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 Welcome to the ISIPS Newsletter
May 7, 2010 
USA News

USA Health News

Hepatitis C Lawsuit Filed Against Rose, Anesthesiologist

The first civil lawsuit from a patient who contracted Hepatitis C from former surgical tech Kristen Parker was filed in Denver District Court...

Tufts Medical Center Signs Agreement with OSHA, Pays $5000 Fine for Numerous...

Needle stick injuries are a serious concern for health care workers: such injuries can expose nurses to blood borne pathogens, like HIV and Hepatitis C. It ...

Clinic consultant convicted of HIV infusion scheme

A Miami clinic consultant has been convicted for billing Medicare for HIV drugs for patients that did not have the disease and did not receive treatments.

Report Calls for Ramping Up HIV Education for Older New Yorkers

A new report warns that by 2015, more than half of New Yorkers with HIV will be over the age of 50. AIDS activists rally in downtown Manhattan September 18,...

HIV spreader Williams to remain jalied
Williams, authorities claim, intentionally infected young women with HIV, the virus that causes AIDs, in the 1990s. He just completed a 12-year prison...

Global News

Nurses And Health Workers At Risk From Needlestick Injuries, Australia

"Currently only about half of needlestick and sharp injuries are reported. This means there could be as many as 30000 incidents each year.

Australian nurses call to prevent needle stick injury

The Australian Nursing Federation (ANF) is extremely concerned with serious risks posed to nurses from needle stick injury in the country.

Avian Flu

H5N1 kills girl in Indonesia

Now, it's the turn of another virus, H5N1 bird flu, to create a scare in Indonesia where a four year-old girl succumbed to the disease last week.

Avian flu infects two, kills one
The government has confirmed two positive cases of avian influenza (H5N1) infection between February and April this year, killing one of them....

Swine Flu

New swine flu case reported in Coimbatore

The woman had come to see her parents in nearby Pollachi, where she had developed swine flu symptoms and admitted to hospital a couple of days ago,sources...

Over 1500 swine flu deaths in India, says Azad

As many as 1501 people have died in India due to swine flu, but the influenza A (H1N1) has now shown signs of abating, the Rajya Sabha was...

Medical News

New hope for HIV vaccine efforts

US researchers say they are a step closer to understanding why some people have natural protection against HIV.

West Nile

Health Officials Say West Nile Virus Starting Early

South Georgia health officials say the West Nile season is starting early in the Peach State. Officials say Georgia has already seen a human case of the...

West Nile Virus is back
And mosquitoes carry a lot of diseases, among them the West Nile Virus. "Severe symptoms can cause encephalitis, which is swelling on the brain.

West Nile virus prevention starts with you
It's also time to start thinking about West Nile virus prevention. The easiest and best way to avoid infection is to prevent mosquito bites.

What Is West Nile Virus (WNV)? What Causes West Nile Virus?
West Nile Virus, also known as WNV, is a virus of the family Flaviviridae which is spread by the bite of infected mosquitoes. The Flaviviridae virus family...


Jai Surgical Limited

The SAFhandle™ Safety Scalpel Blade and Reusable Metal Handle System

The SAFhandle™ safety scalpel system is a logical re-engineering of the conventional scalpel blade and handle- designed to achieve the optimum balance between employee safety and the effective delivery of optimal healthcare while mitigating costs.
The SAFhandle™ safety blade is a passive device with a round-tip instead of a sharp-tip to prevent accidental stab wounds. Round-tipped blades are identified as an example of engineering controls to prevent needlestick injuries by CDC, AORN and EPINET.

PROTECTION DURING USE WITH ENHANCED PERFORMANCE
The SAFhandle™ safety scalpel system will exceed the cutting performance of conventional scalpels due to the innovative blade fitment and locking system which reinforces and strengthens the blade and greatly enhances cutting action. Surgeons will be delighted with its precise and robust cutting action and the confidence it inspires.
Step 1

Step 1 Push the upper handle jaw tab slightly up and gently open the upper jaw of the handle in the direction of the arrow (clockwise) till the jaws are open wide enough to receive the blade.  Do not force the jaws beyond the jaw stop pin.
Step 2

Step 2 Holding a SAFhandleblade of matching fitment size with a hemostat and using fitment pins as guides seat the blade on the handle as shown.  Ensure the blade is seated flat.

Step 3

Step 3 Now close the jaws of the handle together till the handle tab locks with the handle jaws lock pin  The SAFhandle is ready for use.
Step 4

Step 4 To remove the blade open the jaws of the handle a described in step 1.  Then turn handle over and drop blade into a sharps count container. 

Click here for more information


DriFloor™ Absorbent Pad 

  • The DriFloor™ Absorbent Pad is easy to use, and will absorb and contain up to 100% more fluids than similar products. You can use it on the Operating Room floor, under the scrub sink or wherever fluids collect.

  • Stop using blankets and towels for spillage clean-up, you will not only save on laundering costs, but remove the potential for cross-contamination.

  • The fluid-proof, non-slip backing keeps the floor dry underneath the pad, reduces time and improves the efficiency of cleanup, reduces turnover time and protects healthcare workers from slips and falls.

  • Absorbs approximately 3 liters of fluid and weighs about 8 lbs., fully saturated.

  • Available in two sizes of pre-cut pad or roll that can be cut to desired lengths.

For more information click here.

In This Issue

MDs Contribute to the HIV Epidemic. Seriously.

I have been telling students, peers, and friends to get tested for HIV since I was fifteen years old. At the University of Pennsylvania, I volunteered at...

Needlestick injuries putting nurses' lives at risk

It says nurses who suffer needlestick injuries risk contracting hepatitis B or C, or HIV/AIDS. The ANF wants the Federal Government to spend $50 million on...

Single mom didn't see HIV coming
But that April, she was diagnosed with HIV, the virus that causes AIDS -- a condition in which the immune system begins to fail, leading to life-threatening...

Is HIV a high priority?
HIV is scary, and that's why Daniels has made it his mission for blacks to know their status. Despite his efforts, HIV infections have exploded.

Extended hepatitis C treatment after liver transplant may benefit patients
Extending hepatitis C treatment for liver transplant patients beyond current standards results in high clearance rates of the hepatitis C virus...

Hepatitis C does not slow down HIV recovery
Research has debunked the belief that hepatitis C virus slows down immune system's ability to restore itself after HIV patients are treated with combination...

OSHA Violations
...citations issued
Big Bend Woods Healthcare Center

Valley Park, MO

$3,206

 

The employer shall ensure that the employee uses appropriate personal protective equipment unless the employer shows that the employee temporarily and briefly declined to use personal protective equipment when, under rare and extraordinary circumstances, it was the employee's professional judgment that in the specific instance its use would have prevented the delivery of health care or public safety services or would have posed an increased hazard to the safety of the worker or co-worker. When the employee makes this judgement, the circumstances shall be investigated and documented in order to determine whether changes can be instituted to prevent such occurrences in the future.
Lexington Internal Medical Care Plc

Lexington, NC

$350

 

Each employer having an employee(s) with occupational exposure shall establish a written Exposure Control Plan designed to eliminate or minimize employee exposure.

The outside contamination of the regulated waste container occurs, it shall be placed in a second container. The second container shall be closable.

The employer shall assure that employees who decline to accept hepatitis B vaccination offered by the employer sign the statement in Appendix A.

The employer shall train each employee with occupational exposure. Such training must be provided at no cost to the employee and during working hours. The employer shall institute a training program and ensure employee participation in the program.

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
I try to use the safety devices especially when starting IV's maybe not as much as giving IVP. The only time I have been stuck was recapping a clean insulin syringe. The needle came right through the cap and adding pit to a hanging IV bag (after placenta delivery) I was holding the port and the needle came through the side of the bag so I had to get a whole new bag anyway. I always throw my needle away the only time luckily I've ever seen any not thrown away I knew where they were (anesthesia left them in the tray for me to clean up) or one left on a table when someone missed an IV and asked me to go look and they've left theirs on the table with the safety device on.

Many needle sticks I have seen are from needles in beds or I V needles left on tables or carts after IV was started. Here we have gone almost to a complete needless system. Our IV needles self cover after extracting from the site. I know of two nurses who have Hepatitis-c here from needle sticks. enforce safety on your units. Any body that has a slack attitude to needle safety does not need to be in nursing.


Featured Safety Product


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.

 

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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