Welcome Guest! The IOSH forums are a free resource to both members and non-members. Login or register to use them

Postings made by forum users are personal opinions. IOSH is not responsible for the content or accuracy of any of the information contained in forum postings. Please carefully consider any advice you receive.

Notification

Icon
Error

Options
Go to last post Go to first unread
waynesg  
#1 Posted : 17 June 2010 15:37:17(UTC)
Rank: New forum user
waynesg

Hi,

I have recently started work in a new company, Yesterday I noticed a Vial of insulin and a syringe and needle stored in the fridge in the kitchen. I'm sure this is wrong but I am unable to find anything on the HSE web site. Should we provide a seperate lockable fridge for the insulin.

Hope you can help
Alan Haynes  
#2 Posted : 17 June 2010 17:11:14(UTC)
Rank: Super forum user
Alan Haynes

waynesg wrote:
.......... Should we provide a separate lockable fridge for the insulin? .........


Lockable? - what if you need to get the insulin in an emergency?
messyshaw  
#3 Posted : 17 June 2010 18:04:39(UTC)
Rank: Super forum user
messyshaw

I can't answer your question, but I would suggest you determine a system of where the person concerned puts the broken glass after use.

I once cut my hand in exactly those circumstances and was not best pleased !!
John Sharp  
#4 Posted : 17 June 2010 18:10:13(UTC)
Rank: New forum user
John Sharp

Wayne

Did you find out who it belonged too?

Insulin has to be injected- hence the needle and syringe.

I would suggest finding out who it belongs to and then getting them to put the needle, syringe and insulin into a labelled container, and to ensure that the used needle is put into a sharps container for disposal. A diabetic taking insulin will be aware of the need for correct storage of the insulin and then the subsequent disposal of the needle.

John

Alan Armer  
#5 Posted : 17 June 2010 23:26:30(UTC)
Rank: Forum user
Alan Armer

As an insulin dependant diabetic and an H&S professional I have a vested interest in the question. There is no law, code, etc saying that either insulin, or hyperdermic needles and syringes can't be kept in 'public' fridges. Guidance from insulin manufactureres say that (becuase insulin is a hormone ie oganic) it is best stored in fridges so the user is doing the right thing. (However the manufacturer's also say that it can last up to 28 days in room temperature!!!) I agree with the other poster who advises that they should be kept in a labelled container, but disagree with another who asks about what if they need it in an emergency. Theywon't. If they need it in an emergenc they will more than likely need medical help so call an ambulance. they are more likley to need glucose/sugar as hypoglycemea (ie low blood sugar) is more likley with most diabetics (no space to go into detail here - sorry.)
Remember that diabetes is classed as a disability (although most diabetic would disagree) so employers have a legal requirement to make reasonable adjustments for diabetics. Keeping insulin in a fridge is entirely reasonable
safetyamateur  
#6 Posted : 18 June 2010 10:15:50(UTC)
Rank: Super forum user
safetyamateur

Insulin isn't the problem here, it's blood-borne viruses.

After use, there's a contaminated sharp which runs the risk of infection. The posters that mentioned labelled containers for the works and for the used sharp are correct.

One question about the need to keep this stuff at work, though: is it not possible for the user to self-administer at home either side of the working day?
grim72  
#7 Posted : 18 June 2010 10:34:59(UTC)
Rank: Super forum user
grim72

Many insulin dependent diabetics will also need to inject prior to lunch. Personally I use a 'pen' to inject which I keep in my jacket pocket. If he has good control of their diabetes it might be beneficial for them to ask their GP about switching to a pen rather than a syringe which is much more practical in my opinion.
ITER  
#8 Posted : 18 June 2010 10:46:58(UTC)
Rank: Forum user
ITER

Before anybody pounces on me - I'm not advising about the particular aspects of insulin storage etc and the issues this raises or having 'a go' at the original starter of this discussion.

I just think people should remember that the HSE are not the font of all knowledge and/or solution to every safety issue in the workplace.

By and large - HSE = industry

This is clearly a personal health issue - so wouldn't any guiding advice be more likely to be on the NHS website/NHS Direct telphone line, call your local GP etc.

I would never have even looked on the HSE website for such guidance.

When thinking about a safety issue and I wish to seek advice, I try to categorise the problem to narrow down where I might start to look for an answer.

Food issues - Food Standards Agency
Industrial issues - HSE/British Standards, my own 'favourite' technical/engineering websites
Environmental (waste disposal, water discharges etc) - Environment Agency

Alan Armer  
#9 Posted : 18 June 2010 13:12:11(UTC)
Rank: Forum user
Alan Armer

..there's also Diabetes UK. ( http://www.diabetes.org.uk) they've been going for (I think) over 50 years - I'd be surprised if this concern or somtheing similar hasn't been addressed by them at some time.
Identify the person who put the insulin there. If they don't come forward then remove it - they'll soon make themselves known!! Then talk with them about what support they need - if you like, treat it like a risk assessment as(to do an effective risk assessment) you need to involve the pople who operate the process. For info a number of companies produce cool bags specifically for insulin and the associated kit - the fridge won't be needed then. Maybe that's an answer. Personnaly I use a sandwich bag that acts as a cool bag - I keep my insulin pen in there. No problem to me and no problem to others - but everyone's different.
colinreeves  
#10 Posted : 18 June 2010 13:38:36(UTC)
Rank: Super forum user
colinreeves

messyshaw wrote:
I can't answer your question, but I would suggest you determine a system of where the person concerned puts the broken glass after use.



Err, what broken glass?
colinreeves  
#11 Posted : 18 June 2010 13:44:00(UTC)
Rank: Super forum user
colinreeves

grim72 wrote:
Many insulin dependent diabetics will also need to inject prior to lunch. Personally I use a 'pen' to inject which I keep in my jacket pocket. If he has good control of their diabetes it might be beneficial for them to ask their GP about switching to a pen rather than a syringe which is much more practical in my opinion.


I would echo this comment - the pens are far more convenient. However, there is still one or more sharps to consider, so a labelled plastic box may be the answer.

Grant40082  
#12 Posted : 18 June 2010 16:00:25(UTC)
Rank: New forum user
Grant40082

Concur with resposes regarding most ID Diabetics having pens, however would suggest that best practice would be for the person concerned to be encouraged to put the syringe and insulin in a labelled plastic container therefore removing the "risk". Blood borne viruses are not the issue as insulin is injected subcutaneously and not directly in to the bloodstream. My husband has been an ID diabetic for 20 years and has always found that provided he informs his employer and agrees suitable controls such as that suggested above it is not an issue. Common sense should prevail here rather than jumping to conclusions about what should or shouldn't be acceptable. Find out the facts before jumping to conclusions, Speak to the person concerned and decide on acceptable controls. It may not be possible for this person to inject either side of the working day.
Canopener  
#13 Posted : 18 June 2010 19:46:48(UTC)
Rank: Super forum user
Canopener

Some good responses here, and especially the one about diabetes uk, they are an excellent source of help and information for those with diabetes, and employers alike. I tend not to use a fridge for daily use at work, but if the person prefers to I suggest a little chat with them and ask them to keep it in a tupperware or similar. I am sure they will be positive about this.
messyshaw  
#14 Posted : 19 June 2010 10:19:54(UTC)
Rank: Super forum user
messyshaw

colinreeves wrote:
messyshaw wrote:
I can't answer your question, but I would suggest you determine a system of where the person concerned puts the broken glass after use.



Err, what broken glass?


In my particular example, the insulin was supplied in glass phials with snap off necks - both of which this guy discarded into an open 'office' type bin.
bod212  
#15 Posted : 21 June 2010 09:09:24(UTC)
Rank: Forum user
bod212

I don't have diabetes but I do have a condition that requires me to inject intramuscular once a week. I do mine out with working hours at home but I have all the equipment needed to do this at any time of my choosing. The equipment is stored in a small discreet container. I even have a wee cool bag if theres no fridge. I have a small sharps bin too. Used sharps must be disposed of in a sharps bin. Used phials could be disposed of a sharps too to prevent any risk of broken glass. I suspect that people are unnecessarily nervous about needles, etc. The diabetics' items should be stored responsibly and we have no reason to doubt that they are. Removing their stuff to flush them out seems very drastic and an odd suggestion for a safety professional to suggest. This person knows how to manage their condition. Their employer should accomodate them and manage accordingly. Not castigate or single them out. As far as I know the person with the condition only needs to infom their employer (with some conditions this is even not a legal requirement), it is then up to the employer to manage the situation. People need to mindful of DDA, data protection, etc.
PhilBeale  
#16 Posted : 21 June 2010 12:09:38(UTC)
Rank: Super forum user
PhilBeale

Alan Armer wrote:

Identify the person who put the insulin there. If they don't come forward then remove it - they'll soon make themselves known!!


I would have thought this would go down like a lead balloon especially if the person then needs their insulin as you are putting their health and potentially life at risk. the original poster hasn't said they haven't been able to identify the person just raising concern on whether the insulin should be in there possible before raising the issue with management or the person directly.

I think there are lots of sensible suggestions above to alternative methods of storage. personally if it was me i wouldn't want to store medication where anyone and everyone has access to it especially as other have stated that it doesn't need to be stored refrigerated or there are certainly alternatives around.

Phil

P.S. I wouldn't want to store food in our fridge at work let alone medication.
L McCartney  
#17 Posted : 21 June 2010 13:45:08(UTC)
Rank: Forum user
L McCartney

I thought perhaps you might be concerend about others taking the insulin? If so, having it in a marked container and in the office fridge should be ok. Unless you have someone working with you who doesn't have the ability to understand about not takng things from the fridge which aren't theirs.
We do an extra duty of care - personal risk assessemnt for and with people with medical conditions. We have quite a simple form for this. For your person this will detail where and how to store their insulin.

Lilian
waynesg  
#18 Posted : 21 June 2010 16:29:04(UTC)
Rank: New forum user
waynesg

Thank you all very much for your help, I have come up with a compromise which should work. We have a small spare fridge in the office which is being moved close to the Insulin user for the sole use of medication. I have since found out we have other staff who have medication delivered to the office and is stored in the food fridge until the end of the day. The medication fridge has been seen with approval all round the office.
Steve btcv  
#19 Posted : 21 June 2010 16:46:41(UTC)
Rank: New forum user
Steve btcv

Everyone is so scared of the sharpes in that case go but a small sharps disposal container they only cost about £3.50 and and any good employer should be happy to pay for that they level it next to the fridge and if the person uses the needle he / she drops it in there, what is the big deal about a needle and sharps.

Some people need to get out in the real world. Talk to the person who is using the Insulin.........
Steve btcv  
#20 Posted : 21 June 2010 16:55:23(UTC)
Rank: New forum user
Steve btcv

Steve btcv wrote:
Everyone is so scared of the sharpes in that case go buy a small sharps disposal container they only cost about £3.50 and and any good employer should be happy to pay for that.
Then leave it next to the fridge and if the person uses the needle he / she drops it in there, what is the big deal about a needle and sharps.

Some people need to get out in the real world. Talk to the person who is using the Insulin.........

safetyamateur  
#21 Posted : 22 June 2010 08:42:06(UTC)
Rank: Super forum user
safetyamateur

Need to bear in mind that costs don't stop at the sharps container. It needs to be disposed of by a licensed contractor.
Bob Shillabeer  
#22 Posted : 22 June 2010 16:41:47(UTC)
Rank: Super forum user
Bob Shillabeer

The fact that it is stored in the office fridge is not a problem as long as everyone who works there is made aware that under no circumstances must it bve interfered with. Most offices have sencible people working in them and provided they are aware that it should not be touched you are quite safe. The person who it is for fully understands how it is to be used and the waste material managed, it is used as prescribed so no problem ther. If the user is unable to use it because of an unexpected attack or something, it should be left exactly where it is and an ambulance called, when the ambulance arrives to treat the person concerned ask tell them about it and they will take it away with them to the hospital if that is where they go. Had a case in my previous workplace that went without any problems as everyone knew who it was for and understood they were not to interfere with it, problem solved.
Invictus  
#23 Posted : 23 June 2010 07:16:18(UTC)
Rank: Super forum user
Invictus

waynesg wrote:
Hi,

I have recently started work in a new company, Yesterday I noticed a Vial of insulin and a syringe and needle stored in the fridge in the kitchen. I'm sure this is wrong but I am unable to find anything on the HSE web site. Should we provide a seperate lockable fridge for the insulin.

Hope you can help


I cannot see that the poster is saying how it was disposed of, he is asking if it should be stored there. How long has the person been keeping it ther, how many compliants have you had and is it really a safety issue? It may be that the person has always kept it in the fridge this way and as there has been no compliants doesn't think nothing of it. If you have concerns get all the information you can and then ask to discuss it with them, if you want it storing in a different fashion i.e. in a small tupperware box, which then if used he can transport the used items home in and dispose of once there, this saves having to have a sharps box or anything else. If it's not a problem and you were just wondering then just think before you act as sometimes these things come back to bite you on the bum, when you find your the only one with concerns and the whole office turn on you. Remember if you get it wrong health and safety will take a battering for a while and you'll have to defend your position.

Users browsing this topic
Guest
You cannot post new topics in this forum.
You cannot reply to topics in this forum.
You cannot delete your posts in this forum.
You cannot edit your posts in this forum.
You cannot create polls in this forum.
You cannot vote in polls in this forum.