NSI Online Trainning Session 30.11.24 by SNK.pptx

health care organization importance training for health care professional to know how to care for all

1. NEEDLE STICK INJURY (NSI)AT HEALTH CAR SETTING Prepared by Dr. Anjalatchi Muthukumaran Professor Cum Vice Principal SNK H ealth Care Training Academy , lucknow ,UP

2. Learning objective Introduction Abbreviation Definition Meaning of NSI Type of materials transmit NSI Factors influence NSI Why it necessary in health care setting categories for exposure Management Prevention Signage to be display in health care setting HBV schedule

3. Abbreviation NSI-Needle Stick Injury HBV-Hepatitis B Virus /Vaccine HBC-Hepatitis C Virus /Vaccine HBsAg -Hepatitis B Surface Antigen HCW-Health Care Workers PEP-Post Exposure Prophylaxis STI- Sexually Transmitted Infections NACO –National AIDS Control Organization IM-Intra Muscular Injection IV-Intra Venous Injection ABG-Arterial Blood Gas Analysis VBG-Venous Blood Gas Analysis HIV-Human Immuno Deficiency Virus AIDS-Acquired Immuno Deficiency Syndrome

4. Introduction CDC estimates ~385,000 sharps injuries annually among  hospital-based healthcare personnel (>1,000 injuries/day) Many more in other healthcare settings (e.g., emergency services, home care, nursing homes) Increased risk for blood borne virus transmission Costly to personnel and healthcare system The Problem

5. Problem statement view

6. Introduction

7. What is Needle stick/sharp injury

8. MEANING OF NSI

9. PEOPLE WHO ARE ALL RISK

10. How frequent will get injury devices

11. Purpose /scope /responsibility To prevent NSI in health care workers Scope : All sustain exposed injury area Responsibility : All health care workers HIC team

12. WHERE/WHAT/WHEN IT OCCURS WHERE DO SHARPS  INJURIES OCCUR? Patient Room 39% (Inpatient: Medical – ICUs ) Operating Room 27% Outpatient 8% ER 8% Laboratory 5% Other 13% WHAT DEVICES ARE  INVOLVED IN SHARPS INJURIES? Six Devices Account for 78% of All Injuries Disposable Syringes 30% Suture Needles 20% Winged-Steel Needles 12% Intravenous Catheter Stylets 5% Phlebotomy Needles 3% Scalpels 8% WHEN DO SHARPS  INJURIES OCCUR? The majority of needlesticks occur when health care workers: • Dispose of needles • Administer injections • Draw blood • Recap needles • Handle trash and dirty linens

13. Infectious and non infectious materials

14. Continued

15. Factors influence Risk of NSI

16. Example of NSI Exposure data

17. Post exposure prophylaxis and management for NSI

18. For exposure area wise first aid services

19. Step to be followed after accidental exposure to blood /body fluids

20. Diagnostic test to detect NSI

21. Sources Code for HIV status

22. Exposure Code -01/02

23. Severe exposure code -03

24. Revised NACO Guidelines for PEP

25. PEP Not Required cases are

26. HIV exposure codes in flow chart presentation

27. Key consideration while prescribing PEP

28. Management of minor ARV adverse Side effect

29. PEP for Hepatitis B

30. Administration of HBIG

31. Institutional Protocol for HBIG

32. Continued

33. Form for administering of HBIG

34. PEP for HCV

35. Monitoring an follow up of HIV,HBV,HCV

36. Supreme Court Directive To Ensure PEP Drugs in All Government Hospitals in India • Universal Work Precautions (UWP) and PEP guidelines should be followed by HCPs to prevent occupational transmission of HIV, Hepatitis B and hepatitis C. • This will develop confidence in HCPs while working with patients some of whom might be infected with HIV/HBV/HCV. • PEP drugs should be available in all Govt Hospitals to enable protection of HCPs dealing with potentially infected patients to make sure that no patients suffering from HIV be denied treatment/surgery/ procedures etc • Availability of UWP and PEP can minimize the stigma and discrimination against PLHIVs in Health Care facilities. • Above regulations to be practiced in Private hospitals and Establishments

37. Signage for NSI

38. Standard precautions

39. Safe blood transfusion

40. Role of nursing officer

41. Single hoop technique

42. Always PPE wear Technique

43. Transmission from HCW to patients

44. Preventing needle stick injury ways

45. Hepatitis B Vaccine

46. Continue

47. References   • Centers for Disease Control and Prevention. Workbook for Designing, Implementing and Evaluating a Sharp Injury Prevention Program. 2004. Atlanta: US Department of Health and Human Services. • Whitby R, McLaws M. Hollow bore needle stick injuries in a tertiary teaching hospital: epidemiology, education and engineering. Med J Aust 2002; 177(8): 418-422. • Centers for Disease Control and Prevention. Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HBV, HCV, and HIV and Recommendations for Post exposure Prophylaxis. MMWR 2001; 50(No. RR-11): 1-7. • Delhi AIDS control Society India Dr.T.V.Rao MD

48. THANK YOU SO MUCH