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The ISIPS Newsletter - Preventing Needlesticks and Sharps Injuries one healthcare worker at a time!
 Welcome to the ISIPS Newsletter
October 16, 2009 
 
USA News

USA Health News

MDEQ, Diabetes Foundation of Mississippi announce medical sharps disposal ...
This creates a hazard for needle stick injuries to occur among garbage collection workers, wastewater treatment employees, janitorial workers,...

Patients test for HIV exposure at Fla. hospital
A South Florida hospital, where officials say a nurse may have exposed more than 1800 patients to HIV and hepatitis by reusing medical supplies,...

HIV Infections Increasing Only Among Men
...Men account for more new HIV infections in the US – 53 percent – than any other population group.

Global News

Hepatitis C scare at Royal Adelaide Hospital
Thirty Royal Adelaide Hospital patients have potentially been exposed to Hepatitis C by an infected employee, SA Health says.

China Ends Required Hepatitis B Tests
Chinese health officials will abolish mandatory testing for hepatitis B during physical exams given to prospective college...

Avian Flu

H1N1 'Avian flu on steroids' … kills fewer
“This is almost exactly what we see with avian flu,” Zaki said. “This looks like avian flu on steroids.” Dr Yoshi Kawaoka of the University of Wisconsin...

Outbreak of H7 avian flu hits central Spain
Vets have reported an outbreak of highly pathogenic H7 avian flu on a poultry unit in central Spain to the World Organisation for Animal Health.

How to report a disease outbreak or pandemic
When less is known, the possibilities are greater but it does not mean they are inevitable: A(H1N1) flu could combine with H5N1 bird flu but that doesn't...

Swine Flu

NIH Launches 2009 H1N1 Influenza Vaccine Trials In HIV-infected Pregnant Women
"These studies are important because HIV infection and pregnancy both increase the risk for a poor immune response to the normal 15-microgram dose of...

Asthma Most Common Condition In Hospitalized Swine Flu Patients
CDC epidemiologists do not know what fraction of the rest were obese -- a newly recognized risk factor for severe or fatal flu. An earlier analysis of 227...

Md. reports 10th death related to swine flu virus
Maryland is reporting geographically widespread influenza activity, and officials said swine flu is on the rise across the state.

Q&A on the swine flu vaccine: When will it get here and who should get it?
Polls indicate many Americans have concerns and questions about the swine flu vaccine. Government officials are urging people to get the swine flu vaccine,...

Moscow meetings...Health care dispute...Swine flu warning signs
Deaths from swine flu among children are rare, but doctors are advising parents to be on the lookout for signs the illness has become...

Oxygen treatment key to swine flu survival
Swine flu deaths in Australia could have doubled without the use of a mechanical heart and lung treatment, says doctor. A new Australian and New Zealand...

Swine flu and kids: Heed warning signs, MDs say
Three days later, the Antioch, Tenn., boy was dead, apparently from swine flu. At least 76 American children have died from the new virus, and doctors are...

Americans testing higher dose of swine flu vaccine in HIV-positive women and...
Clinical trials are underway in the US to test the safety and effectiveness of the swine flu (H1N1) vaccine in HIV-positive women and younger people.

Young women more susceptible to swine flu: Study
A “striking” proportion of severe swine flu infections are occurring among young women, according to Canadian research that shows severe H1N1 can hit...

Medical News

Pitt researchers find candidates for new HIV drugs
While studying an HIV protein that plays an essential role in AIDS progression, researchers at the University of Pittsburgh School of...

Record and Track Injuries and Illnesses with New Safety.BLR.com Tool
An application to help you prepare OSHA Forms 300, 300A, and 301; Sharps Injury Logs; and First Notification Worksheets.

The HIV Vaccine and Science by Press Release
A closer look at the HIV vaccine study results announced recently suggests the vaccine may be less impressive than originally suggested,...

West Nile

WHATEVER HAPPENED TO?… WEST NILE VIRUS : West Nile Virus still lurking out there
Swine flu may be the hot topic of late, but the West Nile Virus has not faded away.

Immune cells predict outcome of West Nile virus infection
West Nile virus (WNV) causes no symptoms in most people. However, it can cause fever, meningitis, and/or encephalitis.

West Nile strikes Modesto child
A 7-year-old Modesto girl with West Nile virus has been in a coma and hospitalized for nearly three weeks, her family said Monday.

West Nile down, not out
The West Nile virus has been eclipsed this year in the news media by reports on the H1N1 swine...

Cells predict West Nile virus infection
A US study has found levels of certain immune cells can predict whether a person or mouse infected with the West Nile virus...

Mosquitos in Hamilton County Test Positive for West Nile Virus
"Although we have had no reported human cases of West Nile Virus in Hamilton County, it's important that people take steps to protect themselves," said...

West Nile caseload down significantly
South Dakota is headed toward its lowest summer count of human West Nile virus cases since the disease was found in the...


K-Shield™ Small Vein Infusion Set

Kawasumi brings you K-Shield, a totally integrated device for optimal needlestick protection. K-Shield complies with all OSHA standards and has unmatched advantages.

  • Provides a safe infusion environment for both clinician and patient

  • Integrated device eliminates extra steps for disposal

For more information click here.


Owen Mumford

UniGuard

UniGuard is the first single use, disposable safety pen needle remover.  It has been designed to protect the healthcare professional from potentially fatal needlestick injuries.

Benefits

Safe: Allows the pen needle to be removed without the healthcare professional ever touching the needle directly.

Unique: ‘Push down’ entry to avoid point-first recapping incidents.

Secure: Safety flap to prevent back-end needlestick injuries and to prevent the removal of the used needle.

Shielded: Protective wings over finger grip area for extra protection.

Single Use: Protects against cross contamination by using a new device for each needle.

Clear Indicators: Audible click when the pen needle is seated correctly and when the hinged door is locked shut, signalling the needle is now securely locked away.

Extensive Protection: protects not only the nurse, but the patient, visitors and ancillary staff.

Click here for further information


Vial adapters enable rapid drug transfer and reconstitution and are a cost-effective solution for the safe and rapid transfer and reconstitution of drugs between vials. Adapters enable the optimal aspiration of mixed and reconstituted drugs.

For More Information Click Here.

In This Issue

Haemophiliacs with HIV to sue firm that sold tainted drug in Asia
In the mid-1970s it was known that blood products carried a danger of infection from hepatitis, and that those coming from the US were particularly risky.

Injury And Hazards In Home Health Care Nursing Are A Growing Concern
More than seven out of every 100 nurses have suffered (or, based on statistical analysis and projections, will suffer in the future) a needle-stick injury,...

Hepatitis C Infected Blood Used for Transfusion
The Hanmaeum Blood Center, a private blood collection center, has been found misclassifying hepatitis C infected blood as normal blood. Rep.

Hepatitis B Foundation Issues Pediatric Screening, Monitoring, Referral Guidelines
The Hepatitis B Foundation has issued guidelines for the screening, monitoring, initial management, and referral of children with chronic...

Home healthcare poses risks to nurses
The study, published in the American Journal of Infection Control, finds the risk of needlestick injuries in home healthcare nurses was 7.6 per 100 nurses.

On the steps of cell-to-cell HIV transmission between CD4 T cells
Although cell-to-cell HIV transmission was defined in early 90's, in the last five years, several groups have underscored the relevance of this mode of HIV...

Doubts are raised about HIV vaccine
Continuous News Desk Reports last month from Thailand about a promising HIV vaccine didn't include additional data and analysis...

Research and Markets: This Essential Disease and Therapy Review on Hepatitis C...
The Hepatitis C Disease and Therapy Review provides an overview of the disease and related conditions, with incidence and prevalence numbers and percentages...

Seasonal flu Vaccine may Also Protect Against H1N1, Avian flu
The new study suggests exposure to seasonal flu or the seasonal flu vaccine may also provide some protection against the avian flu, researchers note.

Suspected Ebola kills 23 in Sudan
A haemorrhagic disease suspected to be Ebola has killed at least 23 people and infected dozens more in Southern Sudan, the spokesman of the Southern Sudanese army (SPLA) said yesterday.

Good hand hygiene can eliminate bacterial contamination in computer devices
Although hospital computer equipment can act as a reservoir for pathogenic organisms, including MRSA, researchers writing in the open access journal BMC Infectious Diseases found that bacterial contamination rates from computer equipment were low, possibly as the result of good hand hygiene.

Injury And Hazards In Home Health Care Nursing Are A Growing Concern
Patients continue to enter home healthcare ''sicker and quicker," often with complex health problems that may require extensive nursing care.

Thousands Potentially Exposed to Infection at Broward General Med. Ctr.
A Florida nurse is suspected to have fled the country after potentially exposing 1,800 patients to infectious diseases such as HIV and hepatitis by using disposable IV equipment on multiple patients at Broward General Medical Center in Fort Lauderdale.

Lawsuits filed against NY, FDA regarding H1N1 vaccines
As many probably expected, a few lawsuits have risen out of the H1N1 vaccination mandate in New York state.

Disposal of blood and other potentially infectious materials (OPIM).
What are the policies for disposal of blood/body fluids and infectious waste? Is blood treated differently than other body fluids?

State: Syracuse nursing home failed to protect residents against TB
The former Vivian Teal Howard nursing home in Syracuse may have a new name and a new owner, but a report shows the home is still dogged by some of the same serious problems that landed it on the list of the nation’s worst-performing nursing homes three years ago.

EDUCATIONAL OPPORTUNITIES

As promised several weeks ago, ISIPS has teamed up with the Safety Lady® to provide you with a number of educational video products including

  • Personal Protective Equipment

  • Shipping Infectious and Biological Materials

  • Laboratory Ergonomics

  • Chemical Hygiene

  • Bloodborne Pathogen

In addition, two "Game Format" reviews are also available.

  • Bloodborne Pathogen Quiz Show

  • Shipping Infectious and Biological Materials Quiz Show

To find out more information about these products click here.

To purchase the products click here.

OSHA Violations
...recent citations issued
Southview Manor

Chicago, IL

$5,950

Engineering and work practice controls shall be used to eliminate or minimize employee exposure. Where occupational exposure remains after institution of these controls, personal protective equipment shall also be used

The Exposure Control Plan shall be reviewed and updated at least annually and whenever necessary to reflect new or modified tasks and procedures which affect occupational exposure and to reflect new or revised employee positions with occupational exposure.

An employer, who is required to establish an Exposure Control Plan shall solicit input from non-managerial employees responsible for direct patient care who are potentially exposed to injuries from contaminated sharps in the identification, evaluation, and selection of effective engineering and work practice controls and shall document the solicitation in the Exposure Control Plan.

Training records shall be maintained for 3 years from the date on which the training occurred.

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

Amgen

Covidien

B. Braun Medical, Inc.

Needlestick Prevention

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

AOHP Association of Occupational Health Professionals in Healthcare

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

Medical Safety Technologies, Inc.

Luminetx Corporation

Advantage Medical

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.

Real Needlestick and
Blood Exposure Stories
A couple of days ago I was stuck with a needle. I was giving a pain med through the 2nd port from the patient on the IV tubing and as I was pulling the needle out, it nicked my index finger. I know it wasn't actually in the person, but is there any way I could be infected from the iv fluids. The fluids were running at the time and i don't think any blood was backed up into the tubing. I reported it to my supervisor and the patient was tested for HIV, and she was positive. I was devastated and i haven't been able to get it out of my mind. I am taking the medicine, but i am worried sick.

Featured Safety Product

ETHIGUARD* Blunt Point Needles

Protect yourself and your patients—without compromising performance

Better protection from needlestick injuries
ETHIGUARD Blunt Point Needle is an innovative solution that helps protect you and your patients from needlestick injuries, providing you with a better needle option.

A solution to a costly problem

  • Over 384,000 healthcare workers in the US suffer needlestick injuries each year, putting them at risk for hepatitis, HIV, and other serious diseases2

  • The annual cost of needlestick injuries to hospitals is approximately $258 million
    — The follow-up costs for high-risk exposure needlestick injury is almost $3,000 even if no infection occurs

  • A 2007 New England Journal of Medicine study report found that 99% of surgical residents had at least one needlestick injury by their final year of training—53% involving high-risk patients

  • Four prospective randomized trials have demonstrated notable benefits from use of blunt suture needles

  • ETHIGUARD Blunt Point Needles and conventional taper point needles both have a 12:1 taper ratio

Choose protection without compromising performance
Decrease the incidence of injury

  • Blunt-point geometry allows for easy soft-tissue penetration

Minimize bleeding and tissue trauma

  • ETHIGUARD Blunt Point Needle does not cause any more additional bleeding or patient trauma than a conventional taper needle7

  • Its heat-treated, stainless steel alloy delivers optimal strength and ductility to resist bending and breaking

Use with ease

  • ETHIGUARD Blunt Point Needle is proven to be effective and user-friendly7

Increase precision

  • A ribbed and flattened body affords stability in the needle holder, for improved protection against slipping

"Though cost is often cited as a factor for not using safer devices, it is actually a savings when you consider the cost of treating the individual once a [needlestick] injury occurs.”

The value you need with the protection they deserve

 For more information click here. 

SPECIAL BOOKMARKS

View Today's Health News click here!

ISIPS Articles

Managing Infection Control articles written by Ron Stoker

Most Recent Articles on Top

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

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.

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

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 

December 2005 - The International Sharps Injury Prevention Awards

August 2005 - The Compendium of Infection Control Technologies

June 2005 - Selection of Safety Scalpels

April 2005 - Point Taken - Comply or Pay the Price

January 2005 - May I see your ID, please? Patient and Medication Misidentification

January 2005 - Safety in Urine Sampling

December 2004 Issue - The 2004 International Sharps Injury Prevention Awards

October 2004 Issue - Managing Diabetes without Jabbing Anyone Else!

July 2004 Issue - Steering Clear of Danger - IV Infection Prevention

June 2004 Issue - Smallpox 2004 - Are we prepared if our worst fears come true

April 2004 Issue - Sharps Injury Prevention in the Operating Room

December 2003 Issue - To The Point: Safety Huber Needles

December 2003 Issue - 2003 Sharps Injury Prevention Award Winners (html version) or Click here for pdf version

September 2003 Issue - Focus on ISIPS by MIC staff

June 2003 Issue - End of the Line

May 2003 Issue - A Special Report on Smallpox - Vaccination and Dressings

March 2003 Issue - Stuck in the ER - Sharps Safety in Emergency Rooms

February 2003 Issue - Birth of Occupational Safety in Labor and Delivery

December 2002 Issue - Sharps Safety Matters

October 2002 Issue - Healthcare Managers Re-tooling for Compliance by Dennis J. Ernst

August 2002 Issue - The Use of Protective Devices is More than a Suggestion - It's the Law! Safety Needles for Seldinger Procedures

June 2002 Issue - Retractable Needle Syringes - An Ideal Solution to the accidental needlestick problem

April 2002 - Global Needlestick Prevention Group Formed to Highlight Safety Products

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  By Ron Stoker
Future Healthcare, Summer 2006 p 121-3

ISIPS Service

Links

Academy for Safety Excellence

Needlestick Prevention Tour

Eureka! Sharps Disposal

Immunization Branch, California Department of Health Services

ANFIM - Association of Needle-free Injection Manufacturers

International Association of EMTs and Paramedics

LifeChoice Donor Services

AOHP - Association of Occupational Health Professionals in Healthcare  

CINA - Canadian Intravenous Nurses Association

Quality America, Inc.

Center for Phlebotomy Education

Managing Infection Control Magazine

The Society of Permanent Cosmetic Professionals

Academy for Safety Excellence

Terry Jo Gile, MT (ASCP), MA Ed.
The Safety Lady
and
Ronald L. Stoker, MS
Executive Director and Founder - ISIPS
International Sharps Injury Prevention Society
 

The Academy for Lab Safety Excellence is a program designed by Safety Lady LLC to help you make the transition from bench tech to lab safety officer.  You will learn to navigate the world of laboratory safety from the Safety Lady.  You will discover the secrets to lab safety excellence that has taken others years to acquire.  You will be able to network with colleagues to help you solve your most challenging safety issues.


This Academy is a perfect way to advance your safety knowledge if you:

  • Are new to lab safety or have limited experience in lab safety issues

  • Find it frustrating to locate safety information from a variety of sources

  • Want to expand the impact of your lab safety expertise

  • Want to increase your effectiveness in educating staff on lab safety issues

  • Need ready access to colleagues whose expertise in lab safety is well known

  • Would like to network with your peers on a regular basis for lab safety ideas

  • Have a limited budget for safety education

You can expect:

  • A 30 minute personal mentoring phone call to address your specific lab safety challenges

  • A minimum of eight conference calls over a 12 month period with other members of the Academy to brainstorm safety issues and cover a particular safety topic including:

    • Conducting a proper safety audit and why it is important

    • Designing and implementing a comprehensive chemical hygiene program

    • Protecting employees through the use of ergonomic tools and PPE

    • Shipping of infectious and biological substances
      Infection control and prevention

    • Bloodborne pathogens and sharps injury prevention

    • What's new in waste management

    • Training methods that won't put your staff to sleep

    • Timely updates via  email with lab safety information before it is posted on the website or in the Safety Savvy newsletter

    • Special audio conferences with guest experts on a variety of lab safety topics

    • Sample safety templates to make documentation easier

    • Unlimited emails to the ISIPS Executive Secretary

    • Discounts on featured Safety products

    • Ten(10) P.A.C.E. contact hours after successfully completing the Academy

  • An investment of $249 for all sessions

  • Dates for the Academy:
     

    • October 22, 2009, November 12. 2009, January 14, 2010, February 11, 2010, March 11, 2010, April 15, 2010, May 20, 2010, June 10, 2010

The scheduled start time for all Academy webinars will be

10 am PDT, 11 am MDT, 12 pm CDT, 1 pm PDT, A preview webinar will be held on September 22 at 11 am MDT.

Preview Webinar - Academy of Safety
Tuesday, September 22nd at 11:00am Mountain
Simulcast! (Attend via Phone or Webcast -- it's your choice)
TO ATTEND THIS EVENT, CLICK THIS LINK NOW...
http://instantTeleseminar.com/?eventid=8575968

For more information please contact Terry Jo Gile, the Safety Lady, at info@safetylady.com or call toll free 877-894-7004.
To register for the Academy click here.

 


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