If you are stuck by a needle or splashed with bloody fluid, follow the 1-STIX (1-7849) protocol.

1. Provide immediate care to the exposure site
   1. If sharps injury: Wash skin with soap/water x 15 minutes
   2. If eyes: Flush with 500cc lactated Ringers or normal saline; If mouth/ nose: Flush with water x 15 minutes
2. Activate 1-STIX Pager for Stanford Health Care Workforce Health & Wellness (WHW) Bloodborne Pathogens (BBP) Advice RN (24/7/365)
   1. Page Operator (650) 723-6661: Ask for 1-STIX pager (17849)
3. Obtain Source Patient's blood by cooperating with personnel at the hospital where the incident occurred:
   1. Name/MRN/Unit Location/ HIV, HBV, HCV status
   2. Follow-up services may be advised by WHW BBP RN for testing at Stanford University Occupational Health Center (OHC) at 484 Oak Rd, (650) 735-5308, stanfordohc@stanford.edu.

• QUICK & CONVENIENT - A trained professional will contact you and will obtain the information from you about the exposure. F/U may be advised by the WHW BBP Advice RN to contact the University OHC at 484 Oak Rd (650-725-5308).
• CONFIDENTIAL - Does not become part of your health care record.
• FREE - No charge for services obtained via the 1-STIX hotline.
• Always keep a copy of the 1-STIX card with your Hospital ID Badge.
• If MD or MSPA students have hotline problems, email the wellness team at somwellness@stanford.edu.

Should a student experience a needle stick, they are advised to call the Needlestick Hotline regardless of where the incident occurs. If immediate emergency medical treatment is deemed necessary (sutures, x-ray, etc.), please visit nearest Emergency Room or Urgent Care. Most exposures do not need to be seen in the Emergency Department. If post-exposure prophylactic medication is necessary, the hotline advice RN will encourage the student to be seen by a provider at University OHC at 484 Oak Road. The 1-STIX hotline advice RN and the student will work with the hospital (where the incident occurred) personnel to obtain patient blood for testing.

In addition, students will be instructed to visit University OHC at 484 Oak Road if follow-up is necessary. Any necessary testing and further treatment will be addressed at this visit and follow-up care will be arranged. Costs related to Emergency Department care at an affiliated hospital, will be paid for by the affiliated hospital. Costs related to the hotline usage and initial care not done at the affiliated hospital will be paid for by Stanford. The student would assume the financial responsibility for long-term care in the unlikely event that a chronic infection (e.g., HIV or hepatitis) ensues.

Students exposed to meningococcal meningitis, pertussis, or other infections that require prophylactic antibiotics are to report to Vaden Student Health Services for treatment regardless of the site where the exposure occurred.

updated August 2024