Needlestick injuries and the introduction of a safety cannulae in a dublin teaching hospital
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Needlestick injuries and the introduction of a safety cannulae in a Dublin Teaching Hospital. Elaine Dunne Clinical Nurse Manager 2 Occupational Health Department Connolly hospital Blanchardstown. Accidential blood exposures. The occupational health department opened in July 2001.

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Needlestick injuries and the introduction of a safety cannulae in a dublin teaching hospital

Needlestick injuries and the introduction of a safety cannulae in a Dublin Teaching Hospital

Elaine Dunne

Clinical Nurse Manager 2

Occupational Health Department

Connolly hospital Blanchardstown.


Accidential blood exposures
Accidential blood exposures cannulae in a Dublin Teaching Hospital

  • The occupational health department opened in July 2001.

  • Prior to this staff who sustained an accidential blood exposure had to attend OH services off site.

  • Initially reporting of NSI’s was slow.

  • On average now we see 70 accidential blood exposures annually


Number of needlestick injuries
Number of Needlestick injuries cannulae in a Dublin Teaching Hospital

  • From July 2001- July 2003

  • 101 accidential blood exposures reported

  • 28 from cannulaes

  • 27.7% of all accidential blood exposures were from cannulaes


Occupational health staff
Occupational Health Staff cannulae in a Dublin Teaching Hospital


Time spent on recipient
Time spent on recipient cannulae in a Dublin Teaching Hospital

  • Initial risk assessment

  • Counselling

  • Blood tests

  • Vaccination

  • PEP

  • Follow up blood tests and counselling


Time spent on source
Time spent on source cannulae in a Dublin Teaching Hospital

  • Risk assessment of source patient

  • Contacting team if hospital based.

  • Organising urgent bloods

  • Contacting hospital lab to arrange urgent transport

  • Contacting VRL to arrange urgent testing


Time spent on source patient
Time spent on source patient cannulae in a Dublin Teaching Hospital

  • Following up source patients results and informing recipient

  • Taking results after work hours on a regular basis.

  • If patient from community, trying to find out GP and making contact to establish risk.

  • Organising to have blood taken from patient in community has multiple complications.


Trialing safety cannulaes
Trialing safety cannulaes cannulae in a Dublin Teaching Hospital

  • A/E had trialed numerous cannulaes over the years.

  • Organised by the CNM3 who was safety conscious

  • They particularly liked the vasofix safety cannulae


Mechanism
mechanism cannulae in a Dublin Teaching Hospital


Where we went from here
Where we went from here cannulae in a Dublin Teaching Hospital

  • Met with Infection control Team and Consultant Microbiologist

  • Organised a trial for A/E and Theatre

  • Post trial evaluation very positive

  • Put proposal to finance for funding

  • Legal case at time payout €8000 so no resistance from finance.


Contd
contd cannulae in a Dublin Teaching Hospital

  • Exstensive training for medical and nursing staff.

  • Another legal case so OHD used opportunity to put proposal for safety cannulae throughout hospital

  • Proposal accepted.


Safety cannulae
Safety cannulae cannulae in a Dublin Teaching Hospital

  • Introduced throughout the hospital September 2003.

  • Training vitally important

  • Very little resistance to new device

  • 18 months post introduction we carried out an evaluation via questionnaire.

  • Very positive feedback no problems identified.


2 years later
2 ½ years later cannulae in a Dublin Teaching Hospital

  • Since introducing the safety cannulae in September 2003 we have had 1 needlestick injury.(from 28 in previous 2 years)

  • This was were a doctor failed at cannulation and did not activate the device before removing from patient.


Things we learned
Things we learned cannulae in a Dublin Teaching Hospital

  • It is hard work.

  • Be persistent even if you are saying the same thing 100 times

  • Initial training and ongoing training is vital and should be provided by the company

  • Organisational commitment is key

  • Involve staff at every stage it reduces resistance.


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