Diagnostic Imaging Needle Stick Sharps Exposure Prevention SelfLearning

Diagnostic Imaging Needle Stick & Sharps Exposure Prevention Self-Learning Packet 2 -2014 (policy reference changes 6 -2019)

How Many Needle Stick Injuries occur in the U. S. A. ? • The Department of Health Services reported that 600, 000 to 800, 000 needle stick injuries occur each year • A CDC study estimated that 385, 000 occur in the hospital (>1, 000/day) • ~5% of these were technologists That is 52 injuries a day! www. hhs. gov/asl/testify/t 000622 a. html and Na. SH 1995 -Dec 2003 https: //www. cdc. gov/sharpssafety/ppt/2 preventingneedlesticksparti. ppt

What Infections Can Be Caused by Sharps Injuries? • More than 20 bloodborne pathogens • The pathogens that pose the most serious health risks are: -Hepatitis B virus (HBV) – -Hepatitis C virus (HCV) – -Human immunodeficiency virus (HIV)

What Kinds of Devices Usually Cause Sharps Injuries? • Hypodermic needles • Blood collection needles • Needles used in IV delivery systems • Scalpels

Based on the Prior CDC Slide Needle Injuries Occur…. • • 35% During sharps clean up and disposal 28% Manipulating needle in patient 10% Colliding with co-worker 0. 6% Recapping needle Did you notice? 35% happens AFTER the procedure during clean up and disposal

Sharps Safety • Prepare to use the device the moment the sharp is first opened • Take precautions while using sharps • Take precautions during cleanup • Take precautions during disposal www. cdc. gov/sharpssafety

Sharps Safety Practices • Be Prepared • Be Aware • Dispose with Care www. cdc. gov/sharpssafety

Be Prepared Before Beginning a Procedure • • • Wash Hands and Wear Gloves Organize equipment at point of use Use needleless systems when appropriate Use adequate lighting Keep sharps pointed away from the user Plan ahead- Have sharps disposal nearby Assess the patient’s ability to cooperate Get help if necessary Ask the patient to avoid sudden movement www. cdc. gov/sharpssafety

Be Aware During a Procedure • • • Keep sharps visible Avoid distractions Never hand off or leave needles or sharps for others to dispose Loudly sate “Sharps” when handling sharps Maintain a safe zone around sharps being used Always activate the safety device on needles immediately after each use Be aware of staff nearby Control the location of sharps to avoid injury Use predetermined neutral zone for placing/retrieving sharps Do not hand-pass exposed sharps from person to person Alert others when sharps are being passed SCPNC. MCW-ADM. 128 and www. cdc. gov/sharpssafety and

Be Aware During a Procedure continued…. • Activate injury prevention safety feature of device (e. g. retraction) • Observe audible or visual cues that confirm the safety feature is locked in place • Do not bend* or break needles • Do not recap* needles/scalpels *Exception: contaminated sharps may be bent, recapped or removed from devices if the procedure is performed using a mechanical device or one-handed technique AND no alternative is feasible or is required by a specific medical procedure SCPMC. MCW-IP. 063

Be Aware During a Procedure continued…. • A stationary needle cap holder must be used for incremental doses of medication to the same patient MCW-IP. 063 • Contaminated sharps that are reusable are to be placed immediately after use into designated holder (Shortstop ) and should be handled using some type of tong (hemostat/forceps) or device SCPNC. MCW-IP. 063 ™ • Do not remove needles from Shortstop ™ before disposing in sharps container • Plan for safe handling and disposal of sharps before using them

Clean up and Dispose with Care During Cleanup • Be accountable for sharps you use • Do not disassembled needles from syringes by hand prior to disposal • Use hemostat/forceps to move items when uncovering/checking procedure trays, waste materials, and bedding for exposed sharps • Look for sharps/equipment left behind inadvertently www. cdc. gov/sharpssafety S YE

Clean Up and Dispose with Care While Disposing of Sharps • Inspect container • Keep hands behind sharps • Never put hands or fingers into sharps container • If you dispose sharps with attached tubing be aware that it can recoil and lead to injury • Maintain control of both tubing and the device during disposal www. cdc. gov/sharpssafety

Clean Up and Dispose with Care After Disposing of Sharps • Visually inspect sharps container for overfilling • Replace containers when no more than ¾ full SCPMC. MCW-IP. 063 www. cdc. gov/sharpssafety

Clean Up and Dispose with Care If you Find improperly Disposed Sharps in Work Environment • Handle Carefully • Keep hands behind sharps at all times • Use mechanical device (e. g. tong/hemostat) if you cannot safety pick up sharps by hand www. cdc. gov/sharpssafety

Your Part in Prevention • Adhere to safe practices • Support co-workers in safety practices • Report injuries or blood/body fluid exposures, sharps injury hazards, and near misses • Participate in training for devices and properly use sharps safety features • Participate in safe culture and device evaluation www. cdc. gov/sharpssafety

ng i k ea p S of. …. T UB

Your Part in Prevention • Tell your employer about any sharps hazards you observe • Participate in training related to infection prevention • Get a Hepatitis B vaccination • Wear gloves • Wash Hands Sharps fall under OSHA’s Bloodborne Pathogen Standard, 29 CFR 1910. 1030.

Name: Post Test NUID #: Date Submit with your prerequisite packet 1. Most needle sticks occur before, during or after a procedure? 2. Having sharps disposal nearby is one way to be prepared before beginning a procedure. True or False ? 3. You should use hemostat/forceps to move items when uncovering/checking procedure trays, waste materials, or bedding for exposed sharps. True or False? 4. Sharps disposal containers should be emptied when they are no more than full. 5. We should remove needles from the Shortstop device before disposal. True or False ? 6. Needles should be removed from syringes/tubing before disposal? True or False? ™