Welcome to the ISIPS Newsletter June 28, 2019
Needlestick & Sharps Injuries
Institutional Liability for Needlestick Injury
Factsheet Needlestick injuries, discarded needles and the risk of HIV transmission
Needlestick injuries in the UK
Needlestick and sharps injuries: avoiding the risk in clinical practice
Townsville correctional officers walk off the job after needlestick assault from prisoner
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.
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.   
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.
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 expose.
If You Say So: Taking a Syringe at Face Value in the Operating Room The Case
A 43-year-old woman was admitted for open reduction and internal fixation of a forearm fracture. She was overweight but otherwise healthy and was not taking any medications prior to admission.
HIV
Most Americans have never had HIV test, less than 30% of those most at risk have been tested in past year, CDC report says
Wrestling fans urged to get tested for HIV, hepatitis after attending 'panes of glass match'
Two People Infected With HIV "After Beauty Salon Used Needles For Facials"
Two people have contracted the HIV virus after having vampire facials at a health spa which used dirty needles to perform the procedure, health officials say. The New Mexico Department of Health said Monday they fear the unnamed customers may have been infected by syringes and needles used to perform the anti-ageing procedure. 
HEPATITIS
Hepatitis A blamed for death of Mulberry man
Hepatitis outbreak slowing in West Virginia
Lawsuit claims prison officials aren't treating hepatitis C
Hepatitis Cure Doesn't Mean End to Risks
Hepatitis A warning: Georgia Mexican grill worker handled food for 2 weeks while infectious
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.
Grandfather, 60, with just two years to live after being infected with hepatitis C in blood scandal
Peter Burney, one of 7,500 people infected in the 1970s and 1980s after receiving blood from the NHS, said he found out this week that he will die within two years if not before.
Health Officials: Patrons at Watkins Glen restaurant may have been exposed to Hepatitis A
Schuyler County Public Health officials are warning that people who ate at the Seneca Harbor Station restaurant located on Franklin Street in Watkins Glen between June 11th and June 21st were potentially exposed to hepatitis A.
 
Officials say that most people do not get sick when an employee at a restaurant has hepatitis A, but there is still a risk.   “While the risk of infection is low, anyone who may have eaten at the restaurant during this time frame should check their immunization status and come to one of our clinics or visit their healthcare provider if necessary” said Schuyler County Public Health Director Deborah Minor, RN, MPH.
Bristol City fan who spat blood in police officer's mouth avoids jail
'This court is not amused. It was outrageous'
Three football fans have appeared in court following disorder at a Bristol City match - including one who spat blood in a police officer's mouth.
 
WEST NILE
Reducing West Nile risk as mosquito populations ‘pop’
West Nile virus activity detected in Michigan
EBOLA
Nature Podcast: A Special Report from the Democratic Republic of Congo on the Ongoing Ebola Outbreak
The Democratic Republic Of Congo's Weapon Against Ebola? Entrepreneurship
Ebola Now Under Control - Uganda Health Ministry
Why the Democratic Republic of Congo's Ebola Outbreak Could Continue to Spread
WHO Appeals to Ugandans With Ebola Contact to Trust Vaccine
US looks to 'reset leadership and coordination' as Ebola outbreak worsens
Ebola in Uganda, and the dynamics of a new and different outbreak
5-year-old dies of Ebola as outbreak crosses Congo border
A 5-year-old boy vomiting blood became the first cross-border victim in the current Ebola outbreak on Wednesday, while his 3-year-old brother and grandmother tested positive for the disease that has killed nearly 1,400 people in Congo.
ZIKA VIRUS
Zika fears as Asian tiger mosquitoes carrying deadly disease reach Britain
Zika has arrived in Israel too; need we be worried?
IN THE NEWS
THE MOST TERRIFYING DAY OF MED SCHOOL (AND MAYBE OF MY LIFE)
During my Emergency Medicine rotation, I have drawn blood from little old ladies with tiny veins, patients with very low pain tolerance, and even people with a lot of adipose tissue in whom veins were not visible. I have become a rockstar phlebotomist. Or so I thought.
 
I was drawing up some labs from one of my patients I had just interviewed in the ER, as a routine part of the patient’s workup. I had finished drawing her blood and assumed the needle I’d used had snapped back into the plastic needle protector, as it always does. When I was cleaning up after myself, I felt a prick in my thumb. I looked down, and I saw my own blood underneath my glove. As I’d been trained to do, I went over to the sink and squeezed the area, washing it vigorously with soap and water for a few minutes. Before I could process what had just happened, a resident immediately pulled me into a room to help him with a patient.
More >
DR GRAY: WHY PATIENTS SOMETIMES TERRIFY THEIR DOCTORS
It might come as a surprise to you but doctors are sometimes terrified of their patients. DR THOMAS GRAY explains why.
 
Many people associate doctors with the notorious 'injection.' Parents in particular love the association: Behave or else I'll take you to the doctor for an injection. For a doctor, needles are a part of daily life. They come in different shapes and sizes. The types we use are generally hollow and used for intravenous access, allowing us to deliver medication or draw fluid.
 
Doctors may be a dull bunch, but we’re cool enough to identify our needles by colour. The big grey or orange ones are huge, used mainly for trauma patients who have lost a lot of blood and are in need of life-saving fluids. The green or pink ones are workhorses, used for most adult patients. The blue ones are smaller and made for smaller and younger patients. The yellow ones are tiny, and used for newborns and young children.
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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

 

PEN NEEDLES MARKET TO WITNESS SIGNIFICANT GROWTH DUE TO RISING DIABETES PREVALENCE & INCREASING OBESE POPULATION TILL 2025
The global Pen Needles Market was valued at USD 1.5 billion in 2015, which is projected to grow at a CAGR of more than 13.0% during the forecast period. Rising prevalence of diabetes has led to the rise in demand of pen needles. According to the WHO, in 2014, 422 million people had diabetes and it is estimated that it would be the 7th leading cause of death in 2030.
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NEEDLESTICK INJURIES
We’re often strangely silent about the injuries we get at work – the ubiquitous needlesticks, the mystery bruises that appear from nowhere on legs and arms, the strange scratches on arms or necks.
 
It’s not that we’re clumsy or bad at our job, it’s more that, in the average fast-paced veterinary clinic, we are usually trying to do several things at once and, sometimes, something has to give.
 
That said, I know from teaching OSCE skills that the “safe handling” methods for needles are often mocked. Do we care so little for our own safety that suggestions to save us from a very common injury aren’t deemed worthy of learning?
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5 THINGS WE MUST DO TO IMPROVE THE US HEALTHCARE SYSTEM
Embrace positive disruption. Why should we simply accept today’s standards? Progress and transformation are only achieved when people fight through challenge and uncertainty. So, get out of your comfort zone — and enjoy the ride!
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HEALTH & SAFETY ISSUE, USED DRUG NEEDLES ARE BEING STREWN AND ABANDONED ACROSS SHORROCK STREET SOUTHPORT.
Near to Cambridge Walks there is a build up of not just rubbish but dangerous drug paraphernalia which is being dumped seemingly out of sight by the town’s notorious methadone addicts. To add to the gruesome collection, blood soaked rags are being dumped in the street too while the council appear to show little regard to sorting it out.
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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
 
CALL FOR ACTION OVER BALLINGRY "DRUGS DEN" AS NEEDLES FOUND BEHIND SHOPS
Ballingry residents have called for action to be taken after a "drugs den" was discovered behind a takeaway shop.
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REVIEW OF NEEDLESTICK INJURIES OF HEALTHCARE WORKERS
Healthcare workers with sharp instruments are considered among the most frequent occupational accidents in hospitals. In at least half of the cases, the instruments are contaminated with blood and therefore bear an infection risk with bloodborne pathogens, such as hepatitis B, hepatitis C and human immunodeficiency virus (HIV). Needlestick injuries require besides immediate medical intervention, such as rinsing and disinfection of the wound or skin contamination, a prompt clarification of the immune status and if necessary a postexposure prophylaxis. Furthermore, follow-up examinations are required for up to 6 months after the accident. Information about the infectious state of the index person considerably facilitates the procedure. All healthcare workers should know the management of needlestick injuries. Preventive measures refer to the reduction of the number of needlestick injuries by improving work organization and usage of needle devices with safety features as well as to the reduction of infection risk by hepatitis B vaccination and wearing safety gloves.
More >
THE POWERFUL CASE FOR REUSABLE SCALPELS - THEY'RE BETTER FOR PATIENTS, FACILITIES AND THE ENVIRONMENT
Nobody throws away their retractors, choppers, hooks, forceps or phaco handpieces after completing a cataract case.  Why in the world do some of us throw away our scalpels?  
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SAN DIEGO DOCTOR ACCUSED OF USING DIRTY NEEDLES ON CHILD PATIENTS
A San Diego doctor is accused of using dirty needles on pediatric patients. Newly released documents by the California Medical board state Dr. Bret Robert Gerber used dirty syringes on a 2-year-old and a 10-year-old in July, 2016. Gerber worked at Scripps Coastal Medical Center in Hillcrest at that time.
 
The documents state a medical assistant reported seeing the doctor bring in two boxes of unauthorized needles from home. Upon closer review, she noticed the syringes had expired in 2008, and the boxes contained dead insects and what looked to be rodent droppings.
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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.
'UNPRECEDENTED' 100,000 HIT BY EUROPEAN MEASLES OUTBREAK SPREADING AT 'ALARMING' RATE
The World Health Organisation said the rise in cases was "unprecedented" for a preventable disease.  They revealed they are rapidly ramping up their response to the outbreak, which has spread over two years, “based on the growing number of children and adults affected by and dying from the disease".
 
Measles is one of the leading causes of death in the world from a disease that can be cured by a vaccine. It poses a particular danger to children and gives sufferers excruciating rashes, fever, and inflamed eyes.
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CONTAMINATED SHARPS INJURIES: A SURVEY AMONG DERMATOLOGY RESIDENTS
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BEYOND PATIENT SAFETY AND MEDICAL LIABILITY.
Risk management in healthcare comprises the clinical and administrative systems, processes, and reports employed to detect, monitor, assess, mitigate, and prevent risks. By employing risk management, healthcare organizations proactively and systematically ensure patient safety as well as the organization’s assets, market share, accreditation, reimbursement levels, brand value, and community standing. 
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'I'M THE ONLY ONE LEFT': HAEMOPHILIAC TELLS BLOOD INQUIRY HOW GROUP OF INFECTED SCHOOL FRIENDS VOWED THAT WHOEVER SURVIVED WOULD FIND OUT WHAT WAS KILLING THEM ALL
A haemophiliac survivor has revealed how he and a group of other victims made a pact as teenagers that whoever survived would find out what was killing them. Stephen Nicholls, now 52, from Farnham, Surrey was diagnosed with haemophilia at the age of one and attended Treloar's School for children with disabilities outside Alton, Hampshire, when he was eight in 1976. He was one of 89 boys at the school who had haemophilia and were offered treatment onsite.
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