NSI-STP.ppt

nsi

1. PREVENTING NEEDLESTICKS
AND OTHER SHARPS INJURIES…
Everything You Need to Know
PRSENTED BY:
MS. SHIVANI TIWARI

2. YES
SISTER
I’D CALL
THAT A
NEEDLE
STICK
#@$
@#*

3. INTRODUCTION
The needle stick injury is defined as a penetrating injury wound from a needle
(or other sharp objects like scalpel, broken glass vial etc) that may result in
exposure to blood or other body fluids.
It is considered as an occupational hazard. These injuries can lead to
transmission of blood-borne diseases, placing those exposed at increased risk of
contracting infectious diseases such as Hepatitis B (HBV), Hepatitis C (HCV),
and the Human Immunodeficiency Virus (HIV). Nurses have the highest rate of
needle stick injuries among the health care workers . A nurse's risk of infection
from injury depends on the pathogen involved, the immune status of the worker
and severity of the needle stick injury.
6/22/2023

4. According to WHO Pathogens 2 million exposures per year
In Healthcare workers:
• 30 % of Hepatitis B
• 03 % of Hepatitis C
• 0.3 % of HIV
OCCUPATIONAL EXPOSURE TO BLOODBORNE
DISEASES

5. Definition
Needlestick injuriesare wounds caused
byneedlesthat accidentally puncture the skin.
Needlestick injuriesare a hazard for
people who work with hypodermic syringes
and otherneedleequipment.
Theseinjuriescan occur at any time when
people use, disassemble, or dispose
ofneedles.

6. WHAT ARE THEY?
•SHARP OBJECT
»NEEDLE
»INSTRUMENT
»BONE

7. WHAT ARE THEY
•CONTAMINATION
»MUCOUS MEMBRANE
»EYES
»OPEN WOUND

8. CAUSES

9. The majority of needle stick injuries
occur when health care workers:
Dispose of needles
Administer injections
Draw blood
Recap needles
Negligence in handling needles

10. VIRUSES CAN BE
TRANSMITTED
THROUGH SHARP
OR NEEDLE STICK
INJURIES
HIV
HCV
HBV

11. HBV and HCV
Pose an Even
Greater Risk Then
HIV

12. CONSEQUENCES
•STRESS
6/22/2023

13. DEPRESSION
6/22/2023

14. Needlestick Injuries Are Costly:
Time and money to investigated the source
Post-exposure care
Lost work time and productivity
Treatment of resulting illnesses
Workers’ lives

15. HOW WE
CAN
PREVENT?T
HESE………

16. Use Plastic Trays for all
sharp handling
procedures

17. Disposesharps immediately
after use at the point of use.

18. Sharps must not be passed
directly from hand to hand
and Handling should be kept
to a minimum

19. Needles and syringes should
be separated carefully to
Prevent Micro Splashes on the
fingers.

20. Do not Resheath (Recap)
needles. If inevitable, single handed
technique of recapping to be done.

21. WHO IS THE RESPONSIBLE FOR
DISCARDING SHARPS?
Housekeeping
Allocated Staffs
NO!!!
Then Who?????
It is the responsibility of the healthcare worker carrying
out a procedure involving a sharp item to ensure that the
sharp is disposed of correctly. An approved sharps
disposal container must be used.

22. DO NOT TOUCH SHARP ITEMS

23. WHAT YOU HAVE TO DO
IF YOU GOT NEEDLE
STICK INJURY…….?

24. NEEDLE STICK INJURY MANAGEMENT
Do not squeeze, rub or suck the injured area
Do not use any antiseptic solution or alcohol based solution
on the area
Allow the Injury to bleed
Wash immediately with soap and water
Do Not Panic
Report this incident to your manager and infection control
department
Infection Control Person can be contacted on

25. POST EXPOSURE
PROPHYLAXIS

26. HIV
If a significant exposure has occurred to a high risk material post
exposure prophylaxis should be offered to the employee (after
counseling by an appropriately trained HCW) within two hours of
exposure.
A combination of the following three drugs is used for a period of 4
weeks:
1.Tenofovir 300mg OD
2.Emtricitabine 200mg OD
3.Efavirenz 600mg OD

27. HEPATITIS B
Anti-HBs antibody titre for
HCW greater than 10
mIU/mL
No Further
action is
required
Prophylaxis
for ‘Hep B’
is Required
Hepatitis B Immunoglobulin 500 IU
intramuscularly is recommended as
soon as possible. This would need to
be prescribed by a physician with an
interest in Infectious Diseases

28. HBIG,liquidforintramuscularinjection,isindicatedforthepreventionofhepatitisB.It
ismainlyindicatedformothersandinfantswithpositiveHBsAg,people
infectedunexpectedly,andpeoplewhocomeintofrequentcontactwith
hepatitisBpatientsorHBV-carrierpatients.

29. Preventing
Sharps
Injuries
is Our Goal

31. 6/22/2023