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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
Dr Ketan Ranpariya
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
Dr Ketan Ranpariya
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)
Dr Ketan Ranpariya
Practices that can harm the community
Dr Ketan Ranpariya
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
Dr Ketan Ranpariya
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
Dr Ketan Ranpariya
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
: [email protected] : www.hivaidssurat.com
Dr Ketan Ranpariya
