safe injection v.0
TRANSCRIPT
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Have you or your family member or assistant
ever experienced needle prick injury ?
What did you do?
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S
afe Injection Practices
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Objectives
page 3
At the end of this session, the participants will be
able to :
State four prevention measures of unsafe
injection(hand washing, disposal syringes, proper
disposal and decontamination)
Demonstrate proper usage of AD syringes
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Damage
Disease
Death
What are consequences of unsafe injection?
NOTE : Unsafe injection is harmful.
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How can be harmed by unsafe injection?
Patient to provider
Provider to patients
Provider to family
Health facility to community
?
?
?
?
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How can we prevent transmission of
diseases from patient to provider?
Take Precautions
Before
During
After
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Recapping
If recap, use one-hand method
page 7
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How can we prevent transmission of diseases
from providers to patients?
Hand washing
Use Disposable syringes and needles
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AD syringes
Auto destruct or disable
Solo shot
Advantages
Prevent reuse
Ensure sterility
Less pollution when
burned
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AD syringes
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Lets Practice with AD syringes!
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How can we prevent transmission of diseases
from health facility to community?
Safe Disposal of medical wastes especially sharps
How do you dispose medical waste?
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Do you use these materials for sharp
disposal?
page 13
Needle container for
decontamination
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Using Safety box
page 14
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Decontamination with Chemical
Reduce transmission of
infections by disposed
sharps
Can be done by using0.5% chlorine
Can use any puncture
resistant container such
as cans and water bottle
page 15
Needle container for
decontamination
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How can we make 0.5% chlorine?
From concentrated CL liquid
Parts of water to dilute =
Concentrated % - 1
0.5
From bleaching powder
Gram of powder in 1 L of water
0.5 * 1000
Concentrated %
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If an exposure occurs;
Wash needle stick site with soap and water
Irrigate with clean water or saline
Test for HIV as baseline
PEP?
Type of exposure Risk
SexNeedle stick
Mucous membrane
Intact skin
0.3%0.3%
0.09%
Not precisely quantified
Ippolito G et al. Arch Intern Med 1993; 153:1451-8
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Post-exposure Prophylaxis
page 19
When to initiate?
Hong long to be taken?
How many PEP regimen?
72 2 28
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Type of exposure
Mucous membrane Intact skin Skin penetration
Volume Severity
Small
1 minutes
Less severe
Solid needle
Superficial
More severe
Bore needle
Deep
Low risk Intermediate risk High riskIntermediate risk
No PEP
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How to recommend?
Low risk
Intermediate risk
High risk
Recommended for PEP
No
Yes
Yes
Not recommended
Basic regimen
Expanded regimen
Basic regimen: 2 ART drugs
Expanded regimen: 3 ART drugs
AZT + 3TC
AZT + 3TC + EFV
d4T + 3TCor
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Take Home Message
AD syringes are internationally recommended
Recapping can injure you.
Use safety box if possible
Decontamination can help to prevent infection spread
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Thank You!
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