3.21: Universal Precautions and Needlestick Protocol

If you are stuck by a needle or splashed with bloody fluid (on to your mucous membrane or wound), this is what you do immediately!

1.     CLEANSE: Rinse copiously.

2.     CALL: Call the needlestick hotline 24/7/365 from all hospital sites.  Pager 1-STIX (1-7849). If in SHC/LPCH dial 288 then follow prompts to page. If in SCVMC, PAVA, Cardinal Free Clinics, dial 723-6661 and then follow the prompts to page.

A trained professional will call you back, decide if you need post-exposure prophylaxis and work with you to get medication expeditiously from a pharmacy nearest to you.  Most students do not need to go to the Emergency Department or Occupational Health initially. There is no charge if you use the 1-STIX hotline for blood tests, medication or initial follow-up care.

Follow up appointment may be needed but this will be recommended by the 1-STIX professional staff person. This has been set up specially for Stanford medical students and employees so that it is QUICK, CONFIDENTIAL and with NO CHARGE.  Records are kept confidential in accordance with applicable laws so that it does not become a part of your health care record.  This is a protection for you.

If you have any problems with the hotline, please contact Dr. Rebecca Smith-Coggins immediately.  Dr. Smith-Coggins can be reached through the hospital page system at 650-723-6661 at pager 13481 or email at smithcog@stanford.edu.

If you choose to go to the Emergency Department, the hospital will charge you and it will go on your health care record. Please call the needlestick hotline first. 

Universal Precautions apply to the handling of all blood, body fluids, and human tissue. Body fluids, also known as other potentially infectious materials (OPIM), include: semen, vaginal secretions, cerebrospinal, synovial, pleural, peritoneal, pericardial, and amniotic fluids, feces, urine, sputum, nasal secretions, saliva, tears, vomitus or any other body fluid or tissue that is visibly contaminated with blood.  Appropriate protection including gloves, mask and gown should be worn to protect oneself from exposure.   

updated September 2020