Connolly Memorial Hospital Blanchardstown Dublin 15

1. Connolly Memorial HospitalBlanchardstown Dublin 15 Introduction of a Needle Safe System Margaret Kelleher Occupational Health CNM 2 22nd April 2006

2. Process of Introducing a Needle Safe System

3. Introduction of Needle Safe Butterflies for Phlebotomy & S/c use Background Meeting Key Persons Proposal Process of putting a needle safe system into a medium sized teaching hospital Number of injuries and greater awareness of legislationProcess of putting a needle safe system into a medium sized teaching hospital Number of injuries and greater awareness of legislation

4. Introduction of Needle Safe Butterflies Who were the Key Stake Holders? Occupational Health Physician Consultant Microbiologist � Infection Control Specialist Director of Nursing Nurse Practice Coordinator Finance Manager � � �

5. Introduction of Needle Safe Butterflies Key Stake Holders Occupational Health Nurses Hepatitis B Nurse Coordinator Senior Phlebotomist CNM�s (Pilot Areas) Stores Manager

6. Introduction of Needle Safe Butterflies The Proposal: Issued to Key Persons Pre Trial evaluation Devices Training requisite Post Trial evaluation Date for return Signature of agreement

7. Introduction of Needle Safe Butterflies Selection of Pilot Areas: Device Usage Sample Size CNM Commitment

8. Introduction of Needle Safe Butterflies

9. Introduction of Needle Safe Butterflies During the trial period: 3 way coordination Supplier OHD Pilot areas First device punctur-guard was a combined device used for both s/c & PhlebotomyFirst device punctur-guard was a combined device used for both s/c & Phlebotomy

10. Introduction of Needle Safe Butterflies Post Trial 1. Post Trial evaluation 2. Meeting of Key Persons Presentation of results of Trial Discussion Agreement 3. Further proposal submitted to Hospital Chief Executives 4. Approval

11. Introduction of Needle Safe Butterflies Action after Hospital Board Approval Persons to inform: Supplier of the approved device Stores Manager Key Persons

12. Introduction of Needle Safe Butterflies Further Action: Set up Training Agreement with supplier Consult Nurse Practice Development coordinator Training coordinators for each section Confirm numbers Nurses/Doctors for training rosters given to Supplier Records of training Post introduction evaluation

13. 2 Weeks Day & Night Staff Weekly visits by Rep. Induction of Doctors & Nurses Helpline Introduction of Needle Safe Butterflies

14. Summary Proposal Key Persons Pilot Areas Trial Pre and Post Evaluation Training Post introduction evaluation Introduction of Needle Safe Butterflies