Name: Injection Safety Video
Uploaded: 2014-06-04T08:27:02.000Z
Duration: 13 min 1 s
Description: Thousands of YouTube videos with English-Chinese subtitles! Now you can learn to understand native speakers, expand your vocabulary, and improve your pronunciation...

I'm the associate director for infection control at CDC.

The One and Only Campaign is aimed at raising awareness about safe injection

Every year millions of injections are administered in the United States.

In these videos, we will discuss some of the misperceptions that healthcare

providers might have about safe injection practices.

Evelyn McKnight, AuD, President & Co-Founder HONOReform Foundation

In October of 2000 I was diagnosed with breast cancer

and underwent chemotherapy at my local oncology clinic in Fremont, Nebraska.

In less than a year, I experienced a recurrence of breast cancer.

Through the very thorough work-up for the second round of chemotherapy,

we found that I had become infected with Hepatitis C virus. My husband - a

family physician - and I were confounded.

no drug abuse, no risky sexual behavior, no transfusions before

In total 99 patients contracted Hepatitis C at the oncology clinic.

The outbreak occurred because healthcare providers at the clinic did not

more than 100,000 patients across the country

have been notified that they should be tested for Hepatitis B

due to the reuse of syringes and misuse of medication vials.

Our goal in the following videos is to discuss the basic evidence-based and

that protect patients and prevent future outbreaks from occurring.

Dr. Gregory is starting his first day working in a pain management clinic.

He is discussing his first patient of the day with Helen, a nurse that has been

I see our first patient is Miss Jones, she's here today for a steroid injection

to control her knee pain. Can you show me where we keep all the supplies?

Sure. Why don't you tell me what you need and I'll get the room set up for you?

I'll also draw up the medications. That's okay. I can draw them up myself during the

procedure. I'll just need a vial of lidocaine, a vial of kenalog,

a couple of needles, and one syringe. I already have the drape and skin prep.

One syringe? Aren't you giving two injections?

Yes, but after I inject the lidocaine, I'll  just change the needle and draw up

I'm sorry but I need to stop you right there.

First we use multidose vials of lidocaine and kenalog. Multidose vials must be

drawn up in our medication prep area and they can't enter the patient treatment

area unless we are dedicating them to that patient and discarding them at the end

More importantly, reusing a syringe to access a medication vial is not

Besides, changing the needle would only place you at an unnecessary risk

of a needle stick injury. Well I'll make sure not to aspirate to avoid any

contamination of the syringe. That won't prevent contamination.

As you give the injection, blood can travel up the needle into the syringe,

even if you don't aspirate. If you reuse that syringe with or without the

same needle you will contaminate the medication vial and place other patients

Thanks for explaining those issues. I would never want do something that

We're glad to have you here on your rotation but

before you do any procedures you should review our infection protection policies

and procedures which incorporates CDC guidelines.

Some healthcare providers may have heard about the outbreaks due to syringe misuse

and assume they were all caused by reusing syringes or needles from

In reality many were due to contamination of medication vials that were used

All healthcare providers must understand the risk or reusing syringes

It is best not to take multidose vials into patient treatment areas

unless they will be dedicated to a single patient.

Multidose vials that are used for more than one patient should be prepared and kept

Whenever possible multidose vials should be dedicated to a single patient

Remember, injection safety is every providers responsibility.

A routine part of anesthesia practice is the administration of IV medications.

and Tony, an experienced anesthesia instructor, prepare for the first patient

Good morning. Are you ready for the first case? Yes, I am.

I see you are using a 10cc syringe for the Propofol. What

are you planning on doing with the leftover propofol in the vial?

Since I only need 10ccs for this case, I'll keep in the cart for the next patient. No,

it's not appropriate to use a single-use medication vial for multiple patients.

It's important that we adhere to the manufacturers labeling for medication and propofol

is labeled as single-use. Any medication not used for this patient

should be discarded at the end of the case.

Okay, but I have another question for you.

Is it okay to a continue using a medication from this same syringe for the same patient. Yes,

we can titrate dosage from a filled syringe for individual patient

provided the syringes handled aseptically and discarded at the end of the