Safe injection practices for Laboratory Personnel
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For All person who are working into laboratory there is always risk of getting needle stick injury and getting infection of HIV, Hepatitis B virus and Hepatitis C Virus
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Safe injection practices for Laboratory Personnel
- 1. Safe Injection Practice For Laboratory Personnel Dr Ketan Ranpariya (MBBS, PGDHM,PGDHIVM,HIVM) HIV / AIDS CONSULTANAT Mobile: 0 75 75 88 70 70 Dr Ketan Ranpariya
- 2. Disclaimer • This information is for Awareness of Health Care Personnel as part of “Safe Injection Practice” Campaign 10 K. • I do not have anything for financial disclosure. It’s release for Public Health Interest • Have a Safe and Healthy Injection Practice and keep yourself and patient safe. • Let’s Join Hand and Work Together to achieve Harmless Injection Practice Dr Ketan Ranpariya
- 5. Who are at risk of Unsafe Injection Practice ? 1. Recipient 2. Health Care Worker 3. Community Dr Ketan Ranpariya
- 6. Practices that can harm recipients Dr Ketan Ranpariya
- 7. Practices that can harm recipients • Touching the needle Dr Ketan Ranpariya
- 8. Practices that can harm recipients • Applying pressure to bleeding sites with used material or a finger Dr Ketan Ranpariya
- 9. Practices that can harm healthcare workers Dr Ketan Ranpariya
- 10. Practices that can harm healthcare workers • Recapping, bend or breaking contaminated or used needles Dr Ketan Ranpariya
- 11. Practices that can harm healthcare workers • Placing needles on a surface or carrying them any distance prior to disposal Dr Ketan Ranpariya
- 12. Practices that can harm healthcare workers • Reaching into a mass of used syringes or needles (for cleaning or sorting waste) Dr Ketan Ranpariya
- 13. Practices that can harm the community Dr Ketan Ranpariya
- 14. Practices that can harm the community • Leaving used syringes in areas where children can play with them Dr Ketan Ranpariya
- 15. Practices that can harm the community • Giving or selling used syringes to vendors who will resell them Dr Ketan Ranpariya
- 16. Practices that can harm the community • Leaving used syringes in areas accessible to the public Dr Ketan Ranpariya
- 19. Characteristics of Unsafe Injections (63 % of all Injections are Unsafe) – All India Total Total Unsafe Wrong Habits of Injection Givers 54 % Questionable Sterility 24 % Reuse 22 % Dr Ketan Ranpariya
- 20. Wrong Habits of Injection Givers ( 54 % ) Dr Ketan Ranpariya
- 21. Wrong Habits of Injection Givers ( 54% ) • Injection without proper hand washing Dr Ketan Ranpariya
- 22. Wrong Habits of Injection Givers ( 54% ) • Taking or Handling Blood or other material without wearing gloves or apron Dr Ketan Ranpariya
- 23. Wrong Habits of Injection Givers ( 54% ) • Improper cleaning of injection site Dr Ketan Ranpariya
- 24. Wrong Habits of Injection Givers ( 54% ) • Cleaning needle with spirit Dr Ketan Ranpariya
- 25. Wrong Habits of Injection Givers ( 54% ) • Touching needle with finger while injecting Dr Ketan Ranpariya
- 26. Wrong Habits of Injection Givers ( 54% ) • Using spirit cotton on after injection Dr Ketan Ranpariya
- 27. Wrong Habits of Injection Givers ( 54% ) • Improper disposal of injection waste Dr Ketan Ranpariya
- 28. Reuse of syringes ( 22% ) Dr Ketan Ranpariya
- 29. Reuse of syringes ( 22% ) • Two types of reuse – Downstream reuse – Where, after discarding of the syringe by the injection giver, someone else takes the syringe for reuse – Intentional reuse – Where the injection giver intentionally brings about the reuse of the syringe Dr Ketan Ranpariya
- 30. Downstream Reuse Although injection giver does not intentionally reuse syringe, somewhere along the way the syringe/needle gets picked for reuse Medical waste is disposed off improperly due to lack of sealable sharps containers and lack of incineration Dr Ketan Ranpariya
- 31. Downstream Reuse Can be resold or simply reused: Can’t tell if a syringe is new • Evidence of “industry” of reprocessing and reselling; particularly in India, Pakistan; also reported in parts of Africa 5-year-old girl smiles as she displays her 'catch' to her mother - dozens of used disposable syringes with the needles intact! Dr Ketan Ranpariya
- 32. Bio Medical Waste Management Rules
- 34. Sharp containers Dr Ketan Ranpariya
- 36. ESNC an Innovative Game Changer
- 37. FAB- BD Emerald™ Needle Collector • Small size – Portable (Easy to Carry)- – Bedside needle containment – Prevent recapping of needle – Prevent NSI (Employee welfare) Dr Ketan Ranpariya
- 38. FAB- BD Emerald™ Needle Collector • Slide door- Closed containment of Needles – Prevent exposure of sharps – Infection prevention - Ease of operation Dr Ketan Ranpariya
- 39. FAB- BD Emerald™ Needle Collector • Made of Polypropylene – • Non Chlorinated Plastic – No PVC – Incinerable if BMWM rules allows Dr Ketan Ranpariya
- 40. Safe work practices to eliminate the risk of transmitting infectious pathogens Dr Ketan Ranpariya
- 41. Hand Washing • To disrupt transmission of infectious pathogens frequent hand washing according to the procedure.Before and after each patient contact, as well as between procedures on the same patient. Dr Ketan Ranpariya
- 42. Prohibited • Eating, drinking, smoking should be prohibited in lab area Dr Ketan Ranpariya
- 43. Personal Protective Equipment (PPE) • Gloves and lab coats etc. Personal Protective Equipment used as required • A pair of well-fitting, clean, disposable latex or latex-free gloves per patient or per procedure Dr Ketan Ranpariya
- 44. Clean Up • Clean up any infectious fluids/blood spills immediately and minimize aerosolization Dr Ketan Ranpariya
- 45. Tourniquet • Clean elastic tourniquet reprocessed between patients Dr Ketan Ranpariya
- 46. Sharp Needle Container Needles should not be recapped by hand, purposely bent or broken by hand, removed from disposable syringes, or otherwise manipulated by hand to prevent needle stick injuries. Dr Ketan Ranpariya
- 47. Skin Preparation • Inspect skin, clean if visibly dirty Apply 70% alcohol with single-use swab or clean cotton-wool ball Dr Ketan Ranpariya
- 48. PEP and PrEP • Prophylactic measures for pre-exposure and post-exposure for handling potential occupational transmission of certain pathogens should be known by phlebotomist. Dr Ketan Ranpariya
- 49. Share Your Knowledge Dr Ketan Ranpariya
- 50. Thank You !!!
- 51. To Participate in “Safe Injection Practice” Campaign 10 K You can contact us on : 0 70 48 70 41 41 : www.facebook.com/HIVCLINICSURAT : doctorforhiv@gmail.com : www.hivaidssurat.com Dr Ketan Ranpariya
Editor's Notes
- Step 1: Introduction and session objectives (Slide 1-2) - 2 minutes Trainer Notes: This session should take approximately 60 minutes to implement. Step 1: Introduction and session objectives (Slides 1-2) - 2 minutes Step 2: Exercise 1: Story Time (Slide 3) - 3 minutes Step 3: Presentation of Transmission of HIV, infectious body fluids and risk of transmission (Slides 4-8) – 10 minutes Step 4: Presentation of Elements of Post-Exposure Management (Slides 9- 10) – 5 minutes Step 5: Categorising and Assessing Exposure Codes (Slides 11-15) – 12 minutes Step 6: PEP and Health Care Workers, including PEP Register (Slides 16-30) – 22 minutes Step 7: Prevention aspects and PEP (Slides 31-32) – 4 minutes Step 8: Summary (Slide 33) – 2 minutes