
|
[CDC
Draft Documents] [Bioterrorism]
[Fingernails/Hand Hygiene] [Needle
Safety] [CJD]
Fingernails / Hand
Hygiene
 |
Summary
of Fingernail articles and research
|
 | Draft
Guidelines for Hand Hygiene (2001) |
 | CDC 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
Needle Safety
 |
ANA's site
for Needle Safety. |
 |
OSHA's Page entitled "Most
Frequently Asked Questions about the Bloodborne Pathogen Standard" |
 | The
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. |
 |
OSHA
Prohibits Removal of Needle From Blood Tube Holder |
 |
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.
|
 |
OSHA
Announces Outreach Effort on Needlestick Prevention. OSHA
Subject Page.
|
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Needlestick
Requirements Take Effect April 18, 2001. OSHA National News
Release (2001, April 12).
|
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Needlesticks
Fact Sheet. (2001, May 9)
|
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Needlesticks
FAQ. (2001, May 9)
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Needlestick
PowerPoint Presentation. (2001, June 14), 1.5 MB PDF.
|
 |
Regulatory
Text -
New Standard |
 |
Federal
Register
- PDF (450 KB) |
 |
Federal
Register
- HTML |
 |
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 |
 | Needlestick
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.
 | Revised
Bloodborne Pathogens Standard. (2001, January 18). OSHA
National News Release.
|
 | Record
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.
|
 | Issues
in Healthcare Settings: Bloodborne Pathogens. CDC, Division
of Healthcare Quality Promotion (2001).
|
 | How
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).
|
 | Evaluation
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. |
 | EPINet
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.
|
 | Universal
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.
|
 | Guidelines
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.
|
 | A
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.
|
 | Infection
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.
|
 | HIV,
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
 | What
Every Worker Should Know � How to Protect Yourself From
Needlestick Injuries. NIOSH Pub. No. 200-135 (2000, August
11), 3 pages. |
 | Preventing
Needlestick Injuries in Health Care Settings. NIOSH Alert
(1999, November), DHHS (NIOSH) Publication No. 2000-108.
|
 | Needle-Free
Injection Technology. CDC (2001).
|
 | Glass
Capillary Tubes: Joint Safety Advisory About Potential Risks.
(1999, February). Describes safer alternatives to conventional
glass capillary tubes.
|
 | Selecting,
Evaluating, and Using Sharps Disposal Containers. NIOSH,
(1998, January), 21 pages. NIOSH's safety performance criteria
for selecting, evaluating, and using sharps disposal containers.
|
 | Evaluation
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.
|
 | Nonsocomial
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.
|
 | Potential
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.
|
 | Safety
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.
|
 | Sharps
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.
|
 | Needlestick
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
 | Updated
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.
|
 | Hepatitis
C: What Clinicians and other Health Professional Need to
Know. CDC, (2001).
|
 | Viral
Hepatitis. CDC site for Hepatitis.
|
 |
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.
|
 | Immunization
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. |
 | Post-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.
|
 | The
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.
|
 | Needlestick.
UCLA Emergency Medicine Center. This website helps clinicians
manage and document occupational blood and body fluid exposures. |
Compliance
Other
 | EPINet.
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.
|
 | Morbidity
and Mortality Weekly Report. Provides current information on
policy statements, disease prevention and treatment that are
within the scope of the CDC.
|
 | CDC
Prevention Guidelines Database. Provides a comprehensive
compendium of all of the CDC official guidelines and
recommendations for HCWs. |
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Bioterrorism
Sites
Smallpox Specific Sites
Anthrax Specific Sites
Other
information about Bioterrorism and Agents
Creutzfeldt Jakob
Disease
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