A phlebotomist fails to activate the needle guard after the draw and sustains an accidental needle stick. Which of the following should they use to cleanse the site?

When a phlebotomist sustains an accidental needle stick, it is critical to properly cleanse the site to reduce the risk of infection or transmission of bloodborne pathogens. Using soap and tap water is the recommended practice in such scenarios.

Soap works effectively to remove dirt, blood, and microorganisms from the skin, while tap water helps to rinse away any contaminants. This method ensures that the site is thoroughly clean, which is crucial in preventing infection after a needle stick injury.

Antiseptic wipes, while effective for disinfecting the skin prior to an invasive procedure, may not be as effective for cleansing an existing wound as they do not provide the mechanical action of scrubbing that soap and water do. Disinfectant sprays and hydrogen peroxide could irritate the skin or damage underlying tissues, and they are not recommended for immediate cleansing of a needle stick injury.

In summary, the use of soap and tap water provides the best initial cleansing option following a needle stick, according to infection control guidelines.