safe injection practices for laboratory personnel

Safe Injection PracticeFor Laboratory Personnel

Dr Ketan Ranpariya (MBBS, PGDHM,PGDHIVM,HIVM)HIV / AIDS CONSULTANAT

Mobile: 0 75 75 88 70 70

Dr Ketan Ranpariya

Disclaimer• This information is for Awareness of Health Care

Personnel as part of “Safe Injection Practice” Campaign 10 K.

• I do not have anything for financial disclosure. It’s release for Public Health Interest

• Have a Safe and Healthy Injection Practice and keep yourself and patient safe.

• Let’s Join Hand and Work Together to achieve Harmless Injection Practice

Dr Ketan Ranpariya

Dr Ketan Ranpariya

Dr Ketan Ranpariya

Who are at risk of Unsafe Injection Practice ?

1. Recipient 2. Health Care Worker3. Community

Dr Ketan Ranpariya

Practices that can harm recipients

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Practices that can harm recipients

• Touching the needle

Dr Ketan Ranpariya

Practices that can harm recipients

• Applying pressure to bleeding sites with used material or a finger

Dr Ketan Ranpariya

Practices that can harm healthcare workers

Dr Ketan Ranpariya

Practices that can harm healthcare workers

• Recapping, bend or breaking contaminated or used needles

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Practices that can harm healthcare workers

• Placing needles on a surface or carrying them any distance prior to disposal

Dr Ketan Ranpariya

Practices that can harm healthcare workers

• Reaching into a mass of used syringes or needles (for cleaning or sorting waste)

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Practices that can harm the community

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Practices that can harm the community

• Leaving used syringes in areas where children can play with them

Dr Ketan Ranpariya

Practices that can harm the community

• Giving or selling used syringes to vendors who will resell them

Dr Ketan Ranpariya

Practices that can harm the community

• Leaving used syringes in areas accessible to the public

Dr Ketan Ranpariya

Dr Ketan Ranpariya

Dr Ketan Ranpariya

Characteristics of Unsafe Injections (63 % of all Injections are Unsafe) – All India

Total

Total Unsafe

Wrong Habits of Injection

Givers54 %

Questionable Sterility 24 %

Reuse 22 %

Dr Ketan Ranpariya

Wrong Habits of Injection Givers ( 54 % )

Dr Ketan Ranpariya

Wrong Habits of Injection Givers ( 54% )

• Injection without proper hand washing

Dr Ketan Ranpariya

Wrong Habits of Injection Givers ( 54% )

• Taking or Handling Blood or other material without wearing gloves or apron

Dr Ketan Ranpariya

Wrong Habits of Injection Givers ( 54% )

• Improper cleaning of injection site

Dr Ketan Ranpariya

Wrong Habits of Injection Givers ( 54% )

• Cleaning needle with spirit

Dr Ketan Ranpariya

Wrong Habits of Injection Givers ( 54% )

• Touching needle with finger while injecting

Dr Ketan Ranpariya

Wrong Habits of Injection Givers ( 54% )

• Using spirit cotton on after injection

Dr Ketan Ranpariya

Wrong Habits of Injection Givers ( 54% )

• Improper disposal of injection waste

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Reuse of syringes ( 22% )

Dr Ketan Ranpariya

Reuse of syringes ( 22% )• Two types of reuse

– Downstream reuse – Where, after discarding of the syringe by the injection giver, someone else takes the syringe for reuse

– Intentional reuse – Where the injection giver intentionally brings about the reuse of the syringe

Dr Ketan Ranpariya

Downstream ReuseAlthough injection giver does not intentionally

reuse syringe, somewhere along the way the syringe/needle gets picked for reuse

Medical waste is disposed off improperly due to lack of sealable sharps containers and lack of incineration

Dr Ketan Ranpariya

Downstream Reuse

Can be resold or simply reused: Can’t tell if a syringe is new

• Evidence of “industry” of reprocessing and reselling; particularly in India, Pakistan; also reported in parts of Africa

5-year-old girl smiles as she displays her 'catch' to her mother - dozens of used disposable syringes with the

needles intact! Dr Ketan Ranpariya

Bio Medical Waste Management Rules

Dr Ketan Ranpariya

Sharp containers

Dr Ketan Ranpariya

Dr Ketan Ranpariya

ESNC an Innovative Game Changer

FAB- BD Emerald™ Needle Collector

• Small size – Portable (Easy to Carry)-– Bedside needle containment– Prevent recapping of needle– Prevent NSI (Employee welfare)

Dr Ketan Ranpariya

FAB- BD Emerald™ Needle Collector

• Slide door- Closed containment of Needles – Prevent exposure of sharps– Infection prevention - Ease of operation

Dr Ketan Ranpariya

FAB- BD Emerald™ Needle Collector

• Made of Polypropylene – • Non Chlorinated Plastic

– No PVC– Incinerable if BMWM rules allows

Dr Ketan Ranpariya

Safe work practices to eliminate the risk of transmitting infectious pathogens

Dr Ketan Ranpariya

Hand Washing

• To disrupt transmission of infectious pathogens frequent hand washing according to the procedure.Before and after each patient contact, as well as between procedures on the same patient.

Dr Ketan Ranpariya

Prohibited

• Eating, drinking, smoking should be prohibited in lab area

Dr Ketan Ranpariya

Personal Protective Equipment (PPE)

• Gloves and lab coats etc. Personal Protective Equipment used as required 

• A pair of well-fitting, clean, disposable latex or latex-free gloves per patient or per procedure

Dr Ketan Ranpariya

Clean Up

• Clean up any infectious fluids/blood spills immediately and minimize aerosolization

Dr Ketan Ranpariya

Tourniquet

• Clean elastic tourniquet reprocessed between patients

Dr Ketan Ranpariya

Sharp Needle Container

Needles should not be recapped by hand, purposely bent or broken by hand, removed from disposable syringes, or otherwise manipulated by hand to prevent needle stick injuries.

Dr Ketan Ranpariya

Skin Preparation

• Inspect skin, clean if visibly dirty Apply 70% alcohol with single-use swab or clean cotton-wool ball

Dr Ketan Ranpariya

PEP and PrEP

• Prophylactic measures for pre-exposure and post-exposure for handling potential occupational transmission of certain pathogens should be known by phlebotomist.

Dr Ketan Ranpariya

Share Your Knowledge

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Thank You !!!

To Participate in “Safe Injection Practice” Campaign 10 K

You can contact us on : 0 70 48 70 41 41 : www.facebook.com/HIVCLINICSURAT

: doctorforhiv@gmail.com : www.hivaidssurat.com

Dr Ketan Ranpariya