Of these cases, 24 were nurses and all except one occurred before 1999. Reporting also ensures that workers compensation insurance is accessed and that assessments of workplace safety can include injury and device data. There is now a large body of research and data concerning the effectiveness of newer engineering controls, including safer medical devices. However, an additional three months was added which coincides with the Federal 90-day education campaign. Information gathered through these surveillance systems is commonly used for hazard identification and evaluation of program and device effectiveness. Understanding how and when percutaneous injuries occur is key to needlestick and sharps injury prevention. The Multi-Employer Work sites section of the new Compliance Directive focuses on physicians in independent practice, employment agencies, personnel services, home health services, and independent contractors.
I enjoyed working with her because I know I was more than just a customer. Please help us make GovTrack better address the needs of educators by joining our advisory group. For nearly two decades, the Premier Safety Institute® has provided information and resources to assist healthcare organizations in protecting workers from bloodborne pathogen exposure through percutaneous sharps injuries. For example, new engineering standards for sharps containers decreases the risk of exposure incidents from occurring a sharps container is a specialized bin where all used sharps are disposed of to ensure safety among patients and employees. The Act also mandated additional requirements for maintaining a sharps injury log and for the involvement of non-managerial healthcare workers in evaluating and choosing devices. Any facility or organization that employs individuals who might reasonably experience occupational exposure to blood or other potentially infectious materials must comply with the regulation, even if the facility has never had a needlestick injury. Studies have found that nurses working at hospitals with low nurse staffing or high patient loads incur more needlesticks than nurses working at well-staffed or low patient-volume hospitals.
To ensure a successful program each healthcare facility and care setting will need to tailor its approach to the specific risks and characteristics of the clinical environment and the needs and preferences of the workers. Requirements of the Needlestick Safety and Prevention Act Let's consider the experience of Megan, a nurse working in the U. Are you getting good reports of near-misses? Healthcare workers at risk for hepatitis A should receive the combination vaccine for pre-exposure prophylaxis. Needlestick and sharps injuries also occur in many healthcare workplaces outside of hospitals. Efforts to encourage staff input must be documented in the plan. Have those gone through protocol? The Needlestick Safety and Prevention Act has four main components.
The risk of infection through this route is low, and every effort should be made to decrease the exposure rate. The likelihood of transmission though percutaneous exposure to other bodily fluids is lower, because blood contains the greatest amount of infectious virus particle titers of all bodily fluids. For example, some needles have self-sheathing mechanisms, making it significantly harder to accidentally prick oneself when using the needle. Deep scalpel or other sharps injuries should receive treatment as needed. The Sharps Log must detail the injury, the type and brand of device involved in the injury if known , the department or work area where the exposure occurred, and an explanation of how the incident occurred.
Learn about the for healthcare professionals. After receiving first aid, the incident should be immediately reported to a supervisor, and the source of the exposure should be documented, if possible. Enforcement Procedures for the Occupational Exposure to Bloodborne Pathogens, and many other related documents. Estimates for all health care settings are that 600,000 to 800,000 needlestick and other percutaneous injuries occur among health care workers annually. Obtain employees consent to test blood. Use of personal protective equipment and work-practice controls are the cornerstone of Universal Precautions. The most common devices associated with injury are disposable syringes 31% , suture needles 24% , scalpel blades 8% , winged steel needles 5% , intravenous catheter stylets 3% , and phlebotomy needles 3%.
How often to I need to update it? Because of under-reporting, it is difficult to assess the true prevalence of transmitted infections from percutaneous exposures in the workplace, but the risk of becoming infected subsequent to exposure is well documented. Overview Percutaneous injuries and transmission of pathogens in the workplace can be prevented. Data from 2014 indicated that the source patient was identified in 95% of cases. Current estimates vary between 590,000 and 800,000 injuries annually. Where engineering controls will reduce employee exposure either by removing, eliminating or isolating the hazard, they must be used. Does it have to be confidential? · Requires the maintenance of a sharps injury log · Mandates involvement of non-managerial employees in evaluating safety devices.
The plan must be reviewed and updated every year. If a sharps container is overfilled, tongs should be used to move some of the devices to a new container. It is also important to know the change is worth the extra effort and the new techniques, devices, and practices will make a difference to personal safety. Awareness of the problem, and knowledge about devices and procedures that help prevent needlestick and sharps accidents, is therefore the key to injury prevention. Just like the requirement to wear a seat belt when you drive, following the Needlestick Safety and Prevention Act is not a choice; it is a requirement.
When she started working as a nurse, Megan was familiar with the Bloodborne Pathogens Standard, but the Needlestick Safety and Prevention Act was new, and its passage meant she and her co-workers had new trainings they needed to take. This article will present the new regulations and discuss who is affected by the regulations. Physicians on staff at hospitals who are not hospital employees may not be cited for exposing themselves to the hazards of bloodborne diseases, however, under the multi-employer guidelines, such physicians or their professional corporations employers may be cited if they cause exposure of associates or employees at hospitals, surgicenters or other sites where the surgeons have privileges. The top opening of the container should be visible to the user. Its the desire to protect others over the protection of self. The large number of injuries that continue to occur despite the widespread use of safety-engineered devices is proof that caution and preventative measures are still needed when working with and around needles and sharps.
But no matter how effective protective equipment is at preventing surface contact, needles and other sharps easily penetrate most barrier precautions. What I worry about, and what we have heard anecdotally, is what is happening to the annual exposure control plan, the annual review of the latest products on the market that better meet the needs of staff. The burden falls on workers to recognize their own areas for improvement and to report any injuries they incur and on supervisors and healthcare systems to respond with effective risk reduction strategies. Identified employees must be offered hepatitis B vaccination free of charge. The requirement to implement safer medical devices is not new. A: In 2002, all medical practices and facilities should be using safety devices whose safety feature is integral to the device.
If a combination of engineering and work practice controls used by the employer does not eliminate or minimize exposure, the employer shall be cited for failing to use engineering and work practice controls. During that time, the hospital achieved Accreditation with Commendation with the Joint Commission, with a score of 100. Recapping needles is associated with a significant percentage of needlestick injuries. In addition to what is already required by the 1991 standard, the revised standard requires the documentation of 1 annual consideration and implementation of appropriate engineering controls, and 2 solicitation of non-managerial healthcare workers in evaluating and choosing devices. The American Nurses Association reports that, when all work settings are factored, healthcare workers incur between 600,000 and 800,000 needlestick and sharps injuries per year in the United States, or nearly 2,000 per day. Insight into the scope of the problem and the devices and procedures responsible for injury can help nurses remain aware of the dangers associated with them. Q: What information do I need to include in my written Exposure Control Plan? If no engineering control is available, work practice controls shall be used and, if occupational exposure still remains, personal protective equipment must also be used.