sharps safety in a military set upaub.edu.lb/facilities/ehsrm/documents/session 3-captain...medics...
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SHARPS SAFETY IN A
MILITARY SET UP
LEBANESE ARMY
HEALTHCARE SERVICES
BY
Captain Haytham FARHAT
&
Ms. Annie PARLAKIAN
JUNE 14, 2013
Sharp Injuries
1- In The Field (Capt. Haytham Farhat)
2- At The Hospital (Ms. Annie Parlakian)
Medics
COMBAT MEDIC
Trained for:
Combat Live Saver (CLS) - basic level.
Emergency Medical Technician (EMT).
Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P.
SENIOR MEDIC
Trained for :
Advance Trauma Life Support (ATLS)
Combat Medical Advance Skill (CMAST)
Casualty care prior to Evacuation (C.C.P & Clearing Station):
Collection, Triage, Treatment /Stabilization, Evacuation.
Medics
Levels Of Medical Support F L O T))
Casualty Evacuation
Med Resupply
Triage - Evacuation
Point of Injury (POI)
TURNIQUET
BAG
BANDAGE COMPRESSED
GAUZE
NASOPHARYNGEAL AIRWAY
TAPE
GLOVES
First Aid Kit Level I
Casualty Collection Point (CCP) Level I
Casualty Evaluation Stop The Bleeding Handle Chest Traumas ( Wound Care, Use Of
14G Needle In Case Of Pneumothorax…) Free The Airways Install An IV Line Prepare The Injured To Transfer …
Casualty Collection Point (CCP) Level I
Clearing Station Advanced Medics
LEVEL II
COMBAT MEDICS KIT LEVEL II
Body Substance Isolation BSI
Use PPE
Evacuation To Level III
Field Hospital LEVEL III
Level III Central Military Hospital
Sharp Injuries At CMH
Presented By Annie Parlakian
Quick Overview
Capacity 93 Inpatients / 52 Outpatients
Occupancy Rate 95 %
670 Operations Average/Month
Waste Management
• Start Date With Arc En Ciel: April 2011
• Trainings & Audits Twice A Year
Incident Accident Reporting System
• Start Date May 2010 (First Edition)
20 Categories
• 2nd Edition On August 2011 (23 categories)
Incident /Accident 2013 (%) 1st Trimester
n= 69
Sharp Injuries 2010-2013
Sharp Injuries / Position (%) 2010-2013
n= 91
Sharp Injuries/Position % (2010-2013)
Sharp Injuries By Department (%)
2010-2012
n= 87
Cause Of Sharp Injuries
Cause Of Sharp Injuries (%) 2010-2013
n= 91
Cause Of Sharp Injuries 2010-2012
Estimated Preventability
Root Cause Analysis
• Workload
• New Recruits
• Nonchalance Of HCW
• New Students
• Physicians Leaving Sharp Devices On The Table
• Patient Agitation
• …
Known/Unknown Source
n= 91
In Case Of Injury
Projection sur les
muqueuses: oeil,nez....
Infraction cutanée:
coupure, piqûre....
A.E.S.
Rinçage abondant à
l'eau pendant au moins 5 minutes
Lavage (eau + savon)
Annonce au responsable direct et par la suite au GR
Consultation immédiate au
service des Urgences
Envoi d'une fiche d'incidents et accidents au
département de qualité
Source
identifiée OUISérologie du
malade source
NON
Suivi médical
Bilan sanguin de l'accidenté sera précisé
par le médecin de travail
Prevention
• Vaccination For HBV
• Respect of Universal Precautions
• Continuous Education & Audits
• Use Of Safety Devices & Equipment like Sharps Container, Gloves, Goggles…
Benchmarking With A Lebanese Hospital (Per 1000 Occupied Beds)
QIP 2013
Goal : Sharp Injuries Rate
Internal Medicine
OR
ER
ICU
Thank you