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SHARPS INJURY PREVENTION. Learning Objectives  Identify the different types of sharps.  Identify risks posed by needles and other sharps.  Recall safe.

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Presentation on theme: "SHARPS INJURY PREVENTION. Learning Objectives  Identify the different types of sharps.  Identify risks posed by needles and other sharps.  Recall safe."— Presentation transcript:


2 Learning Objectives  Identify the different types of sharps.  Identify risks posed by needles and other sharps.  Recall safe practices for needles and other sharps.  Recognize sharps that have engineered sharps injury protection.  Know what Personal Protective Equipment includes.  Know how to report an exposure incident.

3 Sharps - Definition  Definition: any needles, syringes with needles, scalpels, blades, broken ampules or other articles that could cause wounds or punctures to personnel handling them.  Must be discarded into special containers without risk to disposal personnel.

4 Risks Posed by Sharps  Transmission of blood borne pathogens to someone injured by the sharp.  Between 600,000 and 800,000 sharp injuries occur among healthcare workers annually according to OSHA.

5 Blood Borne Pathogen Transmission Sharps injuries can be associated with occupational transmission of more than 20 blood borne pathogens:  Most common pathogens:  Hepatitis B (HBV)  Hepatitis C (HCV)  Human immunodeficiency virus (HIV)  Sharps injuries can lead to serious or fatal infections.

6  About ½ of sharp injuries go unreported.  A culture of safety should be promoted by:  Reporting injuries and hazards.  Supporting involvement of staff in selection of sharps injury prevention devices.  Providing education and training on sharps injury prevention. Culture of Safety

7  Hypodermic needles  Blood collection needles  Suture needles  Needles used in IV delivery systems  Glass capillary tubes  Used disposable razors Sharps that Frequently Cause Injury

8  Physicians  Nurses  Lab technicians  Phlebotomists  Mid-level providers  Housekeepers  Laundry personnel  And others Who is at Risk?

9  Drawing blood  IM injections  IV access  Suturing  Handling laundry  Collecting filled sharps containers  And more Procedures Linked to Injuries

10  Occupational Exposure to bloodborne pathogens (29 CFR §1910.1030)  Revised in January 2001  Covers all occupational exposure to blood and other potentially infectious material  Available at OSHA Requirements

11 Healthcare facilities must:  Develop and periodically review an exposure control plan.  Offer safer medical devices to reduce or eliminate exposure incidents.  Seek employee input in selection of safer medical devices and implementation of work practice controls.  Offer the Hep B vaccine to workers. OSHA Bloodborne Pathogen Standard

12  OSHA requires healthcare providers to:  Identify jobs and tasks in which occupational exposure to blood or other potentially infectious material occurs.  Consider and implement safer medical devices.  Seek input from healthcare workers in identification, evaluation and selection of safer medical devices and work practice controls.  Update plan annually. Exposure Control Plan

13  Follow standard precautions.  Use engineering and work practice controls.  Wear personal protective equipment.  Avoid recapping, bending or breaking of needles and sharps. Methods to Reduce Exposure

14  CDC recommends standard precautions:  Assume all blood and body fluids are infectious.  Every patient is treated as potentially infected with a bloodborne pathogen.  All healthcare workers must use standard precautions whenever there is a chance of exposure to blood or other potentially infectious material.  Workers must use hand hygiene! Standard Precautions

15  Avoid recapping, bending or breaking needles and sharps.  Use a one hand technique if medical procedure requires recapping.  Place used sharps immediately into puncture- resistant containers.  Carry sealed specimen containers in an outer container.  Avoid touching contaminated broken glass with bare hands. Safe Practices

16  A protective device that can be used to protect healthcare workers from accidental needlesticks and other sharp injuries.  Generally take the same form and are used for the same application as their traditional non- safety counterparts, EXCEPT:  Protective devices are designed to prevent personnel from coming into contact with an exposed needle or other sharp. Safe Medical Device

17  Needleless systems, such as needleless IV line connectors;  Sharps with engineered sharps injury protection, such as self-sheathing needles on syringes. Two Types of Safer Medical Devices


19  Device that does not use a needle for  Collection of body fluids  Administration of medication/fluids; or  Any other procedure with potential percutaneous exposure to a contaminated sharp. Needleless Systems

20 Needleless System

21  Non-needle sharps or needle devices with built-in safety features or mechanisms that reduce the risk of exposure incidents.  Uses:  Withdrawing body fluids  Accessing a vein or artery  Administering medications or other fluids Engineered Sharps Injury Protection

22 Example of Hypodermic Syringe with Retractable technology

23 Example of Phlebotomy Needle with Self-blunting Feature

24 Needleguard Safety Feature

25  PPE  Equipment worn to minimize exposure to infectious materials or chemicals.  Required by the Bloodborne Pathogens Standard if exposure to blood and other potentially infectious materials is anticipated.  pps:// ards/ppe/ppe.html Personal Protective Equipment

26  Know where protective wear is stored  Gloves, gowns, mask, face protector, etc. Protective Clothing

27  Used to collect blood  Break when inserted into putty  Break during centrifugation  Replace with non-glass material or  Wrap in puncture-resistant film or  Look at products that can measure Hematocrit without a centrifuge. Risks of Glass Capillary Tubes

28  All contaminated sharps must be discarded in a sharps container – OSHA requirement  Place sharps in container immediately after use.  Place containers in patient rooms.  Do not overfill container.  Follow your practice’s procedures for disposal of sharps and container. Sharp Disposal Containers

29  An exposure incident has occurred if  Blood or other potentially infectious material (not your own) has come into direct contact with your eyes, mouth, mucous membranes or open wounds; or  You have punctured your skin with a contaminated sharp object. Exposure Incident

30  Report all exposures  Complete necessary paperwork to help document exposure.  Employer will provide a medical evaluation, counseling, treatments, information, etc. as needed for you. Exposure Incident

31  Hepatitis vaccine is recommended if you have not been vaccinated.  Post-exposure prophylaxis should be started if clinically indicated. E.g.. HIV should be started within hours after exposure. Post-exposure

32  Use devices with safety features. Know how to use them.  Never recap needles.  Always dispose of used and contaminated sharps immediately in the proper container.  Be aware of hazards of non-needle sharps:  Broken glass, scalpels, blades, etc.  Report all sharp related injuries. SUMMARY


34  OSHA Bloodborne Pathogens Fact Sheet:  rneFacts/bbfact01.pdfA:  CDC:  rneFacts/bbfact01.pdf rneFacts/bbfact01.pdf  afety_poster3.pdf afety_poster3.pdf Resources

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