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 Welcome to the ISIPS Newsletter
February 12, 2010 
USA News

USA Health News

State: HIV rates are higher among blacks
Black Missourians have higher AIDS and HIV rates than the rest of the population, state health officials said.

Most HIV/TB Co-Infections Are In Latinos
New research shows Latinos make up the vast majority of new cases of co-infection of tuberculosis (TB) and HIV.

Global News

Calgary tattoo-parlour patrons told to get HIV, hepatitis tests
Health officials are urging people who had tattoos done at any of seven unlicensed parlours in the Calgary area to get tested for hepatitis and...

China's mystery HIV-like disease may be all in the mind
Hundreds of people in China believe they might have a new disease with HIV-like symptoms, but doctors suggest their illness could be the...

Combatting HIV/AIDS in Africa: Changing Behavior with Worksite Education and...
"HIV/AIDS affects everyone, educating workers is the first step in helping them prevent further infection, getting tested is the second," said Percy.

Avian Flu

Bird flu H5N1 re-strikes Myanmar
Bird flu H5N1 has re-struck Myanmar with one case occurring in Yangon's Mayangong township in the beginning of this month, according to a statement of the...

Europe to Help Against Avian Flu
Indonesia, as the country with the largest number of avian flu sufferers has to be ready to face a pandemic.

Cambodia - Bird flu hits ducks
The cull comes after more than 15000 ducks died last week in the southern province of Takeo and samples tested positive on Tuesday for the H1N1 avian...

Suspect quarantined in Lampung hospital
Abdul Moeloek General Hospital in Bandarlampung, Lampung, has again quarantined a patient suspected of being infected the bird flu after showing symptoms of...

New Cases Human Avian Flu In Egypt
The Ministry of Health of Egypt has announced two new cases of human H5N1 avian influenza infection. The first case is a 40-year-old female from Banha...

Concerns mount for new bird flu threat
Deputy Minister of Agriculture and Rural Development Diep Kinh Tan yesterday said that the avian flu epidemic is at high risk of spreading in the...

Bird flu hits many provinces
Bird flu is now spreading rapidly in many provinces after a long period of containment, the Department of Animal Health (DAH) said on February 8.

Swine Flu

Swine flu claims 23rd victim in Vadodara
Swine flu claimed its 23rd victim in Vadodara today when Ruksana Saiyad (41) of Tandalja area passed away at 4 pm. She was admitted in the Sir Sayajirao...

Swine flu vaccination study extended to children
A study being run in Scotland to identify any rare side effects of the swine flu vaccine has now been expanded to include under-16s.

Indian student from China 22nd swine flu victim in city
A 25-year-old youth from Madhya Pradesh, who had been admitted in a private hospital in the city, succumbed to swine flu on Monday.

Medical News

University researchers working on West Nile drug
Qiang Chen and a team of ASU researchers have developed have developed a cure of the West Nile virus from tobacco plants.

Scientists have discovered how HIV is transmitted
"If we want to stop the HIV epidemic then we must know the mechanisms by which HIV uses human to spread," said Dr. Davey Smith an Associate Professor of...

West Nile

Miss. reports 1st human West Nile case of '10
The state has its first human case of West Nile virus in 2010, the state Health Department reports. The person with the virus lives in Coahoma County,...


ChaSyr™ Prefilled Syringe

The ChaSyr DDS is a prefilled, multi–chamber, sequential delivery syringe.  In a nutshell, it means that the syringe has more than one medication chamber separated by a rubber stopper with a valve that keeps the medications disparate and prevents air/gas from passing through the valve.  The syringe comes prefilled with saline or heparinized saline in the posterior chamber.  The clinician aspirates medication into the front chamber using conventional practices. 
 
The ChaSyr DDS is then connected to a Y-site where the multiple medications are then injected into the patient serially.  After infusion of the medication from the front chamber, the clinician simply continues to push the syringe plunger.  When the rubber stopper (ChaSyr valve) comes in contact with the tip of the syringe a valve opens allowing the saline solution in the back chamber to flow through the valve thus flushing the Y-site and IV line of the original medicant and leaving a saline lock in the system.  The ChaSyr DDS with its prefilled inline post-flush simplifies nursing procedure, reduces line manipulations and line breaks by up to 50% thereby reducing contaminations rates and nosocomial infections.
 
For medications that are patient specific, a pharmacist/nurse is able to easily and accurately prepare and deliver an entire measured dose through a port/spike fluid pathway and into the IV container with safety.  This assures that the entire measured dose reaches the patient.  Let's look at how an infusion of a hazardous drug with the ChaSyr DDS product would work.  Looking at figure 1

It is shown that rear chamber of the ChaSyr  DDS has a prefilled saline flush, the front chamber of the ChaSyr  DDS is filled by the pharmacist with the drug of choice and a saline lock is placed in an extension set with a clamp.  Looking at figure 2 -

The clinician removes the cap from the extension set (only clinician exposure is to saline) and attaches the extension set to the catheter.  After opening the clamp, the syringe plunger is pushed thus infusing the saline pre-flush then the drug through the IV.  Looking at figure 3 -

The plunger is continued to be pushed until the valve in the first plunger is activated.  Saline then flushes the hazardous medication from the Y-site and the IV catheter thus rendering the catheter free of medicant and filled with the flush solution.

For more information on this exciting product click here.


LifeChoice Donor Services

LifeChoice Donor Services is dedicated to fostering community and professional support of organ and tissue donation, providing compassionate care for families, and saving and improving lives. We do this by also protecting the lives of our workers by using sharps injury prevention products during the procurement of organ donations it is important to be a part of an organization committed to minimizing the to bloodborne pathogens. We are always searching for new products that may make our job safer.  

For more information call (860) 286-3124.

In This Issue

Preventing needle-stick injuries in the health sector
An agreement to prevent needle-stick injuries in hospitals, one of the most widespread and serious risks to health workers across the EU, was welcomed by an overwhelming majority in Parliament on Thursday. The deal was drawn up by EU representatives of hospital employers and workers.

For obese, vaccine needle size matters
Our ever-expanding waistlines may have outgrown the doctor's needle, researchers say, in what could be another casualty of the obesity epidemic. In a new study, the researchers report that using a standard 1-inch needle to immunize obese adolescents against hepatitis B virus produced a much weaker effect than using a longer needle.

Consultants watch HIV infection lawsuit
The IHCA has said it is "following with interest" the case of a trainee surgeon who claims he contracted HIV during the course of his work duties and is now suing in the High Court for damages

Needlestick injuries in med school common -- and often unreported
Faculty and hospitals are urged to better educate students and streamline the injury-reporting process.
Medical students commonly stick themselves with needles and do not report it, placing them at increased risk for contracting bloodborne pathogens, according to a study in the December Academic Medicine.

Deadly infections
Hospitals can lower the risk, but many fail to act
If there's one thing that all sides agree on in the health-care-reform debate, it's the need to dramatically reduce the number of infections that patients acquire in the hospital. But infection data newly released to the public show that although some hospitals in this country are doing an excellent job of protecting patients, others are not.  Click here for more on the report 

CDC Statement: Public Reporting of Healthcare-Associated Infections
Recently, several state health departments and Consumer Reports magazine released summaries of infection rates in healthcare facilities.

Drug company could be partially at fault for hepatitis C outbreak
Although the CDC and Nevada have seemingly closed the case on the largest healthcare facility associated hepatitis C outbreak that was linked to the Endoscopy Center of Southern Nevada, that doesn’t mean it’s closed in the courtroom.

No medical practice too small for bloodborne pathogens compliance
Q: Is there a magic number of employees that exempts a medical practice from having to follow the OSHA bloodborne pathogens standard and safety needle rules?

OSHA training not during office hours
Q: May we conduct our annual bloodborne pathogens training before or after office hours so as not to disrupt patient scheduling?

Hand hygiene compliance rates
Hand hygiene is a basic, but never ending effort in healthcare that often befuddles even the most inventive IP or safety officer. Some have found incentives that work such as cash incentives, gift certificates, patient education, videos, and even games.

Human Civilization is Losing the War Against Superbugs
The threat from the highly lethal H5N1 bird flu - a mere mutation away from a highly contagious form - has not abated, and other infectious threats thought...

Needle Injuries to Medical Students Often Go Unreported
If they had, they would have been tested to see if they needed treatment to prevent an infection like HIV or hepatitis. Most known cases of HIV or hepatitis...

HIV key enzyme structure is determined
US and British scientists say they have determined the three-dimensional structure of a critical enzyme found in HIV and other retroviruses.

OSHA Violations
...recent citations issued
Joint And Muscle Medical Care

Charlotte, NC

$350

Failure to have an exposure control plan

Hepatitis B vaccination shall be made available after the employee has received the training and within 10 working days of initial assignment to all employees who have occupational exposure.

Failure to have sharps safety containers appropriately available.
 

Employers shall ensure that the worksite is maintained in a clean and sanitary condition.

Offices and Clinics of Dentists

Greenville, NC

$700

Employer failed to maintain a list of all tasks and procedures or groups of closely related task and procedures in which occupational exposure occurs.

Failure to have an exposure control plan

Failure to make Hepatitis B vaccination available after the employee has received  training and within 10 working days.

Employers shall ensure that the worksite is maintained in a clean and sanitary condition.

ISIPS Corporate Members

Please click on any ISIPS member below to view their sharps safety products!

Amgen

Covidien

B. Braun Medical, Inc.

Becton Dickinson

Inviro Medical Devices, Inc.

Greiner Bio-One GmbH

Immunization Branch-California Dept. of Health Services

Smiths Medical

Retractable Technologies Inc.

Terumo Medical Corporation

ANFIM - Association of Needle-free Injection Mfrs

Angiodynamics

Medi-Dose, Inc. - EPS, Inc.

International Association of EMTs and Paramedics

ITL Corporation

Bemis Manufacturing Company

Maximus Medical

Qlicksmart Pty Ltd

Milestone Scientific

Baxa Corporation

LifeChoice Donor Services

3M

Canadian Intravenous Nurses Association (CINA)

Sarstedt

Myco Medical

Health Care Logistics, Inc.

Center for Phlebotomy Education, Inc.

Managing Infection Control Magazine

The Society of Permanent Cosmetic Professionals

Kawasumi Laboratories America

Starr Systems, LLC

Owen Mumford

West Pharmaceutical Services

Luminetx Corporation

Sandel Medical Industries

Infusive Technologies, LLC

Jai Surgicals Ltd.

Onyx Medical

Allen Medical Systems

AngioTech

DC Surgical Solutions

Bard Access Systems

Access Scientific

Sanofi-AVentis

Navilyst

Purple Surgical International, Ltd.

Cory Bros Ltd.

Advanced Medical Innovations

Kinamed

Unilife

Sharpsfree

Peak Surgical

ICU Medical

Safety Lady LLC

Sharps Compliance, Inc.

Ethicon, Inc.

Advantage Medical Devices

Real Needlestick and
Blood Exposure Stories

The accident happened less than a year after the unnamed woman had qualified. She pricked herself on a needle that had been left on a drugs trolley while working as a junior house officer at Charing Cross Hospital, central London. Although she did not develop an infection, she went on sick leave two years later and has not worked since. "After the incident I kept worrying about what I could have caught," she told the British Medical Association's News Review magazine. "I began to avoid high-risk patients. I hid in the loo so someone else would deal with them. I avoided stitching wounds and pretended blood tests I had never taken had got lost. I could not trust my colleagues to dispose of their sharps safely."  She said she struggled for two years to cope with growing anxieties about sharp instruments, blood and Aids. She went sick in October 1994.


Featured Safety Product


The VeinViewer by Luminetx™ uses a combination of near-infrared light and patented technologies to image vascular structures, thus allowing physicians, nurses and other healthcare professionals to clearly see accessible vasculature (or lack thereof) in real time, directly on the surface of the skin.

By imaging the vasculature, clinicians have the ability to visualize the location of the target area regardless of a patient's age, body type or skin tone. During prototype development, the device was recognized by Time Magazine as one of the most innovative medical inventions of 2004.

The VeinViewer incorporates DLP™ Technology from Texas Instruments.

But don't just take our word for it

" The VeinViewer technology has transformed our ability to deliver compassionate care. With VeinViewer, we have reduced not only the number of sticks, but also the levels of stress associated with multiple sticks for the practitioner, the patient and the patient's family."

Joel A. Saltzman, M.D.
Medical Director, Anesthesia
Le Bonheur Children's Hospital

“When we as healthcare practitioners talk in altruistic terms of patient satisfaction and nursing confidence, the benefits of the VeinViewer are impossible to quantify. However, the overall economic benefit to hospitals and clinics with regard to decreased time, lower material costs and a substantial reduction in the number of needles needed for venous access is very real and quantifiable.”

David M. Pennington, RN, BSN, MBA

For more information click here

ISIPS Articles

Managing Infection Control articles written by Ron Stoker

2009

December 2009- Advances in Insulin Syringes  - New Passive Insulin Syringe protects from Needlestick Injury

December 2009- Making a Difference in Sharps Safety - 2009 International Sharps Injury Prevention Awards

November 2009- Facing the Challenges of  CR-BSI's - Evaluate, Plan  an Implement Decisions to reduce the rate of catheter-related bloodstream infections.

October 2009- Preventing Injuries from Glass Ampoule Shards-Advances in glass ampoule breakers

August 2009-What's New in Clinical Safety Education-New computer-based training can energize and captivate your staff

August 2009- Advances in Electrosurgery-Safety and economic benefits for patients, surgeons and hospitals

May 2009 - Advances in Needleless Connectors-Technologies assist in Prevention of Bloodstream Infections

April 2009 - Safety Enhancements for Blood Culture Processing-Protecting Staff From Harm

April 2009 - Neuropathy Testing - One of the Challenges of Diabetes

April 2009 - Where to Find Safety Products - Part Four

March 2009 - Accelerated Seldinger Technique - A faster, safer method for diagnostic and interventional procedures

March 2009 - Sharps Safety Matters - Where to find Safety Products - Part Three

February 2009 - Advances in Internal Bone Fixation - Sharps Safety for Orthopedic Surgeons

February 2009 - Sharps Safety Matters! - Where to find Safety Products Part 2

January 2009-  Advances in Blood Drawing Using Evacuated Tubes - Improving Patient and Clinician Safety

January 2009 - Sharps Safety Matters! - Where to find Safety Products Part I

2008

December 2008 - 2008 International Sharps Injury Prevention Awards

December 2008 - Zero Sharps Injuries - A Goal we can live with! Reducing Exposures in the Operating Room

November 2008 - Sharps Injuries - just part of the job, right?

October 2008 - Turning Point - New Safety Scalpel Handle System provides safety features and familiar feel

October 2008 - Eye Can See Clearly Now - the Positive use of face shields as PPE

September 2008 - Safety Scalpels - State of the Market Report

August 2008 Revolutionary Designs - New passive, self-sheathing safety syringe

August, 2008 - New Technology Replaces Multiple Syringes-Prevent contamination of IV lines and associated infections.

June 2008 - One Less Problem - Safe Practices When Administering IV Therapy

May 2008 - Scalpel Safety - Protecting patients and clinicians

May 2008 - Innovation in Vascular Access - Accidental needlestick injuries decreased via the utilization of the VeinViewer

April 2008 - Working in Harms Way - Understanding Sharps Safety Compliance

April 2008 - PPE Practices - Use of Personal Protective Equipment in Satellite Locations

March 2008  - Sharps Safety Matters - Where to find safety products? Part 2 of our annual sharps safety product review.

March 2008 - Simply Safe- Providing safety for the needle that saves lives

February 2008 - Sharps Safety Matters - Where to find safety products? Part 1 of our annual sharps safety product review.

2007

December 2007 - Spreading the Word for Safer Sharps- 2007 International Sharps Injury Prevention Awards

November 2007 GET THE POINT? Laparoscopic surgery-protecting healthcare workers from sharps injuries due to trocars

November 2007 - A Fortune to Share -Changing attitudes toward sharps safety.

October 2007-New sheriff in town-common and costly doctors' office blood-borne pathogen standard violations.

September 2007 Advances in Safety in Cardiology
Reducing the potential of bloodborne pathogen exposure for healthcare workers.

September 2007 Safety Doesn’t Just Happen
Staff safety—is there a culture of safety at your facility?

August 2007 - Innovative Syringe Management System -For home users—and some healthcare workers— there’s an exciting development in sharps safety

June 2007 - OSHA’s Most Cited Hospital Violations - Strategies for Creating a Safe Workplace

June 2007 - Safety in the Hospital Pharmacy-Prevent Staff Injury and Exposure to Toxic Materials with Safety Devices

May 2007 - OR Safety - Improvements in Sharps Safety in the Operating Room

May 2007- Safety Product Review - Use Safety Products to Improve Staff and Patient Safety.

April 2007- Needlestick Safety-Not just a U.S. problem.

Feb 2007 A Change Of Heart - Set Goals To Improve Your Teams Safety

Jan 2007 Stuck at Work - Use Safety Blood Draw Products To Avoid Needlestick Injuries

2006

December 2006 - Cutting the Cord  -  cutting, clamping, and obtaining blood samples from the umbilical cord

November 2006  - Don’t You Have Enough to Worry About Already? Single-Use vs. Reusable Sharps Disposal Containers

September 2006 -Evaluating Safety Products - Decision Making in the Selection of Safety Products

August 2006 -Safety Peripheral IV Catheters - State of the market report

June 2006 BESIDE THE POINT: Safety Huber Needles 2006 - State of the Market Report

May 2006 - Zero Needlesticks— A Goal We Can Live With! Current OSHA Bloodborne Pathogen Citations

April 2006 - A Change of Heart - Set Goals to Change Your Team's Sharps Safety

February 2006 - How Can You Tell If Your OSHA inspection is going poorly?  Part II

January 2006 - How You Can Tell If Your OSHA Inspection Is Going Poorly? Preparing for an OSHA Inspection - Part I

January 2006 Sharps Injury Prevention Resource Guide 

Additional Articles

Anatomy of Needlestick Injury; Ron Stoker, Business Briefing: Global Healthcare- Advanced Medical Technologies 2004- Infection Control and Epidemiology

Needlestick Injury Prevention, Ron Stoker, Business Briefing: Global Healthcare 2003

Specially designed syringes maximize flue vaccine supply - Syringes reduce costs and and increase healthcare worker safety and patient comfort

Evaluation of The BD IntegraTM 3ml Syringe with Retracting BD PrecisionGlide™ Needle at Texas Children’s Hospital and Test-Med

Safety Wound Closure Presentation
Sharps Safety - Gaps and successes of safety device market conversion  By Amber Hogan
Technology and the engineering of safety devices has increased since the promulgation of the Bloodborne Pathogens Standard (BPS) (29 CFR 1910.1030) in 1991. As a result, OSHA revised its enforcement procedures in 1999 (CPL 02-02-069) to include guidance for its compliance safety and health officers to begin citing health care employers for failure to use safety devices where their use is feasible and effective.

Not Just painful, Deadly! Patients aren't the only ones scared of Needles  
Future Healthcare, Summer 2006 p 121-3

Links
Compendium of Infection Control Technologies

Digital Edition

The Compendium of Infection Control Technologies - Digital Edition is now available.
The digital edition comes on a CD that is readable from any computer and contains a PDF version of the Compendium with over 200 devices highlighted with a Device Evaluation Form designed for each.

 It also includes:

  • Over 50 articles written on sharps safety products that have been published in Managing Infection Control magazine.

  • All significant OSHA Interpretation Letters since the passage of the revised OSHA

  • Bloodborne Pathogen Standard.

  • OSHA Bloodborne Pathogen Standard

  • Enforcement Procedures for the OSHA Bloodborne Pathogen Standard

  • Most frequently asked questions about the Standard

  • NIOSH Needlestick Alert

  • CDC Workbook on Designing a Sharps Injury Prevention Program

  • Model Exposure Control Plan

  • Hepatitis Vaccination Declination Form

  • Most Comprehensive List of Safety Products

  • And More...

The Compendium of Infection Control Technologies is only $89.95.  It will save you literally hundreds of hours in searching for safety products.

CLICK HERE TO PURCHASE THE COMPENDIUM!
 


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