Presentation on theme: "Occupational Medicine Team"— Presentation transcript:
1Occupational Medicine Team Dr.Fiona Donnelly,MFOM,MRCGP.Ms.Elaine Dunne,CNM2Ms.Mgt Kelleher,CNM2Ms.Ann Wall, RgnMs.Emma Scannell,Grade 3 clerical.
2Analysis of Data: what was of use in Connolly Hospital?
3Investigation of Safer Needle systems for Connolly Hospital. Occupational Health Dept Connolly Hospital.Staff Population covered :6,300.Throughout HSE north of Liffey excluding Mater Misericordiae, Beaumont Hospital.All public Healthcare facilities: Dental, Care of Elderly, Psychiatry Hospital and Community residential facilities.
4Population breakdown Staff employed:Tot.Headcount 6,335. Connolly Hospital : ,300St.Ita’ acute Psychiatry and Intellectual Disability: 1,026St.Brendan’s:Community Welfare:Drug Addiction services:Care of Elderly:St. Mary’s Hosp.:Community Care 6,7, and 8 : ,544(Includes Residential Childcare Units)Dental:5, WTE
5Rate of Needlestick/Blood and Body Fluid exposure incidents in NAHB 2001:2002:2003:2004: 69 cases reported.2005: 60101
6Foundation of IHOPS group Represents all Occupational Medicine Specialists covering HCW in Ireland.Population covered approx 10,000.Need for register of NSI’s /Body fluid exposures for IrelandWhy? To identify frequency of occurrencesEstimate outcomes: How many 3° Referrals ?Propose improved preventative measures including saferneedle systems.
7USAIn President Bill Clinton introduced into Federal law the requirement for all healthcare facilities to ADOPT saferneedle systems in the workplace(www.CDC.gov.---NIOSH)Why has it taken Ireland and UK so long to address this risk?Case law in UNISON V Scotland Executive, March 2003 European Law (Provision and Use of Work Equipment Regulations) won compensation for 2 HCW’s exposed to risk of infection on grounds of breach of care by employer.Health Procurement Agency( Central Purchasing NHS ) Lancets off listings.
8IHOPS approached HSE-HPSC Project proposal was constructedAims and objectives : evidence base nationally of injury frequency and engineering controls on a basis of medical education2 pilot sites chosenProspective descriptive analysis over 3 month of all NSI’s/Body Fluid exposures in hospital site reported.SVUH, Dr. Paul Gueret , Occupational Medicine Specialist and Occupational Nurse Advisors.Connolly Hospital, Dr. Fiona Donnelly & Occupational Nursing. teamPeriod October.2004-December 2004.
9EPINet MS Access database Paper and database forms to record details of:- Blood and body fluid exposure incidents- Needlestick and sharp object incidents- Post-exposure follow up form (test results and treatment)Standardised method for recording and tracking percutaneous injuries and blood and body fluid contactsCan compare data to other health facilities who are using this programme- Over 1,500 hospitals in the US- Hospitals in Canada, Italy, Spain, Japan and the UKAvailable free of charge with free technical support from the University of Virginia
10User-friendlyPaper form completed by exposed worker with the help of occupational health departmentData entered into similar database formOnce follow-up is complete, a post exposure follow-up form is completedStandard graphs, summary reports and single incident reports available from drop-down menusCan create your own reportsCan add your own questions and drop-down menu optionsPassword security providedAnonymised or full data can be exported to Excel and Access using drop-down menus
14True cost of injuries to Dept. of Health Ireland.
15Cost to roll out reporting to HPSC Salary of 0.5 Disease Surveillance Scientist0.5 Surveillance Scientist AssistantFunding by private companies, existing DOH Staff recruitment embargo precludes direct funding at present.Many thanks for your kind attention.