SHARPS SAFETY IN A MILITARY SET UPaub.edu.lb/facilities/ehsrm/Documents/Session 3-Captain...Medics...
Transcript of SHARPS SAFETY IN A MILITARY SET UPaub.edu.lb/facilities/ehsrm/Documents/Session 3-Captain...Medics...
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SHARPS SAFETY IN A
MILITARY SET UP
LEBANESE ARMY
HEALTHCARE SERVICES
BY
Captain Haytham FARHAT
&
Ms. Annie PARLAKIAN
JUNE 14, 2013
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Sharp Injuries
1- In The Field (Capt. Haytham Farhat)
2- At The Hospital (Ms. Annie Parlakian)
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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.
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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
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Levels Of Medical Support F L O T))
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Casualty Evacuation
Med Resupply
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Triage - Evacuation
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Point of Injury (POI)
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TURNIQUET
BAG
BANDAGE COMPRESSED
GAUZE
NASOPHARYNGEAL AIRWAY
TAPE
GLOVES
First Aid Kit Level I
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Casualty Collection Point (CCP) Level I
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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
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Clearing Station Advanced Medics
LEVEL II
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COMBAT MEDICS KIT LEVEL II
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Body Substance Isolation BSI
Use PPE
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Evacuation To Level III
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Field Hospital LEVEL III
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Level III Central Military Hospital
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Sharp Injuries At CMH
Presented By Annie Parlakian
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Quick Overview
Capacity 93 Inpatients / 52 Outpatients
Occupancy Rate 95 %
670 Operations Average/Month
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Waste Management
• Start Date With Arc En Ciel: April 2011
• Trainings & Audits Twice A Year
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Incident Accident Reporting System
• Start Date May 2010 (First Edition)
20 Categories
• 2nd Edition On August 2011 (23 categories)
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Incident /Accident 2013 (%) 1st Trimester
n= 69
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Sharp Injuries 2010-2013
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Sharp Injuries / Position (%) 2010-2013
n= 91
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Sharp Injuries/Position % (2010-2013)
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Sharp Injuries By Department (%)
2010-2012
n= 87
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Cause Of Sharp Injuries
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Cause Of Sharp Injuries (%) 2010-2013
n= 91
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Cause Of Sharp Injuries 2010-2012
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Estimated Preventability
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Root Cause Analysis
• Workload
• New Recruits
• Nonchalance Of HCW
• New Students
• Physicians Leaving Sharp Devices On The Table
• Patient Agitation
• …
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Known/Unknown Source
n= 91
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In Case Of Injury
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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
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Prevention
• Vaccination For HBV
• Respect of Universal Precautions
• Continuous Education & Audits
• Use Of Safety Devices & Equipment like Sharps Container, Gloves, Goggles…
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Benchmarking With A Lebanese Hospital (Per 1000 Occupied Beds)
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QIP 2013
Goal : Sharp Injuries Rate
Internal Medicine
OR
ER
ICU
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Thank you