Prevention of sharps injuries in the healthcare sector Paul De Raeve - - PowerPoint PPT Presentation

EFN Report

Implementation of Directive 2010/32/EU

Prevention of sharps injuries in the healthcare sector

Paul De Raeve, EFN Secretary General Silvia Gomez Recio, EFN Policy Advisor

Online questionnaire

(8th Oct - 10th Nov 2013)

25 questions 20 languages

6971 replies!!!

(28 EU MS covered)

Dissemination!

EFN members EBN OSHA

4 different parts:

• general information
• implementation of the

Directive at the workplace;

• equipment and information;
• incidents and reporting.

PILOTED among EFN members and stakeholders engaged in the biosafety summit.  Checked language, timing, readability, formulation, measurement scales.

Data analysis

• Descriptive data analysis (frequency tables

& cross table combinations)

• Cluster analysis is used for the identification
• f variables to understand what is going on

in daily reality when it comes to prevention

• f sharp injuries and the interconnections

between different factors.

Directive 2010/32/EU Clauses Questions 5: Risk Assessment 10 and 11 6: Elimination, prevention and protection 7, 8, 15, 16, 17 and 24 7: Information and awareness-raising 3, 4 and 9 8: Education and training 5, 6 and 12 9: Reporting 18 and 19 10: Response and Follow up 20, 21, 22 and 23

Sample

6971 replies Hospital (77%)

Who are they? Where do they work?

Nurses (95%)

RESULTS

+

Positive impact in the daily practice and clinical environment Practice improved thanks to the design and implementation

• f the Directive

Clear responsibility in reporting Basic information given at the workplace Safe mechanism at their disposal for certain applications Professionals feel countries have adequate measures in place

• Lack

performance

• f risk

assessments at the workplace Lack explicit ban of recapping Lack of awareness campaigns Not all professionals know what to do when a sharps injury

• ccurs

Provision of safety devices is limited Lack specific education on sharp injuries prevention Lack of attention to community care and elderly homes

RESULTS

Directive Clause 5 - Risk Assessment

• Lack of risk assessment

(60%) regardless workplace

• Lack of clinical staff

with expertise (55%)

• AT, CZ, DK, IE, NO, UK
• More reference

colleagues trained in sharps injuries prevention in hospital EU Social Funds – LINK NURSE Education capacity workforce development

Directive Clause 6 – Elimination, Prevention and Protection

• Not suitable

equipment (30%) -BG, IS.

• Recapping NOT YET

prohibited (25%)

• Availability of safety

equipment (70%)

• Appropriate sharps

bins (80%)

• Personal Protective

Equipment (96%)

Although results are positive: Availability of necessary Personal Protective Equipment shall reach 100%, as health professionals shouldn’t see their risk of exposure to sharp injuries increased due to a lack of protection.

Directive Clause 7 – Information and Awareness raising

• Not information widely

available at the workplace (64%)

• Awareness campaigns
• Lack of involvement

selection devices (58%)

• Basic information

provided (78%) - HR, CZ, HU, IE, IT, NL, SI

• More information in

hospital settings.

• Professionals feel

appropriate measures are implemented (74%)

EU OSHA - Awareness campaigns are needed to inform professionals and patients of the dangers associated with sharp injuries. Importance of workers’ health and safety for European social and economic stability and growth.

Directive Clause 8 – Education and Training

• Professionals feel they need

more instructions on measures in case of an injury

• Lack specific education (47%)

– IS, NL, PT, SI.

• Community care and elderly

homes NOT specific education.

• Suppliers DO NOT provide

training (76%)

• Specific education

(53%)– CZ, IE, PL.

Managers should increase the requirements in public procurements to provide the necessary training to use their devices in the most appropriate way. Training requirements from manufactures should be included in tenders. EU Social Funds – Workforce development - Specific training on sharps injuries prevention

Directive Clause 9 & 10 – Reporting, Response and Follow up

• Professionals reporting

(95%) - Homogenous among all the countries.

• No-blame culture

(73%)

A No-blame culture must reach 100% More action is needed from the employer to investigate the causes of the incident and provide adequate support

• Professionals suffered

sharps injury (41%)

• Knowing a colleague that

suffered sharps injury (78%)

• Not adequate support when

suffering the incident (63%)

• Need to investigate the

causes further (73%)

Conclusions

100% preventive measures No-blame culture 100% ban recapping Information Awareness campaigns Nurses’ involvement in Risk assessment and device selection Supplier responsibility for training Risk assessments Specific education - CPD Use of EU SF Specific reference staff: LINK Nurse

CONTACT EFN efn@efn.be

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