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  • #70274
    Terry Grimmond
    Participant

    Author:
    Terry Grimmond

    Email:
    tg@GANDASSOC.COM

    Organisation:

    State:

    Hi Michael,

    With sharps safety device legislation under current consideration, I wonder if members could hazard an answer to this Q – am happy for answers to come direct to me at tg@gandassoc.com.
    “Of all needles/butterflies used on patients at your hospital (Rx, phlebotomy, etc) what % would be ‘safety engineered devices’ and what % of those would be correctly activated after use?”
    I had one reply of “33% and 90%” and that surprised me.

    Best regards, Terry

    Terry Grimmond FASM, BAgrSc, GrDpAdEd
    Consultant Microbiologist
    Grimmond and Associates
    Ph/Fx (NZ): +64 7 856 4042
    Mob (NZ): +64 274 365 140
    E: tg@gandassoc.com
    “This email (including any attachments) is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are reminded that any dissemination, distribution or copying of this email or attachments is prohibited. If you have received this email in error, please notify me immediately by return email or telephone and destroy the original message. Thank you.”

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    #70275
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@hsn.org.au

    Organisation:

    State:

    Hi Terry

    Difficult to answer empirically as this is not a statistic I maintain, but best guess for here would be probably 60 -70% of our sharps used in wards (eg non-procedural areas) are safety devices (needle/syringe, peripheral IV access cannulas).

    Of these safety devices I would think the majority are correctly activated after use, probably running about 90%. The majority of peripheral IV access cannulas automatically sheath on insertion (passive), but our needle/syringe safety devices require active manual activation, and we do get reports of activation failure, so they at least try to activate them! Not all of our S/C or IM injection needle/syringes are safety (pre-filled syringes mostly non-safety, and larger volume syringes with needles are non-safety here – staff do not like the 5 ml or larger safety syringes of the type we use so we do not have them available).

    Procedural area sharps are much more problematic, as scalpels, suture needles and many reusable cannulas/trocars are not readily available (or acceptable) as safety devices. The % in procedural areas would be much lower, probably around 20% at most of the total sharps used (pure guess!). Since the majority of peripheral IV cannulas used in procedural areas are passive safety devices, and there is very little use of safety needle/syringes, the activation rate would be very high. Not really sure what % of sharps would be procedural vs ward based, sorry.

    I would also be interested to know whether this would be a common scenario in many facilities currently. Bring on some legislation requiring more attention to safety sharps!

    Cheers
    Michael

    Michael Wishart
    CNC Infection Control
    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

    Hi Michael,

    With sharps safety device legislation under current consideration, I wonder if members could hazard an answer to this Q – am happy for answers to come direct to me at tg@gandassoc.com.
    “Of all needles/butterflies used on patients at your hospital (Rx, phlebotomy, etc) what % would be ‘safety engineered devices’ and what % of those would be correctly activated after use?”
    I had one reply of “33% and 90%” and that surprised me.

    Best regards, Terry

    Terry Grimmond FASM, BAgrSc, GrDpAdEd
    Consultant Microbiologist
    Grimmond and Associates
    Ph/Fx (NZ): +64 7 856 4042
    Mob (NZ): +64 274 365 140
    E: tg@gandassoc.com
    “This email (including any attachments) is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are reminded that any dissemination, distribution or copying of this email or attachments is prohibited. If you have received this email in error, please notify me immediately by return email or telephone and destroy the original message. Thank you.”

    Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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    #70276
    Terry Grimmond
    Participant

    Author:
    Terry Grimmond

    Email:
    tg@GANDASSOC.COM

    Organisation:

    State:

    Thanks Michael,

    Just for clarity, I include IV catheter insertions (and exclude scalpels/sutures) so have clarified Q below. Would you mind putting this answer out to members please.

    “Of all hollow bore needles/butterflies/IV catheters used on patients throughout your hospital, what % would be ‘safety engineered devices’ and what % of those would be correctly activated after use?”

    Regards, Terry

    Terry Grimmond FASM, BAgrSc, GrDpAdEd
    Consultant Microbiologist
    Grimmond and Associates
    Ph/Fx (NZ): +64 7 856 4042
    Mob (NZ): +64 274 365 140
    E: tg@gandassoc.com
    “This email (including any attachments) is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are reminded that any dissemination, distribution or copying of this email or attachments is prohibited. If you have received this email in error, please notify me immediately by return email or telephone and destroy the original message. Thank you.”

    Hi Terry

    Difficult to answer empirically as this is not a statistic I maintain, but best guess for here would be probably 60 -70% of our sharps used in wards (eg non-procedural areas) are safety devices (needle/syringe, peripheral IV access cannulas).

    Of these safety devices I would think the majority are correctly activated after use, probably running about 90%. The majority of peripheral IV access cannulas automatically sheath on insertion (passive), but our needle/syringe safety devices require active manual activation, and we do get reports of activation failure, so they at least try to activate them! Not all of our S/C or IM injection needle/syringes are safety (pre-filled syringes mostly non-safety, and larger volume syringes with needles are non-safety here – staff do not like the 5 ml or larger safety syringes of the type we use so we do not have them available).

    Procedural area sharps are much more problematic, as scalpels, suture needles and many reusable cannulas/trocars are not readily available (or acceptable) as safety devices. The % in procedural areas would be much lower, probably around 20% at most of the total sharps used (pure guess!). Since the majority of peripheral IV cannulas used in procedural areas are passive safety devices, and there is very little use of safety needle/syringes, the activation rate would be very high. Not really sure what % of sharps would be procedural vs ward based, sorry.

    I would also be interested to know whether this would be a common scenario in many facilities currently. Bring on some legislation requiring more attention to safety sharps!

    Cheers
    Michael

    Michael Wishart
    CNC Infection Control
    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

    Hi Michael,

    With sharps safety device legislation under current consideration, I wonder if members could hazard an answer to this Q – am happy for answers to come direct to me at tg@gandassoc.com.
    “Of all needles/butterflies used on patients at your hospital (Rx, phlebotomy, etc) what % would be ‘safety engineered devices’ and what % of those would be correctly activated after use?”
    I had one reply of “33% and 90%” and that surprised me.

    Best regards, Terry

    Terry Grimmond FASM, BAgrSc, GrDpAdEd
    Consultant Microbiologist
    Grimmond and Associates
    Ph/Fx (NZ): +64 7 856 4042
    Mob (NZ): +64 274 365 140
    E: tg@gandassoc.com
    “This email (including any attachments) is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are reminded that any dissemination, distribution or copying of this email or attachments is prohibited. If you have received this email in error, please notify me immediately by return email or telephone and destroy the original message. Thank you.”

    Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

    To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

    You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

    ________________________________
    Message protected by MailGuard: e-mail anti-virus, anti-spam and content filtering.
    http://www.mailguard.com.au

    Report this message as spam

    WARNING : This email contains information, which is CONFIDENTIAL, and that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference. Thank-you.
    ________________________________
    Message protected by MailGuard: e-mail anti-virus, anti-spam and content filtering.
    http://www.mailguard.com.au

    Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

    To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

    You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

    Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

    Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

    Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

    To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.

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