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Effectiveness of measures to prevent needlestick injuries among ...

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Tables<br />

Table 1:<br />

Overview <strong>of</strong> <strong>prevent</strong>ive <strong>measures</strong> <strong>to</strong> reduce NSI<br />

Approach Measure Concrete <strong>measures</strong><br />

Safety engineered<br />

devices<br />

Personal protective<br />

equipment – PPE<br />

Retraction or<br />

shield for sharp<br />

instruments 1<br />

Disposal Improvement <strong>of</strong><br />

disposal<br />

Training Specific training<br />

for staff with NSI<br />

risk<br />

Organization Shift schedule<br />

1) Source: Waclawski (2004) [15]<br />

Gloving � Single gloving<br />

� Double gloving<br />

Work environment<br />

Other<br />

Report „Needlestick <strong>injuries</strong>“ 87<br />

� Retractable lancets used for blood sampling by<br />

heel stabs and finger sampling;<br />

� Retractable needles used for injections and<br />

immunizations;<br />

� Shields added <strong>to</strong> needles for injections and<br />

venepuncture which are activated by the<br />

opera<strong>to</strong>r at the end <strong>of</strong> the procedure;<br />

� Protected disposable scalpels with a shield that<br />

can be activated before passing the instrument<br />

between staff and before disposal;<br />

� Blunt suture needles<br />

� Intravenous cannula with blunting or guarding<br />

<strong>of</strong> the needle <strong>of</strong> the introducer that is activated<br />

when removed from the plastic cannula<br />

� Location<br />

� Rigidity<br />

� Modification<br />

� Box design<br />

� Health care workers:<br />

Training for devices in use or introduction <strong>of</strong><br />

safety devices; anti-stress programs<br />

� Disposal service:<br />

Training for disposal handling<br />

� Management:<br />

Need for introduction <strong>of</strong> safety devices <strong>to</strong><br />

reduce NSI<br />

� Schedule regarding health and personal<br />

demands<br />

� Good lighting etc.

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