NEEDLE STICK
INJURY
Compiled By-
Mr. Ashish Roy
B.Sc Nursing
(NURSING TUTOR)
Savitri Hospital & Paramedical Institute,Gorakhpur.
LEARNING OBJECTIVES
At the end of the class, the group will be able to:
To introduce needle stick injury.
To enlist the workers who are on risk for needle stick injury.
To enlist areas of sharp injuries.
To enlist devices of needle stick injury.
To describe when do sharp injuries occurs.
To explain factors that influence risk for acquiring viral
infections.
To discuss nurse’s role in reducing risk of sharp injuries.
To demonstrate how to reduce needle stick injuries.
To explain how to manage needle stick injury
WHAT IS NEEDLE STICK INJURY?
The NEEDLE STICK INJURY is a
percutaneous piercing wound typically set
by a needle point, but possibly also by other
sharp instruments or objects. It is mainly
considered dangerous in medical care
settings.
WORKERS WHO ARE AT RISK FOR BLOOD
BORNE INFECTION DUE TO NSI….
are:-
Nursing staffs, Nursing students, Interns and
Medical students, Labour and delivery room
personnel, Laboratory technicians, Physicians,
Surgeons, Emergency Care Providers, Dentists,
Health facility cleaning staff and clinical waste
handlers.
WHAT DEVICES ARE INVOLVED IN SHARP
INJURIES OR NSI…
Six devices are mainly account for 80% of all
injuries:-
Disposable Syringes- 30%
Suture Needles- 20%
Winged-Steel Needles- 10%
Intravenous Catheter Stylets - 5%
Phlebotomy Needles- 3%
Scalpels- 8%
Ampoules- 2%
WHEN DO SHARP INJURIES OCCURS….
The majority of NSI occurs when health care
workers are:
Dispose of needles,
Administer Injections,
Draws Blood,
Recapping needles (25-30%),
Handle trash and dirty linens, etc.
WHEN DO NSI HAPPENS?
After use and before disposal,
70%
Before and during use,
20%
During and after disposal,
10%
FACTORS THAT INFLUENCE RISK FOR
ACQUIRING HIV AND OTHER INFECTIONS….
Type and efficacy of exposure
Depth of injury
Size and type of Needle
Amount of blood
HIV and other infection status of source
Amount of virus present in the
contaminated fluid
WHAT ARE THE CHANCES…
HIV infected blood - 0.3%
Hepatitis B virus - 30%
Hepatitis C virus - 10%
HOW ARE USED NEEDLE DISPOSED….
Needles destroyer/ Burner/ Cutter
Disposal of sharps into the appropriate bins(Sharp
proof containers white coloured bins as per BMW)
NURSES ROLE:
IN REDUCE RISK OF SHARP INJURIES
Do’s Don’ts
•Use needle
cutter/destroyer
•
transfer used sharps
between containers.
•Separate sharps from
other waste
•
before disposal
•
proof disposal bins
•
containers when they
are ¾ full.