[Marilyn Harris]

Hi Joe,

I was laughing as I read your opening line “Just curious to find out …”.

I’m sure there’s a few of us who have noticed “abnormal” events.

This one had a common contributing factor.
A couple of years ago I noticed an abnormal increase in NSI and discovered that some nurses were using their fingers to remove the needle from the ‘insulin pen’ for patients.
The Product Information describes ‘how to safely remove the needle when a patient is not able to do so’ – however I discovered that the nurses had not read it.
So, I made a one-page poster with photographs, summarising that procedure and referring the nurses to the full Product Information.
The poster is displayed in the Medication Rooms, and I tell the story and show it at Orientation.
Those types of NSI now rarely occur.

There was also one week, in April a few years ago, when the OH&S Coordinator had daily reports of staff injuries and I received daily reports of occupational exposures. Really made us wonder what was going on. There were no common factors for facility or procedure or anything. Just a statistical blip?

Regards,
Marilyn

Marilyn Harris

CNC Infection Prevention | Population Health | Justice Health & Forensic Mental Health Network
Level One Dawn de Loas. Locked Bag 130 Silverwater Mail Centre, NSW 1811
Tel 02 9289 5482 | Pager 02 9937 2506 | Mob 0417 472 612 | Fax 02 9289 5486
marilyn.harris@justicehealth.nsw.gov.au
Our Values: Care, Clear Communication, Honesty, Professionalism, Respect

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Good morning everyone
Just curious to find out if any other healthcare facilities have ever experienced an abnormal increase in occupational exposures at any time? What were the common contributing factors and were they linked?

Also, for healthcare facilities that are performing surgery with microscopes or loupes – have you had occupational exposures when staff move sharps outside their field of vision? If you have, what strategies did you put in place to reduce the risk?

Thanks

Joe

Joe-anne Bendall | Clinical Nurse Consultant Infection Prevention and Control
Sydney Hospital and Sydney Eye Hospital|* ph +61 2 9382 7199 |page 22070 via switch 9382 7111| 7 Fax 93827510 |
Mobile 0418984255 | * Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AU

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