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  • 2. The purpose of these recommended safer work practices is toprovide a safer work environment for health care workers whoWho provide nursing care to Who perform venipuncture onpatients in hospitals patients
  • 3. Standard PrecautionsWash hands before patient contact and after removal of gloves.
  • 4. Standard PrecautionsHandle all blood and body Use personal protectivefluids as if they are infectious. equipment
  • 5. Engineering Controls• Use sharps with engineered safety features for all venipuncture procedures.
  • 6. Engineering Controls• Place puncture resistant sharps containers in patient rooms and all drawing stations.
  • 7. Engineering Controls• Use plastic blood tubes and capillary tubes in place of glass whenever reasonably possible.
  • 8. Work Practice Controls• Always use and activate sharps safety devices.• Do not pass contaminated sharps from one person to another.• Share information with fellow health care workers about patients who may be uncooperative.• Check with the patient’s nurse and/or the log book to obtain any special information you may need to know.• Always introduce yourself and get a “feel” for the patient before you begin.
  • 9. Work Practice Controls• When minor surgical procedures are performed outside of the surgical suite, the neutral or safe zone concept should be utilized. This means that sharps are placed in a designated area to be retrieved by the user. This avoids hand-to-hand transfer of sharps between personnel.
  • 10. Hollow-bore needlessubcutaneous and intradermal injectionscause a high percentage of needlesticks.
  • 11. Butterfly needles Butterfly needles are high risk devices for needlesticks. Therefore:• limit the use of this device,• always use a safety engineered butterfly• stretch out the butterfly tubing when removed from the package to reduce recoil• use care when putting the needle in the disposal container as it can flip back out of the container.
  • 12. Work Practice Controls• Obtain assistance when drawing blood from an uncooperative, combative or confused patient.• Before you begin the procedure assure that you have a stable work surface and a needle disposal container available.• When possible, send two lab technicians to a code or trauma so one can help hold the patient. If staff is not available, ask a nurse to help hold the patient.
  • 13. Work Practice Controls• A firm, stable surface is needed to make a differential slide.• The safest place to make a slide is in the lab.• If a slide must be made in a patient room, first check to make sure a stable work surface is available.• If a tube of blood hasn’t clotted well and must be respun, cover the top with parafilm (a stretchable wax film) to prevent the top from coming off in the centrifuge.
  • 14. Work Practice ControlsPick up all broken glass with Refuse to process specimensforceps, brush and dust-pan, or sent in syringes with needle stillanother tool to avoid hand attached. Immediately alert the patient’s nurse and physician.contact.
  • 15. Recapping the needleIncorrect method Correct Method
  • 16. Destruction of Syringe and Needle before disposal Syringe and Needle Syringe and Needle Cutter(electrical) Cutter(manual)