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Occupational Medicine TeamOccupational Medicine Team
Dr.Fiona Donnelly,MFOM,MRCGP.Ms.Elaine Dunne,CNM2Ms.Mgt Kelleher,CNM2Ms.Ann Wall, RgnMs.Emma Scannell,Grade 3 clerical.
Analysis of Data: what was of Analysis of Data: what was of use in Connolly Hospital?use in Connolly Hospital?
Investigation of Safer Needle Investigation of Safer Needle systems for Connolly Hospital.systems for Connolly Hospital.
Occupational Health Dept Connolly Hospital.
Staff Population covered :6,300.Throughout HSE north of Liffey excluding
Mater Misericordiae, Beaumont Hospital.All public Healthcare facilities: Dental,
Care of Elderly, Psychiatry Hospital and Community residential facilities.
Population breakdownPopulation breakdownStaff employed:Tot.Headcount Staff employed:Tot.Headcount
6,3356,335..
Connolly Hospital : 1,300 St.Ita’ acute Psychiatry and Intellectual Disability: 1,026 St.Brendan’s: 400 Community Welfare: 420. Drug Addiction services: 230. Care of Elderly:
– St. Mary’s Hosp.: 400 Community Care 6,7, and 8 : 1,544
– (Includes Residential Childcare Units) Dental: 115 5,617.97 WTE
Rate of Needlestick/Blood and Rate of Needlestick/Blood and Body Fluid exposure incidentsBody Fluid exposure incidents
in NAHBin NAHB
2001:2002:2003:2004: 69 cases reported.2005: 60
101
Foundation of IHOPS groupFoundation of IHOPS group
Represents all Occupational Medicine Specialists covering HCW in Ireland.
Population covered approx 10,000. Need for register of NSI’s /Body fluid exposures
for Ireland– Why? To identify frequency of occurrences – Estimate outcomes: How many 3° Referrals ?– Propose improved preventative measures including
saferneedle systems.
USAUSA
In 1998 President Bill Clinton introduced into Federal law the requirement for all healthcare facilities to ADOPT saferneedle systems in the workplace(www.CDC.gov.---NIOSH)
Why has it taken Ireland and UK so long to address this risk?
Case law in UNISON V Scotland Executive, March 2003 European Law (Provision and Use of Work Equipment Regulations) won compensation for 2 HCW’s exposed to risk of infection on grounds of breach of care by employer.
www.osha.gov. Health Procurement Agency( Central Purchasing NHS ) Lancets off listings.
IHOPS approached HSE-HPSCIHOPS approached HSE-HPSC
Project proposal was constructed Aims and objectives : evidence base nationally of injury
frequency and engineering controls on a basis of medical education
2 pilot sites chosen Prospective descriptive analysis over 3 month of all
NSI’s/Body Fluid exposures in hospital site reported. SVUH, Dr. Paul Gueret , Occupational Medicine
Specialist and Occupational Nurse Advisors. Connolly Hospital, Dr. Fiona Donnelly & Occupational
Nursing. team Period October.2004-December 2004.
EPINetEPINetMS Access database
Paper and database forms to record details of: - Blood and body fluid exposure incidents- Needlestick and sharp object incidents- Post-exposure follow up form (test results and
treatment)
Standardised method for recording and tracking percutaneous injuries and blood and body fluid contacts
Can compare data to other health facilities who are using this programme
- Over 1,500 hospitals in the US- Hospitals in Canada, Italy, Spain, Japan and the UK
Available free of charge with free technical support from the University of Virginia
User-friendlyUser-friendlyPaper form completed by exposed worker with the help of occupational health department
Data entered into similar database form
Once follow-up is complete, a post exposure follow-up form is completed
Standard graphs, summary reports and single incident reports available from drop-down menus
Can create your own reports
Can add your own questions and drop-down menu options
Password security provided
Anonymised or full data can be exported to Excel and Access using drop-down menus