Your Best Shot: Training Your Staff to Give Safe Injections
|
|
- Annis Watkins
- 6 years ago
- Views:
Transcription
1 Your Best Shot: Training Your Staff to Give Safe Injections Emily Lutterloh, MD, MPH Director, Bureau of Healthcare Associated Infections, NYSDOH and Ernest J. Clement, RN, MSN, CIC Epidemiologist/Infection Preventionist, Bureau of Healthcare Associated Infections, NYSDOH Program Sponsors New York State Department of Health Empire State Public Health Training Center University at Albany, School of Public Health 2 1
2 Program Guidelines No Sound? Make sure your computer speakers/ sound is turned on! You may have to turn up the volume. If you experience any technological problems during the program, try exiting and logging in again. This program will be recorded and available for on demand viewing within 1 week. Contact info: coned@albany.edu / Handouts & CEs View and print handouts CME, CNE, CECHs credits evaluation and post-test required Viewing as a group? Please submit sign in sheet via fax or coned@albany.edu 4 2
3 Questions & Answers at end of program Click here to submit a question Program Goal To provide safe injection practices information and resources that can be incorporated into patient safety and infection control staff education activities. 6 3
4 Program Objectives Identify five components of an effective safe injections case study used as part of staff training. Identify one to three disciplines within the learner s institution or practice setting that could benefit from safe injection education. Identify four resources the learner could use as part of a safe injections training program in their facility. 7 What is Injection Safety? A safe injection prevents: Harms such as needlestick injuries Transmission of infectious diseases between patients and between healthcare providers and patients A safe injection does not: Harm the patient Expose the provider to any avoidable risks Result in waste that is dangerous for the community. 8 4
5 What are Some Examples of Unsafe Injection Practices? Using the same syringe to administer medication to more than one patient, even if the needle is changed. Accessing a medication vial with a syringe that has already been used to administer medication to a patient and then using medication from that vial for other patients. Accessing a bag of IV fluid with a syringe that has already been used to flush a patient's IV catheter and then using the same bag as a common source of IV flush for more than one patient. Source: CDC Injection Safety 9 Myths & Facts I Myth Changing the needle makes a syringe safe for re-use Syringes can be reused as long as injection is given through an intervening length of tubing Fact Once used, both needle and syringe are contaminated and must be discarded. Microscopic backflow into the syringe can occur when removing the needle. Everything from the IV bag to the patient's IV catheter is a single, interconnected unit. Distance from patient, gravity, or infusion pressure do not ensure syringe won t be contaminated 10 5
6 Myths & Facts II Myth No visible blood in IV tubing or syringe means the equipment is safe for reuse. Single-dose vials with large volumes that appear to contain multiple doses can be used for more than one patient. Fact HBV, HCV, and HIV can be present in sufficient quantities to produce infections without visible blood. Single-dose vials should not be used for more than one patient regardless of vial size or volume. 11 Case Study 1: Sharing syringes between patients New nursing graduate just off orientation Working on the night shift Needleless system and pre-filled saline syringes for flushing IV lines 12 6
7 Case Study 1: Sharing syringes between patients Staff noticed used saline flush syringes lying on medication cart During orientation there was no improper use of saline syringes observed 13 Case Study 1: Sharing syringes between patients The facility interviewed the nurse about her practices Concern about re-use of the syringes Nurse could not say syringes were never shared between patients The facility decided to notify patients Over 200 patients recommended to be tested for HBV, HCV, and HIV 14 7
8 Five Components of an Effective Safe Injection Case Study Infection control breach What went wrong? Root cause Why did it go wrong? Barrier(s) to correct procedure What contributed to the breach? What could have been done to stop it? Sequelae (potential or actual) What harm was done? Corrective Actions How can patient harm be mitigated? How can similar breaches be prevented in the future? 15 Case Study 1: What was the breach? Sharing syringes between multiple patients 16 8
9 Case Study 1: What was the root cause? Unclear, possibilities include: Nursing education and/or orientation might not have included safe injection procedures Taught what to do but not what not to do and why?; lack of awareness of written procedures? Belief in myths regarding the potential for syringe contamination e.g., myths about lack of contamination if no back pressure on plunger, no aspiration, no needle, injection into IV tubing, etc.? Syringes used for flushing contained more saline than needed for task? Pressure to conserve resources? 17 Case Study 1: Were there barriers to performing the correct procedure? None identified, possibilities include: Lack of appropriate supplies? Lack of understanding of supply acquisition? Difficult or inconvenient to obtain supplies? 18 9
10 Case Study 1: What are the sequelae? Potential cross-contamination between patients (e.g. bacteria, bloodborne viruses) Disciplinary action against healthcare provider (loss of employment, potential actions against license) Lawsuits Negative press Loss of trust in healthcare by consumers 19 Case Study 1: What are some potential corrective actions? Include safe injection practices education in basic nursing education and facility orientation programs. Incorporate injection safety competencies into evaluations. Instruct what to do, and what not to do
11 Why Case Studies? Connecting to real-life situations adds impact Audiences may relate to clinical scenarios Knowing the recommendations may not always translate into correct clinical practice Need to bridge the gap between general recommendations and specific daily practice Examples may help Important to understand consequences of unsafe practice 21 Why Case Studies? Large volume vials Everyone knows single use means for one patient only, but staff using a large volume vial of medication may assume it is multi-use when it is actually single-use 22 11
12 Why Case Studies? We all know that reusing a syringe on another patient is wrong, even if there is no needle or the needle is changed. Everyone knows this right? 23 Why Case Studies? Staff may not realize that insulin pens are really syringes with removable needles For use by one patient multiple times, not for multiple patients 24 12
13 Case Study 2: IV Bag as Common Source of Flush Nebraska, September 2002 Four patients diagnosed with HCV Cluster reported by a gastroenterologist to Nebraska Department of Health All patients had received cancer chemotherapy at one clinic All had HCV genotype 3a Macedo de Oliveira, et al. Ann Int Med 2005;142: Case Study 2: IV Bag as Common Source of Flush Clinic independently owned and operated within a hospital complex Approximately 500 patients per month One oncologist, a registered nurse, a certified nurse assistant, and a secretary Macedo de Oliveira, et al. Ann Int Med 2005;142:
14 Case Study 2: IV Bag as Common Source of Flush Epi investigation revealed No active infection control program RN responsible for all central venous catheter (CVC) care, medication administration, and blood collection Reused disposable syringes to withdraw saline solution from 500-ml bags (potentially used for patients) after withdrawing blood from central venous catheters Hospital and clinic notified of infection control concerns in February and April Case Study 2: IV Bag as Common Source of Flush RN dismissed for infection control breaches in July 2001 (19 mos prior to outbreak identification) Physician oversight of practices 28 14
15 Case Study 2: IV Bag as Common Source of Flush Investigators reviewed records of 367 patients treated at the clinic between March 2000 and July /367 HCV positive 95/99 (96%) had detectable virus (genotype 3a) All 99 had CVC flushes on the same days as one patient with prior history of HCV (genotype 3a) Only 20 exhibited clinical signs of HCV 2/99 spontaneously cleared HCV 29 Case Study 2: What was the breach? Using IV bag of fluid as a common source for multiple patients Single dose container 30 15
16 Case Study 2: What was the root cause? Unclear, possibilities include: High volume clinic with one RN? Pressure to cut corners related to high through-put in the clinic (trying to save time, resources, etc.)? Lack of sufficient oversight of professional staff? Belief in myths regarding the potential for syringe contamination (e.g., no visible blood = no contamination)? 31 Case Study 2: Were there barrier(s) to the correct procedure? None identified, possibilities include: Lack of appropriate supplies (e.g., vials of normal saline for flushing IVs)? 32 16
17 Case Study 2: What were the sequelae? Spread of HCV to multiple patients and deaths related to HCV Disciplinary action against healthcare providers (loss of employment, loss of license) Clinic voluntarily closed October 2002 (1 month after outbreak identification) Lawsuits Negative press Loss of trust in healthcare by consumers 33 Case Study 2: What are some corrective actions? Establish and maintain an effective infection control program Include safe injections in infection control training upon hire and at least annually thereafter Include examples pertinent to audience s practice Monitor the practice of those under your supervision Have a mechanism to recognize and address infection breaches in a timely manner 34 17
18 Examples of Investigations Related to Unsafe Injections Investigation Practice Setting Professions Involved Sharing insulin pens Acute (3) and long term Nursing care (1) facilities Sharing diabetes care equipment without appropriate reprocessing Long term psychiatric care facility, Adult care facility Nursing Reusing contaminated Pain management clinic MD (anesthesia) multi use vials Flu vaccine syringe reuse Private practices (3) MD (1 OB/GYN, 2 GP) Allergy skin testing needle reuse Clinic affiliated with hospital MD (fellow) Inadequate med prep area Dialysis facility MD (renal), Nursing Improper storage of injection equipment Private practice IV tubing reuse Hospital (2) Nursing MD (dermatology), Nursing
19 Excuses for Unsafe Injections We all know not to re-use needles. What s the big fuss? My colleagues all do it like this, so it must be okay. That s just something the government bureaucrats tell us to do, but no one really does it. That s not how I trained. It s wasteful and expensive; I can t afford it. You can t really transmit hepatitis that way! The policies in place when I came here say to do it this way, so it must be okay. 37 Pictures from Investigations 38 19
20 Pictures from Investigations 39 Pictures from Investigations Opened, unlabeled vials ready for use on next patient left unattended in an exam room 40 20
21 Pictures from Investigations Used needle Full sharps container 41 Pictures from Investigations Clean 42 21
22 Pictures from Investigations flu vaccine syringe with 1 ml of fluid 43 Pictures from Investigations Medication vial stored in refrigerator with staff food 44 22
23 Pictures from Investigations Single dose vial of propofol with vented spike for use on multiple patients 45 Resources NYS One & Only Campaign Partner Website w-york Healthcare provider and patient education materials Newsletter and links to recent alerts and advisories regarding safe injections 46 23
24 One & Only Campaign Educational Materials 47 Resources Centers for Disease Control and Prevention: Injection Safety Website
25 Resources CDC: Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings, n2007.pdf Contains recommendations for safe injection practices with references 49 Resources CDC: Recommended Practices for Preventing Bloodborne Pathogen Transmission during Blood Glucose Monitoring and Insulin Administration in Healthcare Settings
26 Resources US Food and Drug Administration (FDA) - Information for Healthcare Professionals: Risk of Transmission of Blood-borne Pathogens from Shared Use of Insulin Pens etdrugsafetyinformationforpatientsandproviders /DrugSafetyInformationforHeathcareProfessiona ls/ucm htm 51 Case/Outbreak Reports: References Bacterial Contamination Abe K et al. Outbreak of Burkholderia cepacia bloodstream infection at an outpatient hematology and oncology practice. ICHE 2007;28: Cohen AL et al. Outbreak of Serratia marcescens bloodstream and central nervous system infections after interventional pain management procedures. Clin J Pain 2008;24: Groshskopf LA et al. Serratia liquefaciens Bloodstream Infections from contamination of epoetin alfa at a hemodialysis center. NEJM 2001;344:
27 References Diabetes Testing Centers for Disease Control and Prevention. Notes from the field: Deaths from acute hepatitis B virus infection associated with assisted blood glucose monitoring in an assisted-living facility North Carolina, August-October MMWR 2011;60:182. Centers for Disease Control and Prevention. Transmission of hepatitis B virus among persons undergoing blood glucose monitoring in long-term-care facilities Mississippi, North Carolina, and Los Angeles County, California, MMWR 2005;54: Farkas K, Jermendy G. Transmission of hepatitis B infection during home blood glucose monitoring. Diabetic Medicine 1997;14: References Diabetes Testing (continued) Gotz HM, et.al. A cluster of hepatitis B virus infections associated with incorrect use of a capillary blood sampling device in a nursing home in the Netherlands, Eurosurveillance 2008;13:1-5. Polish LB, et al. Nosocomial transmission of hepatitis B virus associated with a spring-loaded finger-stick device. N Engl J Med 1992;326: Stapleton J. Transmission of hepatitis B during blood glucose monitoring. JAMA 1985;253:
28 References Medication handling Bennett SN et al. Post-operative infections traced to contamination of an intravenous anesthetic, propofol. NEJM 1995;333: Comstock RD et al. A large nosocomial outbreak of hepatitis C and hepatitis B among patients receiving pain remediation treatments. ICHE 2004;25: Fischer GE et al. Hepatitis C virus infections from unsafe injection practices at an endoscopy clinic in Las Vegas, Nevada, CID 2010;51: Gutelius B et al. Multiple clusters of hepatitis virus infections associated with anesthesia for outpatient endoscopy procedures. Gastroenterology 2010;139: Macedo de Oliveira A et al. An outbreak of hepatitis C virus infections among outpatients at a hematology/oncology clinic. AIM 2005;142: Samandari T et al. A large outbreak of hepatitis B virus infections associated with frequent injections at a physician s office. ICHE 2005;26: References Contamination of syringes/blood glucose equipment: Hughes RR. Syringe contamination following intramuscular and subcutaneous injections. J R Army Med Corps 1948;87: Louie RF, Lau MJ, Lee JH, et al. Multicenter study of the prevalence of blood contamination on point-of-care glucose meters and recommendations for controlling contamination. Point of Care 2005;4: Lutz CT, Bell CE Jr, Wedner HJ, Krogstad DJ. Allergy testing of multiple patients should no longer be performed with common syringes. N Engl J Med 1984;310: Plott RN, Wagner RF Jr, Tyring SK. Iatrogenic contamination of multidose vials in simulated use: a reassessment of current patient injection technique. Arch Dermatol 1990;126: Trepanier CA, Lessard MR, Brochu JB, Denault PH. Risk of cross infection related to the multiple use of disposable syringes. Can J Anaesth 1990;37:
29 References Guidelines/Recommendations Thompson ND et al. Nonhospital health care-associated hepatitis B and C virus transmission: United States, Ann Intern Med 2009;150: Thompson ND, Perz JF. Eliminating the blood: Ongoing outbreaks of hepatitis B virus infection and the need for innovative glucose monitoring techniques. J Diabetes Sci Technol 2009;3(2): Klonoff DC, Perz JF. Assisted monitoring of blood glucose: Special safety needs for a new paradigm in testing glucose. J Diabetes Sci Technol 2010;4(5): References Environmental survival of hepatitis viruses Alfurayh O. et al. Hand contamination with hepatitis C virus in staff looking after hepatitis C-positive hemodialysis patients. Am J Nephrol 2000;20: Bond WW, Favero MS, Petersen NJ, et al. Survival of hepatitis B virus after drying and storage for one week. Lancet 1981;1(8219): Ciesek S et al. How stable is the hepatitis C virus (HCV)? Environmental stabilityof HCV and its susceptibility to chemical biocides. JID 2010:201 (15 June); Doerrbecker J et al. Inactivation and survival of hepatitis C virus on inanimate surfaces. J ID 2011:204(15 December); Kamili S et al. Infectivity of hepatitis C virus in plasma after drying and storing at room temperature. Infect Control Hosp Epidemiol 2007;28: Paintsil E et al. Survival of hepatitis C virus in syringes: Implication for transmission among injection drug users. JID 2010:202(1 October);
30 Questions? Click here to submit a question Handouts & CEs View and print handouts CME, CNE, CECHs credits evaluation and post-test required Viewing as a group? Please submit sign in sheet via fax or coned@albany.edu 60 30
31 Thank you!! This program has been recorded and will be available for on demand viewing within 1 week at:
Injection Safety: Every Provider s Responsibility! Patsy Kelso, PhD State Epidemiologist for Infectious Disease
Injection Safety: Every Provider s Responsibility! Patsy Kelso, PhD State Epidemiologist for Infectious Disease Transmission of Hepatitis B and C Viruses in Outpatient Settings MMWR 2003 52:901 Endoscopy
More informationInjections Without Infections:
Injections Without Infections: Basic Patient Safety Joseph Perz, DrPH Team Leader, Ambulatory and Long-Term Care Prevention and Response Branch Division of Healthcare Quality Promotion Centers for Disease
More informationInjection Safety! Every Providerʼs Responsibility!
Injection Safety! Every Providerʼs Responsibility! Outline! Safe Injection Practices" The ONE and ONLY Campaign" Outbreak History" Mistaken Beliefs" A Call to Action" Resources and Information" Why Unsafe
More informationA "Never" Event: Unsafe Injection Practices
A "Never" Event: Unsafe Injection Practices Joseph Perz DrPH MA Arjun Srinivasan MD Priti Patel MD MPH Prevention and Response Branch Division of Healthcare Quality Promotion Centers for Disease Control
More informationWelcome to Section C, Outbreaks and Safe Injection Practices. This is the 3rd section of the state approved educational course required for
Welcome to Section C, Outbreaks and Safe Injection Practices. This is the 3rd section of the state approved educational course required for compliance with the NC Rule.0206 Infection Control in Health
More informationSAFE INJECTION PRACTICES. Barbara J Connell MS,MT(ASCP)SH VP Clinical Services Medline Industries, Inc.
SAFE INJECTION PRACTICES Barbara J Connell MS,MT(ASCP)SH VP Clinical Services Medline Industries, Inc. DISCLOSURES»Employee of Medline Industries, Inc.»Opinions expressed are my own and not necessarily
More informationInjection Safety. Alana Cilwick, MPH. Injection Safety Coordinator
Injection Safety Alana Cilwick, MPH Injection Safety Coordinator 303-692-2727 alana.cilwick@state.co.us Objectives Demonstrate the importance of safe injection practices Define what constitutes a safe
More informationOUTBREAKS AND SAFE INJECTION PRACTICES IN DENTAL SETTINGS OBJECTIVES
Module D OUTBREAKS AND SAFE INJECTION PRACTICES IN DENTAL SETTINGS OBJECTIVES 1. The Big Picture 2. Outbreaks and best practices 3. Beyond the outbreaks 4. Resources 1 THE BIG PICTURE THE BIG PICTURE 2
More informationHealthcare-Related Outbreaks of Hepatitis B and C in the United States
Healthcare-Related Outbreaks of Hepatitis B and C in the United States Ian T. Williams, PhD, MS Epidemiology Branch Division of Viral Hepatitis National Center for Infectious Diseases Centers for Disease
More informationTHE BIG PICTURE. Outbreaks and Safe Injection Practices in outpatient Settings 9/11/2013. Outline. The Big Picture
Module D Outbreaks and Safe Injection Practices in outpatient Settings Outline 1. The big picture 2. Outbreaks and best practices 3. Beyond the outbreaks 4. Resources THE BIG PICTURE The Big Picture 1
More informationScript for Podcast on Injection Safety
Script for Podcast on Injection Safety MB: Hi, I m Mary Beth Wenger, of the New York One & Only Campaign. New York is a partner state in the national One & Only Campaign which is a public health campaign
More informationSlide 1. Slide 2. Slide 3. What is injection safety Safe injection practices- Blood glucose monitoring Sharp safety.
Slide 1 Safe Patient Care Keeping our Residents Safe Safe injection practices sharps management Fiona Barry 2016 at ALL times #safepatientcare Slide 2 Learning outcomes What is injection safety Safe injection
More informationTHE BIG PICTURE. Outbreaks and Safe Injection Practices in outpatient Settings 9/11/2013. The Big Picture
Module D Outline Outbreaks and Safe Injection Practices in outpatient Settings 1. The big picture 2. Outbreaks and best practices 3. Beyond the outbreaks 4. Resources THE BIG PICTURE The Big Picture Unsafe
More informationPreventing Transmission of Bloodborne Pathogens in Healthcare Settings
Preventing Transmission of Bloodborne Pathogens in Healthcare Settings Joshua K. Schaffzin, MD, PhD Healthcare Epidemiology and Infection Control Program Bureau of Healthcare Associated Infections Outline
More informationINJECTIONS WITHOUT INFECTIONS: SAFE INJECTION PRACTICES ONE NEEDLE, ONE SYRINGE, ONLY ONE TIME
INJECTIONS WITHOUT INFECTIONS: SAFE INJECTION PRACTICES ONE NEEDLE, ONE SYRINGE, ONLY ONE TIME Patsy Kelso, PhD State Epidemiologist for Infectious Disease Vermont Department of Health INJECTIONS & INFUSIONS
More informationThe pages that follow contain information critical to protecting the health of your patients and the citizens of Colorado.
Health Alert Network Tri-County Health Department Serving Adams, Arapahoe and Douglas Counties Phone 303/220-9200 Fax 303/741-4173 www.tchd.org Richard L. Vogt, M.D. Executive Director The pages that follow
More informationGina Pugliese, RN, MS, a Cathie Gosnell, RN, MS, MBA a, Judene M. Bartley, MS, MPH, CIC a, and Scott Robinson, MA, MPH, b Charlotte, North Carolina
Injection practices among clinicians in U.S. health care settings Download the article from the Dec 2010 issue of American Journal of Infection Control at www.ajicjournal.org Gina Pugliese, RN, MS, a Cathie
More informationSOURCES OF INFECTION IN LONG-TERM CARE FACILITY - ENVIRONMENTAL ISSUES
SOURCES OF INFECTION IN LONG-TERM CARE FACILITY - ENVIRONMENTAL ISSUES Slides provided by: William A. Rutala, PhD, MPH Director, Hospital Epidemiology, Occupational Health and Safety at UNC Health Care;
More information19/08/2014. What is Injection Safety?
Infection Prevention and Control A Foundation Course SAFE INJECTION PRACTICES AND SHARPS MANAGEMENT Fiona Barry IPCN Mercy University Hospital, Cork 2014 Links to CDC Materials http://www.youtube.com/watch%3fv%3d6d0stmoz80k
More informationTransmission of Hepatitis B Virus Among Persons Undergoing Blood Glucose Monitorin...
Page 1 of 8 Weekly March 11, 2005 / 54(09);220-223 Transmission of Hepatitis B Virus Among Persons Undergoing Blood Glucose Monitoring in Long-Term--Care Facilities --- Mississippi, North Carolina, and
More informationHepatitis C 02/20/2017. It does happen! Outbreaks
Hepatitis C STRATEGIES TO PREVENT SPREAD OF HEPATITIS C IN THE WORKPLACE NORMA GOMEZ, MBA, MSN, RN, CNE It does happen! "A recent publication describes a dialysis facility where an outbreak of HCV continued
More informationLapsing into Consciousness: Learning From IPAC lapses
Lapsing into Consciousness: Learning From IPAC lapses Presentation to IPAC SWO Laura Farrell, CPHI(C), CIC, Program IPAC Specialist May 2017 Acknowledgements to Isabelle Guerreiro, Program IPAC Specialist
More informationAmbulatory Surgery Outbreaks, Los Angeles County. Kelsey OYong, MPH Acute Communicable Disease Control Program June 3, 2016
Ambulatory Surgery Outbreaks, Los Angeles County Kelsey OYong, MPH Acute Communicable Disease Control Program June 3, 2016 Objectives Review recent outbreaks in ambulatory surgery centers (ASCs) Describe
More informationPATIENT SAFETY 101: PREVENTING INFECTIOUS DISEASE TRANSMISSION DURING BLOOD GLUCOSE MONITORING
PATIENT SAFETY 101: PREVENTING INFECTIOUS DISEASE TRANSMISSION DURING BLOOD GLUCOSE MONITORING Nicola Thompson, PhD & Melissa Schaefer, MD Division of Healthcare Quality Promotion, Centers for Disease
More informationInjection practices among clinicians in United States health care settings
Injection practices among clinicians in United States health care settings Gina Pugliese, RN, MS, a Cathie Gosnell, RN, MS, MBA, b Judene M. Bartley, MS, MPH, CIC, c and Scott Robinson, MA, MPH d Charlotte,
More informationHow Pathogens Spread in the Healthcare Setting: Understanding the Basics. Objectives
How Pathogens Spread in the Healthcare Setting: Understanding the Basics Healthcare-Associated Infections: A Practice-Oriented Update Tom Talbot, MD MPH Assistant Professor of Medicine and Preventive Medicine
More informationBloodborne Pathogens and Exposure Control
Bloodborne Pathogens and Exposure Control 2016 Information in the Exposure Control Plan The Bloodborne Pathogen Exposure Control Plan was developed to communicate information to you about: - Your risk
More informationInfection Prevention and Control Annual Education Authored by: Infection Prevention and Control Department
Infection Prevention and Control Annual Education 2017 Authored by: Infection Prevention and Control Department Objectives After you complete this Computer-Based Learning (CBL) module, you should be able
More informationHepatitis STARS Program. Geri Brown, M.D. Associate Professor Department of Internal Medicine October 4, 2003
Hepatitis 2003 STARS Program Geri Brown, M.D. Associate Professor Department of Internal Medicine October 4, 2003 Outline n Hepatitis A Epidemiology and screening Transmission n Hepatitis B Epidemiology
More informationBloodborne Pathogens Training for School Staff
Bloodborne Pathogens Training for School Staff Insert Nurse Name, Credentials Here Insert Organization Here This presentation was adapted from the Ohio Department of Health, School and Adolescent Health
More information8/28/2014. Topics of Concern: Infection Control in LTC Settings in North Dakota. Bonnie M. Barnard, MPH, CIC
Topics of Concern: Infection Control in LTC Settings in North Dakota Bonnie M. Barnard, MPH, CIC 1 Objectives List three mechanisms of transmission for bloodborne pathogens in long term care settings (Assisted)
More informationBlood borne Pathogen
Blood borne Pathogen Training For Certified Nursing Assistants Meets the Blood borne Pathogens & Infection Control Update (Formerly HIV/AIDS) 1 0 In-service Hour Meets the Blood borne Pathogens & Infection
More informationCDC s Position Protect Patients Against Preventable Harm from Improper Use of Single-dose/Single-use Vials
Centers for Disease Control and Prevention National Center for Emerging and Zoonotic Infectious Diseases Division of Healthcare Quality Promotion Single-dose/Single-use Vial Position and Messages May 2,
More informationZambia infection prevention guidelines & application in health care facilities
Zambia infection prevention guidelines & application in health care facilities MANOFF GROUP INC. Answell Chipukuma BCC Specialist 17/04/2008 1 Introduction to Infection Prevention Key Concepts you will
More informationBloodborne Pathogens and Universal Precautions
Bloodborne Pathogens and Universal Precautions Parkway School District 2012-2013 Revised 9/19/2012 What Are Bloodborne Pathogens(BBPs) Bloodborne pathogens (BBPs) are disease causing microorganisms carried
More informationInsulin pens; cross-contamination risks
IMSN Conference 18 th Oct 2013 Insulin pens; cross-contamination risks Eileen Relihan, PhD Practice of Pharmacy, Medication Safety Facilitator, St. James s Hospital Insulin Pen Devices 2 basic types: reusable
More informationInvestigation Timeline
Memo To: Lawrence Sands, DO, MPH From: Southern Nevada Health District Outbreak Investigation Team Date: 3/28/2008 Re: Interim report on the Endoscopy Center of Southern Nevada Hepatitis C Investigation
More informationAnne Carbonne Regional center for nosocomial infection control, Paris
Nosocomial HCV infections Anne Carbonne Regional center for nosocomial infection control, Paris HCV transmission in health care settings Patient 1 Blood exposure or Invasive procedure Patient 2 Health
More informationInfection Prevention and Control - General Orientation
Infection Prevention and Control - General Orientation Hand Hygiene-CDC Isolation Precautions - CDC Medical Waste - OSHA Environmental Cleaning - CDC Safe Injection Practices - CDC Bloodborne Pathogens
More informationGreenwood School District 50 OSHA UPDATE BLOODBORNE PATHOGENS
Greenwood School District 50 OSHA UPDATE 2012 BLOODBORNE PATHOGENS TOPICS OSHA TERMS UPDATES HEPATITIS B HEPATITIS C HIV REPORTING AN EXPOSURE OBJECTIVES To have a basic understanding of bloodborne pathogens
More informationSchool District of Indian River County
School District of Indian River County Bloodborne Pathogens Exposure Control Program In Schools Program Objectives To eliminate or minimize all exposures to bloodborne pathogens (HIV, HBV). To identify
More informationFactors Affecting Compliance with the Safety Agenda
Factors Affecting Compliance with the Safety Agenda Janine Jagger, M.P.H., Ph.D. International Healthcare Worker Safety Center University of Virginia Building the Chain of Safety: Stakeholders Summit College
More informationOccupational Exposures to Bloodborne Pathogen (BBP) Training
Occupational Exposures to Bloodborne Pathogen (BBP) Training OSHA 29 CFR 1910.1030 Protects workers exposed to blood or other potentially infectious diseases Who are at Risk? Workers in many different
More informationBloodborne Pathogens. Montclair Kimberley Academy 1
Bloodborne Pathogens Montclair Kimberley Academy 1 Introduction! Approximately 5.6 million workers in health care and other facilities are at risk of exposure to bloodborne pathogens such as human immunodeficiency
More informationMAKE SMART INJECTION CHOICES INJECTION PROVIDERS GUIDE FOR SAFE INJECTIONS
MAKE SMART INJECTION CHOICES INJECTION PROVIDERS GUIDE FOR SAFE INJECTIONS MAKE SMART INJECTION CHOICES WHO recommends syringes with re-use prevention (RUP) features for all injections. RUP syringes with
More informationBloodborne Pathogens LVHN s Annual Safety Course
Slide 1 Bloodborne Pathogens LVHN s Annual Safety Course Nucleus Medical Media (2010). Blood Carries Nutrients. Smart Imagebase. Lehigh Valley Health Network cares about your safety especially about protecting
More informationPublic Employees Occupational Safety and Health Alert (Publication No. 21)
Clifton R. Lacy, M.D. Commissioner Public Employees Occupational Safety and Health Alert (Publication No. 21) James E. McGreevey Governor Albert G. Kroll Commissioner OSHA Revises the Bloodborne Pathogens
More informationDrug Diversion and Safe Injections: Risks, Recommendations, & Resources. Oregon Public Health Division Healthcare-Associated Infections HAI Program
Drug Diversion and Safe Injections: Risks, Recommendations, & Resources Oregon Public Health Division Healthcare-Associated Infections HAI Program Drug diversion can lead to infection Hepatitis C virus
More informationINFECTION PREVENTION AND CONTROL IN LONG TERM CARE MORE THAN JUST GOOD HANDWASHING
INFECTION PREVENTION AND CONTROL IN LONG TERM CARE MORE THAN JUST GOOD HANDWASHING YES HANDWASHING IS STILL THE SINGLE MOST EFFFECTIVE WAY TO PREVENT AND CONTROL INFECTION BUT WHAT ELSE DO YOU NEED TO
More informationTraining Objectives. Provide a basic understanding of:
Training Objectives Provide a basic understanding of: 1. Bloodborne pathogens (BBP) 2. Common modes of transmission of BBP 3. Methods to prevent transmission of BBP 4. Information to help school staff
More informationHEPATITIS C, ACUTE CRUDE DATA. Number of Cases 5 Annual Incidence a LA County 0.05 California b 0.10 United States b 0.68 Age at Diagnosis Mean 38
2016 Annual Morbidity Report HEPATITIS C, ACUTE a Rates calculated based on less than 19 cases or events are considered unreliable b Calculated from: CDC. Notice to Readers: Final 2016 Reports of Nationally
More informationMohawk Valley Health System Infection Prevention. Annual Mandatory Education
Mohawk Valley Health System Infection Prevention Annual Mandatory Education Infection Prevention is Everyone s Responsibility Here are some steps that you can take to help prevent healthcare acquired infections
More information2017 BLOODBORNE PATHOGENS
2017 BLOODBORNE PATHOGENS OSHA TERMS UPDATES HEPATITIS B HEPATITIS C HIV REPORTING AN EXPOSURE To have a basic understanding of bloodborne pathogens and the role of Greenwood School District 50 and OSHA.
More informationBloodborne Pathogens Training For School Personnel
Bloodborne Pathogens Training For School Personnel OSHA Defined: Occupational Safety and Health Administration Published a standard to reduce or eliminate health risk, resulting in: Annual training of
More informationToronto Public Health HCV Outbreak Investigation Ontario Endoscopy Clinic 1315 Finch Avenue West, Suite 302, Toronto Final Report April 24, 2015
Toronto Public Health HCV Outbreak Investigation Ontario Endoscopy Clinic 1315 Finch Avenue West, Suite 302, Toronto Final Report April 24, 2015 Initial Case Identification On May 24, 2013, a 60 year old
More informationTurning Technology-related Evidence into Optimal Protocols for Line Maintenance
Turning Technology-related Evidence into Optimal Protocols for Line Maintenance Nadine Nakazawa, BSN, RN, VA-BC Vascular Access Specialist Date: 22nd March, 2018 City: Adelaide Speaker Disclosure Nadine
More informationBloodborne Pathogens Exposure Procedure
Bloodborne Pathogens Exposure Procedure Background: Bloodborne pathogens are infectious microorganisms present in blood that can cause disease in humans. These pathogens include, but are not limited to,
More informationNeedle Stick. Mr. Fadi J. Zaben RN MSN IMET 2000, Ramallah IMET 2000
Needle Stick Mr. Fadi J. Zaben RN MSN, Ramallah 1 Objectives: Define Needle Stick. Mention the sharps. Discus the rate of incidence. Identify the person who is at risk. Discus Needle stick and infectious
More informationPharmaceuticals and Ambulatory Surgery Centers. Tom Simpleman
Pharmaceuticals and Ambulatory Surgery Centers Tom Simpleman Consultant Pharmacist 2014 Rocky Mountain Ambulatory Surgery Center Educational Conference April 10, 2014 Pharmaceuticals and Ambulatory Surgery
More informationBloodborne Pathogens. Kathleen Stefek, RN, MSN
Bloodborne Pathogens Kathleen Stefek, RN, MSN What are Bloodborne Pathogens? Infectious agents carried in the blood and other body fluids that are capable of infecting a host (people like you and me) with
More informationSLIDE 2: (Opening slide) Good Morning (Afternoon, Evening). Thank you for inviting me to speak to you today about safer needle devices.
1 SLIDE 2: (Opening slide) Good Morning (Afternoon, Evening). Thank you for inviting me to speak to you today about safer needle devices. 2 SLIDE 3: (Purpose) Since the Bloodborne Pathogens Standard was
More informationHepatitis B and C Overview, Outbreaks, and Recommendations. Viral Hepatitis Language. Types of Viral Hepatitis 7/1/2013
Hepatitis B and C Overview, Outbreaks, and Recommendations Elizabeth Lawlor, MS Healthy Kansans living in safe and sustainable environments. Viral Hepatitis Language Acute infection is when the infection
More informationColgate University. Bloodborne Pathogens Exposure Control Plan
Colgate University Bloodborne Pathogens Exposure Control Plan COLGATE UNIVERSITY BLOODBORNE PATHOGENS EXPOSURE CONTROL PLAN I. STATEMENT OF POLICY It is the policy of Colgate University (CU) to limit or
More informationPlanning for the Novel H1N1 Influenza Vaccination Campaign
Planning for the Novel H1N1 Influenza Vaccination Campaign Debra Blog, MD, MPH, Director Bureau of Immunization New York State Department of Health October 7, 2009 1 Influenza Prevention Influenza vaccination
More informationUpdate on Healthcare Personnel Influenza Vaccination
Update on Healthcare Personnel Influenza Vaccination Raymond A. St rikas, MD, MPH Immunization Services Division National Center for Immunization and Respiratory Diseases October 23, 2012 National Center
More informationNovember 2006 HepTalk Listserv
Page 1 of 8 jhopewell From: Kathryn Anderson [dempander@earthlink.net] Sent: Friday, December 08, 2006 10:43 AM To: HepTalk@migrantclinician.com Subject: Welcome to all new members of the HepTalk Listserv!
More informationInfection Control Assessment and Response (ICAR) in Long-term Care
Infection Control Assessment and Response (ICAR) in Long-term Care Carol Genese, MBA ICAR Infection Preventionist Communicable Disease Service New Jersey Department of Health Agenda ICAR Introduction ICAR
More informationBLOODBORNE PATHOGENS Online Training for Buncombe County Public School Employees
BLOODBORNE PATHOGENS Online Training for Buncombe County Public School Employees Buncombe County Public Schools require employees to receive annual training for Bloodborne Pathogens. This online training
More informationNEEDLESTICK PREVENTION
NEEDLESTICK PREVENTION Ever since the rapid increase in the number of cases of HIV/AIDS and other bloodborne infections such as hepatitis B and C, there has been tremendous interest in the healthcare community
More information(cf / / Exposure Control Plan for Bloodborne Pathogens)
All Personnel BP 4119.43 UNIVERSAL PRECAUTIONS 4319.43 In order to protect employees from contact with potentially infectious blood or other body fluids, the Governing Board requires that universal precautions
More informationMODULE B. Objectives. Infection Prevention. Infection Prevention. N.C. Nurse Aide I Curriculum
DHSR/HCPR/CARE NAT I Curriculum - July 2013 1 N.C. Nurse Aide I Curriculum MODULE B Infection Prevention Objectives Relate the chain of infection to the work of a nurse aide in long-term care facilities.
More information2013 BLOODBORNE PATHOGENS. Frostburg State University Frostburg, Maryland 21532
2013 BLOODBORNE PATHOGENS Frostburg State University Frostburg, Maryland 21532 OSHA Bloodborne Pathogens 29 CFR 1910.1030 Our plan is Reviewed annually, or as necessary to reflect changes in technology,
More informationDoc: 1.9. Course: Patient Safety Solutions. Topic: Infection prevention and control. Summary
Course: Patient Safety Solutions Topic: Infection prevention and control Summary Health care-associated Infection (HCAI) is defined as an infection acquired in a hospital by a patient who was admitted
More informationGUIDE TO INFECTION CONTROL IN THE HOSPITAL. Emergency Department and Receiving Areas CHAPTER 24: Author P. Suri, MD R. Gopaul, MD
GUIDE TO INFECTION CONTROL IN THE HOSPITAL CHAPTER 24: Emergency Department and Receiving Areas Author P. Suri, MD R. Gopaul, MD Chapter Editor Gonzalo Bearman MD, MPH, FACP, FSHEA, FIDSA Topic Outline
More informationLEARNING MODULE: INFECTION CONTROL BLOODBORNE PATHOGENS ISOLATION PRECAUTIONS PHARMACEUTICAL WASTE
LEARNING MODULE: INFECTION CONTROL BLOODBORNE PATHOGENS ISOLATION PRECAUTIONS PHARMACEUTICAL WASTE For Residents & Instructors ggbha.org Updated 6/18/2018 This learning module must be reviewed by residents
More informationLife Threatening Vocational Hazards Diseases and Toxins
Life Threatening Vocational Hazards Diseases and Toxins INTRODUCTION What is the blood-borne pathogens standard? 29CFR 1910.1030 Who needs blood-borne pathogens (BBP) training? What content needs to be
More informationUniversal Precautions
Universal Precautions James Madison University Brought to you by Office of Health Promotion, JMU Health Center (2007) Purpose of this Training Teach the principles behind the prevention of disease transmission.
More informationThis program will outline infection prevention measures known to help reduce the risk of patients getting a healthcare associated infection (HAI).
This program will outline infection prevention measures known to help reduce the risk of patients getting a healthcare associated infection (HAI). Hand Hygiene Spread the Word.. Not the Germs.. Clean
More informationBLOODBORNEPATHOGENS. CAP Safety Meetings. Revision: CAP Safety Meetings [Bloodborne Pathogens]
BLOODBORNEPATHOGENS CAP Safety Meetings Revision: 10-2011 2011 Copyright - PEC/Premier Safety Management, Inc. All Rights Reserved Revision: [10-2011] 1 THEBLOODBORNEPATHOGENSSTANDARD The Bloodborne Pathogens
More informationOccupational exposure to bloodborne pathogens
Occupational exposure to bloodborne pathogens Dr. Sadeghniiat Professor of Tehran University of Medical Sciences Director of Iranian Occupational Medicine Association Head of Imam Khomeini complex hospital
More informationIntroduction to the Need for a Special Focus on Healthcare Worker Safety
Introduction to the Need for a Special Focus on Healthcare Worker Safety There is still room for improvement in the area of safety and infection control for patients and healthcare workers by lowering
More informationInfection Control. Chapter 11 Intro to HST
Infection Control Chapter 11 Intro to HST All health care workers must understand basic infection control Key terms Pathogen: germ Microorganism: small, living organism that is not visible to the naked
More informationKatie Obergfell BSN, RN CIC Karen Brody BSN, RN
Katie Obergfell BSN, RN CIC Karen Brody BSN, RN Purpose of Infection Prevention Chain of Infection Standard Precautions Multi-Drug Resistant Organisms Isolation Procedures Blood borne Pathogens TB Employee
More informationOutbreak Investigation Guidance for Healthcare-Associated Infections
COMMUNICABLE DISEASE OUTBREAK MANUAL New Jersey s Public Health Response APPENDIX T2: EXTENDED GUIDANCE Outbreak Investigation Guidance for Healthcare-Associated Infections CURRENT HAI CONTEXT AND GOALS
More informationBloodborne Pathogens. At School
Bloodborne Pathogens At School Introduction What are bloodborne pathogens? What diseases do they cause? How do you protect yourself from being exposed? With a little knowledge, you can guard your health
More informationBloodborne Pathogens Training. July 26, 2012
Bloodborne Pathogens Training July 26, 2012 Introduction As sure as the sun comes up every day, children end up with scraped knees, cuts, and bruises. Students of all ages hurt themselves on the playground,
More informationActing in an Emergency
CHAPTER 2 Acting in an Emergency (Video- Acting in an emergency and preventing disease transmission) Emergencies Vary Nature of injury or illness Severity of injury or illness Presence of other injuries
More informationWhat is a Bloodborne Disease?
What is a Bloodborne Disease? Bloodborne pathogens are germs that are found in the bloodstream and can cause disease in humans. Examples of common bloodborne diseases include Hepatitis B, Hepatitis C and
More informationTo view an archived recording of this presentation please click the following link:
To view an archived recording of this presentation please click the following link: http://pho.adobeconnect.com/p43vbkj4ac9/ Please scroll down this file to view a copy of the slides from the session.
More information2014 OSHA Blood-borne Pathogens (BBP) Update JHS Annual Mandatory Education
2014 OSHA Blood-borne Pathogens (BBP) Update 2014 JHS Annual Mandatory Education Objectives Discuss the epidemiology of Bloodborne Pathogens. List the statistics of HIV/AIDS cases Identify the correlation
More informationThe BBP Standard applies to all employers with employees with reasonably anticipated occupational exposure to blood or OPIM. It applies, not just in
1 The BBP Standard applies to all employers with employees with reasonably anticipated occupational exposure to blood or OPIM. It applies, not just in healthcare, but in general industry as well (e.g.,
More informationHEPATITIS C SEROCONVERSIONS AND ESRD REGULATIONS
HEPATITIS C SEROCONVERSIONS AND ESRD REGULATIONS Anna Sousa, MS, RD Supervising Healthcare Evaluator Health Facility Survey & Field Operations October 1, 2015 anna.sousa@doh.state.nj.us Agenda Review frequently
More informationActing in an Emergency (Video- Acting in an emergency and preventing disease transmission)
CHAPTER 2 Acting in an Emergency (Video- Acting in an emergency and preventing disease transmission) Lesson Objectives 1. Explain how bloodborne pathogens may be transmitted from an infected person to
More informationIP Lab Webinar 8/23/2012
2 What Infection Preventionists need to know about the Laboratory Anne Maher, MS, M(ASCP), CIC Richard VanEnk PhD, CIC 1 Objectives Describe what the laboratory can do for you; common laboratory tests
More informationBy: Beth Calkins, RN, MSN
By: Beth Calkins, RN, MSN Employees working in a school system are potentially exposed to human blood and/or other body fluids containing human blood that may be contaminated with potentially infectious
More informationMultiple Clusters of Hepatitis Virus Infections Associated With Anesthesia for Outpatient Endoscopy Procedures
GASTROENTEROLOGY 2010;139:163 170 Multiple Clusters of Hepatitis Virus Infections Associated With Anesthesia for Outpatient Endoscopy Procedures BRUCE GUTELIUS,*, JOSEPH F. PERZ, MONICA M. PARKER, RENEE
More informationCHEROKEE COUNTY SCHOOL DISTRICT
For Protection against Infectious Diseases Universal Precautions refers to a set of basic procedures designed to protect against infectious diseases that are transferred by blood and body fluids. Using
More informationADMINISTRATIVE SERVICES MANUAL
1 of 10 Purpose Scope University of Alaska Anchorage departments will develop plans and procedures to limit occupational exposure to blood and other potentially infectious materials (PIM) in compliance
More informationNEOMED ACADEMIC POLICY
(A) PURPOSE The purpose of this Policy is to delineate the management of incidents of exposure to blood-borne pathogens that occur to students while they are in the educational setting. (B) SCOPE This
More informationPathogens And Human Illness Study Guide Answers
We have made it easy for you to find a PDF Ebooks without any digging. And by having access to our ebooks online or by storing it on your computer, you have convenient answers with pathogens and human
More information