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Infection Control Cannulation & Venepuncture. Infection Control Nurses NGT. Aims and Objectives. Discuss types of infection associated with venepuncture and cannulation. List the measures taken to prevent infection. Describe the safe handling of sharps.

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Presentation Transcript
aims and objectives
Aims and Objectives
  • Discuss types of infection associated with venepuncture and cannulation.
  • List the measures taken to prevent infection.
  • Describe the safe handling of sharps.
  • List the first aid measures to be taken in a needlestick injury.
  • Describe the safe handling and transportation of specimens.
types of infections associated with iv devices
Types of infections associated with IV Devices
  • Local site infection.
  • Phlebitis.
  • Bacteraemia.
  • Septicaemia.
  • Metastatic infection.
factors influencing the risk of infection
Factors influencing the risk of infection
  • Duration of cannulation.
  • Type of cannula (e.g. peripheral, central, Hickman).
  • Insertion site.
  • Cannula material.
sources of infection
Sources of Infection
  • All healthcare workers.
  • The patient.
  • The venflon or vacutainer.
  • The disinfectant.
  • The environment.
slide10
You are introducing a foreign

object into a sterile area.

Every IV device is an infection

opportunity.

other risks
Other risks
  • Needlestick injury to the operator.
  • Cross infection of patients.
  • Needlestick injury to others.
slide13
How you can be exposed.
  • needlestick injury.
  • accidental splash contamination of broken skin and mucus membranes.

Prevention strategies.

  • NO recapping of needles.
  • use of personal protective equipment e.g. gloves, aprons, goggles or face visors.
risk of bbv acquisition
Risk of BBV acquisition

HBV - non-immunised up to 30%.

“HCWs who have received HBV vaccine are at virtually no risk of infection”.

HCV - 2-3%

HIV - 0.3% or 1:300

cross infection disasters
Cross-infection disasters

There have been reported outbreaks of HBV caused by nurses not changing their gloves.

A healthcare worker ran out of butterflies, so she washed and reused them.

preparation
Preparation
  • Have all your equipment in one place.
  • Have some paper towels in case of spills.
  • Have a sharps box.
  • If necessary get some help.
what do you need
What do you need?
  • Training.
  • Hand hygiene.
  • Gloves.
  • Sterile equipment within its expiry date and all packaging intact.
  • Skin cleansing.
  • Dressings.
do you need help
Do you need help?
  • One of the leading causes of NSI is the patient moving unexpectedly.
  • More likely to get a NSI if inexperienced.
  • Don’t like the situation, don’t do it on your own.
slide19
NSI
  • Bleed.
  • Wash (don’t scrub).
  • Cover.
  • Report it, to the nurse in charge, then Occupational Health or A&E within 1 hour.
  • Treat.
  • Fill out an IR1.
after insertion
After insertion
  • Dressing.
  • Dispose of waste.
  • Remove gloves.
  • Hand hygiene.
  • Document & care plan.
labelling of specimens
Labelling of specimens

Biohazard labels should be applied to specimens known or suspected to contain blood borne viruses or tuberculosis.

safe handling and transportation of specimens
Safe handling and transportation of specimens
  • Ensure container is leak-proof and can be sealed securely.
  • Remove all traces of blood from the outside of the container.
  • Place biohazard label on the container and form if appropriate.
  • Ensure the container is sealed in a specimen bag.
  • Ensure a fully completed form is placed in the separate pocket.
remember remember
Remember! Remember!

HAND HYGIENE.

The most important measure in preventing infection.