EU Directive for Safer Sharps. Anna Pronyszyn Infection Prevention Nurse Conusultant

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1 EU Directive for Safer Sharps Anna Pronyszyn Infection Prevention Nurse Conusultant

2 Regulation and Legislation Health and Social Care Act 2008 Occupier s Liability Act 1957 Health and Safety at Work Act Management of Health and Safety at Work Regulations Workplace (Health and Safety Welfare Regulations) COSHH Regulations 2002 Common Law Duty of Care Nice Guidance CG 139 (Primary Care and Community) -Standard 1.1.1: Training in safe use and disposal of sharps -Standard : Use sharps safety devices subject to risk assessment:

3 Why today? What new regulation was required to be implemented by 11 May 2013? Health and Safety (Sharps Instruments in Healthcare) Regulations 2013

4 Implementing the EU Directive Risk Assessment Elimination prevention and protection Information and awareness raising Training Reporting, response and follow-up Monitor and review New sharps policy

5 What are the risks Identify the hazards Decide who might be harmed and how Evaluate risks and decide on precautions Elimination of the hazard Record your findings and implement action required Review your assessment and update

6 When should a sharps bin be replaced? a) 50% full b) 75% full c) 100% full Where should the sharps container be positioned? a) On the floor b) Out of the reach of children c) Six feet of the ground

7 Sharps containers All sharps containers should conform to UN standard 3291 and British Standard Sharps containers are not filled to more than two thirds. Sharps boxes are signed on assembly and disposal. Sharps bins are stored safely away from the public and out of reach of children. Store full containers in secure facility

8 Name 3 pieces of information that should appear on a sharps container a) Date when the container was assembled/closed b) Name of Area (Home) c) Who assembled/closed the container

9 What % of injury is a result of incorrect disposal 85%

10 Do you have a report an injury from an unused sharp to your manager? So what is an inoculation injury? Name 3 categories

11 INOCULATION INJURY A break in the skin involving a used needle or sharp instrument A splash to the eye or mucous membrane A bite, scratch or cut involving an exchange of blood or bodily fluid

12 The DH (2008) advises encouraging the wound to bleed as the initial action following a sharps injury. Sucking of the wound by mouth is not recommended. If exposure has occurred to the eyes or mouth these areas should be irrigated with water. If contact lenses are being worn then eyes should be irrigated both before and after their removal

13 What do you have to do following an inoculation injury? Don t forget first aid

14 ACTION Make it bleed Wash under running water Cover it Report it Phone OH/AE Check immunisation status Bloods with consent Document it Do not forget to ensure the sharp is left safe to prevent further injury

15 How soon after an injury do you have to report the injury? a) Immediately b) Within 24 hours c) Within a week

16 What viral infections may be acquired from a contaminated sharps injury or bite? Hepatitis B Hepatitis C HIV

17 Following a inoculation injury from an infected person which blood borne virus are you at highest risk of acquiring Hepatitis B virus 0.3% Hepatitis C virus % Human immuno -deficiency virus 0.1%

18 How long does Hepatitis B survive outside the body? a) 4 days b) 1 week c) 1 day

19 Survival rates Hepatitis C virus (HCV) can survive outside the body up to four days CDC, 2009 Hepatitis B has been reported to survive up to one week CDC, 2009 Human immunodeficiency virus (HIV) is thought to only remain viable for relatively short periods outside of the body. CDC, 2010

20 Which vaccine/s are you able to have to protect yourself Hepatitis B

21 Vaccine Pre-exposure vaccination to hepatitis B should be considered for all HCW who are at risk of exposure to the virus from contact with blood, body fluids or tissues (DH) 2006).

22 How soon do you have to take prophylaxis for HIV As soon as possible but within 72 hours Treatment for a month Unpleasant

23 Identify the hazard Complete form in packs Complete action plan Assess the risk Prioritise the risk Risk Management Take action Eliminate where possible Prevent Protect Raise awareness at next meeting

24 Safe practice Handling of sharps is kept to a minimum. Syringes or needles are not dismantled by hand and are disposed of as a single unit straight into a sharps container for disposal. Sharps containers are readily available as close as possible to the point of use (sharps trays with integral sharps boxes are a useful resource). Needles are never re-sheathed or recapped. Needles are not broken or bent before use or disposal. Arrangements should be in place to ensure the safe disposal and transport of sharps used

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26 Safe practice Encourage staff to report all inoculation injuries Revise sharps policy Include a flow diagram Display for quick reference for staff Monitor, review and follow up injuries find out why can it be prevented from happening again Ensure staff are trained on the safe use of sharps Implement the use safety engineered devices

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29 Risk of not implementing Failure to implement the directive will be seen as a criminal offence. The HSE will determine appropriate penalties which are effective, proportionate and dissuasive. Dr. Debra Adams 2012

30 Thank you for taking part Questions?