NEEDLE STICK INJURIES SPLASHMANAGEMENT OF SPILL

MS. SUBASHINI KALIRAJNURSE SUPERVISOR INFECTION CONTROL COORDINATOR

Needlestick injury

• Needlestick and sharp injuries are accidental penetrating wounds caused by sharp instruments in a medical settings

• Syringes, Scalpels, IV devices, Capillary tubes, Glass containers, Pipettes.

• The main issue is contamination from blood or other potentially infectious materials.

Who is at risk for sharps injuries?

Where Do Most Needlestick Injuries Occur?

How common are sharps injuries?

Estimates indicate that 600,000 to 800,000 needle stick injuries occur each year.

52% of all HCW report a needlestick injury, 24% had one in the last year

But, estimates are that only 10% of all needlestick injuries are reported

Despite our best efforts, some occupational exposures are unavoidable.

ALWAYS REPORT sharps injuries to receive appropriate follow-up care.

Investigation is done to find fact not to find faults.

Helps eliminate the hazard from machine, method, material and staff.

Provide advisory services on safety and health hazards

Don’t hesitate to report

When does it happens?

Sharps injuries are often associated with these activities:Recapping needles or other devices Blood drawAdministering injectionsTransferring a body fluid between containersDispose of needles: Failing to dispose of used needles or other devices properly in puncture-resistant sharps containersHandling trash and dirty linens

When Do Needlesticks Happen?

What infections are caused by sharps injuries?

Hepatitis B virus (HBV)Hepatitis C virus (HCV)Human immunodeficiency virus (HIV)

Protection from needle stick injuries

Avoid the use of needles where safe alternatives are available.

Use devices with safety features.

Needleless Connector Systems

Retractable TechnologySelf Blunting Technology

Do not recap needles

Scooping Method

SPLASH

Accidental splashing of blood or any body fluid or any chemical or drugs in the eyes or in the skin is termed as splash.

Determine if you need immediate medical attention.  Determine how long to wash your eyes. wash: Five minutes for mildly irritating chemicals, such as

hand soap or shampooTwenty minutes or longer for moderate-to-severe irritants. Wash your hands with soap and water. Remove contact lenses. Report the incident.

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SPILL MANAGEMENT

Accidental spillage of body fluid or any chemical which may be regarded as hazardous to human health is called as spill.

Every health care facility must have a system to handle such accidents.

Types of Spills

Types of Spills

Minor Blood Spill

Put on PPE Use chemical spill Clean Up Kit and wear double

gloves. Use absorbent powder and wait 2 minutes for the

body fluid to become gel. Cover with tissue or absorbent towel and Wipe

material towards the center. Use Contain and cover the spill, using the

appropriate absorbent materials or granules. Report the incidents with date, type, amount,

cause of spill and procedures followed.

MAJOR SPILL

Put on PPE If possible and safe to do so, stop the source of the spill Contain and cover the spill, using the appropriate

absorbent materials or granules. Report the spill

Contents of Spill Kit

Appropriate chemical decontaminants. Absorbent paper towels. Autoclavable dust pan. Sponges and cloths. Protective clothing including laboratory coat/plastic apron,

gloves and Face-masks. Tongs. Biohazard bags. Autoclavable bags Flush kit

Remember

Hot water will make blood stick to the surface it is on. Use cold or warm water should always be used for the first contact with blood or blood stained articles.

After clean up dry area so that it is not slippery. Disinfectants must not be mixed with detergents as this

can render them ineffective, use these agents separately. Disinfectants can be deactivated by reacting with organic

material such as blood. if there is a lot of infective material present use a lot of disinfectant.

Always try to contain the spill, don’t spread it, Wipe material towards the center and take care to remove

any sharp objects with forceps before attempting wipe up

Thank you