NSI HCW

01

PENGENALAN
- DEFINITION
- AKTA BERKAITAN NSI
- WHO ARE HCW?
 DEFINITION
needlestick injury as injury caused by
suture or hollow-bore needles
Ministry of health Malaysia (MOH)
AKTA BERKAITAN NEEDLE STICK INJURIES
• Referring to the data collected by
Occupational Health Unit, Ministry
of Health from 1998-2005,
needlestick injury is the major
cause of injuries among the Ministry
of Health personnel which
contributes to a total of 74.9 % of all
injuries.

Needle stick injury 4

AKTA KKP 1994
( AKTA 514 )

SEKSYEN 32
“PEMBERITAHUAN MENGENAI
KEMALANGAN , KEJADIAN BERBAHAYA ,
KERACUNAN PEKERJAAN DAN PENYAKIT
PEKERJAAN DAN SIASATAN

PERATURAN 2004 ( NADOPOD)

(Notification of Accident, Dangerous Occurrence,
Occupational Poisoning and Occupational
Disease) 
.

Needle stick injury 5

 WHO ARE HEALTHCARE WORKER?
• persons whose activities involve contact with patients, or with blood or other body fluids from patients in a
healthcare, laboratory or public-safety setting (CDC 2001).

• Ministry of Health staff

• Ministry of Health trainees
• Medical students
• Health facilities support service workers

Needle stick injury 6

Occupational Safety and Health Act (OSHA) 1994
02

CAUSE OF NSI
 Types of sharps page 8

Hypodermic needle
Suture Needle

• Kirschner Wire
• Butterfly Needle
IV cathether Stylet
• Insulin Needle
• Biopsy Needle
• Diathermy Needle
• Drill Bits
• Guidewire
• Pisau Potong Sayur
• Razor
Blade
• Dispenser Device Failure
• Introducer Needle
• Autopsy Scapel Blade.
“
—Someone Famous

UNSAFE ACT
UNSAFE CONDITION
HOW DID THE SHARPS INJURY OCCUR?
While in operative field or
during suturing procedures Handling equipment /
or autopsy specimens

Collision / contact with Sharps in unusual

sharps object Disposal related locations
While handling patient or
needle / sharps
● While inserting needle in line
● While inserting needle in patient
● While manipulating needle in line
● While manipulating needle in patient
● While withdrawing needle from line
● While withdrawing needle from patient
● Passing / Transferring equipment
Handling equipment / specimens
● Processing specimens *Passing / tranferring
equipment
● Recapping (missed / pierced cap) Cap fell off
after recapping
● Activating safety device Disassembling device
/ equipment
● During clean-up
● In transit to disposal
● Opening / breaking glass containers
Decontamination / processing of used
● equipment
● Handling equipment on tray / stand
*Transferring blood / body fluids into
● specimen container
While in operative field or during suturing
procedures or autopsy
● Suturing *Palpating / Exploring
● Incising
● Manipulating suture needle in holder
● Tying sutures *Passing / receiving equipment
Collision / contact with sharps object

● Collided with co-worker or other person

● Sharps instrument dropped
● Collided with sharps instrument
● Struck by detached IV line needle
Disposal related

● Injured by sharps being disposed

● While manipulating sharps bin
● Injured by sharps already in sharps bin
● Over-filled sharps bin
● Punctured sharps bin
● Protruding from opened sharps bin
● While transporting the sharps to collection
center
Sharps in unusual
locations

● In trash
● Left in bed / mattress
● In linen / laundry
● On floor
● * Left on table / tray
● In pocket / clothing