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Module 3: Prevention of Needlestick Injury & Management of Occupational Exposure

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Justin Lee

on 31 May 2013

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Transcript of Module 3: Prevention of Needlestick Injury & Management of Occupational Exposure

Test your knowledge! exit presentation now; the rest is a bunch of "scrap" slides in draft Standard Procedures of Needlestick Prevention Colleague Encounter Prevent spread of blood-borne diseases Treat blood and other body fluids and tissues as potentially infectious Hepatitis Safety B SMART HEPATITIS Wear gloves Dispose of sharps Don't recap Consider Aisha, who is a healthcare worker in your clinic. Aisha is new and doesn't take proper precautions in the workplace with proper decontamination and disposal of medical equipment. Here's the situation: In Aisha's left hand, she’s holding an uncapped needle.
She’s about to use her right hand to cap the needle. You should tell her: What if ? What if I must recap the needle—for example, if I need to carry the used needle to a sharps container that is not immediately accessible? Major health organizations recommend that the HBV vaccine be made available to healthcare workers with risk of occupational exposure Vaccinating health care workers Use one hand to recap the needle! ALL clinic staff should take precautions Wear masks and gloves, long-sleeved clothing; use carts and liners Keep fingers away from tip of device and hands away from entrance of container Avoid overfilling sharps containers (throw out when 2/3 full) Carry load away from your body Do not pack garbage down with feet Identify the source of infection Evaluate the individual regarding the risk of infection and the need for follow-up evaluation First aid should be administered quickly If someone becomes exposed in the clinic... Reporting systems should include ready access to expert consultants as well as safeguards to protect the confidentiality of the exposed worker including janitors! In fact, healthcare workers should get priority for HBV vaccines! After finishing the vaccine series,
if surface antibody levels are <10 mIU/mL one to two months later, healthcare workers should receive another 3 shots from a different manufacturer Disinfect all equipment properly Equipment surfaces
Noncritical surfaces
Critical devices
Semi-critical items What 3 things should you tell her? Screen all blood donors for hepatitis B
Test all blood products for hepatitis B Consider using retractable, single-use needles to avoid the issue in the first place. Use gloves at all times If you need to dispose of a needle, dispose of them in a puncture-proof container that is closed, spill-proof, and puncture-resistant
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