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 Welcome to the ISIPS Newsletter
May 28, 2010 
USA News

USA Health News

Tufts Medical Center Signs Settlement Agreement with OSHA Pays $5,000 Fine for Numerous Violations in Tracking Injuries to Nurses
Agreement Responds to the Hospital’s Lack of Response to Nurse’s Concerns About Unsafe Working Conditions and the Reluctance of the Hospital to Address Workplace Safety Issues

HIV acrobat Godfrey Zaburoni could have infected hundreds of women
A SPECIAL taskforce will track down the hundreds of women acrobat Godfrey Zaburoni...

Should ban on ...men's blood donations be lifted?
The rules came about during the initial outbreak of AIDS in the early 1980's, when tests used at the time were unable to screen for HIV-positive blood.

Hepatitis C surgeon worked in Mayo General
Patients across Mayo have been asked to attend precautionary Hepatitis C screening as a result of a diagnosis of Hepatitis C in a surgeon who worked in Mayo...

Man Arrested For Trying To Spread HIV By Spitting Blood At Paramedics
An Oklahoma man is still behind bars this morning after police say he purposely tried to spread HIV to paramedics by spitting infected blood in their faces.

Woman got a new tattoo in Norfolk. Then hepatitis, she says.
The woman, whom officials declined to identify, said she was infected with acute hepatitis B when she received the tattoo last month, Deputy City Attorney...

All patients of Hepatitis C surgeon identified, says HSE
HEALTH officials insisted yesterday that all 454 former patients of a surgeon with Hepatitis C have been identified.

New Threats to US Blood Supply
Blood centers, which have long tested for risks like hepatitis C and AIDS, have added a number of new tests on donated blood in recent years,...

Global News

7 new HIV/AIDS cases reported in Zamboanga City
Dr. Kibtiya Uddin, head of the HIV/AIDS surveillance unit of the City Health Office, said the seven new cases were monitored from January to April this year...

Avian Flu

Official: Egypt failed in eliminating bird flu
Farid Hosni, the head of the project “Stop bird flu stop AI” of the United States Agency for International Development (USAID), said in a speech at a...

Swine Flu

Pregnant woman is first swine flu victim this year
Twenty-seven-year-old Naziya Admane, from Alibaug, succumbed to swine flu-related complications at Sion Hospital last Friday. This is the first swine...

Pandemic Influenza (swine Flu) Update
We continue to see some signs of a gradual increase in influenza activity, however, overall the level of influenza activity in New Zealand is at a level...

What Happens When Pregnant Women Get Severe Swine Flu
Pregnant women were among the most vulnerable to the swine flu, previous research has shown, and so were urged to get vaccinated against...

Medical News

Pregnancy increases the risk of HIV transmission--for both men and women
It is well known that pregnant women are more likely than others to contract HIV during intercourse with an HIV-positive partner.

Clinical Guidelines Update: Hepatitis C Virus in HIV-Infected Patients
Assessment for anti-HCV therapy is now recommended for HIV-infected patients with acute HCV infection...

Mother-to-Child HIV Transmission Linked to Gene Change
New research suggests that a genetic variation increases the likelihood that babies will acquire HIV, the virus that...

Pregnancy doubles HIV risk for men - Research
Young women of reproductive-age are among those at greatest risk of acquiring HIV; several studies have suggested that during pregnancy women are even more...

West Nile

Wet winter, spring summons mosquitoes
Many people consider mosquitos to be tiny domestic terrorists--as they are carriers of diseases, like Eastern Equine Encephalitis and West Nile virus.

NEW: Bird found in Greene County tests positive for West Nile virus
Dr. Damon T. Arnold, state public health director, today announced the first bird in central Illinois testing positive for West Nile virus...

Mosquitos Are Back And They're Biting
A good way to avoid the West Nile Virus. That's not the only dangerous virus spread by mosquitos. St. Louis University is looking for volunteers to test a...

East Dallas man who survived West Nile knows one mosquito bite can...
Within a few days, Lemoine began feeling the first symptoms of West Nile virus – fever, chills and upset stomach. No one can say why he went on to develop...


EZ Huber® Safety Infusion Set

An Easy-to-Use, Power Injectable Venous Access System

Safety, Speed and Comfort

5mL/sec. 300 psi Flow Rate/pressure Rating*
Indicated for contrast-enchanced CT imaging procedures

Small Footprint Enhances site visualization

Low Profile and Padded Base
Designed for patient comfort

Special features that enhance clinical safety:

Visual and audible confirmation of safety activation

Dual-action safety needle designed to shield the tip and shroud the entire needle cannula, reducing the risk of bloodborne pathogen exposure. 

Click here for more information


Mag-Mat

A re-useable magnetic mat that provides a secure 'hands free' transfer zone for metallic instruments, thus reducing the risk of third party inflicted sharps injuries.

  • Strong ceramic magnetic surface ensures secure retention of metallic instruments

  • High quality, reinforced mesh design ensures a highly cost effective, long-lasting device

  • Autoclavable

  • Large (40cm x 30cm) surface allows transfer of multiple instruments

  • Waterproof construction minimises the risk of any pathogen cross infection

For more information in the United States:

AMI

Outside the United States:

Purple Surgical and

Cory Bros.

In This Issue

Half of doctors' neckties contained dangerous bacteria, new study
Doctors may be harbouring disease-causing bugs in their ties that could potentially be transmitted to patients, a new study has found.

Tuvalu: Fears of HIV Epidemic
The regional chief of UNICEF warned recently that the South Pacific island nation of Tuvalu soon could be facing an HIV epidemic.

New York: Virus Spreading -- High Hepatitis C, Liver Cancer Rate in Borough Population
A spike in the rate of hepatitis C throughout Queens is behind an "unusually high rate" of liver cancer in the borough, say local health officials.

Needlestick Injury Can Be Very 'Disastrous'
Practitioners in healthcare facilities such as hospitals and clinics are highly exposed to accidents caused by sharp medical devices including injuries due to the needlestick.
Raising Awareness: World Hepatitis Day
This month marks the fifteenth Anniversary of Hepatitis Awareness Month in the United States; May 19 is World Hepatitis Day.

TB precautions for volunteers, students, and contract workers
What kind of TB precautions should we take for non-employees, such as volunteers, students, contract workers, and contract construction workers who perform services in our hospital? For example, is it necessary to require a TB skin test for all these categories, and would the hospital have to provide it free of charge?

Five more short OSHA Q&As
If you are into brevity, meaning the 140 characters and spaces imposed by Twitter, here are additional OSHA-related questions and answers on titers, waivers and recordkeeping.

Hepatitis C no longer 'death sentence'
... unsterile medical or dental procedures, from mother to infant during delivery, via needlestick injuries or exposure to blood or blood product.

Researchers try new approaches to preventing HIV
A tablet worked in similar fashion, time-releasing maraviroc and another experimental HIV drug called DS003, licensed to the International...

OSHA Violations
...citations issued
Sarita Sharma, Md

Phoenix, AZ

The employer failed to assure that employees who decline to accept hepatitis B vaccination offered by the employer sign the declination statement.
St. Lukes Living Centers

Cedar Rapids, IA

Exposure Control Plan does not document annually consideration and implementation of safety products

Failure to establish and maintain a sharps injury log for the recording of percutaneous injuries from contaminated sharps.

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.

tip-top

Global Medi Products

Real Needlestick and
Blood Exposure Stories

We had one person who got stuck because a nurse left a shaving razor blade in the patient room without discarding it and the housekeeper stuck it back in our nurse server, the aide reached it not thinking that anything like that would be in there and got stuck. Because she was stuck we knew that this was a problem and were more cautious about sticking our hands somewhere. Another nurse got stuck by trying to open Lipid bottle with a pair of used dressing scissors and got stuck. If she hadn't reported it, we may not have known the patient was Hep C positive. Bad for the patient and the nurse who should have known better. Report, Report, Report. It is a pain in the butt, but you can save yourself heartache later.


Featured Safety Product


Access Scientific

In 1953, the newly introduced Seldinger Technique represented a significant improvement in vascular access technology. Later, the Modified Seldinger Technique further advanced ease-of-access, by using a dilator coupled with a sheath, and eventually evolved into today’s standard, over-wire insertion technique. Despite its advantages, hazards are associated with the Modified Seldinger Technique. These include: accidental needlestick injury, guidewire embolus,contamination, bleeding, lost cannulation during the procedure… and more. The WAND enables healthcare
providers to utilize the new Accelerated Seldinger Technique, representing a quantum leap forward in vascular access technology.

The WAND is an all-in-one (needle-guidewire-dilatorsheath) safety introducer that speeds over-wire vascular access while reducing the risk of guidewire embolus, contamination and accidental needlestick injury. Experienced clinicians are hailing The WAND as the new standard in vascular access technology—faster, safer and simpler.

The Accelerated Seldinger Technique reduces the number of exchanges and steps necessary for vascular access.  It reduces the risk of air embolism, contamination, guidewire embolus, loss of cannulation during the procedure, and accidental needlestick injury.

For more information click here.


A new product can eliminate "wire stick" injuries to clinicians. The SuperCable Iso-Elastic Cerclage, is manufactured by Kinamed Inc. (Camarillo, CA, USA) and has been used in several thousand procedures worldwide since being introduced in 2003. This elastomeric polymer cable consists of a nylon core encased in a jacket of ultra-high-molecular-weight polyethylene (UHMWPE) braided fibers.

This combination of materials results in a flexible, soft cable that exhibits extremely high fatigue strength. Fatigue failure is primary mode of failure of metallic cerclage wires and cables.

The SuperCable system cables can be re-tensioned effectively when multiple cables are applied. This reduces the need to cut off and discard metal cables that have become loose after additional cables have been applied and tensioned. Over time, this feature will reduce the total number of cables required for a given procedure.

Post operative x-ray of four SuperCables wrapped around an allograft strut and hip prosthesis in revision hip replacement surgery. Note the SuperCables are radiolucent except for their locking clasp.

The SuperCable has fatigue strength superior to both metal wire and cables thereby reducing complications due to breakage. It also eliminates cable-generated metal particle debris that has been shown to greatly increase wear in adjacent total joints. 

The cables are easy and quick to manipulate within the wound. Since the product is made of a polymer it contains no metal cable that can contact metallic implants and has no sharp ends to irritate patient tissue or cut surgeon's gloves.

For more information on this safety product 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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