Guide Book on Safe Injection Practices - Indian Academy of Pediatrics

155 Pages·2012·5.97 MB·English

Indian Academy of Pediatrics
Guide Book on
Safe Injection Practices
Developed in Technical Collaboration with
Becton Dickinson, India
IAP Guide Book on Safe Injection Practices
Editorial Board :
Advisors: Dr. Rohit Agrawal, Dr. C.P. Bansal, Dr. Sailesh Gupta, Dr. Pravin J. Mehta
Editors: Dr. A Parthasarathy, Dr. T.U. Sukumaran, Dr. S.S. Kamath, Dr. Anil Mishra
First Edition: September, 2004
Second Edition: December 2006
Third (Current) Edition : May 2012
Publication:
The Indian Academy of Pediatrics
Kailas Darshan, Kennedy Bridge (Nana Chowk)
Mumbai 400007 (India)
Phone [phone]
Fax: [phone]
Email: [email protected]
Website: www.iapindia.org
Society Regn.No.BOM 127/1963 GBBSD
Public Trust Regn.No. F-1166 (BOM)
Technical Collaboration and Educational Grant Support: Becton Dickinson, India
National Convenor’s Address:
Dr. S. Sachidananda Kamath, National Convenor
IAP National Task Force on Safe Injection Practices
Welcare Hospital, Vyttila, Cochin 682 019
Ph : 0484-2307897
Email : [email protected]
Published by:
IAP National Publication House, Gwalior, MP
Designed and Printed by:
Printek Ways:
149, DSIDC Complex, Okhla Industrial Area, Phase-I, New Delhi -110020
IAP GUIDE BOOK ON
SAFE INJECTION PRACTICES
Editorial Board
Advisors: Editors:
Dr. Rohit Agrawal Dr. A Parthasarathy
Dr. C.P. Bansal Dr. T.U. Sukumaran
Dr. Sailesh Gupta Dr. S.S. Kamath
Dr. Pravin J. Mehta Dr. Anil Mishra
Technical Collaboration and Educational Grant Support
From Becton Dickinson, India
Published by:
IAP Publication House,Gwalior,MP,
India

Contributors' List
Dr. ROHIT AGRAWAL Dr. SHIVANANDA
MD, DCH Director
President IAP-2012 Professor and HOD Pediatrics
Consultant Pediatrician Indira Gandhi Institute of Child Health
Chandrajyoti Children's Hospital, Mumbai South Hospital Complex, Bangalore - 560023
Kohinoor Hospital, Mumbai Mobile: [phone]
603/4 Vindyachalneelkanth Valley e-mail; [email protected]
7th Road,Rajawadi,Ghatkopar (East) Mumbai 400077
e-mail [email protected], Dr. M.INDRA SHEKHAR RAO.
Mobile [phone] M.D.(Paed.)D.C.H.,NEO(USA)FIAP
Senior Pediatric Consultant,
Dr. T.U. SUKUMARAN Basant Sahney Children's Hospital, Secunderabad,
President IAP-2011 Former Medical Superintendent & HOD Pediatrics,
Professor of Pediatrics Institute of Child Health, Niloufer Hospital,
PIMS, Thiruvalla, Kerala Hyderabad, A.P.
e-mail; [email protected]
Residence:
"Indraprastha", 106, Abhinava Nagar,
Dr. C.P. BANSAL
Padmarao Nagar, Secunderabad, AP - 500 025.
MD, FIAP, PGDAP, FICMCH
e-mail; [email protected]
Director, Shabd Pratap Hospital, Gwalior 474 012
President Elect- IAP-2013
Dr. RAJU C. SHAH
e-mail; [email protected]
MD, D Ped, FIAP
Professor and HOD, Dept of Pediatrics,
Dr. SAILESH GUPTA
GCS Medical college, Ahmedabad.
MD, FIAP
National President IAP (2005)
Hon. Secretary General -2012
Chairman, Injection Safety Task Force, IAP(2004-7)
Ashna Children's Hospital, Uttara Apartments
Ankur Institute of Child Health,
Jan Kalyan Nagar, Malad West, Mumbai-400095
B/H Ciyu Gold Cinema, Ashram Road,
e-mail [email protected]
Ahmedabad 380009, Gujarat.
Mobile [phone]
Phone: [phone].
e-mail; [email protected]
Dr. S.SACHIDANANDA KAMATH
MD,DCH, FIAP,DHHM,PGDAP
Convenor, National Task Force on Dr. BALDEV S. PRAJAPATI
Safe Injection Practices, M.D.(PED.) GOLD MEDALIST
Consultant Pediatrician, Welcare Hospital, D. PED. FIAP, MNAMS, FICMCH.
S A Road, Vyttila, Cochin - 682019 Professor, GCS Medical College,
Hospital & Research Centre, AHMEDABAD.
Dr. A. PARTHASARATHY EBM Central IAP (5 Terms)
Distinguished Professor of Pediatrics, Member& Trainer,
The Tamil Nadu Dr. MGR University & Safe Injection Practices(2005- 2007)
Retd. Professor of Pediatrics, MEMBER, IAPCOI,2009-2011
Madras Medical College & Aakanksha Children Hospital,
Deputy Superintendent, Nava Vadaj Road, AHMEDABAD.
Institute of Child Health & Hospital for Children, PHONES: (079) (H) 27559179, 27559667
Chennai, TN. (R) 27680256
Mobile [phone], (M) 09824039376
email: [email protected] email: [email protected]
IAP Guide Book on Safe Injection Practices i
Dr. ARUN SHAH Dr. OM PRAKASH KANSAL
MD DCH FIAP FIAMS Advisor-Injection Safety
Associate professor NMCH BECTON DICKINSON, INDIA
Brahampura, Muzaffarpur, BIHAR 6th Floor, Signature Tower B, South City 1,
e-mail: [email protected] Gurgaon, Haryana 122001 India
tel: [phone] cell: [phone]
Dr. ALOK GUPTA MD fax: [phone]
Pediatrician & Counselor E-mail: [email protected]
Jaipur, India.
[phone] K. RAJESH NAIR
[phone] Senior ASM – Tender
e-mail; [email protected] BECTON DICKINSON, INDIA
South Regional Office - Kerala
Dr. M.A MATHEW e-mail: [email protected]
MD,DCH London FIAP Mobile:[phone]
Professor Of Pediatrics
M.O.S.C Medical College Logistics
Kolenchery 682311
Kerala
GANESH MEDHE
State Coordinator for SAFE-I Program
BECTON DICKINSON, INDIA
office : 04843055262
Boomerang,A-Wing,Unit No.310,
Res:04846494556
Chandivali Farm Road,Mumbai, India
Mobile:[phone]
Pin-400072
e-mail; [email protected]
Tel- [phone]
e-mail: [email protected]
Dr. ANIL MISHRA
Mobile:[phone]
Regional Technical Advisor-Infection Control
BECTON DICKINSON, INDIA
MANOJ CHAUBEY
Boomerang, A - Wing, Unit No- 310,
BECTON DICKINSON, INDIA
Third Floor, Chandivali Farm Road,
Boomerang,A-Wing,
Chandivali, Near Powai,
Unit No.310,Chandivali Farm Road,Mumbai, India
Andheri - (E), MUMBAI - 400072
Pin-400072
Telephone: [phone]. 022- 28582430-32
Tel- [phone]
Mobile: [phone]
e-mail: [email protected]
e-mail: [email protected],
Website: www.bd.com
[email protected]
ANU KHANNA
DR. BHASKAR J SONOWAL
BECTON DICKINSON, INDIA
Technical Advisor- Infection Control and Patient
6th Floor, Signature Tower B, South City 1,
Safety
Gurgaon, Haryana 122001 India
BECTON DICKINSON, INDIA
e-mail: [email protected]
6th Floor, Signature Tower B, South City 1,
Gurgaon, Haryana 122001 India
tel: [phone] cell: [phone]
fax: [phone]
e-mail: [email protected]
Website: www.bd.com
ii IAP Guide Book on Safe Injection Practices
Foreword
It is indeed a matter of pleasure and pride that IAP in partnership with BD India is making
sincere efforts to address the issue of unsafe injections in India, which remains an
important public health scourge, even in these times of technology advancements.
Out of the injections which are administered in day to day practice of medicine, a
significantly high percentage has been found to be unsafe. These unsafe injections will
continue to add to the disease burden and loss of life, if the problem is not addressed on
urgent basis. I am sure that our efforts will effectively address the issue of unsafe
injections, which is a major public health challenge.
This guidebook on injection safety will try to address the problem of unsafe injections by
serving as a treatise on injection safety. It has been ensured that the key issues which are
of relevance to different cadres of medical practitioners are addressed through this book
and the basic essential knowledge and skills do not become a hindrance in achieving
optimum standards of safety in its entirety. IAP and BD have planned state wise release
of this book and will work to address the state specific concerns of injection safety by
developing a contextual strategy in partnership with respective state governments.
I highly appreciate the efforts of all the experts from IAP and the technical team of BD
India, who have worked hard to ensure that the present edition of the guidebook
presents all facts and information which are of practical importance to a wide spectrum
of medical practitioners, undergraduates, post graduates and nursing cadre as well, in a
way that is simple and easy to understand.
Dr. Rohit Agrawal
National President-IAP, 2012
IAP Guide Book on Safe Injection Practices iii
Message
I am immensely pleased to see that the revised and updated 3rd edition of the guide book
on safe injection practices, which is a joint academic project of IAP and BD India is
available to all of us for use towards improving standards of injection safety. As you all
know, Safe Injection Practices has been a focus area of IAP and we continue to move
forward in this direction with valuable support from all of you.
Injection safety is of paramount importance in Indian context, if we wish to abide by the
ethical value of doing no harm to the patients. The concept of Safe Injection Practices in
India was conceived in 2004 during the Presidency of Dr. MKC Nair and has become an
important part of IAP's action plan. BD also works in different parts of the globe on
improving injection safety standards and has been partnering with IAP since the
inception of the project on Injection Safety. I am confident that this joint work of IAP and
BD will have the desired impact towards reducing unsafe injection practices in India.
This guide book will be helpful for the entire spectrum of healthcare staff, i.e. for
doctors, nurses, laboratory technicians, other categories of Health care workers and for
the registered medical practitioners. The structure, content and language have been
kept simplified so as to suit the needs of all categories of healthcare providers in various
settings. New chapters on 'Prevention of re-use of syringes 'and' Newer technologies in
injection delivery systems' in the present edition will be of immense practical utility to
the readers. Chapters on injection techniques, best practices, Healthcare worker safety,
Patient safety, waste disposal etc. have been extensively revised.
I sincerely thank Dr. SS Kamath for leading this initiative and to all the expert group
members from IAP and BD India who have contributed in developing this guide book. I
also thank BD India for providing the educational grant for this project.
Dr. T. U. Sukumaran
National President, 2011, IAP
iv IAP Guide Book on Safe Injection Practices
Message
Dear IAP Colleague,
Injection Safety has been an area of high focus for the Indian Academy of Pediatrics. The
subject has been accorded priority in successive IAP Action plans, every year. Experts in
IAP have deliberated on ways to address the issue of unsafe injection practices in India.
One of the strategies in the multipronged approach is, to address the knowledge barrier
among the healthcare practitioners. As part of this strategy, IAP, in technical
collaboration with Becton Dickinson India has developed this guide book on Safe
Injection Practices. The objective while planning this book was to provide maximum
practical usefulness for healthcare professionals, therefore the structure of the contents
is simple and illustrative
We are confident that after the book is released and when trainings for the zonal level
and district level are rolled out, we will be able to impact the knowledge , skills and
practices of healthcare professional and the same would reflect through reduced
percentage of unsafe injections in India. It will help us abide by the ethical principle of
doing no harm to the patients.
We look forward to the stage when we will achieve the highest possible standards of
injection safety. I am confident that the joint efforts of IAP and BD will replace the unsafe
injections practices in India with safe and ethical practices.
Dr Sailesh Gupta,
Hon. Secretary General-2012
IAP Guide Book on Safe Injection Practices v
Message
Becton Dickinson Company (BD), in pursuance with its mission of Helping All People
Live Healthy Lives, besides producing high quality medical technology products, has
developed many initiatives across the globe to deliver direct benefits to the patients,
healthcare workers and to the people in general.
In India, BD's joint work with the Indian Academy of Pediatrics (IAP) to address the issue
of Injection safety is one of such initiatives. As a part of this strategy, IAP and BD jointly
worked to develop this training module on Injection safety as the first step.
Subsequently, this guidebook will be used as the basis of training of the healthcare
professional on Injection Safety.
A team of highly experienced experts from IAP and technical team members from BD
have carried out in-depth discussions to develop this guidebook which provides all
necessary information to the practitioners in a very simple but illustrative way.
I am confident that this joint effort of IAP and BD, India will work to effectively address
the problem of unsafe injections, a critical public health need in India.
Manoj Gopalakrishna,
Managing Director, BD India
vi IAP Guide Book on Safe Injection Practices