Sécurité des injections

Authors: Peter Carrasco, Director IAIM Secretariat, Gabrielle Hafalia, Intern – IAIM Secretariat

Purpose and Overview

Provide professional health workers who have the responsibility for the management injection safety a framework for assessing and sustaining injection safety practice before, during and after the administration of a dose of vaccine to a patient.

Overarching goals of an immunization program with respect to safe injections are:

  • Assure The all patients are receiving a safe injection with every injectable dose of  a vaccine as defines as a new syringe for every dose of vaccine
  • Reduce the occupational health risks for all heath workers before, during and after administrating an injectable dose of vaccine
  • Eliminate all risks to the community from contaminated injection equipment

The management objectives are to assure that each patient receives a safe injection every time they receive a dose of vaccine, as well as assure that the vaccinator follow standard procedures to protect themselves and the community from accidental needle stick and reuse of contaminated injection equipment. The objectives are:

1.      Ensure that both supervisors and health care workers that provide injections are thoroughly trained and  updated, as required, on standard  safe injection procedures, including safe storage of  injection equipment

2.      Ensure that all supplies, at all levels of injection equipment and other ancillary items are distributed with the scheduled vaccine deliveries to each service provider to prevent the risk of interrupting vaccination program performance;

3.      Ensure  the managers at all levels maintain and update inventory of existing injection related equipment and ancillary supplies including the supporting structures/hardware, i.e. transports, disposal facilities etc., in order to assure best performance.

4.      Prepare an annual plan and budget to assure that the required resource are provided to assure that all activities and equipment in support of injection safety are adequately resourced.

The injection Safety Tool Kit will cover the following topics:

  • Training health workers on Injection Safety
  • Providing immunizations to all health care workers be fully immunized against Hepatitis B
  • All vaccinations are performed using only injection equipment that is approved a regulatory authority or WHO Pre-Qualified equipment [PQS]
  • Role of supervision to ensure scheduled evaluations/observations of vaccinators and that there are:
    • Sufficient syringes of each type for each vaccination;
    • Sufficient safety boxes
  • Waste management: disposal and transportation
  • Post vaccination surveillance
    • management must ensure that all adverse reactions are documented and reported properly
  • Planning and budgeting: Costs, Per Diem and Reverse Logistics
    • Training Expenses
    • Injection Equipment Expenses
    • Transportation: Expenses, Per Diem and Reverse Logistics

 

References

[1] CDC. Vaccine Administration. Retrieved from http://www.cdc.gov/vaccines/pubs/pinkbook/downloads/appendices/D/vacc_admin.pdf.

[2] WHO Department of Immunization, Vaccines and Biologicals-Quality, Standards and Safety. (2015).  World Health Organization (pdf) PQS Devices Catalogue.

[3] National Institute for Occupational Safety and Health. (2014). Bloodborne Infectious Diseases: HIV/AIDS, Hepatitis B, Hepatitis C. Retrieved from http://www.cdc.gov/niosh/topics/bbp/emergnedl.html.

[4] California Department of Public Health. Skills Checklist for Pediatric Immunization. Retrieved from http://www.eziz.org/assets/docs/IMM-694.pdf.

[5] Vaccines for Children Program. (2013). Vaccine Physical Inventory Form. Retrieved from http://eziz.org/assets/docs/IMM-1052.pdf.

[6] OSHA. (2011). Laboratory Safety Guidance. Retrieved from https://www.osha.gov/Publications/laboratory/OSHA3404laboratory-safety-guidance.pdf.

[7] Jorge Emmanuel, Merci Ferrer and Faye Ferrer. (2004). (Photo) Health Care Without Harm (pdf) Disposal of Mass Immunization Waste Without Incineration.

[8] EPA. (2010). Hospital/Medical/Infectious Waste Incinerators: Summary of Requirements for Revised or New Section 111(d)/129 State Plans Following Amendments to the Emission Guidelines. Retrieved from http://www.epa.gov/ttnatw01/129/hmiwi/epa453b10001_hmiwi.pdf.

[9] PATH. (2005). Guide for Training of Waste Handlers. Retrieved from http://www.path.org/publications/files/TS_sharps_waste_training_pp41-86.pdf.

[10] Vaccines for Children Program. (2014). Vaccine Receiving Log and Checklist. Retrieved from http://eziz.org/assets/docs/IMM-1112.pdf.

[11] VAERS. Report an Adverse Event. Retrieved from http://vaers.hhs.gov/esub/index.

[12] American Academy of Pediatrics. (2010). (Photo) retrieved from http://www.aap.org/en-us/professional-resources/practice-support/Vaccine-Financing-Delivery/Documents/Timing_Typical_Reactions_Common_Vaccines.jpg.

Common Management Taxonomy: