Needle Stick and Sharps Exposure Prevention for Students.ppt

needle stick injury ppt

1. Diagnostic Imaging
Needle Stick
&
Sharps Exposure
Prevention
Self-Learning Packet
2-2014 (policy reference changes 6-2019)

2. How Many Needle Stick Injuries
occur in the U.S.A.?
•The Department of Health Services
reported that 600,000 to 800,000 needle stick
injuries occur each year
•A CDC study estimated that 385,000
occur in the hospital (>1,000/day)
•~5% of these were technologists
That is 52 injuries a day!
www.hhs.gov/asl/testify/t000622a.htmland NaSH1995-Dec 2003
https://www.cdc.gov/sharpssafety/ppt/2preventingneedlesticksparti.ppt

3. What Infections Can Be Caused
by Sharps Injuries?
•More than 20 bloodbornepathogens
•The pathogens that pose the most serious
health risks are:
-Hepatitis B virus (HBV) –
-Hepatitis C virus (HCV) –
-Human immunodeficiency virus (HIV)

4. What Kinds of Devices Usually
Cause Sharps Injuries?
•Hypodermic needles
•Blood collection needles
•Needles used in IV delivery systems
•Scalpels

6. Based on the Prior CDC Slide
Needle Injuries Occur….
•35% During sharps clean up and disposal
•28% Manipulating needle in patient
•10% Colliding with co-worker
•0.6% Recapping needle
Did you notice?
35% happens AFTERthe procedure during clean
up and disposal

7. Sharps Safety
•Prepare to use the device the
moment the sharp is first opened
•Take precautions while using sharps
•Take precautions during cleanup
•Take precautions during disposal
www.cdc.gov/sharpssafety

8. Sharps Safety Practices
•Be Prepared
•Be Aware
•Dispose with Care
www.cdc.gov/sharpssafety

9. Be Prepared
Before Beginning a Procedure
•Wash Hands and Wear Gloves
•Organize equipment at point of use
•Use needleless systems when appropriate
•Use adequate lighting
•Keep sharps pointed away from the user
•Plan ahead-Have sharps disposal nearby
•Assess the patient’s ability to cooperate
•Get help if necessary
•Ask the patient to avoid sudden movement
www.cdc.gov/sharpssafety

10. Be Aware
During a Procedure
•Keep sharps visible
•Avoid distractions
•Never hand off or leave needles or sharps for others to dispose
•Loudly sate “Sharps” when handling sharps
•Maintain a safe zone around sharps being used
•Always activate the safety device on needles immediately
after each use
•Be aware of staff nearby
•Control the location of sharps to avoid injury
•Use predetermined neutral zone for placing/retrieving sharps
•Do not hand-pass exposed sharps from person to person
•Alert others when sharps are being passed
SCPNC.MCW-ADM.128 and www.cdc.gov/sharpssafetyand

11. Be Aware
During a Procedure continued….
•Activate injury prevention safety feature of device
(e.g. retraction)
•Observe audible or visual cues that confirm
the safety feature is locked in place
•Do not bend* or break needles
•Do not recap* needles/scalpels
*Exception: contaminated sharps may be bent, recapped or removed from devices if the procedure is
performed using a mechanical device or one-handed technique ANDno alternative is feasible or is required by a
specific medical procedure SCPMC.MCW-IP.063

12. Be Aware
During a Procedure continued….
•A stationary needle cap holder must be used for
incremental doses of medication to the same patient MCW-IP.063
•Contaminated sharps that are reusable are to be placed
immediately after use into designated holder (Shortstop
™)
and should be handled using some type of tong
(hemostat/forceps) or device SCPNC.MCW-IP.063
•Do not remove needles from Shortstop
™
before disposing in sharps container
•Plan for safe handling and disposal of sharps
before using them

13. Clean up and Dispose with Care
During Cleanup
•Be accountable for sharps you use
•Do not disassembled needles from
syringes by hand prior to disposal
•Use hemostat/forceps to move items
when uncovering/checking procedure trays,
waste materials, and bedding for exposed
sharps
•Look for sharps/equipment left
behind inadvertently
www.cdc.gov/sharpssafety

14. Clean Up and Dispose with Care
While Disposing of Sharps
•Inspect container
•Keep hands behind sharps
•Never put hands or fingers into sharps
container
•If you dispose sharps with attached tubing be
aware that it can recoil and lead to injury
•Maintain control of both tubing and the
device during disposal
www.cdc.gov/sharpssafety

15. Clean Up and Dispose with Care
After Disposing of Sharps
•Visually inspect sharps container for overfilling
•Replace containers when no more than ¾ full
SCPMC.MCW-IP.063
www.cdc.gov/sharpssafety

16. Clean Up and Dispose with Care
If you Find improperly Disposed
Sharps in Work Environment
•Handle Carefully
•Keep hands behind sharps at all times
•Use mechanical device (e.g. tong/hemostat)
if you cannot safety pick up sharps by hand
www.cdc.gov/sharpssafety

17. Your Part in Prevention
•Adhere to safe practices
•Support co-workers in safety practices
•Report injuries or blood/body fluid exposures,
sharps injury hazards, and near misses
•Participate in training for devices and properly
use sharps safety features
•Participate in safe culture and
device evaluation
www.cdc.gov/sharpssafety

18. The Diagnostic Imaging
Safety Bee says:





“Don’t get stung

by a workplace injury...

be A.W.A.R.E.!”




BE SAFE






E
Expect zero
injuries

A
Allow
enough time

A
Assess the
situation

W
Watch for
hazards

R
Rely on
others
Be
A.W.A.R.E.! ASSESS – assess the situation to determine the safest manner in which to
perform the job or task. Determine what tools or equipment may be needed
before you proceed.
WATCH – watch for hazards and anything out of the ordinary that might
compromise yours or your patient’s safety. Make sure nothing is obstructing
your work area or your workflow.
ALLOW – allow enough time to perform the job in a safe manner; don’t rush.
Work efficiently but never compromise yours or your patient’s safety to save
time.
RELY – rely on others to assist you if needed to perform the job safely; ask for
help. Don’t attempt to do the job by yourself if a team approach is better and
safer.
EXPECT – expect zero injuries; expect that you can reach our workplace
safety goal and expect a positive outcome. Challenge yourself to never get
stung by a workplace injury.

19. Your Part in Prevention
•Tell your employer about any sharps hazards
you observe
•Participate in training related to infection
prevention
•Get a Hepatitis B vaccination
•Wear gloves
•Wash Hands
Sharps fall under OSHA’s BloodbornePathogen Standard, 29 CFR1910.1030.

20. Post Test
Name: NUID #: Date
Submit with your prerequisite packet
1.Most needle sticks occur before, during or after a
procedure?
2.Having sharps disposal nearby is one way to be prepared
before beginning a procedure. True or False ?
3.You should use hemostat/forceps to move items when
uncovering/checking procedure trays, waste materials,
or bedding for exposed sharps. True or False?
4.Sharps disposal containers should be emptied when they
are no more than full.
5.We should remove needles from the Shortstop
™device
before disposal. True or False ?
6.Needles should be removed from syringes/tubing before
disposal? True or False?