Welcome to the ISIPS Newsletter June 15, 2018
Needlestick & Sharps Injuries
Study Finds High Burden of Psychosocial Issues Among PEP Users
West's SelfDose™ Patient-Controlled Injector Wins Silver Medical Design Excellence Award
Needle threat from thoughtless junkies
Need to Avert Needlestick Injuries Benefits Safety Needles Market
Needlestick Injury – Is it just a prick?
5 of the biggest issues nurses face today
Nurses are crucial to all healthcare environments, and take pride in the care they provide each day. But nurses also face many challenges in today's complex healthcare environment. Here are five big issues facing nurses including staffing, long working hours, workplace hazards, workplace violence and bullying and harrassment.
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.
Needlestick Injury – Is It Just A Prick?
Needlestick injury is the penetration of the skin by a needle or other sharp object, which has been in contact with blood, tissue or other body fluids before the exposure. These injuries have the possibility to lead to transmission of blood-borne diseases, placing those exposed at increased risk of contracting infectious diseases, commonly such as hepatitis B (HBV), hepatitis C (HCV), and the human immunodeficiency virus (HIV). Among healthcare workers and laboratory personnel worldwide, more than 25 blood-borne viruses have been reported to be caused by needlestick injuries. It is most commonly reported in final year students specially posted in the department of oral surgery.
How to properly fire a practice employee
The hardest part of running a solo private practice for the past 15 years is being an employer, says OB/GYN Donna Ivery, MD, of Titusville, Fla. “I find it particularly stressful because the behavior and competence of your staff can make or break your practice,” she says.
SMi's 3rd Annual Pre-Filled Syringes West Coast 2018 Conference and Exhibition returns to San Diego on the 4th and 5th of June 2018
Hear from a selection of carefully handpicked keynote addresses and case studies presented by big pharma as well as leading industry KOL's including Mitsubishi Gas Chemical, Nemera, Terumo Pharmaceutical Solutions, West Pharmaceutical Services, Zeon + more!
Automated devices may replace traditional medical stitching, predict inventors
The medical research company Sutrue devised the machine stitching tools, one of which is a handheld device and the other a larger endoscopic robot. The devices, which were demonstrated at an event this week, produce rows of sutures, tie knots and sew around corners through tissues as they stretch and twist unpredictably. Robots have aided surgeons since the PUMA 560 was used during a biopsy in 1985, but needle-and-thread suture techniques have largely not changed since the time of Ancient Egypt. The Sutrue devices began as an idea inspired by a TV programme about robotic surgery that inventor Alex Berry watched 10 years ago.
BART passenger says she sat on discarded hypodermic needle
While traveling from Dublin to San Francisco, a BART passenger claims she sat a stray hypodermic needle on her seat, which subsequently pricked her. In fact, this is not the first time a commuter has encountered such a particularly unsavory hazard while aboard the BART system.
 
According to KRON4, San Ramon resident Linda Quan discovered discarded intravenous drug materials underneath her seat on the train last Thursday, but only after a loose and possibly used needle pierced her backside.
 
This comes just weeks after an unfortunate viral video of drug use at Civic Center Station made national headlines in April, while at the same time the city of San Francisco devotes more time and resources to the problem of discarded needles on certain streets and sidewalks.
AIIMS Anaesthetist Contracts Hep B after Needle Stick Injury: Are our doctors safe?
Medical and surgical caregivers are commonly exposed to a variety of workplace hazards in the course of performing their functions.  For a doctor, involved in treating lage numbers of patients daily, these hazards come in the form of various infectious diseases.
 
My medical outlook changed after I jabbed my finger with a needle
As soon as I felt the deep sting of the needle as it entered my finger I knew what it meant – potential disaster.
 
I was cutting a space between the ribs of a patient in intensive care, making room for the insertion of a large chest drain. The tissues were tough, and I had to tear at the fibres with my fingers deep under the skin. But the patient was not fully sedated, and she was feeling it despite the local anaesthetic injection I had administered beforehand.
 
So I did something stupid. I kept one finger in the cut, so as not to lose the track I had struggled to form, and with my other hand inserted the anaesthetic needle alongside the leading gloved index finger. In this way I hoped to numb the deeper tissues. Instead I jabbed my own fingertip – ouch … a shock.
HIV
Ex-Cop Gets 8 Years for Not Telling Girlfriend He Has HIV
He deliberately exposed himself to HIV in order to infect his lovers
Why Miami Is the Epicenter of New HIV Cases in the U.S.
HK scientists say new research points to "functional cure" for HIV
Patients being tested for HIV after nurse reused syringes
HEPATITIS
Hepatitis outbreaks: 10 things to know about the liver disease
Arkansas Region Sees 4th Hepatitis Incident Since February
Pregnancy and Breastfeeding with Hepatitis C: What You Need to Know
More fast food workers diagnosed with hepatitis A
Hepatitis Outbreak Grows To 23 Confirmed Cases
Get screened! Hepatitis C can be cured with proper treatment and diagnosis
Louisville White Castle employee diagnosed with hepatitis A
New cases of hepatitis A confirmed in Davidson County
Hepatitis A is usually not a problem to recover from. But in Michigan, 27 people died since this outbreak began.
Michigan is in the throes of the largest hepatitis A outbreak in the USA, a flareup that began in August 2016 and has killed 27 people, state health officials say.
 
The hepatitis A virus, which attacks the liver, is highly contagious. Just ask Christopher Larime ,46, of Grosse Pointe Park, who goes out to lunch most days with co-workers from the General Motors Tech Center here.
 
The father of three said he ate in March at the Buffalo Wild Wings across the road from his office. It's the same restaurant where a food worker later was found to have hepatitis A. 
 
Though he only suspects the source of his infection, Larime now is one of 837 people who have been sickened with the virus in the state. Last month, Indiana's Department of Health issued a travel alert warning Hoosiers planning to visit Michigan to get vaccinated before they come.
Occurrence of Needlestick and Injuries among Health-care Workers of a Tertiary Care Teaching Hospital in North India
Occupational hazards such as accidental exposure to sharp, cuts, and splashes are common among health-care workers (HCWs).  To determine the occurrence of self-reported occupational exposures to these hazards and to know the prevalent practices following the exposure. The second aim was to know the baseline antibody levels against hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV) immediately after these accidents.
Hepatitis C has been called the silent epidemic of the 21st century. What should people know about this disease and who should be tested?
Hepatitis C is a virus that affects millions of people worldwide. It is an infectious disease that is transmitted person to person through blood-to-blood contact associated with intravenous drug use, poorly sterilized medical equipment, needlestick injuries in health care and transfusions.
 
The majority of people infected by the virus – approximately 80 percent – will go on to have longstanding, persistent infection of the virus in their liver. This is what is known as chronic hepatitis C. Most of the time, there are minimal to no symptoms when infected by the virus. As a result, people are often unaware they are infected. The virus will then cause continuous mild inflammation in the liver over many years. In approximately 30 percent of those infected, the chronic inflammation eventually leads to scar tissue formation in the liver and cirrhosis. This has led to complications of cirrhosis such as liver cancer in millions of Americans.
TPCHD says more people need testing after Good Sam hepatitis outbreak
Have you been tested?
Brief video on  TPCHD says more people need testing after Good Sam hepatitis outbreak
Infection Control
The risk of infection following cosmetic surgery is relatively low, occurring after one percent of all surgeries. However, it is important to take every preventive measure since an infection can have serious consequences. The first step in preventing infection is choosing a highly trained cosmetic surgeon practicing in a sterile, accredited facility. In order to ensure your safety, he or she will thoroughly assess your health prior to recommending a procedure. To expedite your recovery and assist with infection control at home, you should follow your surgeon's instructions and schedule an immediate visit if you notice infection symptoms.
WEST NILE
Kern County sees it first human case of West Nile virus in 2018
The biting truth: St. John man tells of battling serious form of West Nile
County's first West Nile infections of 2018 confirmed
2 human cases of West Nile virus reported in Riverside County
ZIKA VIRUS
Floridians Worried About Zika, But They Didn't Necessarily Protect Themselves
Floridians took Zika seriously in 2016 but most didn't do much about it, study says
Whatever happened to Zika?
Floridians took Zika virus more seriously than rest of US, but most did nothing
A spotlight on the 2018 hurricane season — will the Zika virus pose new threats?
EBOLA
The Challenges of Fighting Ebola
DR Congo: Red Cross ramps up support as Ebola response enters critical phase
DRC bordering countries begin Ebola preparedness training
Crucial test of Ebola vaccine raises hopes, doubts in Congo
Children and the DRC Ebola outbreak: 4 things you need to know
Congo’s taxi drivers fear Ebola’s spread
Nigeria: Threats of Ebola, Polio, Other Emerging Infectious Diseases Persist
How the University of Virginia delivered telehealth to Ebola-stricken Africa
IN THE NEWS
PROPER NEEDLESTICK HAND PROTECTION AMIDST THE OPIOID CRISIS
With the proliferation of opioid use in the United States, first responders need access to personal protective equipment to reduce the risk of needlesticks. “We had over 12,000 OD calls last year,” says Jan Rader, a fire chief in Huntington, WV. Chief Rader of the Huntington Fire Department is no stranger to the opioid overdose epidemic. The city has been called the overdose capital of the country.
 
As reported in the recent Netflix documentary "Heroin[e]," Huntington experienced 10 times the national average of opioid overdoses in 2015. With a population of only 48,113, Rader reports the department is responding to approximately seven overdoses on average per day. What does this have to do with hand protection? Quite a bit. “We’re dealing with the heroin OD and I was looking for a higher level of protection for my firefighters [the first responders]. We have had multiple exposures to Hepatitis C this year,” she says.
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AN ACCIDENTAL NEEDLE STICK MAY BE FATAL
According to the Centers for Disease Control and Prevention (CDC), there are approximately 800,000 needle stick injuries each year. The long-term effects of these injuriOftentimes, these incidents occur in doctor’s offices, labs, walk-in clinics, and even hospitals. These incidents happen because of carelessness, distractions, improper training, medical error, or negligence. If you or a loved one was a victim of a needle stick injury, it is important to contact an experienced personal injury lawyer in order to receive the compensation that the law provides. A medical malpractice claim asserts that a clinician failed to adhere to the generally acceptable standard of care that a reasonably prudent clinician under similar circumstances would have adhered to and as a result, the patient suffered injuries.es can be fatal if exposed to an infectious disease.
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VANISHPOINT® BLOOD COLLECTION TUBE HOLDER
  • 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

 

HOW LONG HAVE YOU BEEN WITH YOUR MEDICAL WASTE DISPOSAL COMPANY?
 
Reducing Needlesticks with Proper Disposal
Making sure you have a solution in place for sharps removal is a crucial component of sharps injury prevention. MedPro supports ISIPS mission to reduce these injuries among HCP’s and have heard far too many horror stories of physicians or staff loading up a box of sharps or medical waste and “driving it to the local hospital” for disposal. This not only puts you at risk for an injury, but also is could harm your practice should any of the waste spill. 
 
MedPro can help with solutions ranging from sharps mailback services to multiple pickups per week, we are here to meet the needs of your practice even as those needs change. 
 
If its been awhile since your practice had a “medical waste checkup”, give us a call. In an industry full of egregious price increases and surprise surcharges, MedPro is the changing the game with flat rate, transparent pricing and clear contracting terms. We’d be happy to show you or your administrator how much you could save by right-sizing your services, and working with a BBB A+ rated partner. Call us today at 888-678-4199 to get started or visit medprodisposal.com/isips for more information. 
 

 
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
 
Non-reusable
 
Safe, efficient disposal
 
Color coded for gauge size
 
1cc, 3cc, 5cc, and 10cc syringe sizes available, in a variety of needle gauges and lengths.
HIV SCARE FOR POLICEMAN INJURED BY NEEDLE PRICK
A police officer faced an agonising three month wait for test results after being pricked by an uncapped needle belonging to a man with HIV.
 
The brave officer was carrying out a body search on Claudio Alfano in May 2017 when he received the needle stick injury to his thumb.
 
Alfano, a prisoner at Perth, was standing at a door on Beath View Road in Cowdenbeath when officers were called to the scene at 12.25am.
 
A warrant had previously been issued for his arrest and he was detained before the search was carried out.
 
Alfano, 55, was asked if he had anything sharp on his person and if he had any needles to which he replied “no” twice.
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CLICKZIP SAFETY SRYINGE
Clickzip
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.

 
STUDY TRACKS NURSING STUDENTS' EYES TO REDUCE NEEDLE MISHAPS
Prompted by an increase in the number of students suffering needle-stick injuries each year, a study by two University of Alberta researchers could have real-world benefits for nursing students around the globe.   The slip of a needle might not mean much to student or mannequin in a training situation, but a needle-stick injury in day-to-day nursing duties has real health ramifications and can put students at risk of blood borne illnesses like hepatitis B and C and HIV.   About 10 per cent of nursing and health science students at the U of A suffer needle-stick injuries and an estimated 20 per cent of nursing students worldwide experience one.    Barbara Wilson-Keates, an instructor with the U of A’s faculty of nursing, and Bin Zheng, an associate professor in surgical research in the faculty of medicine and dentistry, used eye-tracking technology in a surgical simulation lab to better understand what was going on.
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WASH. NURSE ALLEGEDLY USED HER OWN DRUG NEEDLES ON PATIENTS, LEADING TO HEPATITIS C INFECTIONS
A Washington emergency room nurse is accused of stealing narcotics and infecting two hospital patients with hepatitis C using the same needles that she used to inject herself.
 
Cora Weberg, 31, who has since been released from the Pierce County Jail, was booked early Friday on suspicion of two counts of second-degree assault, the Puyallup Police Department said in a post on its Facebook page.
 
She has not been formally charged, and her mother, Eunice, told the media at a news conference Friday that her daughter “wouldn’t hurt a bug.”
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INFECTION CONTROL BREACH AT COLORADO HOSPITAL MAY HAVE PUT PATIENTS AT RISK OF HIV, SURGICAL INFECTION
An “infection control breach” at a Denver, Colorado hospital may have put certain patients at risk of contracting HIV, hepatitis B and hepatitis C, the state’s department of public health and environment has said.
 
Patients who underwent orthopedic or spine surgery at Porter Adventist Hospital between July 21, 2016 and February 20, 2018 were notified that the breach may have put them at risk of the diseases or for surgical site infections. There are no known cases of infection from the breach.Patients who underwent orthopedic or spine surgery at Porter Adventist Hospital between July 21, 2016 and February 20, 2018 were notified that the breach may have put them at risk of the diseases or for surgical site infections. There are no known cases of infection from the breach.
http://www.newsweek.com/infection-control-breach-denver-hospital-873652
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CONTROVERSIES IN HOSPITAL INFECTION PREVENTION: PUSHING THE NEEDLE ON INFLUENZA VACCINATION
Despite continued debates about the use of influenza vaccination mandates in healthcare settings, facilities continue to move toward implementing some form of ‘mandatory’ program to ensure sustained high levels of influenza vaccination coverage among their staff.  A new article published in JAMA Network Open documents this increase with an update to a multi-year survey project asking about facility infection prevention practices.
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OUCH! MANAGING SHARPS INJURIES TO AVOID INFECTION
Physicians sustain sharps injuries and needlestick exposures more frequently than other healthcare workers, and surveys shows they are not likely to report their injuries. A survey of 336 dermatologists found that 85% of dermatologists reported a sharps injury within the last year, but 64% of respondents noted that the injury went unreported. Another survey of dermatology residents found that 45% responded that they did not report needlestick injuries. This is notable because injury reporting by clinical personnel and appropriate management can reduce the risk of blood-borne disease transmission. The Centers for Disease Control and Prevention (CDC) has recommendations designed to minimize risks related to occupational exposures to HIV, hepatitis B virus (HBV), and hepatitis C virus (HCV) in the dermatology office. In addition, there are sharps that are engineered to reduce injury. A recent report reviewed the guidelines and recommendations to reinforce their use by dermatologists.
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NEEDLESTICKS: AVOIDING THE HAZARD
During her second day on the job, the newly minted RN was tending to a febrile patient in the ICU and preparing to give him a shot of insulin. Because the patient was thin, she pinched a fold of flesh on his abdomen between her thumb and forefinger, as she’d been trained to do—but when she inserted the syringe it poked right through the patient into her own finger.
 
“He just looked at me and said, ‘oh, honey,’” the nurse recalled in an anonymous posting in an online discussion board for nurses. “That rang in my head the whole time as I was bleeding the puncture and washing my hands. Oh honey, indeed.”
 
She’s not alone. Nurses, not surprisingly, comprise the largest percentage of the estimated hundreds of thousands of U.S. health care workers who experience a needlestick injury on the job every year and run the risk of acquiring more than 20 diseases, including Hepatitis B (HBV), Hepatitis C (HCV), and Human Immunodeficiency Virus (HIV).
12-YEAR-OLD BOY FINDS USED NEEDLE ON GARDEN WALL
A 12-year-old boy has found a used needle as he left for school in Cornwall.
The lad's mum says the grim discovery on a garden wall has violated her children's innocence. Sarah Hamilton, who lives on Bonython Road in Newquay, was shocked when her 12-year-old left for school and found the item sitting outside their home. She told Pirate it had quite clearly been used, adding that there was a bloody wipe and a discarded packet lying nearby. Sarah said: "My 12 year old son left for school yesterday morning. He came back in the house and told us there was a needle on our garden.
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