Hepatitis C Prevention
through Injection Safety
Evelyn McKnight, president
www.HONOReform.org
Unsafe injections spread disease
The only national advocacy
organization dedicated to
safeguarding the medical injection
process
Our vision is a world in w...
Does this really still happen?

• > 48 recognized outbreaks
• 90% in outpatient settings
• Primary breech was syringe reus...
Unsafe injections result in:

•
•
•
•

Untold human suffering
Distrust in healthcare system
Bloodborne viruses, bacterial ...
Unsafe injections result in:

• Patient to patient transmission
- as described in A Never Event
• Patient to provider tran...
Preventing patient/patient transmission

•
•
•
•
•

www.cdc.gov/injectionsafety
Bloodborne pathogens training activity
Bro...
Preventing patient/patient transmission

• Never use same syringe for more than 1 patient, even if
needle is changed
• Do ...
Survey tool for certified facilities

JAMA. 2010; 303:2273-79
http://www.cms.hhs.gov/SurveyCertificationGenInfo/downloads/...
Infection Prevention for Outpatient
Settings

http://www.cdc.gov/HAI/settings/outpatient/outpatient-care-guidelines.html
Patient to provider transmission

www.bd.com

• CDC estimates 385K sharps-related injuries annually in
hospital settings, ...
Preventing patient-provider transmission

•
•
•
•

http://www.cdc.gov/niosh/stopsticks/
Informational campaign to reduce s...
Risk of transmission

• 600,000 sharps-related injuries annually in the US
• Average risk of bloodborne infection is 1.8% ...
How sharps injuries occur

Sharps injuries often result of using dangerous equipment in
a fast-paced, stressful, and under...
Preventing sharps injuries

•
•
•
•
•

Activate sharps safety features immediately after use
Dispose of all sharps promptl...
Preventing sharps injuries

A safety culture reflects the shared commitment of
management and employees toward ensuring th...
After an exposure

•
•
•
•

Wash sticks and cuts with soap and water
Evaluate exposure
Give post-exposure prophylaxis
Perf...
OSHA reporting requirements

•
•
•
•
•

Confidential info about the injury
Type and brand of device
Department or work are...
Needlestick Safety & Prevention Act

• Review new technology that reduces risk annually
• Maintain sharps injury log
• Sol...
Provider to patient transmission

•
•
•
•

“If you look, you will find it”
“Addiction comes to work”
Prevention beyond edu...
A growing problem

Annual Numbers (in Millions) of New Nonmedical users of Pain Relievers aged 12 or older: 1970-2001
from...
Narcotics Tampering

https://www.premierinc.com/safety/topics/drug
_diversion/index.jsp
Resources for prevention

• Premier Safety Institute drug diversion website:
https://www.premierinc.com/safety/topics/drug...
Resources for prevention

https://www.premierinc.com/safety/topics/drug_diversion/in
dex.jsp#Resource
Mayo Clinic protocol...
Resources for prevention

http://www.health.state.mn.us/patientsafety/drugdiversion/index.html

• Minnesota Department of ...
Calling for Reform

•
•
•
•

HONOReform, NHHHS, NADDI and NHHA collaboration
Medical technician registry bill in NH
System...
A patient’s story

Lauren Lollini

“How do you go to a hospital and then walk out of the
hospital with Hepatitis C from a ...
How You Can Help:
Recommend us for a presentation
Subscribe to www.HONOReform.org/blog
Use materials at www.OneAndOnlyCamp...
HONOReform discusses preventing healthcare transmission through unsafe injections
HONOReform discusses preventing healthcare transmission through unsafe injections
HONOReform discusses preventing healthcare transmission through unsafe injections
HONOReform discusses preventing healthcare transmission through unsafe injections
HONOReform discusses preventing healthcare transmission through unsafe injections
HONOReform discusses preventing healthcare transmission through unsafe injections
HONOReform discusses preventing healthcare transmission through unsafe injections
HONOReform discusses preventing healthcare transmission through unsafe injections
HONOReform discusses preventing healthcare transmission through unsafe injections
HONOReform discusses preventing healthcare transmission through unsafe injections
HONOReform discusses preventing healthcare transmission through unsafe injections
Upcoming SlideShare
Loading in …5
×

HONOReform discusses preventing healthcare transmission through unsafe injections

364 views

Published on

Evelyn McKnight of HONOReform presents material that educates healthcare workers about preventing disease spread through unsafe injections

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
364
On SlideShare
0
From Embeds
0
Number of Embeds
4
Actions
Shares
0
Downloads
4
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

HONOReform discusses preventing healthcare transmission through unsafe injections

  1. 1. Hepatitis C Prevention through Injection Safety Evelyn McKnight, president www.HONOReform.org
  2. 2. Unsafe injections spread disease
  3. 3. The only national advocacy organization dedicated to safeguarding the medical injection process Our vision is a world in which healthcare providers always follow fundamental injection safety
  4. 4. Does this really still happen? • > 48 recognized outbreaks • 90% in outpatient settings • Primary breech was syringe reuse to access shared medication vials Guy et al. “Patient Notification for Bloodborne Pathogen Testing due to Unsafe Injection Practices in the US Health Care Settings, 20012011,” Medical Care 50(9): September 2012: 786.
  5. 5. Unsafe injections result in: • • • • Untold human suffering Distrust in healthcare system Bloodborne viruses, bacterial and fungal infections Malpractice suits and other legal actions
  6. 6. Unsafe injections result in: • Patient to patient transmission - as described in A Never Event • Patient to provider transmission • Provider to patient transmission
  7. 7. Preventing patient/patient transmission • • • • • www.cdc.gov/injectionsafety Bloodborne pathogens training activity Brochures, posters, videos FAQ’s Single dose/multi dose vial guidance
  8. 8. Preventing patient/patient transmission • Never use same syringe for more than 1 patient, even if needle is changed • Do not enter vial, bag or bottle with used syringe/needle • Never use single dose vial for more than one patient • Always use aseptic technique
  9. 9. Survey tool for certified facilities JAMA. 2010; 303:2273-79 http://www.cms.hhs.gov/SurveyCertificationGenInfo/downloads/SCLetter09_37. pdf
  10. 10. Infection Prevention for Outpatient Settings http://www.cdc.gov/HAI/settings/outpatient/outpatient-care-guidelines.html
  11. 11. Patient to provider transmission www.bd.com • CDC estimates 385K sharps-related injuries annually in hospital settings, 600K in all medical settings • 5.6M workers at risk of exposure to bloodborne disease • Nurses sustain half of all needlesticks but also MD’s, housekeeping, maintenance, technicians, administrators http://www.safeincommon.org/needlestick-statistics
  12. 12. Preventing patient-provider transmission • • • • http://www.cdc.gov/niosh/stopsticks/ Informational campaign to reduce sharps injuries Raise awareness about exposure to HBC, HCV, HIV Resources for education, prevention, evaluation and response
  13. 13. Risk of transmission • 600,000 sharps-related injuries annually in the US • Average risk of bloodborne infection is 1.8% when exposed to HCV+ • HCV is most common bloodborne disease in US • Approx 4.1M people or 1.6% of US population has HCV http://www.cdc.gov/niosh/stopsticks/
  14. 14. How sharps injuries occur Sharps injuries often result of using dangerous equipment in a fast-paced, stressful, and understaffed environment. http://www.cdc.gov/niosh/stopsticks/
  15. 15. Preventing sharps injuries • • • • • Activate sharps safety features immediately after use Dispose of all sharps promptly Watch disposal container fill levels Access size of container for large sharps Replace full disposal containers http://www.cdc.gov/niosh/stopsticks/
  16. 16. Preventing sharps injuries A safety culture reflects the shared commitment of management and employees toward ensuring the safety of the work environment. http://www.cdc.gov/niosh/stopsticks/
  17. 17. After an exposure • • • • Wash sticks and cuts with soap and water Evaluate exposure Give post-exposure prophylaxis Perform follow-testing and counseling http://www.cdc.gov/niosh/stopsticks/
  18. 18. OSHA reporting requirements • • • • • Confidential info about the injury Type and brand of device Department or work area Information about source patient How the exposure occurred http://www.bd.com/safety/epinet/forms/
  19. 19. Needlestick Safety & Prevention Act • Review new technology that reduces risk annually • Maintain sharps injury log • Solicit input from employees http://www.govtrack.us/congress/bills/106/hr5178
  20. 20. Provider to patient transmission • • • • “If you look, you will find it” “Addiction comes to work” Prevention beyond education and infection control Safety-engineered devices and comprehensive approach
  21. 21. A growing problem Annual Numbers (in Millions) of New Nonmedical users of Pain Relievers aged 12 or older: 1970-2001 from National Survey on Drug Use and Health, May 21, 2004 • As prescription drug addiction increases, so does diversion • Focus on high risk areas (e.g. anesthesia, ED, procedural areas) but keep in mind unusual areas (e.g., animal research, clinical laboratory) • Requires co-operation among administration, pharmacy, providers, management, and potentially law enforcement https://www.premierinc.com/safety/topics/drug_diversion/index.jsp
  22. 22. Narcotics Tampering https://www.premierinc.com/safety/topics/drug _diversion/index.jsp
  23. 23. Resources for prevention • Premier Safety Institute drug diversion website: https://www.premierinc.com/safety/topics/drug_diversio n/index.jsp#Resources • Contains webinar slides/recording, sample policies, tools and references
  24. 24. Resources for prevention https://www.premierinc.com/safety/topics/drug_diversion/in dex.jsp#Resource Mayo Clinic protocol – 77 Best Practices for: storage, security, procurement, ordering, prescribing, preparation, dispensing, administration, inventory, recordkeeping, surveillance, investigation, education, QI
  25. 25. Resources for prevention http://www.health.state.mn.us/patientsafety/drugdiversion/index.html • Minnesota Department of Health: roadmap, toolkit, training, sample policies, report flowchart • Best Practices examples: camera surveillance, key count, secured passcodes, barcodes for tracking, secured drug carts, tamper resistant packaging
  26. 26. Calling for Reform • • • • HONOReform, NHHHS, NADDI and NHHA collaboration Medical technician registry bill in NH Systematic change to prevent drug diversion Approaching HHS to implement NH bill as a national model
  27. 27. A patient’s story Lauren Lollini “How do you go to a hospital and then walk out of the hospital with Hepatitis C from a dirty needle?” - Lauren Lollini www.HONOReform.org/blog
  28. 28. How You Can Help: Recommend us for a presentation Subscribe to www.HONOReform.org/blog Use materials at www.OneAndOnlyCampaign.org Recommend A Never Event to others

×