Transcript Infection Control Cannulation & Venepuncture

Infection Control
Cannulation & Venepuncture
Infection Control Nurses
NGT
Aims and Objectives
• Discuss types of infection associated with
venepuncture and cannulation.
• List the measures taken to prevent infection.
• Describe the safe handling of sharps.
• List the first aid measures to be taken in a
needlestick injury.
• Describe the safe handling and
transportation of specimens.
Types of infections associated
with IV Devices
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Local site infection.
Phlebitis.
Bacteraemia.
Septicaemia.
Metastatic infection.
Factors influencing the risk of
infection
• Duration of cannulation.
• Type of cannula (e.g. peripheral, central,
Hickman).
• Insertion site.
• Cannula material.
Staphylococcus epidermidis
Gram Negative Organisms
Staphylococcus aureus
Sources of Infection
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All healthcare workers.
The patient.
The venflon or vacutainer.
The disinfectant.
The environment.
You are introducing a foreign
object into a sterile area.
Every IV device is an infection
opportunity.
Other risks
• Needlestick injury to the operator.
• Cross infection of patients.
• Needlestick injury to others.
How you can be exposed.
• needlestick injury.
• accidental splash contamination of broken skin
and mucus membranes.
Prevention strategies.
• NO recapping of needles.
• use of personal protective equipment e.g. gloves,
aprons, goggles or face visors.
Risk of BBV acquisition
HBV - non-immunised up to 30%.
“HCWs who have received HBV vaccine are at
virtually no risk of infection”.
HCV - 2-3%
HIV - 0.3% or 1:300
Cross-infection disasters
There have been reported outbreaks of HBV caused
by nurses not changing their gloves.
A healthcare worker ran out of butterflies, so she
washed and reused them.
Preparation
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Have all your equipment in one place.
Have some paper towels in case of spills.
Have a sharps box.
If necessary get some help.
What do you need?
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Training.
Hand hygiene.
Gloves.
Sterile equipment within its expiry date and
all packaging intact.
• Skin cleansing.
• Dressings.
Do you need help?
• One of the leading causes of NSI is the
patient moving unexpectedly.
• More likely to get a NSI if inexperienced.
• Don’t like the situation, don’t do it on your
own.
NSI
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Bleed.
Wash (don’t scrub).
Cover.
Report it, to the nurse in charge, then
Occupational Health or A&E within 1 hour.
• Treat.
• Fill out an IR1.
• This is the Needlestick
Injury Flip chart for
GGHB
After insertion
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Dressing.
Dispose of waste.
Remove gloves.
Hand hygiene.
Document & care plan.
Labelling of specimens
Biohazard labels should be applied
to specimens known or suspected
to contain blood borne viruses or
tuberculosis.
Safe handling and transportation of
specimens
• Ensure container is leak-proof and can be sealed
securely.
• Remove all traces of blood from the outside of the
container.
• Place biohazard label on the container and form if
appropriate.
• Ensure the container is sealed in a specimen bag.
• Ensure a fully completed form is placed in the
separate pocket.
• This is not the
way to send
specimens or
dispose of your
sharps!!!
Remember! Remember!
HAND HYGIENE.
The most important measure in
preventing infection.