Needle Stick Injury Prevention Measures

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Questions and Answers

What measures must be in place to address needle stick injuries?

A designated area for needle disposal

A training program for all pharmacy staff

Regular audits of waste disposal methods

A specifically designed needle stick injury procedure (correct)

What is the earliest date the pharmacy service can commence based on the provided information?

1st June 2020

1st January 2021

1st September 2020 (correct)

1st July 2020

Why should staff consider being vaccinated against Hepatitis B?

To avoid legal liabilities associated with needle stick injuries

To enhance their immunity against common illnesses

Due to a small risk of contact with blood borne viruses (correct)

To comply with local health regulations

Until what date will the service run unless reviewed and extended?

31st March 2022 Signup and view all the answers

What action must be taken if a pharmacy ceases to provide the testing service?

Update their NHS website profile Signup and view all the answers

What is one of the objectives of the Hepatitis C Programme Board regarding the service duration?

To not continue the service after 31st March 2025 Signup and view all the answers

What should the pharmacy ensure regarding the availability of the service?

It is accessible throughout the pharmacy’s opening hours Signup and view all the answers

What information must the pharmacy provide on their NHS website profile?

Indication that a blood-borne virus testing service is offered Signup and view all the answers

Which of the following best describes the type of service discussed?

Hepatitis C Antibody Testing Service Signup and view all the answers

What main body published the service specification document?

NHS England Signup and view all the answers

In which year was the final draft of this service specification approved?

2020 Signup and view all the answers

What is one of the intended outcomes of the service?

Early detection of Hepatitis C infection Signup and view all the answers

Which version of the service specification indicates the 2nd draft?

0.2 Signup and view all the answers

What is a probable prerequisite for service provision mentioned?

Certified training for pharmacy staff Signup and view all the answers

Which section in the document discusses the monitoring of service effectiveness?

10.Reporting and Monitoring Signup and view all the answers

What does the service primarily aim to do with records and data?

Ensure confidentiality and proper sharing of relevant data Signup and view all the answers

What is the minimum requirement for the escalation process if a patient fails to return for their results?

Attempt to contact the patient using known details. Signup and view all the answers

For how long must records related to service provision be retained for post-payment verification?

Minimum of two years after the test. Signup and view all the answers

What should be done if the PWID does not provide consent for an identifiable record?

An anonymous record must be entered into the Hepatitis C Registry. Signup and view all the answers

What is required before a pharmacy can be added to the Hepatitis C IT Registry as a provider?

Registration through the NHSBSA Manage Your Service platform Signup and view all the answers

What can pharmacy contractors use for recording information about the service provision other than a clinical record form?

A secure IT system, if available. Signup and view all the answers

What are pharmacy contractors required to do regarding clinical waste related to the service?

Make arrangements for removal and safe disposal. Signup and view all the answers

Which of the following is NOT a requirement for the consultation room where point of care tests (POCT) are conducted?

It must be accessible to the general public during pharmacy hours Signup and view all the answers

When must decisions regarding the length of time for maintaining records be documented?

When it exceeds the minimum two-year requirement. Signup and view all the answers

What is a necessary competency requirement for pharmacy staff providing essential services?

Staff must be competent in the services they provide Signup and view all the answers

Which piece of legislation must be adhered to when determining record retention periods beyond two years?

Records Management Code of Practice for Health and Social Care. Signup and view all the answers

What software platform must pharmacies use for managing their NHS registrations?

NHSBSA Manage Your Service (MYS) Signup and view all the answers

What should not be communicated to the patient through contact attempts regarding their test results?

Their test results. Signup and view all the answers

Which of the following email formats is appropriate for the pharmacy's NHSmail mailbox?

<a href="mailto:[email protected]">[email protected]</a> Signup and view all the answers

How should a pharmacy ensure that access to the Hepatitis C IT Registry is approved?

By using the pharmacy's generic inbox for access approval Signup and view all the answers

What is the purpose of the consultation room in relation to patient interactions?

To ensure private discussions occur away from public areas Signup and view all the answers

Which action is a prerequisite for pharmacy staff before providing services?

They must complete a competency assessment Signup and view all the answers

What criteria must be met for a pharmacy contractor to refuse service to an eligible PWID?

The PWID threatens violence or commits a criminal offense. Signup and view all the answers

Which group is ineligible for HCV antibody testing through the outlined pharmacy service?

PWIDs engaged in community drug and alcohol treatment services. Signup and view all the answers

What is the requirement for conducting POCT for HCV antibodies in a pharmacy?

All tests must take place in the consultation room. Signup and view all the answers

How should eligible PWIDs receive the HCV antibody test timing-wise?

As soon as possible after they consent. Signup and view all the answers

What action must pharmacy contractors take if they wish to stop providing the service?

Notify NHS England and NHS Improvement at least one month in advance. Signup and view all the answers

What defines a PWID’s eligibility for the pharmacy service based on service utilization?

The PWID utilizes needle and syringe programme (NSP) services from the pharmacy. Signup and view all the answers

To whom should individuals identified as high risk for HCV be referred if not PWIDs?

Their GP or the local ODN. Signup and view all the answers

What must be done to reduce potential further infection among others regarding testing eligibility?

Eligible PWIDs should receive the test promptly after consent. Signup and view all the answers

What is the primary responsibility of a pharmacy contractor regarding patient safety incidents?

To report incidents according to Clinical Governance Approved Particulars Signup and view all the answers

What is the deadline for claims submission to NHSBSA after completion of a POCT?

By the 5th day of the following month Signup and view all the answers

What is the payment structure for each POCT performed on an eligible PWID?

A flat fee of £36 plus the cost of the POCT Signup and view all the answers

What will not be reimbursed under the service provided by pharmacies?

POCTs provided to PWIDs outside of eligibility criteria Signup and view all the answers

Which entity agrees on data and evaluation periods for reports submitted by pharmacies?

Pharmaceutical Services Negotiating Committee (PSNC) Signup and view all the answers

What form must be used to notify a GP of a positive antibody result?

Clinical Notification Form in Appendix E Signup and view all the answers

What should pharmacies do with patient safety incidents?

Report them as per the approved clinical governance particulars Signup and view all the answers

What is included in the payment structure for POCTs performed?

Expense incurred in the provision of the service including training Signup and view all the answers

Study Notes

Service Specification

This document details a Community Pharmacy Hepatitis C Antibody Testing Service, an advanced service under the NHS Community Pharmacy Contractual Framework.
The target group is people who inject drugs (PWIDs) who are not engaged in community drug and alcohol treatment services.
The service aims to increase HCV testing amongst PWIDs, improve diagnoses, implement effective interventions, decrease long-term treatment costs, and decrease onward transmission.
The service duration is temporary, initially from September 1, 2020, to March 31, 2022, with a possible extension into 2022/23, and ultimately will not continue past March 31, 2025.

Prerequisites for Service Provision

Pharmacies must meet certain criteria regarding compliance with regulations, notify NHS England/NHS Improvement, and ensure staff competence.
Staff must undergo training to ensure competence in POCT (point of care tests) use and appropriate handling of clinical waste.
Consultation rooms for confidential testing must be designated, distinct from public areas, and accessible for necessary personnel such as care partners or chaperones.
Proper infection control procedures must conform to relevant guidelines and should be adhered to even during the COVID-19 Pandemic, with PPE recommendations provided by Public Health England.

Aims and Intended Service Outcomes

Increase the number of HCV infections diagnosed amongst PWIDs.
Enable effective interventions to reduce illness burden.
Decrease long-term treatment costs for individuals.
Reduce HCV transmission rates.

Service Description

The service is an Advanced service commissioned under the NHS Community Pharmacy Contractual Framework.
PWIDs who are not engaged in community drug and alcohol treatment will be offered an HCV test from a registered community pharmacy of their choice.
A positive result will trigger a referral to a relevant Operational Delivery Network (ODN) for further testing and treatment.

Service Duration

The service commences September 1, 2020.
Will run initially until March 31, 2022.
A review will occur to determine the effectiveness of the service.

Service Availability

Pharmacies should offer the service during contracted hours.
If engaged in NSP services, the testing should be offered at times convenient for PWIDs to exchange injection equipment.
Pharmacy NHS website profiles should reflect that they provide the blood-borne virus testing service.

Service Provision

Eligible PWIDs (aged 18 and over) should receive HCV antibody testing using POCTs.
The tests must be performed by trained pharmacists or technicians in a designated consultation room.
Consent and related information disclosure are mandated and recorded.
Testing is not offered to PWIDs engaged in community drug and alcohol treatment services, but they can be referred to their respective service.
Staff must observe risk mitigation procedures related to clinical waste, stick injuries and potential transmission of blood-borne viruses.
Pregnancy considerations regarding the DAAs are to be assessed.

Appropriate records must be maintained for post-payment verification & ongoing service provision.
Clinical record forms are provided, and electronic security options are allowed.
Records will be retained for at least two years after testing.
Data must be entered into the Hepatitis C Registry in appropriate formats.
Consent is required for GP notification of positive results.

Governance

Pharmacies must report any patient incidents that occur in accordance with Clinical Governance Approved Particulars.

Reporting and Monitoring

Pharmacies may be required to provide service evaluation reports.
The processes will be communicated by the Pharmaceutical Services Negotiating Committee (PSNC).

Payment

Claims are processed monthly via the MYS portal.
Claims should be submitted by the 5th of the following month.
Payment is £36 per POCT, plus the cost of the POCT (including VAT).

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Description

This quiz covers essential measures and protocols that should be implemented to prevent needle stick injuries in healthcare settings. Understanding these guidelines is crucial for ensuring the safety of healthcare workers and patients. Test your knowledge on prevention strategies and response procedures.