Association for Professionals in Infection Control & Epidemiology

Greater Omaha Chapter

 

Link Archives 

Up

[CDC Draft Documents] [Bioterrorism]  [Fingernails/Hand Hygiene] [Needle Safety]   [CJD]

Fingernails / Hand Hygiene

bullet Summary of Fingernail articles and research
bulletDraft Guidelines for Hand Hygiene (2001)
bulletCDC Update: Alcohol Hand-Rubs and Fire Safety

To enable healthcare facilities to address the need to reduce healthcare-associated infections while being appropriately attentive to fire safety concerns, the American Hospital Association (AHA) and Centers for Disease Prevention and Control (CDC) convened a national stakeholders meeting to review scientific evidence on alcohol-based hand rubs and the relevant fire regulations and codes. Representatives from more than 20 organizations met in Washington, DC on July 22, 2003 to discuss patient and fire safety concerns associated with the use of hand rubs within hospitals and other healthcare facilities. The meeting participants represented hospitals, infection control, fire safety, public health, government agencies, accrediting bodies, professional societies, unions and long-term care.

CDC Recommendation Documents

bulletCDC Issues new Draft Guidelines for Prevention of Pneumonia - Comment period ends October 18 - [CDC Site]  [PDF File]
bulletCDC Hand Hygiene Recommendations and associated tools

picture of needleNeedle Safety

bullet ANA's site for Needle Safety.
bullet OSHA's Page entitled "Most Frequently Asked Questions about the Bloodborne Pathogen Standard"
bulletThe NAPPSI Primary and Secondary Prevention Needlestick Safety Device List - list simplifies selection of safety products by identifying which devices provide Primary Prevention -- i.e., those that eliminate the need for a needle or other medical sharp; and which devices provide Secondary Prevention - those that render safer any sharps that must be introduced into the workplace.
bullet

OSHA Prohibits Removal of Needle From Blood Tube Holder

bullet

November 28 2001, - [Trade News Release] - Updated Compliance Directive for Bloodborne Pathogens Standard Directive CPL 2-2.69. Includes revisions mandated by the Needlestick Safety and Prevention Act.

bullet

OSHA Announces Outreach Effort on Needlestick Prevention. OSHA Subject Page.

bullet

Needlestick Requirements Take Effect April 18, 2001. OSHA National News Release (2001, April 12).

bullet

Needlesticks Fact Sheet. (2001, May 9)

bullet

Needlesticks FAQ. (2001, May 9)

bullet

Needlestick PowerPoint Presentation. (2001, June 14), 1.5 MB PDF.

bullet

Regulatory Text - New Standard

bullet

Federal Register - PDF (450 KB)

bullet

Federal Register - HTML

bullet

Preventing Needlesticks. OSHA JSHQ (Summer 2001) 3.6 MB PDF, 44 pages. Article can be found on pages 12-13, and page 41. New rules affirm the need for safer devices to protect workers

bulletNeedlestick Legislation. The Needlestick Safety and Prevention Act became Public Law 106-430 on November 6, 2000. This legislation requires changes to OSHA's Bloodborne Pathogens Standard. 
bulletRevised Bloodborne Pathogens Standard. (2001, January 18). OSHA National News Release. 
bulletRecord Summary of the Request for Information on Occupational Exposure to Bloodborne Pathogens due to Percutaneous Injury. OSHA Executive Summary (1999, May), 22 pages, and Press Release. This report summarizes nearly 400 comments from health care facilities, workers and others who responded to OSHA's request for information of Fall, 1998.
bulletIssues in Healthcare Settings: Bloodborne Pathogens. CDC, Division of Healthcare Quality Promotion (2001).
bulletHow to Prevent Needlestick Injuries: Answers to Some Important Questions. OSHA Publication 3161 (1999), 2.6 MB PDF, 9 pages. This brochure looks at safer needle devices and how they can help employers create a safer workplace environment. Includes a sample Safety Feature Evaluation Form, developed by the Training for Development of Innovative Control Technology Project (TDICT), Trauma Foundation, San Francisco, CA (1993).
bulletEvaluation of Safety Devices for Preventing Percutaneous Injuries Among Health-Care Workers During Phlebotomy Procedures; Minneapolis-St. Paul, New York City, and San Francisco, 1993-1995. JAMA, CDC/MMWR, Vol. 46, No. 2 (1996, January 17), 9 pages. The findings in this report suggests that safety devices for phlebotomy can reduce the risk for occupational PIs among HCWs.
bulletEPINet Data Reports. Exposure Prevention Information Network, University of Virginia. International Health Care Worker Safety Center. This center conducts epidemiological studies on bloodborne pathogen exposures for 77 hospitals.
bulletUniform Needlestick and Sharp Object Injury Report 77 Hospitals, 1993-1995.
bulletUniform Blood and Body Fluids 77 Hospitals, 1993-1995.
bulletUniversal Precautions for the Prevention of Transmission of HIV and Other Bloodborne Infections. CDC (1987), 5 pages. General Precautions recommended to prevent transmission of bloodborne pathogens when providing first aid or health care. Includes precautions for safe needle handling and disposal.
bulletGuidelines for Isolation Precautions in Hospitals. CDC (1996). Standard Precautions, a single set of precautions to be used for the care of all patients in hospitals regardless of their presumed infection status.
bulletA Case-Control Study of HIV Seroconversion in Health Care Workers After Percutaneous Exposure. New England Journal of Medicine, Vol. 337 pages 1485-1490 (1997, November 20), 5 pages. Identifies risk factors and relationship to seroconversion rates after PIs and exposure to HIV.
bulletInfection Control Recommendations for the Dental Office and the Dental Laboratory. American Dental Association (1996), 10 pages. Safety Recommendations for control of bloodborne pathogen exposure in the dental office and laboratory.
bulletHIV, Hepatitis B, Hepatitis C: Bloodborne Diseases. American Nurses Association, Bloodborne Pathogens Brochure. Risks, rights, responsibilities and concerns of nurses exposed to bloodborne pathogens.

 Engineering Controls
bulletWhat Every Worker Should Know � How to Protect Yourself From Needlestick Injuries. NIOSH Pub. No. 200-135 (2000, August 11), 3 pages.
bulletPreventing Needlestick Injuries in Health Care Settings. NIOSH Alert (1999, November), DHHS (NIOSH) Publication No. 2000-108.
bulletNeedle-Free Injection Technology. CDC (2001).
bulletGlass Capillary Tubes: Joint Safety Advisory About Potential Risks. (1999, February). Describes safer alternatives to conventional glass capillary tubes.
bulletOSHA Regional News Release. (1999, February 22),  Hazards from breakage of glass capillary tubes.
bulletSelecting, Evaluating, and Using Sharps Disposal Containers. NIOSH, (1998, January), 21 pages. NIOSH's safety performance criteria for selecting, evaluating, and using sharps disposal containers.
bulletEvaluation of Blunt Suture Needles in Preventing Percutaneous Injuries Among Health-Care Workers During Gynecologic Surgical Procedure; New York City, March 1993-June 1994. JAMA, MMWR/CDC, Vol. 46, No. 2 (1997, January 17), 9 pages. Identifies the effectiveness of blunt needles in reducing percutaneous injuries (PIs) and suggests that they should be considered for more widespread use in surgical procedures.
bulletNonsocomial Hepatitis B virus Associated with Reusable Fingerstick Blood Sampling Devices- Ohio and NYC 1996. (1997, March 14), MMWR 46(10); 217-221. Alerts HCWs to the hazards of exposing patients to HBV through reusable fingerstick blood sampling devices. It emphasizes the need to restrict use of these devices to individual patients, and discard used parts appropriately.
bulletPotential for Occupational Exposure to Bloodborne Pathogens From Cleaning Needles Used in Allergy Testing Procedures. OSHA Hazard Information Bulletin (1995, September 21), 5 pages. Alerts field personnel to the potential of occupational exposure to bloodborne pathogens from cleaning needles used in allergy testing procedures.
bulletSafety Devices. University of Virginia's International Healthcare Worker Safety Center. Provides a list of devices designed to prevent percutaneous injury and exposure to bloodborne pathogens in the health care setting.
bulletSharps Disposal Containers with Needle Removal Features. OSHA Hazard Information Bulletin (1993, March 12), 6 pages. Alerts field personnel to the possible safety and health risks that may arise with the use of some sharps disposal containers that incorporate an "unwinder" mechanism, to accomplish needle removal.
bulletNeedlestick and Other Risks from Hypodermic Needles on Secondary I.V. Administration Sets - Piggyback and Intermittent I.V. FDA Safety Alert (1992, April 16), 2 pages. FDA urges the use of needleless systems or recessed needle systems to reduce the risk of needlestick injuries.

 Post-Exposure Evaluations
bulletUpdated US Public Health Service Guidelines for the Management of Occupational Exposures to HBV, HCV, and HIV and Recommendations for Postexposure Prophylaxis. CDC (2001, June 29). Morbidity and Mortality Weekly Report (MMWR) 50(RR11);1-42. The latest CDC recommendations. Continuing Education Course for healthcare professionals is also available.
bulletHepatitis C: What Clinicians and other Health Professional Need to Know. CDC, (2001).
bulletViral Hepatitis. CDC site for Hepatitis.
bullet Recommendations for Prevention and Control of Hepatitis C Virus (HCV) Infection and HCV-Related Chronic Disease. (1998, October 16), Vol. 47, No. RR-19;1-39. Provides guidelines for preventing transmission of HCV, identifying, counseling, and testing persons at risk for HCV infection, and appropriate medical evaluation and management of HCV-infected persons.
bulletImmunization of Health-Care Workers: Recommendations of the Advisory Committee on Immunization Practices (ACIP) and the Hospital Infection Control Practices Advisory Committee (HICPAC). (1997, December 26), 46(RR-18);1-42. This report summarizes recommendations of the ACIP concerning the use of certain immunizing agents in HCWs, and assists workers and administrators, in optimizing infection prevention and control programs.
bulletPost-Exposure Evaluation and Follow-Up Requirements Under OSHA's Standard for Occupational Exposure to Bloodborne Pathogens. American Dental Association (1997, December), 30 pages.  Provides guidance to dental employers about their responsibilities under the OSHA standard for providing post-exposure evaluation and follow-up for employees exposed to bloodborne pathogens.
bulletThe National HIV/AIDS Clinicians' Consultation Center. University of California, San Francisco. Offers a Post-Exposure Prophylaxis Hotline called PEPline. PEPline offers health care providers around-the-clock advice on managing occupational exposures to HIV and Hepatitis B and C.
bulletNeedlestick. UCLA Emergency Medicine Center. This website helps clinicians manage and document occupational blood and body fluid exposures.

 Compliance
bulletCompliance Information, including Standards, Directives and Interpretations are provided on a separate page.

 Other
bulletEPINet. Exposure Prevention Information Network, University of Virginia. International Health Care Worker Safety Center. Provides a standardized system for recording bloodborne pathogen exposures, including software for entering, accessing, and analyzing the data. This center conducts epidemiological research and provides technical assistance to Health Care Institutions.
bulletMorbidity and Mortality Weekly Report. Provides current information on policy statements, disease prevention and treatment that are within the scope of the CDC.
bulletCDC Prevention Guidelines Database. Provides a comprehensive compendium of all of the CDC official guidelines and recommendations for HCWs.

Bioterrorism Sites

bullet Updated website for the Nebraska Center for Bioterrorism Education
bullet New CDC Registry for Clinicians Registry for E-mail Updates on Terrorism and Emergency Response

Smallpox Specific Sites

bulletCDC Smallpox Response Recommendations
bulletCalifornia Department of Health Services Recommendations

Anthrax Specific Sites

bullet

UCLA Department of Epidemiology has a new website that focuses on diseases of potential and actual terrorism, but from the perspective of public health epidemiologists

bullet

Register as a participant/locate broadcast sites for free satellite broadcast of Biological & Chemical Warfare and Terrorism November 28-30, 2001

bullet

MMWR Oct. 26, 2001 Update of Bioterrorism-Related Anthrax and Interim Guidelines for Exposure, Management and Antimicrobial Therapy

bullet

CDC Recommendations for Firefighters and Other First Responders for the Selection and Use of Protective Clothing and Respirators against Biological Agents

bullet

APIC Bioterrorism News

bullet

Nebraska Association of Hospitals and Health Systems Disaster Readiness

bullet

MedLine Anthrax Site - GREAT general menu about anthrax 

bullet

California Department of Health Clinical Guidelines good clinical information about the diagnosis, treatment and care of patients

bullet

US Health and Human Services Q&A's

bullet

CDC Fact Sheet 

bullet

Anthrax

bullet

US Postal Service - message to customers

bullet

How to handle Anthrax and other biological agents threats

bullet

Anthrax as a Biological Weapon

bullet

Public Health Guidance for Anthrax Threat Letters or Packages

bullet

Recommendations for Handling Packages Suspicious for Anthrax

Other information about Bioterrorism and Agents

bullet

Frequently Asked Questions with answers from CDC

bullet

Biological Agent Reference List

bullet

CDC Bioterrorism Index page

bullet

CDC Medication Stockpile Program

bullet

CDC/APIC Bioterrorism Readiness Plan : A Template for Health Care Facilities (1999)

bullet

Symptomatology and therapy for biological agents from the U.S. Army

bullet

Medical aspects of chemical and biological warfare from the U.S. Army

bullet

Set of bioterorrism-focused clinical fact sheets from the Texas Department of Health 

bullet

Nerve and biologic agents information from the National Safety Council

bullet

Material Safety Data Sheets for hazardous materials

bullet

Overviews of Biohazardous Agents

bullet

USAMRIID (grid overview of top agents)

bullet

Texas Department of Health (overview of precautions)

bullet

Facts about Botulism, Pneumonic plague and Smallpox (CDC)

bullet

Smallpox

bullet

Smallpox as a Biological Weapon

bullet

Botulinum

bullet

Botulinum as a Biological Weapon

bullet

Plague

bullet

Plague as a Biological Weapon

Creutzfeldt Jakob Disease

bulletFDA Issues Draft Guidelines for Preventive Measures to Reduce the Possible Risk of Transmission of Creutzfeldt-Jakob Disease (CJD) and VariantCreutzfeldt-Jakob Disease (vCJD) by Human Cells, Tissues, and Cellular and Tissue-Based Products
bullet More information on the meeting

[Top of Page]

This site has been made possible by ICPA, Inc., makers of the AICE�, QTrendz�, Respond�, and RedBat� software. Ask about using AICE for infection control surveillance including monitoring prophylactic antibiotics, QTrendz for quality control charts, Respond for employee health, and RedBat for syndromic surveillance.

Webmaster: Lincoln Webdesign, LLC

Copyright �2000-2004 Greater Omaha APIC
Updated 10/27/04

Home |  Top of page | Comments