Welcome to the ISIPS Newsletter June 21, 2019
Needlestick & Sharps Injuries
Risk of needlestick injury from injecting needles
Medical Office Safety
Needlestick Injury and Inadequate Post-Exposure Practice in Medical Students
Raising awareness and reducing the risk of needlestick injuries
Income Protection with Needlestick Cover
Over half of trainee surgeons in US don't report needlestick injuries
Study examines needlestick injury rates within MRFs
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.
HIV
Now, 12 inmates of Mainpuri jail test positive for HIV
HIV Cluster Rises to 53 Cases in West Virginia County
Opioid Epidemic Stigma Mirrors Early Rise of HIV
Barber-Backed Sex Talks to Curb HIV
California slams insurers for discriminating against users of HIV-prevention drug
How Kamala Harris would prevent the spread of HIV
HEPATITIS
Fourth Hepatitis A death leads to more scrutiny of state health officials
Health department confirms fourth hepatitis A death in Martin County
More Evidence Links Hepatitis C and Parkinson's Disease
Chronic hepatitis B infections in Europe on the rise since 2008
Employee with hepatitis worked at Franklin County Jack in the Box
Hepatitis A outbreak spreads to five S.C. restaurants
Conflicting Laws May Keep Contaminated Needles in Circulation, Add to Hepatitis C Cases
Acute hepatitis C infections rose 98 percent between 2010 and 2015 nationwide, largely because more people were injecting drugs. Using a new needle for every injection can slow the spread of hepatitis C, but getting those new needles isn't always as simple as buying glucose-meter lancets at the pharmacy. And safely disposing of old needles presents a whole other set of problems.
WEST NILE
West Nile virus case confirmed in Kalamazoo County
First West Nile virus activity for Michigan in 2019 confirmed
First 2019 human case of West Nile virus found near Modesto, authorities say
EBOLA
Fighting Ebola in the Congo
UN: Expert meeting under way to decide if Ebola is emergency
Meet the Ebola workers battling a virus in a war zone
Time Is Running Out to Stop an Ebola Epidemic
AHF to WHO: No More ‘Business as Usual’ on Ebola in Africa or Chief Should Step Down!
Ebola has spread for nearly a year in Congo. Officials are scrambling to ‘reset’ the response.
Kenya responded fast to Ebola scare, but cross-border risk remains high
ZIKA VIRUS
Portable device detects dengue, Zika in individual mosquitoes
Deadly Zika virus confirmed circulating in Kenya
Health Dept.: Learn the signs, how to protect yourself from Zika virus
Is it Zika or dengue? New CDC guidance advises doctors to test patients for both.
Time to Celebrate Healthcare Risk Managers
Today we are wrapping up a weeklong celebration of healthcare risk managers and the pivotal role they play in the healthcare industry overall, and patient safety in particular.
 
On any given day, a risk manager may be making vital decisions related to compliance and risk financing, then working side by side with healthcare providers to improve clinical care and patient safety practices.  They are educators, championing the proactive identification of risks before they lead to serious safety events, and leaders, constantly looking ahead, anticipating what’s next, and finding new ways to mitigate loss. 
 
In today’s challenging healthcare climate, risk managers are also first responders.  When a crisis occurs, they are there communicating with patients’ families with honesty and sensitivity and ensuring prompt and candid dialogue with physicians and clinicians.  They are the ones who know when to consult legal counsel and engage liability carriers and how to advocate for the best defense strategy, whether that involves a trial or early resolution.
 
Today, healthcare risk managers also have the benefit of a broad network of professional organizations that keep them apprised of important developments, such as upcoming legislation and regulations, and keep them engaged with industry colleagues, who work together to implement strategies to address emerging threats.   
Growing calls to combat discarded needles in Penticton after child allegedly poked in park
A Penticton woman is calling for action regarding discarded needles in parks after her niece was allegedly poked by a discarded needle in Skaha Lake Park on Tuesday afternoon.
 
Danni Hyde said her son, Hudson, 4, was playing with his sister and cousin, when he carried back an orange needle cap and said her niece’s “foot hurts.”
 
Hyde went to investigate and discovered the needle at the base of a tree mixed in among pine cones and pine needles, while recording the incident on her cell phone.
6 people rushed to the hospital overnight after they were exposed to drugs at Lorain City Jail
LORAIN, Ohio — Six people were rushed to Mercy Medical Center in Lorain just before 1 a.m. on Thursday after they were exposed to crack cocaine and possibly the dangerous and powerful drug fentanyl, according to the Lorain Fire Department.
 
Assistant Fire Chief Matt Homolya said the fire department was dispatched to the Lorain City Jail for a fentanyl exposure at 12:49 a.m.
 
It all started with a traffic stop Wednesday night when officers pulled over a vehicle in the parking lot of a gas station on Tower Boulevard for tinted windows above the legal limit. During the stop, police conducted a search of the vehicle after a smell of marijuana was detected. Police did not find marijuana, but found a scale inside the car.
The ugly side to dermal fillers: 'Would you let your mechanic stick a needle in your face?'
EARLY IN 2017, the vision of beauty blogger AJ Fitzsimons receiving a lip filler treatment beamed into the living rooms of middle Ireland.
 
Although fillers had been around for decades, the sight of them being administered to the online influencer in front of a national Late Late Show audience could be considered the moment the procedure went mainstream.
 
The appearance, which accompanied former Miss Ireland Amanda Brunker’s Botox treatment, led to a reported spike in enquiries to cosmetic clinics across the country – as well as a spike in complaints to the RTÉ switchboard.
MTN employee gets needle stick injury
An  employee of MTN Disposal will spend the next year of his life having to be regularly tested for transmittable diseases after being poked with a needle while lifting a garbage bag on the job.
 
“A needle stick is a very serious thing,” said Mayor Rennie Harper during the Monday, June 10 council meeting when she brought the incident up. “He will face one year of constant monitoring.”
 
The Town has being trying to push for residents to better use recycling and garbage services for some time now.
 
Being poked by a needle could expose a person to any number of serious diseases, including HIV/AIDS or Hepatitis C, which are not curable.
IN THE NEWS
THE SUBVERSIVE NURSES AND THE DYING, IN 5B
AIDS aides: Paul Haggis and Dan Krauss’ documentary tells the story of the plague years from the perspective of San Francisco General Hospital’s enlightened ward.
More >
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 IS THE SAFETY CULTURE AT YOUR INSTITUTION?
I recently read several critical analyses of safety cultures, or the lack thereof. Safety doesn’t just happen—it must be created by an organization and starts from the top down. One report discussed the global oil company BP’s oil refinery safety program. In 2005, the Texas City refinery explosion killed 15 people and injured more than 100 others. The analyses question how the British company would change the lack of safety culture at all five of its U.S. refineries. “Culture is forever,” said former U.S. Senator Slade Gorton of Washington, one of the 11 members of the panel led by former Secretary of State James A. Baker III. “To change hearts and minds and ... the attitudes individuals have toward their jobs is difficult and a human task, and it’s never complete.”
 
Another disaster report discussed the January 28, 1986 Space Shuttle Challenger disaster that occurred over the Atlantic Ocean off the coast of Central Florida at 11:39 a.m. EST. Seventy-three seconds into its flight the Space Shuttle Challenger disintegrated after an O-ring seal on its right solid rocket booster failed. When the O-ring failed it allowed flames to leak from the solid rocket booster which shot out and caused structural failure of the external tank. A few seconds later the orbiter was destroyed along with all seven crew members.
 
Other major accidents that could have been avoided include the disasters at Three Mile Island and Chernobyl. The immediate causes of these accidents were initially identified as human error or technical failure. Further investigations revealed there were issues beyond the immediate causes. These issues relate to wider considerations of the organization.
 
One investigation report of the Chernobyl nuclear power plant mishap stated: “... their belief in safety was a mirage, their systems inadequate, and operator errors commonplace ... From the top to the bottom, the body corporate was infected with the disease of sloppiness.”
 
Is our belief in healthcare worker safety in our institutions a mirage? The definition of safety culture suggested by the Health and Safety Commission in the United Kingdom is: “The safety culture of an organization is the product of the individual and group values, attitudes, competencies and patterns of behavior that determine the commitment to, and the style and proficiency of, an organization’s health and safety programs. Organizations with a positive safety culture are characterized by communications founded on mutual trust, by shared perceptions of the importance of safety, and by confidence in the efficacy of preventative measures.”
 
What are the patterns of behavior at your facility? Does your institution support a safety culture or suppress it? The death of the seven astronauts aboard the Space Shuttle Columbia on February 1, 2003, was the result of leaders who failed to foster a culture in which discussions about potential risks could take place without any threats of reprimand. Is your institution creating an atmosphere that allows nurses, physicians, operating room technicians, custodians and others to make you aware of safety risks without risking their jobs?
 
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 help 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 can put together a safety culture will find this value permeates all aspects of the work environment. Everyone is encouraged to take responsibility for their own safety as well is the safety of others.
 
How is the safety culture at your institution?
 
NEEDLESMART PROFESSIONAL PH
A product designed specifically for the Phlebotomy market. Taking the contaminated sharp and associated parts at the point of use. The NeedleSmart Ph will destroy the sharp, separate the constituent parts, and sort them into specific waste streams ready for downstream disposal.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The NeedleSmart range has the potential to:
  • Reduce hypodermic needles to sharps bins by up to 70%
  • Generate a reduction in sharps disposal cost in the order of 30%
  • Costs reduction / end of line
  • Potential to recycle product
Charging figures: Full charging - 1p to charge. Melt 300 needles - 0.5p
12.5p / kWhr
 
'THEY DON'T CARE IF WE LIVE OR DIE:' LOGAN COMMISSION TARGETS NEEDLE EXCHANGES
On Tuesday evening, as Logan County commissioners voted 2-1 to draft an ordinance banning needle exchange programs from operating in their county, researchers from Johns Hopkins University were preparing to release a study documenting how the closure of the Kanawha-Charleston Health Department’s needle exchange program was a detriment to the community at large and put some of the most vulnerable in the region at higher risk of infection and, potentially, death.
 
There is not currently a needle exchange program in Logan County, nor has there ever been a real effort to open one, said Steve Browning, administrator for the Logan County Health Department. Danny Godby, Logan County Commission president, said Chris Trent, the victims advocate at the Logan County Sheriff’s Department, brought the idea for the ordinance to the commission’s desk.
 
https://www.wvgazettemail.com/news/health/they-don-t-care-if-we-live-or-die-logan/article_eded26b4-dce9-53fe-9d52-ff314bab4912.html
More >

 
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.
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6898 Maria Way
Herriman, Ut 84096