Embed Size (px)
Citation preview
D E C E M B E R 3 0 , 2 0 1 6 | V O LU M E 5 I S S U E 2
New York One & Only Campaign, Room 1455, Public Affairs Group, Corning Tower, Albany, NY 12237 [email protected] 518-474-1036
1
ISN Injection
Safety Newsletter
I N S I D EGeneral Immunization Topics Injection Safety During Vaccination Clinics
1
2
2
3
3
General Immunization Topics Injection Safety During Vaccination Clinics
Did you miss “Unsafe Injection Stories From the Field”? Find Out What Everyone Has Been Talking About and Earn FREE CE Credit
“It Takes A Team”: One & Only Campaign Presents at NYSAASC Conference
Provider Drug Diversion Expert Kimberly New Speaks at Northeast Epidemiology Conference
Conclude 2016 (Or Start 2017) On the Right Foot! Take the NY One & Only Campaign “Provider Pledge” for Injection Safety!
Contact Us!
3
While workplace influenza immunization clinics may be wrapping up for this year, it’s never too soon to start planning for your next mass immunization effort.
That’s why the New York One & Only Campaign is offering this link to a free, archived webinar (on the page, see “General Immunization Topics” from October 13, 2016), called “Injection Safety During Vaccination Clinics.”
During this webinar, presenter Barbara Montana, MD, MPH, FACP, Medical Director of the New Jersey Department of Health Communicable Disease Service, walks participants through the New Jersey investigation over a year ago, where a provider at a workplace influenza clinic used two syringes to give influenza vaccine to 67 patients. This event and the subsequent investigation was written up in an issue of Morbidity and Mortality Weekly Report (MMWR): Notes from the Field: Injection Safety
and Vaccine Administration Errors at an Employee Influenza Vaccination Clinic-New Jersey, 2015. Dr. Montana describes what happened and also features a new vaccine checklist that was developed as a direct result of New Jersey’s experience.
A second speaker, infection preventionist Ernest Clement, MSN, RN, CIC, of the New York State Department of Health Bureau of Healthcare Associated Infections, outlines case studies involving immunizations and general principles of safe injection practices.
Make sure all administrators and staff involved in your next workplace immunization clinic are “up to speed” when it comes to safe injection practices, by encouraging them to listen to the important information shared in this webinar!
Ernest Clement, speaking at Webinar.
Injection Safety Newsletter2
Did you miss “Unsafe Injection Stories From the Field”? Find Out What Everyone Has Been Talking About and Earn FREE CE CreditIn July, CDC offered a compelling webinar called “Unsafe Injection Stories from the Field,” which has now been archived and carries potential Continuing Education credits for participants.
The July 26 webinar was heard “live” by over 1300 participants on the day it aired and included presentations by three New York One & Only Campaign Workgroup members.
Starting the presentation was Pamela Dembski Hart, BS, MT (ASCP), CHSP, Principal and Founder of Healthcare Accreditation Resources, LLC. Hart’s “Compliance with Safe Injection Practices: A View from the Trenches” is a frank depiction of unsafe practices she has encountered when surveying facilities. Her stories are underscored by alarming pictures of breaches—or potential breaches—of infection control, taken on her visits.
Emily Lutterloh, MD, MPH, Director of the New York State Department of Health Bureau of Healthcare Associated Infections, presented on safe injection practices and the New York One & Only Campaign at a conference of the New York State Association of Ambulatory Surgery Centers (NYSAASC) in Latham, NY on October 6, 2016.
Dr. Lutterloh outlined the definition of a safe injection and the infectious risks of unsafe injections, including potential exposure to bloodborne pathogens like hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV), not to mention exposure to potential bacterial infections. Correct handling
of single-dose and multi-dose vials and safe blood glucose monitoring procedures were also reviewed. Case studies of investigations into unsafe injection practices reinforced the One & Only Campaign slogan of “One Needle, One Syringe, Only One Time.”
Participants asked insightful questions about proper access for single-dose and multi-dose vials and shared their concerns about potential for contamination of vial contents.
One & Only Campaign resources for healthcare providers (applicable to any setting) were highlighted in the presentation, and among the print materials distributed at the event was a new flyer dedicated specifically to
“It Takes A Team”: One & Only Campaign Presents at NYSAASC Conference
Next up is presenter Zack Moore, MD, MPH, Medical Epidemiologist of the Communicable Disease Branch of the North Carolina Division of Public Health and subject matter expert for the North Carolina One & Only Campaign. Moore’s presentation, entitled “The Doctor and the Mask: Septic Arthritis Due to Unsafe Injections in an Outpatient Clinic,”
emphasizes what can happen when there are breaches in basic infection control and injection safety.
Finally, from a patient perspective, Evelyn McKnight, AuD, President of HONOReform (Hepatitis Outbreaks National Organization for Reform), speaks from the heart about what it is like as a patient to lose trust in your providers after being harmed by unsafe injection practices. McKnight was one of 99 people who contracted hepatitis C in a Nebraska oncology clinic in 2002, due to unsafe injection practices. McKnight’s talk: “Hepatitis C: A Patient’s Perspective, Its Causes and Possible Preventions,” is a cautionary tale about unsafe injections and how they can disrupt a patient’s life.
Follow this link to listen to the archived webinar and to obtain more information on how to obtain free CE credits.
ambulatory settings, developed by the Agency for Healthcare Research and Quality (AHRQ). The flyer, called “It Takes A Team,” emphasizes that everyone in an ambulatory surgery center plays a distinct role in preventing harmful injections, including those caused by unsafe injection practices.
Dr. Emily Lutterloh, speaking at conference.
Injection Safety Newsletter 3
CONTACT US!At the New York One & Only Campaign, we are always interested in hearing from healthcare professionals and learning about ways you might be using One & Only educational materials in your facility.
The calendar has turned to a new year; have you taken the New York One & Only “Provider Pledge” yet? If not, what’s the hold-up? Monica Arnold, RN, of St. Margaret’s Center in Albany, NY, has the right idea, having taken the pledge earlier last year.
What’s the big deal about the “Provider Pledge”?
The “Provider Pledge” was launched in March 2016 during National Patient Safety Week, as a way to help healthcare providers publicly take a stand for safe injection practices. It’s a simple process:
1. Download and print the pledge here.
2. Take a photo of yourself or a group of healthcare professionals who give injections, holding or displaying the sign. (Landscape view is best.) Be creative!
You may include your healthcare facility in the photo if it’s okay with administrators there!
Provider drug diversion and substitution (tampering) and the potential for patient harm via exposure to bloodborne pathogens through contaminated needles or syringes, was among the topics explored at the plenary session of the Northeast Epidemiology Conference in Saratoga Springs, NY, on October 20, 2016.
Among those speaking at the session on opioid abuse was Kimberly New, JD, BSN, RN, Executive Director and co-founder of the International Health Facility Diversion Association (IHFDA). New shared her insights gleaned from years of helping
facilities to uncover covert drug diversion and assisting facilities in setting up robust anti-diversion programs. New is also a member of the New York One & Only Campaign advisory workgroup.
New shared with the audience that even if their facility seems—on the surface—to be diversion-free, administrators and clinicians must remain vigilant for signs of potential diversion activity.
New stressed that diversion and substitution are an imminent harm to patients. If you are looking to raise
Provider Drug Diversion Expert Kimberly New Speaks at Northeast Epidemiology Conference
Start 2017 On the Right Foot! Take the NY One & Only Campaign “Provider Pledge” for Injection Safety!
awareness of the potential for provider diversion in your facility, it might be helpful to review this One & Only Campaign drug diversion flyer and share with facility administration and colleagues.
3. Email the photo to: [email protected]. We might feature it on the New York One & Only Campaign web page! (Note: by sending it to us, you give us your permission to use it on our web page or social media channels.)
4. Or, you can use social media yourself to spread the message. Upload your photo to Facebook, Twitter or Instagram using #1andonlypledge.
This is a great teambuilding exercise for providers who give injections, within a facility or healthcare system, or even at a conference. Who knows? Maybe a fellow provider needs to see your dedication to safe injection practices to ensure they also follow these evidence-based safety practices.
Please let us know how we might help you by emailing Project Coordinator Mary Beth Wenger at [email protected] or calling (518)-474-1036. We also invite you to tell us if you’d like to join the New York and/or national One & Only Campaigns.
Join the national One & Only Campaign via this link: http://www.oneandonlycampaign.org/content/contact-us-2
Thank you!
Kimberly New, JD, BSN, RN
