We Have Your Back. A Worker Safety Collaborative An Initiative of the Florida Hospital Association

Transcription

1 1 We Have Your Back A Worker Safety Collaborative An Initiative of the Florida Hospital Association Virtual Focus Group: Needlestick and Blood Exposure Prevention August 16, 2016 MARTHA DECASTRO, MS, RN VICE PRESIDENT FOR NURSING FLORIDA HOSPITAL ASSOCIATION

2 Thank you! 2 SPONSORS

3 We Have Your Back 3 Member hospitals will be the gold standard in hospital worker safety preventing injuries, saving money and leading the nation in innovative, healthy solutions for our valued workforce. The We Have Your Back initiative will include five focus areas: Preventing physical injuries related to patient lifting and handling Needlestick and communicable disease prevention Workplace Violence Finding solutions to reduce work stress, fatigue, and burnout Caring for our caregivers, including injury support and reintegration into the workforce

4 WHYB Timeline 4 Now Establish priorities Review literature Recruit experts Develop list of possible worker safety strategies July- September Identify hospital priorities and challenges Seek input and feedback from hospital leaders Finalize collaborative worker safety strategies Collect data establish statewide baseline October WHYB Conference Hyatt Regency Grand Cypress, Orlando October 19, 2016, from 10 a.m. to 4 p.m.

5 We Have Your Back 5 Needlestick and Blood Exposure Prevention Amber Mitchell, DrPH, MPH, CPH President/Executive Director International Safety Center

6 6 Incident Data & Exposures

7 Occupational Exposure Incident Data 7 International Safety Center, Exposure Prevention Information Network (EPINet) Data Needlestick and Sharp Object Injury Use of Medical Devices with Safety Design Blood and Body Fluid Splash and Splatter Exposure Use of PPE and Barrier Garments

8 Since 1992, acquired for 1,500 U.S. Hospitals and 96 countries! 8

9 Example 9

10 2014 EPINet Summary Data; 30 US hospitals Other Needle Pre-Filled Cartridge Device Causing Injury 10 Lancets 1% Scissors Razors Glass Unknown All Others Disposable Syringe Vacuum Tube w Needle IV Stylet Winged Steel Needle Scalpel Suture

11 Sharp Injuries Year Comparison Total Injuries Doctor 28.6% Nurse Patient Room OR Disposable Syringe Safety Mechanism? Yes Safety Activated? NO Still Work to Be Done

12 What type of blood exposure incident do you see most frequently? 12 Needlesticks Other sharps, such as scalpels Mucous membrane exposures, such as sprays/splash to eyes Sprays/splashes to unprotected skin Not sure

13 What are the primary causes for sharp exposure incidents in your hospital? 13 Needlesticks Lack of Availability Staff do not use safety devices because they are not available Lack of Compliance Staff do not activate the safety feature Lack of training Staff do not know how to properly use and activate the safety device Lack of Selection/Volume Additional safety devices are needed Other write in additional information in TEXT CHAT Not sure

14 What are the primary causes for splash exposure incidents in your hospital? 14 Splashes/Splatters Access - Storage of PPE or other barrier equipment is not convenient to staff Controls Other engineering controls are not in place that prevent splashes Unexpected Situation was not expected, so was not prepared Other write in additional information in TEXT CHAT Not sure

15 Have you had cases where staff sustained an occupational exposure seroconverted to a bloodborne pathogen (HIV, HBV, HCV)? 15 Yes No Not sure

16 Have you had cases where staff sustained an occupational exposure became infected or ill with an infectious disease or multidrug resistant organism (c diff, MRSA)? 16 Yes No Not sure

17 EPINet Splash/Splatter Incident Data % Face/Mucotaneous

18 Total PPE & Barrier Garment Worn % 47% indicated only wearing uniform / scrubs

19 EPINet Splash/Splatter Year Comparison Total Incidents Doctor 13.8% 14.9% 13.1% Nurse Eyes (Conjunctiva) Goggles/Faceshield Patient Room OR ED Increasing Risk for Bedside Nurses

20 20 Hierarchy of Controls ELIMINATION, SUBSTITUTION, ENGINEERING CONTROLS, WORK PRACTICES, PPE

21 Are you using an adhesive product (e.g. Dermabond ) versus sutures when clinically appropriate? 21 Yes in the Emergency Department Yes in outpatient care areas Yes in OR or Surgical Settings No Other write in additional information in TEXT CHAT Not sure

22 What types of safety devices do you currently utilize in your hospital to prevent needlestick/sharps injuries? 22 Needless IV System peripheral Needless IV System central Safety hypodermics Safety Blood Collection tube holders with needles Safety Blood Collection winged steel, butterflies Safety tuberculin/insulin needle/syringe Blunt sutures Safety scalpels Safety Hubers Safety needles for prefilled syringes Other write in additional information in TEXT CHAT Not sure

23 What types of PPE do you currently utilize in your hospital to prevent mucous membrane exposures? 23 Nose and Mouth: Nose, Mouth, and Eyes: Disposable Mask/Respirator available in all patient care areas Disposable Mask/Respirator available in select patient care areas Eyes: Disposable Eye Protection, such as safety glasses All Faceshield or Hood Closed Suction Canister Systems Other write in additional information in TEXT CHAT Not sure Assigned Reusable Eye Protection, such as safety glasses for all direct care staff Assigned Reusable Eye Protection, such as safety glasses for select direct care staff

24 24 Evaluation and Use of Safety Devices & PPE

25 Who are involved in the evaluation and selection of safety devices & PPE in your hospital? 25 Occupational / Employee Health, Workers Compensation Human Resources Infection Prevention Frontline Clinical Staff who would be using the devices Quality, Health & Safety Environmental Services/Housekeeping Materials Management Others write in additional information using TEXT CHAT Not sure

26 Other Needle Pre-Filled Cartridge Device Causing Injury 26 Lancets 1% Scissors Razors Glass Unknown All Others Disposable Syringe Vacuum Tube w Needle IV Stylet Winged Steel Needle Scalpel 2014 EPINet Summary Data Suture 41.2% Safety Device Used 65.8% Safety Feature Not Activated 53.3% Before Activation

27 EPINet Report for Blood and Body Fluid Exposures, Eye Incidents 27 Year Total Incidents Reported # to Eyes % to Eyes # Wearing Eye- Appropriate PPE % Wearing Eye- Appropriate PPE

28 28

29 29 Exposures in OR & Surgery RISKS TO STAFF AND PATIENT

30 2014 EPINet Data, Where 30 Labor/OB 2% Proc Rm 2% Other 7% Outpt 5% Clin Lab/Veni 1% Home Care 3% Patient Room 33% OR/Recovery 35% ED 6% ICU/CCU 5% Outside Room/Hall 1%

31 In surgery, how are instruments passed? 31 Hand to Hand No hands passing zone is utilized Other write in additional information using the TEXT CHAT Not sure

32 In surgery, are surgeons or vendors permitted to bring in surgical instruments? 32 Yes Yes, but only with advance approval No Not sure

33 In surgery, what members of the surgical team are required to wear eye protection? 33 Entire team everyone present in the room Surgeon Surgeon Assistants Scrub Techs Circulator Nurses Sterile Processing Personnel Others Not sure

34 Have you had exposures that were caused by soak-through of cover gown or uniform? 34 Yes No Not sure

35 35 Thank You! FOR PARTICIPATING IN THE NEEDLESTICK AND BLOOD EXPOSURE PREVENTION VIRTUAL FOCUS GROUP

36 An Initiative of the Florida Hospital Association 36

37 Virtual Focus Group Webinar Worker Stress, Fatigue and Burnout 37 Date Moderator Who Should Participate? August 30, 2016 at 11 a.m. EDT Diane Raines, DNP, RN Senior Vice President and Chief Nursing Officer Baptist Health Jacksonville Occupational / Employee Health Human Resources Nursing / Patient Care Leadership Quality Behavioral Health Others interested in this topic

38 Plan to ATTEND! 38 We Have Your Back Worker Safety Conference October 19, a.m. 4 p.m. Hyatt Regency Grand Cypress Orlando, Florida

39 Thank you! 39 SPONSORS

40 Martha DeCastro - FHA Martha@fha.org (850) (o) (850) (m) 40