SLIDE 1 SHARPS SAFETY IN A MILITARY SET UP
LEBANESE ARMY HEALTHCARE SERVICES BY Captain Haytham FARHAT &
JUNE 14, 2013
SLIDE 2 Sharp Injuries
1- In The Field (Capt. Haytham Farhat) 2- At The Hospital (Ms. Annie Parlakian)
SLIDE 3 Medics
COMBAT MEDIC Trained for:
- Combat Live Saver (CLS) - basic level.
- Emergency Medical Technician (EMT).
Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P.
SLIDE 4 SENIOR MEDIC Trained for :
- Advance Trauma Life Support (ATLS)
- Combat Medical Advance Skill (CMAST)
Casualty care prior to Evacuation (C.C.P & Clearing Station): Collection, Triage, Treatment /Stabilization, Evacuation.
Medics
SLIDE 5 Levels Of Medical Support
F L O T) )
SLIDE 6
Casualty Evacuation Med Resupply
SLIDE 7
Triage - Evacuation
SLIDE 8
Point of Injury (POI)
SLIDE 9 TURNIQUET BAG BANDAGE
COMPRESSED GAUZE
NASOPHARYNGEAL AIRWAY
TAPE GLOVES
First Aid Kit Level I
SLIDE 10
Casualty Collection Point (CCP) Level I
SLIDE 11
- Casualty Evaluation
- Stop The Bleeding
- Handle Chest Traumas ( Wound Care, Use Of
14G Needle In Case Of Pneumothorax…)
- Free The Airways
- Install An IV Line
- Prepare The Injured To Transfer
- …
Casualty Collection Point (CCP) Level I
SLIDE 12
Clearing Station Advanced Medics LEVEL II
SLIDE 13
COMBAT MEDICS KIT LEVEL II
SLIDE 14
Body Substance Isolation BSI
Use PPE
SLIDE 15
Evacuation To Level III
SLIDE 16
Field Hospital LEVEL III
SLIDE 17
Level III Central Military Hospital
SLIDE 18 Sharp Injuries At CMH Presented By Annie Parlakian
SLIDE 19 Quick Overview
- Capacity 93 Inpatients / 52 Outpatients
- Occupancy Rate 95 %
- 670 Operations Average/Month
SLIDE 20 Waste Management
- Start Date With Arc En Ciel: April 2011
- Trainings & Audits Twice A Year
SLIDE 21 Incident Accident Reporting System
- Start Date May 2010 (First Edition)
20 Categories
- 2nd Edition On August 2011 (23 categories)
SLIDE 22 Incident /Accident 2013 (%) 1st Trimester
n= 69
SLIDE 23
Sharp Injuries 2010-2013
SLIDE 24 Sharp Injuries / Position (%) 2010-2013
n= 91
SLIDE 25
Sharp Injuries/Position % (2010-2013)
SLIDE 26 Sharp Injuries By Department (%) 2010-2012
n= 87
SLIDE 27
Cause Of Sharp Injuries
SLIDE 28 Cause Of Sharp Injuries (%) 2010-2013
n= 91
SLIDE 29
Cause Of Sharp Injuries 2010-2012
SLIDE 30
Estimated Preventability
SLIDE 31 Root Cause Analysis
- Workload
- New Recruits
- Nonchalance Of HCW
- New Students
- Physicians Leaving Sharp Devices On The Table
- Patient Agitation
- …
SLIDE 32 Known/Unknown Source
n= 91
SLIDE 33
In Case Of Injury
SLIDE 34 Projection sur les muqueuses: oeil,nez.... Infraction cutanée: coupure, piqûre....
A.E.S.
Rinçage abondant à l'eau pendant au moins 5 minutes Lavage (eau + savon) Annonce au responsable direct et par la suite au GR Consultation immédiate au service des Urgences Envoi d'une fiche d'incidents et accidents au département de qualité Source identifiée
OUI
Sérologie du malade source
NON
Suivi médical Bilan sanguin de l'accidenté sera précisé par le médecin de travail
SLIDE 35 Prevention
- Vaccination For HBV
- Respect of Universal Precautions
- Continuous Education & Audits
- Use Of Safety Devices & Equipment like Sharps
Container, Gloves, Goggles…
SLIDE 36
Benchmarking With A Lebanese Hospital (Per 1000 Occupied Beds)
SLIDE 37 QIP 2013
Goal : Sharp Injuries Rate
- Internal Medicine
- OR
- ER
- ICU
SLIDE 38
Th Thank you ank you
