Welcome to the ISIPS Newsletter March 2, 2018
Needlestick & Sharps Injuries
Will the Supreme Court silence nurses?
Gx® InnoSafe: Greater protection against needlestick injuries
Taking needlestick injuries seriously
Needlestick Safety Challenges Continue
Needlestick injuries going unreported
Document Annual Safer Sharps Evaluation by Sarah Mueller
OSHA’s Bloodborne Pathogen Standard, 29 CFR 1910.1030, applies to all occupational exposure to blood or other potentially infections material as defined in the standard. Employers that have covered employees are required to develop and implement an Exposure Control Plan to minimize employee exposure. One of the elements that must be included in the Exposure Control Plan is to document annual consideration and implementation of safer medical devices.
If you have employees working with human source material and sharps, be sure to solicit input from the end users on a regular basis to determine if they are aware of any safer sharps options that would reduce their potential for an incident resulting in exposure. Documentation on an annual basis can be accomplished via different avenues, and it is a good idea to alter your request for input on an annual basis. A couple avenues include having end users complete a safer sharps survey or documented solicitation for input during annual training sessions. Be sure to meet all of the criteria for developing and implementing an Exposure Control Plan, including documenting annual evaluation of safer sharps.
Needle Stick Injuries
On a December weekend, I, was eagerly waiting in ER to do my first Nursing procedure, when a boy came in pain and I was asked to draw his blood samples. Excited, I held the syringe with needle, positioned his arm, cleaned it with spirit, in went the needle, and out came the blood, in first shot. However, as I was thrilled, I noticed blood inside my latex glove and felt sore. I had inadvertently sustained a needle stick injury in right hand finger.
Protecting Patients with VanishPoint Retractable Syringes
Needlesticks are not just the fear of 4-year-olds receiving their vaccinations; they are also the source of blood-borne infections afflicting millions of healthcare practitioners. When a conventional needle is left exposed after use on a patient, it can accidentally stick another person, such as a healthcare worker. The accidental needlestick can infect that person if the patient had any blood-borne diseases. Recent estimates place the number of needlestick injuries in the United States at more than 300,000 per year, with infection by HIV or Hepatitis as possible consequences. The spring-retractable syringe, VanishPoint, was created to prevent needlestick injuries and ameliorate other unsafe injection practices.
VanishPoint Blood Collection Set
The VanishPoint Blood Collection Set, from Retractable Technologies, Inc., features automated in-vein retraction that effectively reduces the risk of needlestick injuries and blood exposure.  The safety mechanism is activated by depressing a retraction trigger that is located near the finger-grip area.  This allows for easy one-handed activation, without changes in hand position, while reducing the risk of inadvertent activation.  The needle is retracted directly from the patient, virtually eliminating exposure to the contaminated needle.
Poverty and HIV in India
HIV patients with depression face serious risks
HIV Begins to Yield Secrets of How It Hides in Cells
Is Anchor Butter Contaminated with HIV?
Miami VA medical center gave inaccurate HIV test results to veterans, agency says
Hugs not hazmat suits for people with HIV: Casey House celebrates 30 years of compassion
Victim in intentional HIV transmission case says stricter laws needed to protect women
HIV/ AIDS statistics in Louisiana are sobering.
In 2016 the state was only second to Georgia for the highest number of new HIV diagnoses. The rate of new cases was 29.7 per 100,000, according to the Centers for Disease Control. One out of five people do not know they are infected in Louisiana.   If current HIV diagnoses persist, one in two black men who have sex with men (MSM) and one in four latino MSM will contract HIV in their lifetime, according to CDC data. Although highly treatable, the virus which attacks the immune system as it progresses into Auto Immune Deficiency Syndrome (AIDS), can also be prevented.
Hepatitis E virus found in Scottish shellfish
It's criminal what Illinois is doing to Medicaid patients with hepatitis C
Aspire wants comprehensive program to fight spread of hepatitis C, HIV
Report explores the global hepatitis vaccine market
Kentucky links Hepatitis A outbreak cases to others in California and Utah
Hepatitis A outbreak keeps growing in Utah — but not from recent restaurant exposures
Utah’s hepatitis A outbreak has expanded to more than 160 cases, with at least 21 confirmed in the past month, but officials say the growth is not tied to possible restaurant exposures in Salt Lake and Utah counties.
The majority of cases, 108, have been reported in Salt Lake County, with another 38 in Utah County, according to Utah Department of Health data updated this week. The outbreak began last summer and is one of three around the country.
The outbreak has occurred primarily in the state’s homeless population. But in early January, health officials alerted the general public about infected people who had worked at Spanish Fork Olive Garden and Sonic Drive-In restaurants and at a West Jordan 7-Eleven, saying several thousand customers may have be exposed. They set up hotlines and urged some patrons to get vaccinated.
Kentucky hepatitis A outbreak continues
A multi-county outbreak of hepatitis A that includes McCracken County is still ongoing, the Kentucky Cabinet for Health and Family Services says. The the Kentucky Department for Public Health is now reporting 117 cases of hepatitis A in the state. Most of those cases are in the Jefferson County/Louisville area, but other cases have been found in McCracken County, as well as Boyd, Bullitt, Carter, Hopkins, Leslie, Marion and Taylor counties.
‘God did this’- How a 22 year-old Texan began a Catholic school for Uganda’s deaf children
Manitoba man relearning how to walk after West Nile virus
'Couldn’t move anything': Manitoba reeve learning to walk again after being in a coma, paralyzed by West Nile virus
West Nile virus has killed 8 Californians this year. In parts of L.A. County, the risk is especially high
West Nile virus death reported in Philadelphia
Thanks to Climate Change, West Nile Virus Could Be Your New Neighbor
West Nile Virus: The Stranger That Came To Stay
Zika project launch
Brazilian team finds clue to congenital Zika syndrome
CDC official who handled Zika and Ebola outbreaks mysteriously missing — RT US News
BRIEF-Emergent Biosolutions And Valneva Initiate Clinical Study To Evaluate Vaccine Against Zika Virus
Researchers developing rapid saliva test to detect Zika virus
New saliva test can quickly detect Zika virus, researchers say
Threat of Zika looms as mosquitoes prepare to make a comeback
Other viruses cause Zika-like damage to fetuses, study finds
West Nile, Powassan viruses cause Zika-like damage to fetuses, study finds
Blood samples continue to be tested for Zika
Zika virus: What are the causes and symptoms, and where is it a risk?
Zika virus was declared a global medical emergency by the World Health Organisation (WHO) in 2016. While it may have fallen out of the headlines in recent months, and thankfully there have been no new wide-spread infections, the virus is still a danger.
Many people infected with Zika will have no symptoms, but the disease poses a serious risk to pregnant women. It’s connected to birth defects such as microcephaly, where babies are born with abnormally small heads and significantly hindered brain development. Here’s a brief rundown about what causes Zika, and what work is being done to prevent it spreading.
....continued from last week
Safety Culture—What Is It?
A safety culture influences the overall attitudes and behavior of an institution. We are all familiar with companies where the leadership and management style helps the whole organization focus on the institutional mission and goals. As these goals filter down through all levels of these organizations, work processes are adapted to meet these goals. As these goals are adapted they become the accepted norms for the workplace. Employees and management share a commitment to ensure the safety of each other. Organizations that are able to put together a safety culture will find this value permeates all aspects of the work environment. Each individual is encouraged to take respon- sibility for their own safety as well is the safety of others.
Not My Job!
Several years ago I saw a picture of a road crew that was painting the double yellow lines down the center of a road. The paint truck had just passed over a dead opossum in the middle of the road. Rather than picking up a shovel and moving the animal carcass to the side of the road, the painters had simply driven over and painted double yellow lines on the dead animal’s body!
A culture of safety is everyone’s job! A culture of safety means that every individual shares a commitment toward the safety of the work environment. Employees will see it in the actions taken by management to improve safety for healthcare workers as well as patients. The participation of workers in safety planning will be solicited, as required by law. There will be an availability of written safety guidelines and policies. Safety devices and protective equipment will be made available at all times and in all locations in the hospital.
I recently reread a book entitled The Game of Work— How to Enjoy Work As Much As Play written by Charles A. Coonradt.
“In the absence of  clearly  defined  goals,”  Mr.  Coonradt stated, “people are forced to concentrate on the activity and ultimately become enslaved by it. Most businesses pay for attendance when they need to be paying for performance and productivity … Most business people don’t keep score; they don’t measure performance as effectively as they do in recreation.”
I believe that scorekeeping can assist organizations to come into compliance with the OSHA Bloodborne Pathogen Standard. I believe that most healthcare workers really do appreciate the goal of the standard—to keep each healthcare worker safe and prevent their exposure to HIV, hepatitis and other illnesses. So, if they appreciate the goal, why is it so difficult to be in compliance?
I believe one of the reasons is the failure to really keep track of all bloodborne pathogen exposures. If a scorecard was kept every time a clinician was exposed to blood or had a needlestick injury, like it should be, exposure rates would go down.
So why do you think recreational activities are improved with scorekeeping?
Why can’t we apply the same principle to compliance with the OSHA Bloodborne Pathogen Standard?
In recreational pursuits, the goals are clearly defined. We know what has been accomplished. For example:
  • How many fish did you catch?
  • Did you shoot a deer during hunting season?
  • Did you win the game?
  • Did you beat your previous time?
More in next week's newsletter...
  • Automated retraction is activated by securely closing end cap while needle is still in patient's vein

  • Once activated, needle is automatically retracted from patient, virtually eliminating exposure

  • Single use holder protects users from both ends of contaminated blood collection needles

  • Utilizes conventional multiple sample blood collection needles and prevents cross contamination

  • Capable of multi-tube blood draws

  • Small diameter tube adapter available for use with small diameter tubes


The ClickZip™ Needle Retractable Safety Syringe is a new and globally patented Swiss technology active, high-quality needle with a retraction mechanism, thus preventing needlestick injury and syringe reuse.The ClickZip™ Needle Retractable Safety Syringe is simple to operate, which is why the technology is so valuable. Minimal or no extra training is required to use this product. Please view below the simple four step process of DRAW, INJECT, ZIP, SNAP.
The ClickZip™ Needle Retractable Safety Syringe is simple to operate which is why the technology is so valuable. Minimal or no extra training is required to use this product.
Using the ClickZip syringe is easy - a simple four step process of DRAW, INJECT, ZIP, SNAP.
Step 1: Shown is the ClickZip™ as it is packaged. Make sure the needle is fixed tight and then use the standard aseptic technique to DRAW out the medication and fill the syringe.

Step 2: INJECT the medication by fully depressing the plunger to the end of the syringe barrel to engage the locking mechanism. The user should be able to feel and hear a ‘CLICK’.

Step 3: ZIP the plunger back to retract the needle safely back into the barrel. The needle will tilt to one side and prevent the needle being able to be pushed out again, preventing reuse or needlestick injury.

Step 4: SNAP off the plunger at the breaking point. ClickZip™ is now disabled and cannot be reused. Discard the complete unit as per regulations require.

With less waste, a safer mechanism, and no need for special sharps disposal units, and the potential for needle reuse or needlestick injury greatly reduced, long term and other immediate costs are significantly lowered, and safety and health benefits for health workers, patients and the community as a whole are significantly increased.


Built-in safety mechanism is activated by fully depressing plunger while needle is still in patient 
Once activated, needle is automatically retracted from patient, virtually eliminating exposure
One-handed activation 
Requires minimal training
Safe, efficient disposal
Color coded for gauge size
1cc, 3cc, 5cc, and 10cc syringe sizes available, in a variety of needle gauges and lengths.
Please click on any ISIPS member below to view their sharps safety products!
Packaging your drug in a prefillable syringe with a safety feature will provide protection for health care workers and patients against accidental needlestick injuries. The NovaGuard SA (Staked-needle Automatic) syringe system can be deployed using a single-handed technique to shield the exposed needle.

System Benefits
·        Mitigates glass flange breakage
·        Bulk packaging enables automated assembly
·        Designed to prevent pre-activation
·        Uses standard plunger rods
·        Tamper resistant

To learn more about using the NovaGuard SA syringe system for your drug product, or for information on any of West’s injectable drug packaging or delivery system technologies, click here.

*For investigational use only by our pharmaceutical and biotechnology development partners. West markets the NovaGuard SA technology as an integrated system. Final assembly is completed by the pharmaceutical company.
West and the diamond logo and NovaGuard™ are trademarks or registered s of West Pharmaceutical Services, Inc. in the United States and other jurisdictions.
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