Outpatient Surgery Magazine

Manager's Guide to Staff & Patient Safety - October 2014

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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4 4 S U P P L E M E N T T O O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E | O C T O B E R 2 0 1 4 Answer: a The CDC estimates that hospital-based healthcare personnel suffer about 385,000 needlesticks and other sharps-related injuries per year — and those are just the ones that get reported. Sudden, painful percutaneous injuries aren't the only risks here, though. The CDC also notes that sharps injuries are the most frequent route of transmission for such bloodborne pathogens as HIV and hepa- titis B and C in the healthcare setting. Getting stuck is something all healthcare workers want to avoid at all costs. But the testing, treatment and potential occupational changes that may follow make it even scarier, since not every patient has been tested and the full extent of the risk is unknown. More than 1,000 injuries a day highlights the importance of blunting sharps hazards. Safety authorities are more likely to examine your equipment cables than your sharps handling practices. a. true b. false Answer: b Violations of the federal Bloodborne Pathogens Standard ( tinyurl.com/4f8mcwb ), which includes the Needlestick Safety Act, top the Occupational Safety and Health Administration's most recently published list of citations to surgical facil- ities. The 68 citations in 29 inspections, which totaled $71,883 in fines, followed a wave of increased scrutiny over sharps handling in the perioperative process. I've done substantial research on why, despite federal regulations addressing this issue, surgical personnel are still at risk. Individual resistance is a major bar- rier, which is why leadership is important. A nurse or scrub tech depends on physicians for sharps safety, but if they don't want to change their practices, the risk remains. Compliance with safer techniques requires involvement at all staff levels: administration, purchasing, training and occupational health. Educate physicians through data or cost calculations that this is for their protection, too. S H A R P S S A F E T Y

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