4. Safe Injection and Immunization waste management.pptx

How to have a safe injections and immunization protocols., to prevent contamination, preventing blood borne diseases.

1. Safe Injection and Waste Disposal

2. Content Importance of Safe Injection Practices Preventing unsafe injections Improving injection safety Correct use of AD syringes Immunization Waste Management Steps to ensure safe disposal of immunization waste Summary

3. Importance of Safe Injection Practices A safe injection is one that - Does not harm the recipient Does not expose the health workers to any avoidable risks Does not result in waste, which is dangerous for the community Unsafe injection can be due to

4. Improving Injection Safety Conduct immunization session at a clean place Keep hands clean before giving injections Use sterile injection equipment Discard contaminated vaccine and injection If injection site is dirty, wash with clean water Don’t give injection on infected skin Prevent needle stick injuries Select the correct syringe for administering the vaccine Do not use syringe in damaged, opened or expired packs Do not touch the needle or rubber cap of the vial Do not recap / bend the needle / leave the used AD syringe Cut used syringe at the hub immediately after use

5. Correct use of AD Syringes

6. Correct use of AD Syringes

7. Show a video on Ensuring Safe Injection

8. Immunization Waste Management Unsafe disposal of immunization waste is dangerous Dangers to health: from sharps Acquiring infection (particularly, needle-stick injury to children, rag pickers and animals) Recycling Dangers to environment: From sharps From burning

9. Steps to ensure safe disposal of immunization waste At the session site Step 1: At the session site, ANMs cut the hub of the AD syringe immediately after administering the injection using the hub cutter. The cut needles will get collected in the puncture-proof container of the hub cutter Step 2: Segregate and store the plastic portion of the cut syringes in the red bag or container. T he bags/ container should bear the biohazard symbol

10. Using Hub Cutter Immediately after use, carefully insert the needle and hub of syringe into the insertion hole. Hold the syringe, and with other hand clamp the handles till the hub is completely cut.

11. Steps to ensure safe disposal of immunization waste At the session site Step 3: Store the broken vaccine vials in a separate blue container, used cotton swab in the yellow bag Step 4: Plastic wrapper, cap of the syringe and any other packaging material should be segregated as general waste Step 5: The used and unused vaccine vials should be returned to the CCP as per existing AEFI guidelines for proper disposal.  

12. Steps to ensure safe disposal of immunization waste Step 6: Send the Red bag, Yellow bag, Blue bag/container and the hub cutter to CCP for disinfection and disposal or handing over to Common Biomedical Waste Treatment Facility (CBWTF). At the CCP, Disinfect the content of the yellow bag by soaking in 1% freshly prepared sodium hypochlorite solution or through autoclaving or microwaving or hydroclaving and then handover to Common Biomedical Waste Treatment Facility (CBWTF)   Send the collected materials of the blue container, red bag and hub cutter directly to the CBWTF without any onsite treatment   If the CBWTF doesn’t exist, follow Step 7 & 8 At the Cold Chain Point (CCP)

13. Steps to ensure safe disposal of immunization waste Step 7: Treat the collected material of the Red bag, Yellow bag, Blue container and the hub cutter in an autoclave. If unable to impart autoclaving, boil the waste in water for at least 10 minutes or provide chemical treatment using 1% freshly prepared sodium hypochlorite for 30 minutes At the CCP Step 8: Dispose the disinfected waste as follows: Dispose the needles in a safety pit/tank. In case of the hospitals located in remote in rural or isolated places, dispose the same in captive deep burial pits [HUB CUTTER WASTE] Send the empty glass vials (intact/ broken) for recycling [BLUE CONTAINER WASTE] Incineration or deep burial of the used cotton swab (if any)- [YELLOW BAG WASTE] Plastic part of the cut syringes should be sent to registered or authorized recyclers or to waste to energy plants or plastics to diesel or fuel oil or for road making [RED BAG WASTE]  

14. Steps to ensure safe disposal of immunization waste At the CCP Step 9: Wash the hub cutters properly with 1% freshly prepared sodium hypochlorite before reuse. Step 10: Maintain a proper record of generation, treatment and disposal of waste at the cold chain points Weigh rather than count to avoid occupational and safety hazards.

15. Show a video on Immunization Waste Management

16. Summary Unsafe injection leads to risk of contracting deadly diseases, injury to beneficiary & health worker, adverse events and harm to environment Collection of segregated waste, disinfection and disposal of immunization waste should be done as per CPCB norms. Segregate the waste in red bag, yellow bag, hub cutter and blue container at the session site Ensure availability and use of functional hub cutter at each session site. Cut the hub of the used AD syringe immediately after administering the injection, using the hub-cutter

17. Thank You