Management of Needlestick & Contamination Injuries - Royal ...

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• All staff are responsible for reporting any hazards, risk issues (e.g. insufficient sharpsbins), and adverse incidents to their line manager. All incidents must be reported inaccordance with the Trust AIR Policy.• All staff are required to attend mandatory training on a bi-annual basis.• Where English is not the persons first language or if any other interpreter is required• Please refer to the interpreting policy• All staff are responsible for wearing appropriate personal protective equipment (i.e.visors, masks, gloves, aprons, where advised to by their manager for control ofcontamination with a blood borne virushttp://rbhintranet/policies/corporate/interpreting.pdf5.0 RISK ASSESSMENT AND CONTROL• Managers are responsible for considering needlestick and exposure to body fluidrisks when undertaking risk assessments of the workplace. The risk assessmentmust be undertaken in accordance with the Trust Risk Assessment Policy.• The risk assessment must identify the arrangements in place to enable safehandling of sharps and contamination incidents. The risk assessment must be madeavailable to all staff. Bi -annual mandatory training provides an education forum toupdate all Trust staff.• Where the risk assessment identifies uncontrolled or unacceptable levels of risk thena risk control action plan must be implemented. Where control measures cannot beimmediately implemented then such issues must be placed on the Directorate RiskRegister.6.0 SAFE SHARPS PRACTICE• The level of precautions to be taken for any procedure must be determinedaccording to the extent of possible exposure to blood and/or bodily fluids.• It is the recommended practice to take a sharps tray with sharps bin to the patient inorder to facilitate safe disposal.• Always use an appropriately sized sharps box.• Promptly dispose of used needles in an approved sharps disposal container, avoidhandling of such devices by a second person.• All Sharps bins or boxes must comply with UN33291. The current supplier is 'DanielsHealthcare'. The products range from a ½ litre capacity to 22 litres. All are yellow incolour and have red lids. – Cytotoxic have purple lids.• Always take the sharps bin to the patient and dispose of at the point of use, placingthe sharp end into the bin first.• Use the temporary closure mechanism following disposal of the sharp.RBCHOCCHEALTH\DATA\WS\POLICIES\NEEDLESTICKPOLICY\SHARPS POLICY\VERSION 6 LP 2011Page 8 of 33
• All sharps boxes must be sited as close as practical to where the sharp is to beused, but not left within reach of children or adults who may be at risk. In this instant,the position of a sharps bin is subject to a risk assessment.• Where persons may be at risk, the 'Daniels Sharps guard' must be used which has atilting mechanism to prevent fingers or small hands entering the bin.• Always carry sharps boxes by the handle• Where permanent sites are required, sharps bins must always be mounted on abracket either on a fixed wall surface or trolley. Syringes and needles must bedisposed of intact.• Do not fill sharps boxes more than ⅔ full.• Do not try to retrieve anything from a sharps box.• Lock the used sharps boxes when ready for final disposal and ensure that theclinical area is identifiable in writing in accordance with the manufacturer'sinstructions on the bin. Ensure the appropriately coded sealing tape is used toidentify the box.• Dispose of sharps boxes according to Trust Policy. The Waste Management Policyspecifies how all hospital waste, including sharps is to be safely disposed. A copycan be found on the Trust's Intranet. Do not dispose of sharps with other clinicalwaste, or place in yellow bags for disposal.• Do not resheath needles.6.1 Use of GlovesAll staff must wear gloves for venepuncture and insertion of any intravascular device.Gloves will not prevent percutaneous injury but they may reduce the risk of acquiring aBlood Borne Virus (BBV) infection. Although punctured gloves allow blood tocontaminate the hand there is evidence to show a reduction in the volume of bloodinoculated in the event of a percutaneous injury (Mast el al, 1993).7.0 MANAGEMENT OF NEEDLESTICK/ CONTAMINATION INCIDENTSFor Immediate management of an inoculation incident, refer also to the flow chart onpage 4.7.1 Immediate First AidFor ALL exposures:a) Skin puncture wounds from used and potentially contaminated needles orinstruments must be encouraged to bleed and then immediately washedthoroughly (but not scrubbed) with soap and water. Do not suck the wound.b) Splashes of blood or body fluid into the mouth must be washed out thoroughlywith copious amounts of tap water immediately.c) Splashes of blood or body fluids in to the eyes must be well irrigated with a normalsaline eyewash or running water immediately. Contact lenses must be removedand not reapplied until checked or changed by your opticianRBCHOCCHEALTH\DATA\WS\POLICIES\NEEDLESTICKPOLICY\SHARPS POLICY\VERSION 6 LP 2011Page 9 of 33
Page 1 and 2: Management of Needlestick& Contamin
Page 3 and 4: CONTENTS:SectionsPage Nos1.0 Flow c
Page 5 and 6: 2.0 POLICY STATEMENTRoyal Bournemou
Page 7: 4.2 Sharp Injury Prevention and Man
Page 11 and 12: must include: assurance of confiden
Page 13 and 14: 7.3.3 Exposed person vaccinated but
Page 15 and 16: Unconscious patients, or those with
Page 17 and 18: CRITERIA HOW WHERE WHEN LEADReview
Page 19 and 20: Appendix ANeedlestick/Sharps Incide
Page 21 and 22: HIV TESTING: PRE TEST DISCUSSION?Af
Page 23 and 24: Appendix DMANAGEMENT OF HIGH RISK E
Page 25 and 26: Appendix F7.0 ADVICE AND SUPPORT FO
Page 27 and 28: 6. Minutes of Meetings6.1 The Secre
Page 29 and 30: 10. AuthorityThe Committee is autho
Page 31 and 32: Regular Reports Provided to Health
Page 33: 7. Does this document affect anindi

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