Podcast
Questions and Answers
Why should healthcare providers avoid giving unnecessary injections to patients?
Why should healthcare providers avoid giving unnecessary injections to patients?
To reduce the risk of transmitting infections
What should healthcare providers always do with needle and syringes?
What should healthcare providers always do with needle and syringes?
Always use sterile needle and syringes—never reuse or decontaminate them
Why should medications not be administered from a syringe to multiple patients?
Why should medications not be administered from a syringe to multiple patients?
To prevent cross-contamination
What type of syringes should healthcare providers use if possible?
What type of syringes should healthcare providers use if possible?
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What should healthcare providers never do with a used syringe or needle when it comes to vials?
What should healthcare providers never do with a used syringe or needle when it comes to vials?
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What solution should be applied on the skin before injections?
What solution should be applied on the skin before injections?
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What are some consequences of unnecessary and unsafe injection practices?
What are some consequences of unnecessary and unsafe injection practices?
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What percentage of injections given worldwide were estimated to be unsafe in the global burden of disease study in 2000?
What percentage of injections given worldwide were estimated to be unsafe in the global burden of disease study in 2000?
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How many hepatitis B infections were estimated to be caused by unsafe injections according to a modelling-based study in 2010?
How many hepatitis B infections were estimated to be caused by unsafe injections according to a modelling-based study in 2010?
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What is the role of infection prevention and control practices in preventing the spread of infections during injections?
What is the role of infection prevention and control practices in preventing the spread of infections during injections?
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What is the importance of providing practical training and education on injection safety to healthcare facility staff?
What is the importance of providing practical training and education on injection safety to healthcare facility staff?
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Why may the adverse impact of misusing a vial not be immediately seen?
Why may the adverse impact of misusing a vial not be immediately seen?
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What should be done before piercing the vial's rubber septum?
What should be done before piercing the vial's rubber septum?
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What is the term used to describe using the same syringe to inject more than one patient from a multi-dose vial?
What is the term used to describe using the same syringe to inject more than one patient from a multi-dose vial?
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Why is double-dipping considered dangerous in the context of safe injection practices?
Why is double-dipping considered dangerous in the context of safe injection practices?
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How can contamination of sterile injection equipment be avoided?
How can contamination of sterile injection equipment be avoided?
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What can result from unsafe injection practices and circumstances that lead to the transmission of bloodborne viruses and other pathogens?
What can result from unsafe injection practices and circumstances that lead to the transmission of bloodborne viruses and other pathogens?
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What is recommended practice regarding fluid infusion and administration sets like IV bags, tubing, and connectors?
What is recommended practice regarding fluid infusion and administration sets like IV bags, tubing, and connectors?
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Study Notes
Safe Injection Practices
- Avoid giving unnecessary injections to patients.
- Always use sterile needle and syringes, never reuse or decontaminate them as they are single-use items only.
- Do not administer medications from a syringe to multiple patients, even if the needle or cannula on the syringe is changed.
Infection Prevention and Control
- Never enter any vial with a used syringe or needle.
- Use single-use disposable safety engineered 'SMART' syringes with Re-Use Prevention (RUP) and Sharp Injury Protection mechanisms (SIP).
- Apply 60-70% alcohol-based solution (isopropyl alcohol or ethanol) on the skin for 30 seconds on a single-use swab or cotton ball and allow it to dry.
Single- and Multi-Dose Vials and IV Solutions
- Use single-dose vials for IV medications whenever possible.
- Do not administer medications from single-dose vials or ampoules to multiple patients or combine leftover contents for later use.
- Do not use medications packaged as single-dose or single-use for more than one patient.
Infection Risks and Burden
- Unnecessary and unsafe injection practices are common, especially in low- and middle-income countries, and have been associated with the transmission of bloodborne viruses (HIV, hepatitis B, and C), viral haemorrhagic fevers (Ebola and Marburg viruses), malaria, and other infections.
- The global burden of disease study in 2000 estimated that 40% of injections given worldwide were unsafe.
- Modelling-based studies estimated that unsafe injections are responsible for 1.6 million hepatitis B infections, up to 315,000 hepatitis C infections, and up to 33,800 HIV infections.
Prevention of Infection Transmission
- Disinfect the vial's rubber septum before piercing by wiping and using friction with a sterile 70% isopropyl alcohol or other approved antiseptic swab and allow the septum to dry before inserting a needle or other device into the vial.
- Avoid double-dipping: using the same syringe to inject more than one patient from a multi-dose vial is a dangerous and unsafe practice.
- Avoid contamination of sterile injection equipment by using aseptic non-touch technique.
- Use fluid infusion and administration sets (IV bags, tubing, and connectors) for one patient only and dispose appropriately after use.
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Description
Test your knowledge on safe injection practices based on guidance from WHO and CDC. Learn about the importance of using sterile needles and syringes, avoiding unnecessary injections, and not reusing medical equipment.
