Preventing Needlestick Injuries Course Overview
Needlestick injuries are one of the most frequent routes of transmission for occupationally acquired bloodborne infections in healthcare. A needlestick injury (NSI) is an accidental percutaneous piercing wound caused by a contaminated sharps instrument—usually a hollow-bore needle from a syringe. These injuries can expose healthcare workers to over 20 types of infectious bloodborne pathogens, including Hepatitis B (HBV), Hepatitis C (HCV), and HIV, the virus that causes AIDS. According to CDC data, approximately 385,000 needlestick injuries occur annually among U.S. hospital-based healthcare workers alone, with many additional injuries occurring in outpatient settings, long-term care facilities, and home healthcare.
This course informs workers on the hazards of working with needles during patient care and provides evidence-based prevention strategies. Employees learn to identify risky devices and unsafe work practices that cause needlestick injuries, understand employer responsibilities for providing safer needle devices and sharps disposal systems, and apply safer work practices that minimize exposure risk in clinical settings.
Preventing Needlestick Injuries Course Content
Lesson 1: Introduction and Objectives
Scope of needlestick injury problem in healthcare, bloodborne pathogens transmitted through needlestick injuries, statistics on occupational exposures, high-risk occupations and procedures, course objectives, and importance of prevention
Lesson 2: Risk and Reporting
Common causes of needlestick injuries, high-risk devices, procedures with elevated risk, importance of immediate reporting, employer’s exposure control plan requirements, post-exposure evaluation and follow-up (PEEF) procedures, and baseline testing protocols
Lesson 3: Prevention Strategies
Hierarchy of controls for needlestick prevention, engineering controls, work practice controls, administrative controls, universal precautions and standard precautions, and role of personal protective equipment
Lesson 4: Safer Devices
Safety-engineered sharps with injury protection (SESIP) features, passive vs. active safety mechanisms, retractable needles, shielding/sliding needles, blunting needles, needleless IV systems, self-sheathing syringes, safety winged steel needles, evaluation criteria for selecting safer devices, frontline worker involvement in device selection, and proper use of safety features


