Post on 28-Mar-2015
transcript
Injection Safety Practices
TOT Refresher Training of EPI Technicians
Abbottabad -23 Feb 2012
Dr Bilal AhmedImmunization Officer
UNICEF
StatisticsVaccination 12 billion/yrs
◦50% is unsafe practices◦8-16 Million people got Hep-B◦2.3 – 4.7 Million people suffered from
Hep-C◦80,000 – 0.16 Million effected by
AIDS
Who are effected?Who are vaccinatedWho give vaccinationCommunity
Who are vaccinatedReuse of needle and syringeUse of new needle on old syringeUse of prepared BCG & Measles
vaccines after 06 hrsReuse of syringes and needles after
cleaning with bactericidal drugsRepeated use of syringeInjection in buttocks in childrenNot adding diluent in proper quantity
Who give vaccinationWound due to Re-cappingInjury due to keeping syringe and
needle for long timeKeeping syringe and needle in
hand and entering in crowded places where children and mothers are present
CommunityThrowing used syringes and
needles in open groundSelling used syringes and
needlesRepeated use of syringes and
needles
Syringes in EPI
Single used syringes and needles◦ Standard Disposable Syringe◦ Auto Disable Syringe or Auto
Destruct Syringe
Sizes of Syringes and Needles
Use Syringe Size Needles Size
For BCG 0.05 ml 26 G & 3/8 Inches/10 mm
For Remaining vaccine
0.5 ml 24 G & 3/4 Inches/23-25 mm
For diluents 2 ml/ 5 ml 22 G/18 G
Parts of Syringes and NeedlesSyringes
◦Adaptor◦Scale◦Plunger Seal◦Barrel◦Plunger top
Needle◦Shaft◦Adaptor◦Bevel
Injection safety practicesUse only a sterile packed
disposable syringe for reconstitution of vaccine and AD syringe for administering vaccine
Don’t use the same disposable syringe for reconstituting multiple vaccine vial/ampoule◦ One syringe for one vial/ampoule
If the syringe pack is torn or expiry date is over, don’t use the syringe
Never touch the needle or rubber cap of the vaccine vial during reconstitution or drawing vaccine
Injection safety practices Drop the needle cap
in the safety box immediately after taking it off the syringe◦ DON’T RECAPE A
SYRINGE Drop the syringe
needle end down in the safety box immediately after it’s use◦ No need to cut the
needle using a needle cutter
Don’t fill more than ¾ of a safety box
Safe waste disposal Safety box MUST be used for sharp
waste disposal in each and every vaccination session
Soon after use (reconstitution or vaccine administration) each and every syringe must be dropped in the safety box
Contents of safety box never be taken out
Safety box containing sharp waste must be kept out of reach of children
When a safety box is filled up to ¾ of its volume, close its mouth and keep in a secured place till final disposal
Final disposal of waste Method: Incineration or pit burning &
burry To be done in a health facility premises
under responsible supervision Ensure the burning is complete A standard pit should be
◦ In a isolated place away from reach of children or animal
◦ Away from a building
◦ At least 4 feet deep and proportionately wide
To be covered with thin layer of earth (1 – 2 inch) after each burning
Waste burned & covered with earth in a disposal pit