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The ISIPS Newsletter - Preventing Needlesticks and Sharps Injuries one healthcare worker at a time!
 Welcome to the ISIPS Newsletter
September 11, 2009 
 
USA News

USA Health News

NJ: 29 hepatitis cases tied to 1 doctor's office
In March, the state said five of Dr. Parvez Dara's patients were found to have hepatitis B and that nearly 2800 patients should get tested for it.

Obama urges America to get swine flu shot
President Barack Obama recommends that Americans get vaccinated in order to get prepared in case of a swine flu outbreak this fall. The global swine flu...

Ruling clears way for first trials in hepatitis outbreak to proceed
A federal bankruptcy judge on Wednesday lifted the hold that threatened to delay the first civil trials in the hepatitis outbreak. US Bankruptcy Judge Mike...

Global News

Malaysians Still Ignorant On Spread Of HIV
There is still a lot of misconception about the mode of transmission of HIV infection in Malaysia despite various...

Number of Australians with HIV steady
THE number of Australians diagnosed with HIV every year has plateaued at about a thousand cases. New figures to be released today at a major...

HK reports 98 HIV cases in second quarter
Hong Kong reported 98 cases of Human Immunodeficiency Virus (HIV) infections in the second quarter of 2009, the Center for Health Protection...

Hepatitis C infection rates 50 per cent down
New figures on drug use in Australia reveal that the spread of hepatitis C has halved over the past decade, partly because of effective public...

Chinese doctors say some claims of needle-stabbings are mistaken
But another doctor, Duan Qing, explained at the briefing that would be impossible for there to be any such cases of AIDS, Hepatitis B, Hepatitis C,...

Avian Flu

Mont. bird flu test includes kid pond
Among the waterfowl in Montana that will be tested for bird flu this fall...are the ducks at the children's fish pond in...

Officials address H1N1 concerns
Paula Adams, spokeswoman for Health and Wellness Services, said that people's concern with the H1N1 outbreak probably stemmed from the avian flu outbreak a...

Swine Flu

Swine Flu Vaccine (Update) - H1N1 Flu Shot Shortage?
The Washington Post credits the Bush Administration's preparations for the bird flu four years ago and notes in a report that the foundation for the...

Good news on swine flu – for now…
... 50 million worldwide, or with the expected effects of the even more virulent H5N1 bird flu if it becomes able rapidly to spread from person to person.

Hospitals bracing for swine flu
The task force was created four years ago when it was feared the avian flu would become a pandemic. Similar discussions are being held at hospitals across...

Swine flu hits Washington State Univ.
Washington State University is in the midst of a swine flu outbreak since classes started last month, with 2500 people contacting student health to report...

Kansas officials issue new warnings on swine flu
Kansas officials On Tuesday issued new warnings to individuals and families about swine flu as the state anticipates a wave of new...

EGYPT: Six doctors suspended after second swine flu death
They underwent further tests before finding out she had swine flu two days later. It was already too late." In the statement issued confirming Morsi's death...

Southwest Florida hospitals preparing for surge of swine-flu patients
Southwest Florida hospitals are ready for swine flu to strike mildly or in full force this winter, with disaster plans to address employees...

Medical News

Anitbodies Found That Prevent HIV From Causing AIDS
There has been a major breakthrough in the HIV research field. A major discovery was made indicating that there may be antibodies that prevent HIV from...

HIV-Associated Dementia Linked to Disease Subtype Study among...
HIV-associated cognitive impairment may be more common in persons who are infected with the HIV subtype D, according to a study in the...

West Nile

West Nile Virus Found In Brick Birds
While the world watches for the H1N1 virus, also known as the swine flu, the Ocean County Health Department continues to monitor for West Nile Virus...

Residents warned West Nile still a risk
Although this summer has been a mild one for the West Nile virus, the Culex mosquitoes that carry the virus still are active and will continue to be until...

Study Shows 1% of Americans Have Been Infected With West Nile
One in every 100 Americans has been infected with the West Nile virus, whether they know it or not. That number has grown steadily...


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.


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.

In This Issue
HIV Infections in Women
Your suggestions for HIV prevention, and those of some of the scientists you refer to, show remarkably persistent neglect of the most likely to be infected...

Is Your Hand Hygiene Program Built to Last?
How to sustain hand-hygiene compliance after celebrating your first success.

New HIV antibody discovery could lead to vaccine, new
Those particular points in the virus are also considered marker points for a positive test result for HIV on the Western Blott test– the more sensitive of...

Antibodies 'neutralize' HIV
A global collaboration has led to the discovery of two powerful new antibodies against HIV. The newly discovered neutralizing antibodies...

Video: Vital drug elude HIV victims
In the first of our series on the stigma of HIV and Aids, Al Jazeera visits Zimbabwe where HIV patients face a shortage of anti-retroviral drugs.

New 'cling-wrap' antibodies disarm HIV
Scientists have found two powerful new antibodies that disarm HIV, offering fresh clues in the hunt for a vaccine. The antibodies were found in...

Preparing for a Stressful Flu Season
A few weekends ago, a mother I know called to ask about swine flu after her daughter complained of breathing trouble and...

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
Lake View Memorial Hospital

Two Harbors, MN

$1,800

Failure to provide documentation which will prevent or reduce exposure including appropriate engineering controls, work practices, and personal protective equipment.
Thomas Jefferson University/Methodist Hospital

Philadelphia, PA

$1,125

Failure to ensure that the worksite is maintained in a clean and sanitary condition.

Failure to discard contaminated sharps immediately or as soon as feasible in containers

Failure to obtain a copy of the employee's hepatitis B vaccination status including the dates of all the hepatitis B vaccinations and any medical records relative to the employee's ability to receive vaccination.

Westside Dental

Syracuse, NY

$2,700

Failure to document implementation of compliance, vaccination, and follow-up

Exposure Control Plan not accessible

Did not determine bloodborne pathogen exposure potential for employees

Failure to provide Hepatitis B vaccination within 10 working days of initial assignment to all employees

Failure to provide training program at time of initial assignment

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 Inc.

Ethicon, Inc.

Real Needlestick and
Blood Exposure Stories
When I was in nursing school, my university opened a flu shot booth and gave shots to walk-ins. Nurses from the student health clinic staffed it and took volunteers from the nursing school to help give the shots. The booth was a poor set up of tables, with sharps containers at the ends of the tables, away from the actual chair that we had the pts sit in for the shots. We were not given safety needles. Anyway, it was necessary to lay the used needle on the table while putting on the bandage, then walk the 4 or so steps to the needle box. Well, I had set a used needle on the table, on top of the pt's flu shot info sheet. After the shot, the pt took the info sheet before I could pick up the dirty needle. The needle fell to the ground, grazing my leg on the way down. Of course it was October and still quite warm, so I was wearing shorts. The needle left a scratch on my skin. I immediately rubbed the area with alcohol hand gel. It happened so fast and I was in disbelief so I didn't think to call the person back. The doctor at the student health clinic said it was very low risk since it was a non-blood-filled IM needle and it was a scratch, rather than a stick. Plus I had used the alcohol gel right away. Everything was fine.

Featured Safety Product

The Safety SubCulture Unit (SCU) is a sharps safety device used to obtain samples from positive blood culture bottles.  Needleless sampling reduces risk of needlestick injury.

The plastic tip safely pierces the bottle septum and makes it easy to insert and remove from the culture bottle. The integrated filter cap controls gas or culture discharge for an added level of safety.

Sampling Options
Safety SubCulture Unit offers unique dispensing options for controlled sampling. The SCU sampling channel has been designed to dispense drops directly from a tilted culture bottle.

The female luer connection allows for needleless syringe draw and dispensing technique.

The Safety SubCulture Unit (SCU) has integrated safety for subculture procedures which:

  • reduces the risk of injury because it is needleless

  • reduces the risk of exposure from gaseous discharge

The SCU is compatible with a variety of culture bottles.

 



For more information on the Safety SubCulture Unit or to request product samples, please visit the ITL website at www.itlcorporation.com, or contact ITL via phone at 888-411-2851 or via email at  sales@itlus.com.

 


All SharpGuard guarded knives are designed to meet "safer medical device" standards required by OSHA to eliminate or minimize occupational exposure to bloodborne pathogens.  Identification, evaluation and selection of safer medical devices are key components of a facility "Exposure Control Plan" (ECP), requiring annual reviews and updates. 

SharpGuard guarded knives are packaged in sterile blister trays in a closed, safe position, five units per box.

Directions for Use:

1. To Open:

With textured grip pointing away from body, slide grip back until it clicks to expose blade.

2. To Close:

With the blade pointing away from body, slide textured grip toward blade until it clicks into guarded position.

3. Disposal:

Close the knife into the guarded position.  Place knife in an approved sharps container. 

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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