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hsherwoo  
#1 Posted : 19 December 2010 17:37:37(UTC)
Rank: Forum user
hsherwoo

My company provides a large number of manual frontline staff with single use needle removal kits to enable them to deal with the odd easily accessible discarded needle or two. These have a small yellow plastic disposal container, thin hygiene gloves, a hand wipe, a pair of short plastic yellow tweezers and an overall biohazard disposal bag. The provision of these kits was already underway when I joined the company and I was obliged to continue the roll out.

However, I really dislike the short tweezers as a method of picking up the needles because if you don't do it VERY slowly and carefully and find the centre of gravity of the needle, the needle can actually flick up and stick your hand - not good! I have heard there was an incident somewhere in the UK recently where exactly this happened - does anyone have any info on this?

I have found some limited info on the Internet about it being better not using any implement or needlestick resistant glove to pick up a syringe, including this one from Australia:

"Latest advice is that the best and safest way to pick up a (visible) syringe is to use your hands and immediately wash them afterwards. If the person is uncomfortable using their hands, thin disposable gloves that do not interfere with dexterity can be used. The use of grabbers or other implements to pick up
syringes increases the risk of injury through uncontrolled flicking of the syringe."

Is anyone aware of any UK-based info along the same lines? Is this a viable approach or should simply longer tweezers/tongs be used?
User is suspended until 03/02/2041 16:40:57(UTC) Ian.Blenkharn  
#2 Posted : 19 December 2010 19:18:38(UTC)
Rank: Super forum user
Ian.Blenkharn

For a single discarded needle on a hard surface free from debris the procedure you describe is reasonable though it is common to use long-handled litter pickers.

I would be happy to use my fingers unless over-reaching or struggling to retrieve a needle in a confined/difficult space, not in direct line of sight, or in poor lighting where there is a possibility for a poor or inadequate grip and injury.

Do not be tempted to flick needles in any direction, for example to a location where it might be easier to pick up as this creates a projectile - unlikely perhaps but I dealt with a civil claim some years ago where this happened as a cleaner flicked a dropped needle from beneath a row of supermarket trolleys as specified in the company SOP but was stuck by the flying needle and went straight to a claim!

Injury is also likely if the needle is not on a clean hard surface, from other sharps lying beneath. Take care in soft soil, sand or snow where sharps injury from partially buried sharps in a significant problem.

Glove use is important. Thin-walled latex or nitrile gloves offer no protection against sharps injury but can protect against contamination with blood and/or drug residues. Though these are unlikely, they are best prevented and should be mandatory for those with broken or damaged skin. Though BBV transmission cannot occur through intact skin, transmission is possible though pre-existing cuts etc, and though skin broken or damaged by eczema, psoriasis or severe dermatitis etc.

Reinforced puncture and cut-resistant gloves offer real protection but are not perfect. They are very expensive and massively reduce dexterity. Moreover, they will become contaminated and you will have the problem of what to do with them - carrying them by hand after use transfers contaminants from their external surfaces to the hands you are trying to protect!

Do not attempt to remove a needle from its syringe body. Your sharps bin must be large enough to hold complete device which should be collected and placed into the bin in one piece. This often makes it easier to handle as you hold the syringe body, not the needle.

Your sharps containers must comply with BS7320:1990. Make certain that you dispose the sharps containers appropriately, as EWC 18 01 03, by licensed high temperature incineration. Keep the sharps bin closed, and seal when filled for final disposal.

Put the gloves in the yellow bag for disposal. Do not put the sharps bin in the bag.

As always, the key step is a multi-agency approach to sharps management that can reduce or eliminate the problem of discarded drug litter.

Feel free to contact me if you need to discuss this in greater detail
boblewis  
#3 Posted : 19 December 2010 22:42:53(UTC)
Rank: Super forum user
boblewis

The Australian post refers to syringes rather than needles per se, do be careful in transferring the information and advice. It sounds to me as though you have some very cheap tweezers - the kit ones are often poor and fail to grip accurately. I personally would never move away from some sort of gripping implement

Bob
bob youel  
#4 Posted : 20 December 2010 07:30:52(UTC)
Rank: Super forum user
bob youel

keep fingers/hands away from the hazard - long handled litter pickers are good and we should be taking our time when handling such kit
TwinkleToes  
#5 Posted : 20 December 2010 09:18:38(UTC)
Rank: Forum user
TwinkleToes

I have spent a number of years dealing with this type of issue, they are some good longer handled grabbers out there, designed with this task in mind.

I have also worked with Ian on this subject and would echo the importance of glove choice in this task.

Please feel free to contact me by private message for further information on this topic area.

TT
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