Role of health care worker in preventing needlestick
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ROLE OF HEALTH CARE WORKER IN PREVENTING NEEDLESTICK INJURIES
Ms. Subashini kaliraj
Infection Control NurseNurse Supervisor
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How do needle stick injuries occur?
Several studies show that needles cause injuries at
every stage of their use, disassembly, or disposal.
Equipment design.Nature of Procedure.Conditions of Work.Staff Experience.Recapping.Disposal.
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Equipment design.
Non availablity or improper use of equipment can cause needle sticks. Safer innovative devices can used.
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Nature of Procedure.
Injuries commonly occur when workers try to do several things at the same time, especially while disassembling or disposing of needles.
For example withdrawing a needle from a patient, especially if staff attend to bleeding patients while disposing of the needle.
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Conditions of Work.
Staff reductions where nurses, laboratory personnel and students do additional duties.
Difficult patient care situations.Working at night with reduced lighting.New staff or students tend to have more
needlestick injuries than experienced staff.
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How needlestick injures can be prevented?Employee training.Recommended guidelines in management of
sharps.Safe recapping procedures.Effective disposal systems.Surveillance programs.Improved equipment design.
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1.Employee trainingRisk of injury.Potential hazards.Recommended precautions for use and
disposal of needles.Procedures for reporting injuries.The importance of hepatitis B vaccination
where appropriate.
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2.Recommended guidelines in management of sharps.1. Sharp waste shall be disposed in “sharps
container” which are rigid and puncture resistant and presents no risk on staff or patients.
What are sharp containers? sharps container are designed for the
disposal of sharps required and regulated by the Occupational Safety and Health Administration (OSHA).
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Types Sharp containers Y Series Sharps Containers are designed
in good sharps removing function for safe use. These Containers are manufactured in round shape style with various capacity and they adopt rolling locking covers.
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F Series Sharps Containers offer a comprehensive sharps disposal solution with either rolling locking cover or sliding locking cover
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T Series Sharps Disposal Containers are ideal to use in isolation patients. These sharps disposal container features a good needle notch.
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Big Series Sharps Box are designed in big volume.
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R Series Sharps Disposal Containers are simple design with pressing locking covers with feature a handle around the sharps container for hanging application.
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Recommended guidelines
APP-IC-14Sharp waste shall be disposed in “sharps
container” which are rigid and puncture resistant and presents no risk on staff or patients.
Sharp containers should be filled to three quarters and closed tightly with lid.
Sharp containers are properly used: not over filled, do not attempt to transfer sharps into other container.
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Sharp containers are transported by housekeeping personnel for storage and then for incineration with external company.
Sharp waste is disposed of in sharps containers as close to site use as possible.
Under no circumstances shall be discarded into waste or trash container.
Bare needle will not be left on IV poles, instrument trays or any place in the nursing station that may pose a hazard to personnel, patients or visitors.
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NO RECAPING
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Safe recapping procedures.
Needles are not bent, broken or recapped except in special and approved circumstances.
If recapping is necessary, the one handed scoop technique is used.
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Report the incidentMost important responsibility of the health worker is to report the
incident. REPORT THE INCIDENT TO SUPERVISOR
INFECTION CONTROL NURSE MS.SUBASHINI KALIRAJ
INFECTION CONTROL HEAD DR.SANNA KAMAL
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EXPOSURE NEEDLESTICK AND SHARP INJURY WASH WITH RUNNING WATER REPORT THE INCIDENT SEEK MEDICAL HELP
SAMPLING PATIENT SAMPLING HCW
POSITIVE NEGATIVE FOR VIRUSES ARCHIVE
FOLLOW-UP STOP REFERRAL TO SHC
HCW
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Surveillance
Surveillance to be adopted on the following aspects
Determining the rate of needlestick injuries.Investigating the factors that cause the injuries.Ensuring that injured workers receive proper
diagnosis and treatment.Follow-up of response to HBV vaccinationIdentifying areas in which the prevention program
needs improvement.Eventually providing practical strategies for
dealing with the problem.
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Continued Innovation
To identify the types and designs of needle which can reduce needle stick injuries.
To understand better how needle devices can be handled.
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Thank you