Needle Stick Injuries:The Sleeping Threat to Healthcare Worker Safety.<br />
Today<br />Scope of the problem.<br />Implementation of Risk Management Program<br />identification<br />analysis<br />pre...
Question?<br />Where is the most dangerous place to work?<br />
Question?<br />What is the single greatest occupational hazard to medical personnel?<br />
Scope of the ProblemInternationally<br />Before 1980, needlestick injury prevention was not as much of an issue (pre-AIDS)...
Scope of the ProblemInternationally<br />While as many as 20 blood borne pathogens can be transmitted through accidental N...
Scope of the ProblemLocally<br />2006- Only 6 cases reported.<br />There was a lack of information about the various facto...
Implementation of Risk Management Program.<br />“One of a number of organisational systems or processes aimed at improving...
Incidence of needle sticks injury<br />Reporting to supervisor<br />First aid for the employee <br />OVA form<br />Reporti...
Risk Prevention and Control<br />Perform a walk-through of your facility to assess the locations, emptying schedules, and ...
Risk Prevention and Control<br />The optimal installation heights for fixed, wall-mounted containers are:<br />Standing wo...
Risk Prevention and Control<br />Procedures:  	Receive training and PRACTICE before you perform a procedure on a patient, ...
Risk Prevention and Control<br />ALWAYS be considerate of others.  Dispose of all used needles and sharps in the appropria...
Risk Prevention and Control<br />Always wear properly fitting personal protective equipment - gloves, eye protection, etc....
Risk Prevention and Control-Education!<br />Education of healthcare workers is critical in promoting a safe environment.  ...
Lessons to be Learnt<br />Blood collection, device use and disposal are part of a complex multistep process.<br />Safety d...
Employee <br />Safety <br />
Thank You!<br />
Upcoming SlideShare
Loading in …5
×

Needle Stick Injury Presentation

2,666 views

Published on

A Risk Management review of needle stick injuries

1 Comment
1 Like
Statistics
Notes
No Downloads
Views
Total views
2,666
On SlideShare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
73
Comments
1
Likes
1
Embeds 0
No embeds

No notes for slide

Needle Stick Injury Presentation

  1. 1. Needle Stick Injuries:The Sleeping Threat to Healthcare Worker Safety.<br />
  2. 2. Today<br />Scope of the problem.<br />Implementation of Risk Management Program<br />identification<br />analysis<br />prevention and control<br />Lessons to be learnt.<br />
  3. 3. Question?<br />Where is the most dangerous place to work?<br />
  4. 4.
  5. 5. Question?<br />What is the single greatest occupational hazard to medical personnel?<br />
  6. 6.
  7. 7. Scope of the ProblemInternationally<br />Before 1980, needlestick injury prevention was not as much of an issue (pre-AIDS).<br />In the late 1980’s the Centers for Disease Control and Prevention (CDC) introduced “Universal Precautions” to protect healthcare workers from bloodborne pathogens.<br />1991, The Occupational Safety and Health Administration (OSHA) published its rule “Occupational Exposure to Bloodborne Pathogens” to further protect healthcare workers.<br />
  8. 8. Scope of the ProblemInternationally<br />While as many as 20 blood borne pathogens can be transmitted through accidental NSI’s, the potentially life threatening are HIV, hepatitis B virus (HBV) and hepatitis C virus (HCV).<br />A health care worker’s chance of contracting <br />HIV 1:250<br />HBV 1:20<br />HCV 3.5:100<br />
  9. 9. Scope of the ProblemLocally<br />2006- Only 6 cases reported.<br />There was a lack of information about the various factors that cause accidents with needles. <br />No Surveillance program to provide in-depth information.<br />No analysis of the data collected which could provide useful information for designing effective prevention strategies.<br />
  10. 10. Implementation of Risk Management Program.<br />“One of a number of organisational systems or processes aimed at improving the quality of healthcare, but one which is primarily concerned with creating and maintaining safe systems of care.”<br />
  11. 11. Incidence of needle sticks injury<br />Reporting to supervisor<br />First aid for the employee <br />OVA form<br />Reporting to QMD, Writing OVA<br />Employee examination in ER, EHC<br />Negative results of investigation <br />History taken, complete<br /> physical examination <br />Employee <br />consent <br />Employee serological tests for HBs <br />AG, Anti HBs, Anti HCV, anti HV<br />Post exposure<br /> prophylaxis <br />Management of<br /> exposure <br />Patient MRP notification, <br />patient examination <br />Continuous monitoring <br />according to IPP<br />Employee counseling <br />Patient <br />consent <br />Patient serological tests for HBs <br />AG, Anti HBs, Anti HCV, anti HV<br />All measures according to<br /> IPP implemented <br />
  12. 12.
  13. 13.
  14. 14.
  15. 15.
  16. 16.
  17. 17.
  18. 18.
  19. 19.
  20. 20.
  21. 21. Risk Prevention and Control<br />Perform a walk-through of your facility to assess the locations, emptying schedules, and security of containers.<br />Does the sharps container require one or two hands to operate?<br />Are the sharps containers located in convenient locations and at the proper height?<br />
  22. 22. Risk Prevention and Control<br />The optimal installation heights for fixed, wall-mounted containers are:<br />Standing workstation: 52-56 inches above the standing surface of the use<br />Seated workstation: 38-42 inches above the floor on which the chair rests<br />
  23. 23. Risk Prevention and Control<br />Procedures: Receive training and PRACTICE before you perform a procedure on a patient, whether or not a safety product is being used.<br />Products: Familiarize yourself with the products before you use them. If a safety product is used, always use it correctly and consistently to avoid a NSI.<br />
  24. 24. Risk Prevention and Control<br />ALWAYS be considerate of others. Dispose of all used needles and sharps in the appropriate containers.<br />Expect the unexpected. Have an adequate number of supplies readily available for the procedure and ask for help from a co-worker if necessary.<br />Beextracareful during emergent situations. Always keep exposed needles pointed down and away from yourself and others. Alert co-workers when you have a needle or sharp in your hand.<br />
  25. 25. Risk Prevention and Control<br />Always wear properly fitting personal protective equipment - gloves, eye protection, etc.<br />Never reach into trash cans, basins or other containers with your hands. You never know when there might be a hidden needle.<br />Never place trash against your body to compress or secure it!<br />
  26. 26. Risk Prevention and Control-Education!<br />Education of healthcare workers is critical in promoting a safe environment. <br />It should be provided during orientation, annually, and on a “as-needed” basis to all healthcare workers. <br />Those who actually use needles and other sharp objects should be given additional training, including “hands-on” sessions in using products.<br />
  27. 27. Lessons to be Learnt<br />Blood collection, device use and disposal are part of a complex multistep process.<br />Safety devices and safety procedures do not work alone.<br />Interdisciplinary approach.<br />Promotion of organisational safety culture.<br />Leadership and managerial support.<br />
  28. 28. Employee <br />Safety <br />
  29. 29. Thank You!<br />

×