A power point presentation on Unsafe Injection. To at least educate health workers on what its all about, what causes and promotes the unsafe injection practices as well as suggested ways in which if applied can mitigate illegal and unethical practice of unsafe injection.
2. OUTLINE
► Introduction
► Definition
► Unsafe practices
1. To the recipients
2. To Healthcare providers
3. To the community
► Factors leading to unsafe injections
► Factors promoting unsafe injections
► Ways to mitigate unsafe injection practices
► Conclusion
► Campaign against quackery
3. UNSAFE INJECTION
► INTRODUCTION
Unsafe injection as the name implies is an injection given by either
unqualified, unauthorized, unlicensed personnel, Or in an Inappropriate place/
facility, or against the standard of safe injection practices even if it is given by
licenced qualified personnel.
Definitions
► Is defined as any injection given against one or more rules/techniques of
giving a SAFE injection (IHVN, 2013).
► Also can be defined as any injection that causes harm to the patient, or
provider, or results in waste that is harmful to others and the community
(WHO, 2006).
4. HARMFUL PRACTICES RELATED TO UNSAFE INJECTION
► To the recipients
1. Administration of Contaminated or expired drugs.
2. Loading of multiple drugs in a single syringe.
3. Loading of multiple doses in a single syringe.
4. Storing of remaining medications in a used syringe.
5. Applying pressure to the injection site with dirty materials or a bare
finger.
6. Drugs are given in the wrong dosage, wrong route, or incorrect
anatomical site.
7. Use of an unsterile syringe or needle.
8. Not observing aseptic techniques while given injection.
9. Storing of the multi-open vials drugs beyond the recommended time.
10. Storing of Drugs and vaccines in the same refrigerator.
5. 11. Accepting injections From unqualified professionals
► To Health Worker
1. Carrying used needles/syringes around before disposal.
2. Placing used needles/syringes on a surface or the ground before
disposal.
3. Recapping of needles (2-handed)
4. Manipulating used sharps (manually). Eg Detaching, breaking,
bending or cleaning of the used needle and syringe.
5. Passing of used sharps from one patient to another.
6. Overfilling of safety boxes.
7. Giving injections to agitated patients Especially children without an
assistant.
8. Stationing of safety boxes away from where the injections are given.
6. I. To the community
1. Disposal of sharps waste in an area accessible to the public.
2. Using/sharing of single syringes among the family members.
3. Receiving of Injection from informal health center.
4. Picking and using of used syringe/needle for another purpose.
7. FACTORS LEADING TO UNSAFE INJECTION PRACTICES
1. Lack of intethe re in doing the right thing by the health care
providers.
2. Lack of Knowledge/awareness of the current methods of injection
safety by the healthcare providers.
3. Lack of instruments/equipment used in giving Safety injections. Eg
automated syringe.
4. Shortage of Manpower in the health facilities.
5. Shortage of qualified personnel in primary and secondary health
facilities. Eg Nurses and Doctors.
6. Wrong Perceptions of the effectiveness of injections over oral
Medications. Thus leading to the rampant prescription of Injections.
7. Health workers are influenced by the socio-cultural perceptions of
injection that potentially contribute to the overuse of injections.
8. 8. Health workers in geographically isolated facilities may find it difficult
to acquire new knowledge on safe injection techniques.
9. Informal and uncontrolled selling of drugs in shops, markets, etc
which leads to easy accessibility to injectable drugs that can lead to self-
administration of drugs, drugs being administered by a friend or
relatives.
9. Factors promoting unsafe injection practices.
1. Manners of Health workers towards patients and patient’s relatives.
2. Lack of knowledge about safe injection practices.
3. Lack of availability and affordability of instrument/equipment used in
giving a safe injection.
4. Lack of training and retraining of health professionals about the current
knowledge of safe injection practices.
5. Lack of societal awareness about the implications of unsafe injection.
6. Rampant quacks, quackery practices and too many quack-producing
institutions.
7. Inadequate supervision by regulatory bodies to government and private
health facilities and Health training instititions.
10. WAYS TO MITIGATE UNSAFE INJECTION PRACTICES.
1. Adequate supervision of training institutions by regulatory bodies to
ascertain the quality of training given to health workers.
2. Re-training of the health workers through in-service training,
seminars and workshops.
3. Motivating health workers by recognising the outstanding ones by
giving incentives, awards, promotions and review of salaries as of
when due.
4. Supplying the required instrument/equipment to the health facilities.
5. Creating Public Awareness on Safe Injection Practices and
Implications of unsafe injection, for them to insist on safe injection.
6. Fighting quackery at all costs.
7. Drawing a professional boundary for all health professionals and
approve sanctions for the defaulters.
11. 8. Recruitment of qualified and enough professionals in health facilities.
9. Creating special courts to handle healthcare negligence.
Conclusion
Generally, unsafe injection is a bad attitude of the bad health workers that
take, share and shoulder the responsibilities of either failing to carry out
their supervisory role as staffs of regulatory bodies or training of
unqualified personnel and quacks at training institutions, or those who
deliberately in their laziness attitude, unjustly neglected their duty to the
detriment of Public health.
12. BETTER LIFE SWEET!!!
QUACKERY SPOILED IT!!!
ONLY ACCEPTS INJECTIONS FROM QUALIFIED
PERSONNEL
ALWAYS INSIST TO SEE VALID PRACTICING LICENCE
BEFORE ACCEPTING.
PLEASE BE WARNED!!!
IS BETTER SAFE THAN ENDING OF WITH SEPSIS OR
DISABILITY!!!
