMS is not affiliated with these organizations. Updated: 2026-10-11.