Which of the following is NOT a step in the sharps injury procedure?

• A. Scrub the area
• B. Rinse mucosal surfaces
• C. Do not swallow the rinse water
• D. Do not suck the area

Answer: (A)

Pushing the point of decontamination after a sharps injury is to minimize tissue damage while removing contaminants. Scrubbing the area is not advised—gentle cleansing with soap and running water is the recommended first step. Scrubbing can injure tissue and push contaminants deeper into the wound, increasing the risk of infection.

In contrast, rinsing mucosal surfaces with water is appropriate because it helps remove contaminants from the eyes or mouth without forcing them further in. It’s important not to swallow the rinse water, and not to suck the area, since these actions can introduce contaminants or cause additional tissue injury. After this initial cleaning, promptly seek medical assessment and follow any guidance on post-exposure prophylaxis based on the exposure risk.