SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care...
Transcript of SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care...
![Page 1: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/1.jpg)
SHARPS SAFETY IN A
MILITARY SET UP
LEBANESE ARMY
HEALTHCARE SERVICES
BY
Captain Haytham FARHAT
&
Ms. Annie PARLAKIAN
JUNE 14, 2013
![Page 2: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/2.jpg)
Sharp Injuries
1- In The Field (Capt. Haytham Farhat)
2- At The Hospital (Ms. Annie Parlakian)
![Page 3: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/3.jpg)
Medics
COMBAT MEDIC
Trained for:
Combat Live Saver (CLS) - basic level.
Emergency Medical Technician (EMT).
Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P.
![Page 4: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/4.jpg)
SENIOR MEDIC
Trained for :
Advance Trauma Life Support (ATLS)
Combat Medical Advance Skill (CMAST)
Casualty care prior to Evacuation (C.C.P & Clearing Station):
Collection, Triage, Treatment /Stabilization, Evacuation.
Medics
![Page 5: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/5.jpg)
Levels Of Medical Support F L O T))
![Page 6: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/6.jpg)
Casualty Evacuation
Med Resupply
![Page 7: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/7.jpg)
Triage - Evacuation
![Page 8: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/8.jpg)
Point of Injury (POI)
![Page 9: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/9.jpg)
TURNIQUET
BAG
BANDAGE COMPRESSED
GAUZE
NASOPHARYNGEAL AIRWAY
TAPE
GLOVES
First Aid Kit Level I
![Page 10: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/10.jpg)
Casualty Collection Point (CCP) Level I
![Page 11: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/11.jpg)
Casualty Evaluation Stop The Bleeding Handle Chest Traumas ( Wound Care, Use Of
14G Needle In Case Of Pneumothorax…) Free The Airways Install An IV Line Prepare The Injured To Transfer …
Casualty Collection Point (CCP) Level I
![Page 12: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/12.jpg)
Clearing Station Advanced Medics
LEVEL II
![Page 13: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/13.jpg)
COMBAT MEDICS KIT LEVEL II
![Page 14: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/14.jpg)
Body Substance Isolation BSI
Use PPE
![Page 15: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/15.jpg)
Evacuation To Level III
![Page 16: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/16.jpg)
Field Hospital LEVEL III
![Page 17: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/17.jpg)
Level III Central Military Hospital
![Page 18: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/18.jpg)
Sharp Injuries At CMH
Presented By Annie Parlakian
![Page 19: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/19.jpg)
Quick Overview
Capacity 93 Inpatients / 52 Outpatients
Occupancy Rate 95 %
670 Operations Average/Month
![Page 20: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/20.jpg)
Waste Management
• Start Date With Arc En Ciel: April 2011
• Trainings & Audits Twice A Year
![Page 21: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/21.jpg)
Incident Accident Reporting System
• Start Date May 2010 (First Edition)
20 Categories
• 2nd Edition On August 2011 (23 categories)
![Page 22: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/22.jpg)
Incident /Accident 2013 (%) 1st Trimester
n= 69
![Page 23: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/23.jpg)
Sharp Injuries 2010-2013
![Page 24: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/24.jpg)
Sharp Injuries / Position (%) 2010-2013
n= 91
![Page 25: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/25.jpg)
Sharp Injuries/Position % (2010-2013)
![Page 26: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/26.jpg)
Sharp Injuries By Department (%)
2010-2012
n= 87
![Page 27: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/27.jpg)
Cause Of Sharp Injuries
![Page 28: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/28.jpg)
Cause Of Sharp Injuries (%) 2010-2013
n= 91
![Page 29: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/29.jpg)
Cause Of Sharp Injuries 2010-2012
![Page 30: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/30.jpg)
Estimated Preventability
![Page 31: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/31.jpg)
Root Cause Analysis
• Workload
• New Recruits
• Nonchalance Of HCW
• New Students
• Physicians Leaving Sharp Devices On The Table
• Patient Agitation
• …
![Page 32: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/32.jpg)
Known/Unknown Source
n= 91
![Page 33: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/33.jpg)
In Case Of Injury
![Page 34: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/34.jpg)
Projection sur les
muqueuses: oeil,nez....
Infraction cutanée:
coupure, piqûre....
A.E.S.
Rinçage abondant à
l'eau pendant au moins 5 minutes
Lavage (eau + savon)
Annonce au responsable direct et par la suite au GR
Consultation immédiate au
service des Urgences
Envoi d'une fiche d'incidents et accidents au
département de qualité
Source
identifiée OUISérologie du
malade source
NON
Suivi médical
Bilan sanguin de l'accidenté sera précisé
par le médecin de travail
![Page 35: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/35.jpg)
Prevention
• Vaccination For HBV
• Respect of Universal Precautions
• Continuous Education & Audits
• Use Of Safety Devices & Equipment like Sharps Container, Gloves, Goggles…
![Page 36: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/36.jpg)
Benchmarking With A Lebanese Hospital (Per 1000 Occupied Beds)
![Page 37: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/37.jpg)
QIP 2013
Goal : Sharp Injuries Rate
Internal Medicine
OR
ER
ICU
![Page 38: SHARPS SAFETY IN A MILITARY SET UP · Emergency Medical Technician (EMT). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P. ... Annonce au responsable](https://reader035.fdocuments.in/reader035/viewer/2022080719/5f791f60021e9d02a20c4ff3/html5/thumbnails/38.jpg)
Thank you