Welcome to the ISIPS Newsletter March 9, 2018
Needlestick & Sharps Injuries
Global health startup PharmaJet with needle-free injectable device close to raising $5M
Will the Supreme Court silence nurses?
Mum tells of terror after son 'chased and stabbed' with used needle
AN Irvine mum has told of her terror after her son had to be tested for HIV after he was allegedly "chased and stabbed" by someone carrying a used needle outside of a youth club.
Kelly Scott, 37, says her 10-year-old son Eddie was pricked in the hand by a discarded needle on Sunday night (March 4) after being chased by an older boy who, she claims was carrying the needle.
Kelly says Eddie was one of six children who came into contact with the dirty needle and along with other parents, she and husband Alexander now face an anxious wait on blood test results following the horrifying incident at Redburn Community Centre.
Emergency doctor says dirty needle incidents 'extremely rare'
Dirty needle accidents like that suffered by a Papamoa toddler, are "extremely rare" says Tauranga Hospital medical director of emergency services.  Dr Derek Sage said he had never seen one in Tauranga in all his years at the hospital.
Tauranga Hospital's Dr Derek Sage says needlestick injuries are rare. Photo / File
Tauranga Hospital's Dr Derek Sage says needlestick injuries are rare. Photo / File
His comments come after the parents of Aurora Archer, 17 months, found their little girl with a dirty needle hanging from her arm after a visit to Papamoa Beach
Bouncing Back from a Hospital Safety Penalty
In December of last year, the federal government penalized 751 hospitals for having high numbers of patient injuries, retroactively reducing their Medicare payments by 1% for each patient’s stay, as well as reducing the amount of money the hospitals receive to teach medical residents and care for low-income individuals. These reductions will continue until the end of the government’s fiscal year in September of 2018. The harsh reality of reductions for those listed hospitals, and the potential financial and operational impacts on other hospitals in the future, serve as a call for action among hospital leaders.
The penalties are controversial. Many in the industry feel they unfairly target academic hospitals, which treat patients with more complex conditions and increased risk of developing HAIs (Hospital Acquired Infections), as well as hospitals that treat more low-income patients. The true intent of the penalties is to incentivize hospitals to continually focus on improving patient safety and quality. It is important to note, however, that of the 751 hospitals penalized for FY 2018, 425 were also penalized the previous year. Clearly, something needs to change.
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.
Flavoring Chemical Exposures at a Vape Shop
Employees in a vape shop were exposed to detectable levels of two widely used flavoring chemicals, diacetyl and 2,3-pentanedione, according to a report recently published by the NIOSH Health Hazard Evaluation Program. The shop sells e-cigarettes and e-liquids, which are typically made up of propylene glycol, vegetable glycerin, nicotine, and flavoring chemicals. NIOSH staff visited the facility at the request of the vape shop owner, who was concerned about employees’ potential exposure to vaping chemicals. 
The Revolutionary New HIV Drug You've Probably Never Heard Of
Miami Investigation Finds Discrepancies in Veteran HIV Tests
Massive HIV, STD cluster in Milwaukee includes children
This Is A Crisis Bigger Than Milwaukee: 125 People With HIV Or Syphilis
Teenagers are testing positive for HIV and syphilis in large numbers in this city
Shock in Milwaukee over 'cluster' outbreak of HIV and syphilis, including babies and teens
New way found to defeat HIV latency
HIV in sub-Sahara Africa: Testing and treatment start at home improves therapy
Shock in Milwaukee over 'cluster' outbreak of HIV and syphilis, including babies and teens
An outbreak of sexually transmitted disease is hitting the Milwaukee area, and an alarming percentage of the patients are teenagers.   According to The Journal Sentinel, at least 125 people -- including some high school students -- have contracted HIV, syphilis or both in one of the largest sexually transmitted infection “clusters” discovered in the city. 
Less than 10 percent of the 125 people who tested positive are Milwaukee Public Schools students, but health care experts anticipate the number of cases could go up.
“This is an epidemic people are not talking about enough, and it leads to people taking unnecessary risks,” said Melissa Ugland, a public health consultant told the newspaper.
Miami VA medical center gave inaccurate HIV test results to veterans, agency says
At least eight military veterans who were tested for HIV at the Miami VA Medical Center received a different result when they were screened for a second time by an outside lab — a discrepancy discovered only after an employee at the Miami facility complained to outside agencies and the White House that local managers were ignoring his concerns, according to an independent federal investigator.
Former employee of St. Matthews Denny's diagnosed with hepatitis A amid Louisville outbreak
Prisoners, Mass. reach settlement agreement for treatment of hepatitis C
Boyd County inmate contracts hepatitis A
UPDATE: Health professionals open hotline for Hepatitis concerns
Kroger, Waffle House employees may have spread deadly hepatitis outbreak in Kentucky
Possible Hepatitis A-related death reported in Louisville could be linked to multi-county outbreak
Shooting Star's Van McLain Dies From West Nile Virus Complications (Week in Review)
Shooting Star guitarist Van McLain dies following West Nile virus battle
Native Australian plant 'kills Zika virus'
Mosquito gut may hold the key to preventing Dengue and Zika
Mosquitoes spreading Zika virus in parts of U.S.: CDC
Mosquito gut may hold key to preventing dengue, Zika
Scientists evaluate reliability of Zika virus diagnostics
Brazilian Team Finds Clue to Congenital Zika Syndrome
Martin Shkreli sentenced to 7 years in prison for fraud, conspiracy
Pharma bro Martin Shkreli was sentenced Friday to a seven-year prison term, ordered to forfeit nearly $7.4 million and fined $75,000 for the 2017 securities fraud and conspiracy convictions that upended the drug industry investor's career.
U.S. District Judge Kiyo Matsumoto imposed the punishment after Shkreli, best known for orchestrating a 5,000% price hike on a drug used to treat AIDS patients and others, tearfully acknowledged his guilt and asked for mercy.
The sentence gave the 34-year-old New York City businessman credit for six months of jail time he's served.
....continued from last week

Safety Culture—What Is It?

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?
In each of these activities, the desired result  is  very clear and easily measured. So why is that? In recreation the scorekeeping seems to be better and is more objective. In most recreation, the scorekeeping is self-administered and audited by peers. It allows players like us to compare our current personal performance with an accepted standard.
Recreational feedback seems to be more frequent. In recreation, everyone knows whether they are winning or losing. We know how we’re doing because we can see the score and it changes as the game progresses. This feedback gives us the opportunity of making changes and correcting our course so that we might be a winner. Everyone needs to know every day whether they are winning or losing.
Last year, I went golfing with all five of my boys. At the conclusion of the nine holes, I proudly presented my scorecard to my sons. I was excited to see that I was three strokes under my previous best score at that golf course and had the lowest score of the day. When I am playing golf, I receive immediate feedback that’s accurate and frequent. I know how I am doing at the end of each hole. I know if I am behind or ahead of my previous score. And we all know how to keep score!
Write It Down!
What are your safety goals? Do you have safety goals relating to the number of needlestick injuries occurring in your facility? Do you have a goal as to how many safety products you would like to evaluate in the next three months? How many medical device manufacturers will you contact to find out about their new safety products?
Where do you keep your goals? Are they published in the hospital newsletters? Are they written down in every memo? Are they discussed in every meeting? Remember, a goal not written is only a wish.
When we write down our safety goals, it means that they cannot be so easily forgotten or changed. It is difficult to read and review goals that are never written down. Goals must contain a deadline and require feedback.
“If you can’t measure it, you can’t manage it,” said George Odiorne.   Business and religious leader Thomas S. Monson admonished  “When performance is measured, performance improves. When performance is measured and reported back, the rate of improvement accelerates."
That means we need to establish measurable goals for which to aim. These goals need to be readily available and should be referred to frequently. We need to measure our performance against the goals we have set, and then return and report the results of our goals and activities.
Finding Safety Products
One of the challenges that face clinicians is knowing what new safety technologies have recently become available. The Needlestick Safety and Prevention Act, signed into law in 2000, directed OSHA to update the Bloodborne Pathogen Standard. The modified standard mandated that every employer having employees with the potential of exposure to bloodborne pathogens must have a written Exposure Control Plan to prevent such exposures.
The Exposure Control Plan must reflect changes in safety technologies and must document the evaluation of new safety products.
  • 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.
More than 400 tons of debris, 13,950 needles and 5,279 pounds of hazardous waste were discovered in Santa Ana River Trail in California between January 22 and March 3. 
The waste was from a more than two-mile stretch of bike trail from around the I-5 in Orange to Ball Road in Anaheim, the OCR reported.    Hazardous waste includes human waste, propane and pesticides. 
The Santa Ana River Trail was once populated by homeless people, but the encampments were dismantled in late February.
More >
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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