MILITARY SET UP LEBANESE ARMY HEALTHCARE SERVICES BY Captain - PowerPoint PPT Presentation

SHARPS SAFETY IN A MILITARY SET UP LEBANESE ARMY HEALTHCARE SERVICES BY Captain Haytham FARHAT & Ms. Annie PARLAKIAN JUNE 14, 2013

Sharp Injuries 1- In The Field (Capt. Haytham Farhat) 2- At The Hospital (Ms. Annie Parlakian)

Medics C OMBAT M EDIC Trained for:  Combat Live Saver ( CLS) - basic level.  Emergency Medical Technician ( EMT ). Provides life saving care in field, at P.O.I, till casualty transferred to C.C.P.

Medics S ENIOR M EDIC Trained for :  Advance Trauma Life Support ( ATLS )  Combat Medical Advance Skill ( CMAST ) Casualty care prior to Evacuation (C.C.P & Clearing Station): Collection, Triage, Treatment /Stabilization, Evacuation.

Levels Of Medical Support ) F L O T)

Casualty Evacuation Med Resupply

Triage - Evacuation

Point of Injury (POI)

First Aid Kit Level I BANDAGE COMPRESSED GAUZE NASOPHARYNGEAL AIRWAY TAPE TURNIQUET GLOVES BAG

Casualty Collection Point (CCP) Level I

Casualty Collection Point (CCP) Level I  Casualty Evaluation  Stop The Bleeding  Handle Chest Traumas ( Wound Care, Use Of 14G Needle In Case Of Pneumothorax…)  Free The Airways  Install An IV Line  Prepare The Injured To Transfer  …

Clearing Station Advanced Medics LEVEL II

COMBAT MEDICS KIT LEVEL II

Body Substance Isolation BSI Use PPE

Evacuation To Level III

Field Hospital LEVEL III

Level III Central Military Hospital

Sharp Injuries At CMH Presented By Annie Parlakian

Quick Overview  Capacity 93 Inpatients / 52 Outpatients  Occupancy Rate 95 %  670 Operations Average/Month

Waste Management • Start Date With Arc En Ciel: April 2011 • Trainings & Audits Twice A Year

Incident Accident Reporting System • Start Date May 2010 (First Edition) 20 Categories • 2 nd Edition On August 2011 (23 categories)

Incident /Accident 2013 (%) 1 st Trimester n= 69

Sharp Injuries 2010-2013

Sharp Injuries / Position (%) 2010-2013 n= 91

Sharp Injuries/Position % (2010-2013)

Sharp Injuries By Department (%) 2010-2012 n= 87

Cause Of Sharp Injuries

Cause Of Sharp Injuries (%) 2010-2013 n= 91

Cause Of Sharp Injuries 2010-2012

Estimated Preventability

Root Cause Analysis • Workload • New Recruits • Nonchalance Of HCW • New Students • Physicians Leaving Sharp Devices On The Table • Patient Agitation • …

Known/Unknown Source n= 91

In Case Of Injury

A.E.S. Projection sur les Infraction cutanée: muqueuses: oeil,nez.... coupure, piqûre.... Rinçage abondant à Lavage (eau + savon) l'eau pendant au moins 5 minutes Annonce au responsable direct et par la suite au GR Consultation immédiate au service des Urgences Sérologie du Source OUI malade source identifiée NON Bilan sanguin de l'accidenté sera précisé par le médecin de travail Suivi médical Envoi d'une fiche d'incidents et accidents au département de qualité

Prevention • Vaccination For HBV • Respect of Universal Precautions • Continuous Education & Audits • Use Of Safety Devices & Equipment like Sharps Container, Gloves, Goggles…

Benchmarking With A Lebanese Hospital (Per 1000 Occupied Beds)

QIP 2013 Goal : Sharp Injuries Rate  Internal Medicine  OR  ER  ICU

Th Thank you ank you