Welcome to the ISIPS Newsletter July 27, 2018
Needlestick & Sharps Injuries
Mind and Body: World Hepatitis Day is July 28
Injection technique 1: administering drugs via the intramuscular route
ACLU sues North Carolina prisons over lack of Hepatitis C screening, treatment
Both patients and health professionals on the sharp end of needlestick injuries
Hone your edge: Float like a butterfly, sting like a bee
Texas Tech researchers win National Science Foundation awards
Needlestick Injuries in the Workplace
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.
The U.S. Food and Drug Administration (FDA) issued a final order “General Hospital and Personal Use Devices; Reclassification of Sharps Needle Destruction Device.” Under this final order, the FDA has reclassified the needle destruction device from a class III to a class II device and renamed the device type to sharps needle destruction device.
A sharps needle destruction device is an alternative to conventional sharps/needle disposal containers found in home and hospital settings. These devices are powered by electricity or batteries and they use different technologies such as grinding or incineration to destroy needles and other types of sharps (e.g., lancets).
Pediatric Injuries from Needles Discarded in the Community
Community-aquired needlestick injuries are an emerging phenomenon with important public health implications. The percieved risk of transmission of bloodborne viruses, including HIV, Hepatitis B virus and hepatitis C virus after a needlestick...
Take the Pinch out of Needlesticks
Workers cleaning restrooms, medical facilities, and even homes risk being being stuck by a used needle or other sharps, such as syringes, scalpels, or scissors. The proper way to dispose of these items is to deposit them in a red or yellow sharps container specially designed for hazardous waste. However, sharps sometimes end up in trash cans, on restroom surfaces, or on the floor. 
Coming in contact with a used sharp puts workers at risk of contracting a disease caused by bloodborne pathogens, such as hepatitis B, hepatitis C, or human immunodeficiency virus (HIV). Don't risk an infection. If you or one of your workers is stuck by a sharp, or get blood or other potentially infectious materials in the eyes, nose, or mouth, stop working immediately and follow these tips from the U.S. Centers for Disease Control and Prevention:
Drug-fuelled HIV surge raises concerns at AIDS meeting
Few young women with PID screened for HIV or syphilis in emergency departments
Conchita employs star appeal against HIV stigma
Concerns over HIV resurgence dominate world AIDS conference
Prince Harry: Young People Key in Ongoing Fight Against HIV
Jail Not the Answer to Ex-Soviet States' HIV Epidemic
In Southern Mozambique, only half of people diagnosed with HIV enroll in medical care
Trump is now turning his attention to purging all HIV-positive soldiers from the military
New report from UN warns we have 'miles to go' in fight against HIV
High risk of 'losing control' of AIDS epidemic: experts
The AIDS epidemic risks resurging and spiralling out of control unless billions of extra dollars are pumped into prevention and treatment, experts warned Sunday on the eve of a major world conference.
An alarming rate of new infections, coupled with an exploding population of young people in hard-hit countries, meant the world could be steering for "a crisis of epic proportions," said Mark Dybul, an American AIDS researcher and diplomat.
"Bad things will happen if we don't have more money," he told a special event organised a day before some 15,000 delegates attend the opening of the International AIDS Conference in Amsterdam.
Sandel Sharps Safety Video
It only happened once just once I don't even know how it happened it all. It happened so fast. I don't like the test results. Every minute of every day somewhere in the world will experience the physical and psychological torment of sustaining a sharps injury 
Kentucky’s Hepatitis outbreak worst in nation, but fading in Louisville, the ‘gold standard’ for response
Cape Breton baby boomers urged to take free hepatitis C test
Woman's Doctor: Hepatitis C can be cured, doctor says
Inmate Files Federal Lawsuit Over Hepatitis Treatment
Hepatitis C Lawsuit Against State Prisons Alleges Failure to Screen, Treat, And Track Infection, Even In Face Of Opioid Epidemic
Hepatitis A Outbreak Spreads To Additional Indiana Counties
Hepatitis A outbreak in part of Arkansas grows; officials urge county's residents to get vaccinated
Lexington homeless shelter to require, provide hepatitis A vaccine
Why Aren’t Prison Officials Treating Inmates for Hepatitis C?
Officials in many states say they can’t afford to treat all of their patients in prison for hepatitis C. Human rights experts say that’s not a good enough reason. A cure for a disease is only useful if it’s accessible to those who need it.
For people with chronic hepatitis C, that cure can cost up to $90,000 and may not be fully covered by their insurance. For prisoners in the U.S. correctional system, that cure is even further out of reach. State prisons are failing to treat at least 144,000 incarcerated patients with hepatitis C, according to a recent story published by Kaiser Health News. Nationwide, about 97 percent of incarcerated patients with hepatitis C aren’t getting the treatment they need.
“You’re dead, man”: 170,000 Australians living with dangerous disease
Allan Dumbleton’s doctor was surprised to see him walking into his office. In his hands were the sales executive’s test results, and they revealed that Mr Dumbleton's liver was in trouble. An established hepatitis C infection and a week of partying with clients during the Melbourne Cup carnival had pushed his ALT levels, a measure of liver damage, to about 40 times higher than normal. Left untreated, hepatitis C does kill. Despite recent and rapid advances in effective cures, it is estimated about 170,000 Australians still have hepatitis C, and are living at risk of its potentially deadly complications.
Nearly 2,000 Vaccinated for Hepatitis A after Dining at Hardee’s
Patrons who ate at Hardee’s restaurant on Little Rock Road in Charlotte between June 13 and 23 should receive a hepatitis A vaccination as soon as possible.  Director Gibbie Harris announced today that the outbreak identified by the State and Centers for Disease Control (CDC) earlier this month in Mecklenburg County has led to five additional cases since June 6, including a Hardee’s employee diagnosed Monday.
“After consulting with the State today, we are recommending a vaccination for exposed employees and patrons who ate at the 2604 Little Rock Road location between June 13 and 23,” Harris said. “According to the CDC, the vaccine must be given within 14 days of exposure for the vaccine to be effective.”
People who dined at Hardees on Little Rock Road on June 13 and 14 are strongly urged to get a vaccination in the next two days.
Kentucky hepatitis A outbreak nears 1,100 cases, 8 people dead
The hepatitis A outbreak in Kentucky, labeled the worst in the nation, is still spreading. As of July 7, 2018 Kentucky has reported 1,094 cases of the liver disease since August 1, 2017. 628 of those cases resulted in hospitalization. Eight people have died at last count. The Kentucky Department for Public Health (DPH) says it has seen an increase of cases primarily among homeless people and drug users. DPH says several outbreak cases have been linked to outbreaks in California and Utah.
State Reports 1st Human West Nile Virus Case for 2018
Summer Weather Impact on this Year's West Nile Virus Season
VERIFY: West Nile Virus, here's what you need to know
First Ohio case of West Nile virus reported in Lake County
2nd case of West Nile virus reported in Mississippi: report
Nobody Should Be Surprised That Kansas Is at High Risk for West Nile Virus
Ebola infects woman's husband, sons, a year after she recovered: study
Woman Likely Spread Ebola to Family a Year Later
Ebola in survivor’s family shows deadly virus’s lasting effects
Official End to Congo Ebola Outbreak Set for Wednesday
Ebola: How a killer disease was stopped in its tracks
Antibodies from Ebola survivors may protect animals from virus
Physicians warn Zika still a concern for travelers
Zika: A Bigger Threat to Pregnancy
About 2,500 current cases of Zika Virus in the United States
Zika Still a Threat for Travelers Trying to Conceive
Uganda: No Zika Virus in Uganda, Government Hits Back At WHO
Both patients and health professionals are on the sharp end of needlestick injuries
It’s distressing for the patient and perhaps even more distressing for the parents: your child needs a blood test, but the phlebotomist has trouble locating his tiny veins, and is forced to stick him again and again.  Researchers at Rutgers University say they may have found the solution: a “venipuncture robot.” The robot uses a combination of near-infrared and ultrasound imaging to find blood vessels, then creates a 3D image of the vessels before sticking the patient with a needle. The technology can potentially help make blood draws much quicker and easier, especially in difficult populations: children, the elderly, the obese, and people with dark skin (whose veins are more difficult to see on the surface). The robot’s creators hope it can make blood draws safer for both patients and healthcare providers. Patients commonly experience bruising from wayward blood draws, and can rarely (less than 1 in 20,000) receive injuries to their arm nerves. Care providers can be accidentally stuck with needles, necessitating stressful testing for diseases like HIV and Hepatitis C. Globally, up to 65 percent of healthcare workers will eventually receive a needlestick injury, though the rates of those who will end up with infections is low (about 3 in 1,000 workers stuck with a needle from an HIV infected patient will contract HIV; with Hepatitis C it’s about 30 in 1,000, and 300 in 1,000 for Hepatitis B).
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The staff of hospital pharmacies takes care of the medications for many patients. They are exposed to many medications. Those that are providing our pharmaceutical needs in hospitals need not be exposed to the drugs that they dispense for our benefit. Hospital pharmacies have traditionally been “safe harbors” against contaminated needlesticks because relatively few patients are actually treated in the pharmacy. Pharmacists are, however, subjected to a variety of occupational injuries and exposures. Many of the procedures that pharmacies are involved in can potentially result in personal and environmental contamination. Some of these injuries include accidental needlesticks, broken glass from ampoules and exposure to a wide variety of toxic drugs including monoclonal antibodies, immunosuppressive drugs, antibiotics, antivirals and antineoplastic therapies (cancer
So how does a hospital pharmacy improve the safety of using such medications? Pharmacies that are located within hospitals differ considerably from drugstore pharmacies. Hospital pharmacies have more complex clinical medication management issues than community pharmacies. Hospital pharmacies contain a much larger range of medications than their community pharmacy counterparts. Many of the medications given in a hospital setting are single doses of medication. Hospital pharmacists and trained pharmacy technicians compound many of the products that are given to in-house patients. This complex process requires training of personnel as well as adequate safety products. The proper use of safety products can protect hospital employees and others from these potential injuries. This article will break down the gargantuan safety elephant into several smaller chunks that can be digested so that they can be implemented by hospital pharmacies to reduce the risk of injuries and the unnecessary exposure to toxic medications.
Stay tuned for next week's column....
More information next week >
  • 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


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. 
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Changing nurses' perception of infection risk could improve compliance with infection control measures. - It's often said that knowledge is power. But, a new study finds that when it comes to nurses' compliance with infection control measures, it's more appropriate to say attitude is everything. The study, "Factors for Compliance with Infection Control Practices in Home Health Care," examines the relationship between infection control compliance, knowledge, and attitude among home healthcare nurses. Researchers surveyed 359 home healthcare nurses in the U.S, and evaluated their knowledge of best practices in relation to their compliance with infection control measures.

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.
If you work in a healthcare setting, you should be well aware that biohazards present a massive safety hazard to both patients and employees. By putting guidelines into place for proper medical waste disposal in York PA, you can help keep your workplace cleaner and safer. Use these five quick tips from Choice MedWaste to educate employees and coworkers on the accepted forms of sharps handling and disposal.
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Due to concerns about blood-borne pathogens, there are clear guidelines for the disposal of sharps used in people. But what happens to all the used sharps used in agriculture? Where are they stored? Can they be thrown in the household trash? Are there general guidelines or recommendations for disposal?
One of the early initiatives for the Upper Midwest Agricultural Safety and Health Center was researching needlestick injuries in animal agriculture and “best practices” for prevention of needlestick injuries. It was reported that over 80% of farmers1 (Jennissen, Wallace et al. 2011.) have accidentally stuck themselves with a needle, prompting UMASH to develop educational materials related to needlestick prevention in agricultural settings.
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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.

Nursing students have helped reduce the public health risks from unsafe disposal of "sharps".
Back in 2016, twelve second year Nursing students investigated health issues in the Dunedin suburb of Green Island. This catchment including the city's landfill, and the students learned that waste management company staff suffered on average 11 injuries per month from sharp objects that had been improperly disposed of in Dunedin's waste.
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