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Needlestick Protocol
Test Code7323
CPT Codes
Not applicable
Includes
Anti-HCV, HBsAg, and HIV-1/2 (including Rapid Test)
Preferred Specimen
Container/Tube: Serum gel tube(s)
Specimen Volume: 6 mL (minimum volume: 2 mL) of serum
Instructions
Cox employee exposures will be handled through employee health.
Orders and specimens received for needlestick or post-exposure protocol from non-CoxHealth clinics will need to be registered as non-patient and lab staff will order 'needlestick protocol-clinic'
If a post exposure presents to the ED for treatment, and brings the source patient blood with them. Lab staff should instruct the ED and admissions that the source patient will need to have a non-patient registration and the laboratory will order 'needlestick protocol-clinic', using the ED provider name who is treating the exposed individual. If the source patient demographic information is not readily available for the admissions staff, they should obtain that from the exposed individual or company.
Rapid HIV results should be called if the registration is delayed.
Orders and specimens received for needlestick or post-exposure protocol from non-CoxHealth clinics will need to be registered as non-patient and lab staff will order 'needlestick protocol-clinic'
If a post exposure presents to the ED for treatment, and brings the source patient blood with them. Lab staff should instruct the ED and admissions that the source patient will need to have a non-patient registration and the laboratory will order 'needlestick protocol-clinic', using the ED provider name who is treating the exposed individual. If the source patient demographic information is not readily available for the admissions staff, they should obtain that from the exposed individual or company.
Rapid HIV results should be called if the registration is delayed.
Transport Temperature
Refrigerate
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Green-top (heparin) tube or cord blood is not acceptable
Methodology
Enzyme Immunoassay (EIA)/Chemiluminescence
Setup Schedule
Monday through Sunday
Reference Range
Negative (reported as positive or negative)
Interpretation depends on clinical setting.
Interpretation depends on clinical setting.
Clinical Significance
Useful for screening blood for hepatitis Bs antigen (HBsAg), hepatitis C antibody (anti-HCV), and HIV-1/2 after blood exposure. This protocol is to be used for evaluating blood exposure incidents.
Performed By
CoxHealth
