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Hi All
Our physician wants pharmacy to dispense a prefilled insulin pen to the patient and nursing staff use this to administer the required dose. This pen would then be used by both the nursing staff & patient throughout the patients admission.
I am wondering about the safety of using insulin pens as we have had a number of needlestick injuries from them in the past. If you do use then do you have procedures in place to prevent NSI that you would be happy to share
Thanks for your thoughts
Kind regards
MargieMargaret Evans IP&C CNC
Royal Hospital for Women
Locked Mail Bag 2000
Randwick 2031
Phone 02 93826339Senior Clinical lectures,
Sydney university———————————————————————————————
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Hi Margaret
Staff needlestick injuries from the use of pen needles has been an issue for some time. CHRISP produced an advisory of the use of pen needles some time ago.
http://www.health.qld.gov.au/chrisp/resources/advisory_inj_pen.pdf
There is now at least one safety pen needle on the market in Australia, which are suitable for staff to use with most types of pen delivery devices. I can provide more details if you contact me off-list.
Cheers
MichaelMichael Wishart
Infection Control Coordinator
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Margaret Evans
Sent: Monday, 24 February 2014 6:25 AM
To: AICALIST@AICALIST.ORG.AU
Subject: safety of insulin pens for nursing staff use?Hi All
Our physician wants pharmacy to dispense a prefilled insulin pen to the patient and nursing staff use this to administer the required dose. This pen would then be used by both the nursing staff & patient throughout the patients admission.
I am wondering about the safety of using insulin pens as we have had a number of needlestick injuries from them in the past. If you do use then do you have procedures in place to prevent NSI that you would be happy to share
Thanks for your thoughts
Kind regards
MargieMargaret Evans IP&C CNC
Royal Hospital for Women
Locked Mail Bag 2000
Randwick 2031
Phone 02 93826339Senior Clinical lectures,
Sydney university———————————————————————————————
Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice
This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.
This email message has been virus-scanned. Although no computer viruses were detected, Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) accept no liability for any consequential damage resulting from email containing any computer viruses.
We care for our environment. Please only print this e-mail if necessary.
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Margie
We have a policy that insulin pens may only be used in our facilities where the patient can safely self administer and recap. Staff are not permitted to use the pens as we too had seen many incidents mostly related to recapping of the pen.
Leanne
Leanne Houston
Associate Director
INFECTION PREVENTION & CONTROL SERVICE (IPAC)Email: leanne.houston@easternhealth.org.au
Phone: 9091 8885
Mobile: 0400 139 655[healthcareupdatedresolution.jpg]
Eastern Health: Winner of the Premiers Health Service of the Year Award (Metropolitan) at the 2013 Victorian Public Healthcare Awards
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Margaret Evans
Sent: Monday, 24 February 2014 7:25 AM
To: AICALIST@AICALIST.ORG.AU
Subject: safety of insulin pens for nursing staff use?Hi All
Our physician wants pharmacy to dispense a prefilled insulin pen to the patient and nursing staff use this to administer the required dose. This pen would then be used by both the nursing staff & patient throughout the patients admission.
I am wondering about the safety of using insulin pens as we have had a number of needlestick injuries from them in the past. If you do use then do you have procedures in place to prevent NSI that you would be happy to share
Thanks for your thoughts
Kind regards
MargieMargaret Evans IP&C CNC
Royal Hospital for Women
Locked Mail Bag 2000
Randwick 2031
Phone 02 93826339Senior Clinical lectures,
Sydney university———————————————————————————————
Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice
This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.
This email message has been virus-scanned. Although no computer viruses were detected, Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) accept no liability for any consequential damage resulting from email containing any computer viruses.
We care for our environment. Please only print this e-mail if necessary.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
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Hello Marg. I agree with you. Needlestick injury is the big risk with using the insulin pens as they have to be recapped after use and the needles manually removed. Hence, manipulation leads to increased risk. We also use the QLD CHRISP advisory regarding not using these pens when there is an RN who is able to draw up insulin in a needle and syringe. At times, in the out of hospital setting, there is no other choice in this case. We document a risk assessment and training of staff to ensure they are aware of the risks and the safest possible way of management of the devices. There are some devices on the market to assist with removal of the needle however they are not supported by companies concerned to state they are a safety device
Kind Regards
Judy Forrest
RN,CIC (Syd Hosp), Grad Cert. (Communicable Diseases), FACN, CPM FAAPM
Managing Director
[High Res – Screen]
Bug Control (Aust) Pty Ltd
Infection Control Advisory Service
PO Box 406 GORDON NSW 2072 Australia
Tel: 61 2 9418 1917
Fax: 61 2 9499 6786
Enquiries: info@bugcontrol.com.au
Web: http://www.bugcontrol.com.au
Mobile: 0418 463292Bug Control New Zealand Ltd
Infection Control Advisory Service
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Fax: 64 3 3047031
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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: Monday, 24 February 2014 10:42 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: safety of insulin pens for nursing staff use?Hi Margaret
Staff needlestick injuries from the use of pen needles has been an issue for some time. CHRISP produced an advisory of the use of pen needles some time ago.
http://www.health.qld.gov.au/chrisp/resources/advisory_inj_pen.pdf
There is now at least one safety pen needle on the market in Australia, which are suitable for staff to use with most types of pen delivery devices. I can provide more details if you contact me off-list.
Cheers
MichaelMichael Wishart
Infection Control Coordinator
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3607 2226
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
Please consider the environment before printing this email[cid:image001.png@01CF3133.A707C0B0]
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Margaret Evans
Sent: Monday, 24 February 2014 6:25 AM
To: AICALIST@AICALIST.ORG.AU
Subject: safety of insulin pens for nursing staff use?Hi All
Our physician wants pharmacy to dispense a prefilled insulin pen to the patient and nursing staff use this to administer the required dose. This pen would then be used by both the nursing staff & patient throughout the patients admission.
I am wondering about the safety of using insulin pens as we have had a number of needlestick injuries from them in the past. If you do use then do you have procedures in place to prevent NSI that you would be happy to share
Thanks for your thoughts
Kind regards
MargieMargaret Evans IP&C CNC
Royal Hospital for Women
Locked Mail Bag 2000
Randwick 2031
Phone 02 93826339Senior Clinical lectures,
Sydney university———————————————————————————————
Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice
This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.
This email message has been virus-scanned. Although no computer viruses were detected, Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) accept no liability for any consequential damage resulting from email containing any computer viruses.
We care for our environment. Please only print this e-mail if necessary.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
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HI Margie,
We have had a couple of NSI from recapping insulin pens. We now have a
policy similar to CHRISP stating if a patient cannot administer and recap
their own insulin pen, insulin is to be prescribed by a doctor and nurses
are to draw up insulin and administer and dispose without recapping single
use syringe and needle.With best regards
Carolyn Chenoweth
ANZ Quality & IPC CoordinatorFresenius Medical Care Australia Pty Ltd.
Payneham Dialysis Clinic, 2 Portrush Road,
PAYNEHAM
SA 5070 Adelaide
Australia
T: +61 8 8165 4313
F: +61 8 8336 4833
M: +61 0 407 810 800
http://www.fmc-ag.comTHE RENAL COMPANY – A Lifelong Commitment
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this message and all attachments from your computer system.Sent by: ACIPC Infexion Connexion
Hi All
Our physician wants pharmacy to dispense a prefilled insulin pen to the
patient and nursing staff use this to administer the required dose. This
pen would then be used by both the nursing staff & patient throughout the
patients admission.I am wondering about the safety of using insulin pens as we have had a
number of needlestick injuries from them in the past. If you do use then
do you have procedures in place to prevent NSI that you would be happy to
shareThanks for your thoughts
Kind regards
MargieMargaret Evans IP&C CNC
Royal Hospital for Women
Locked Mail Bag 2000
Randwick 2031
Phone 02 93826339Senior Clinical lectures,
Sydney university———————————————————————————————
Illawarra Shoalhaven Local Health District, South East Sydney Local Health
District and Sydney Children’s Hospital Network (Randwick Campus)
Confidentiality NoticeThis email, and the files transmitted with it, are confidential and
intended solely for the use of the individual or entity to whom they are
addressed. If you are not the intended recipient, you are not permitted to
distribute or use this email or any of its attachments in any way. We also
request that you advise the sender of the incorrect addressing.This email message has been virus-scanned. Although no computer viruses
were detected, Illawarra Shoalhaven Local Health District, South East
Sydney Local Health District and Sydney Children’s Hospital Network
(Randwick Campus) accept no liability for any consequential damage
resulting from email containing any computer viruses.We care for our environment. Please only print this e-mail if necessary.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO
NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is
discouraged by ACIPC. If you wish to discuss specific reference to
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the list.
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the quotes) to listserv@aicalist.org.auMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.
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I wouldnt recommend using the insulin pens unless the self-sheathing needles were provided for staff. I have used some of these products when working in Europe but havent seen them in Australia.
Lincoln Fowler
Infection Prevention Consultant
Bairnsdale Regional Health Service
Ph: (03) 5150 3432
Mobile: 0407 094 658
Bairnsdale Regional Health Service is located on the traditional land of the Gunaikurnai people.
This communication is intended only to be read or used by the addressee. Information contained in this communication may be confidential information. If you are not the intended recipient, any use, interference with, distribution, disclosure or copying of this material is unauthorised and prohibited. The confidentiality attached to this communication is not waived or lost by reason of the mistaken delivery to you. If you have received this communication in error, please destroy it and send a reply message to the author.
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Margaret Evans
Sent: Monday, 24 February 2014 7:25 AM
To: AICALIST@AICALIST.ORG.AU
Subject: safety of insulin pens for nursing staff use?Hi All
Our physician wants pharmacy to dispense a prefilled insulin pen to the patient and nursing staff use this to administer the required dose. This pen would then be used by both the nursing staff & patient throughout the patients admission.
I am wondering about the safety of using insulin pens as we have had a number of needlestick injuries from them in the past. If you do use then do you have procedures in place to prevent NSI that you would be happy to share
Thanks for your thoughts
Kind regards
Margie
Margaret Evans IP&C CNC
Royal Hospital for Women
Locked Mail Bag 2000
Randwick 2031
Phone 02 93826339
Senior Clinical lectures,
Sydney university
———————————————————————————————
Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) Confidentiality Notice
This email, and the files transmitted with it, are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you are not the intended recipient, you are not permitted to distribute or use this email or any of its attachments in any way. We also request that you advise the sender of the incorrect addressing.
This email message has been virus-scanned. Although no computer viruses were detected, Illawarra Shoalhaven Local Health District, South East Sydney Local Health District and Sydney Children’s Hospital Network (Randwick Campus) accept no liability for any consequential damage resulting from email containing any computer viruses.
We care for our environment. Please only print this e-mail if necessary.
MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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UNCLASSIFIED
There are sharps’ engineered insulin pens available in Australia,
whether they are available in different health services is another story
Melissa McEwan RN, BN, Grad Cert Infect Control
Quality Manager
Contractor to Defence
Wagga Wagga
02 69338338
Private mobile 0428 753783
melissa.mcewan@defence.gov.auand is subject to the jurisdiction of section 70 of the Crimes Act 1914.
If you have received this email in error, you are requested to contact
the sender and delete the email.________________________________
Behalf Of Lincoln Fowler
I wouldn’t recommend using the insulin pens unless the self-sheathing
needles were provided for staff. I have used some of these products when
working in Europe but haven’t seen them in Australia.Lincoln Fowler
Infection Prevention Consultant
Bairnsdale Regional Health Service
Bairnsdale Regional Health Service is located on the traditional land of
the Gunaikurnai people.This communication is intended only to be read or used by the addressee.
Information contained in this communication may be confidential
information. If you are not the intended recipient, any use,
interference with, distribution, disclosure or copying of this material
is unauthorised and prohibited. The confidentiality attached to this
communication is not waived or lost by reason of the mistaken delivery
to you. If you have received this communication in error, please destroy
it and send a reply message to the author.Behalf Of Margaret Evans
Hi All
Our physician wants pharmacy to dispense a prefilled insulin pen to the
patient and nursing staff use this to administer the required dose. This
pen would then be used by both the nursing staff & patient throughout
the patients admission.I am wondering about the safety of using insulin pens as we have had a
number of needlestick injuries from them in the past. If you do use then
do you have procedures in place to prevent NSI that you would be happy
to shareThanks for your thoughts
Kind regards
Margie
Margaret Evans IP&C CNC
Royal Hospital for Women
Locked Mail Bag 2000
Randwick 2031
Phone 02 93826339
Senior Clinical lectures,
Sydney university
————————————————————————
———————
Illawarra Shoalhaven Local Health District, South East Sydney Local
Health District and Sydney Children’s Hospital Network (Randwick Campus)
Confidentiality Notice
This email, and the files transmitted with it, are confidential and
intended solely for the use of the individual or entity to whom they are
addressed. If you are not the intended recipient, you are not permitted
to distribute or use this email or any of its attachments in any way. We
also request that you advise the sender of the incorrect addressing.
This email message has been virus-scanned. Although no computer viruses
were detected, Illawarra Shoalhaven Local Health District, South East
Sydney Local Health District and Sydney Children’s Hospital Network
(Randwick Campus) accept no liability for any consequential damage
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Hi All
We currently use a safety needle specifically for use with insulin pens. This has reduced our needlestick injuries with insulin pens. Very easy to use and automatically retracts the needle.
Kind regards
Julie Baile | A/Clinical Nurse – Infection Prevention & Management | Fremantle Hospital & Health Service | Tel 9431 3220 | Pager 4173| julie.baile@health.wa.gov.au
________________________________
Hi All
Our physician wants pharmacy to dispense a prefilled insulin pen to the patient and nursing staff use this to administer the required dose. This pen would then be used by both the nursing staff & patient throughout the patients admission.
I am wondering about the safety of using insulin pens as we have had a number of needlestick injuries from them in the past. If you do use then do you have procedures in place to prevent NSI that you would be happy to share
Thanks for your thoughts
Kind regards
MargieMargaret Evans IP&C CNC
Royal Hospital for Women
Locked Mail Bag 2000
Randwick 2031
Phone 02 93826339Senior Clinical lectures,
Sydney university———————————————————————————————
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