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  3. lundi 30 mai 2005
POST 00794E : UNIVERSAL SAFETY BOX 30 May 2005 _____________________________________ Franck Bouvet ( from France, is pleading below for a universal safety box. (original contribution in French) _____________________________________ Hello, First: Things to reflect upon about sharp waste management: Health institutions have to manage an impressive variety of sharp waste. To consider just the most common and most dangerous ones, i.e. needles, there are: * Disposable syringes; * Auto-Destruct (AD) syringes; * Blood transfusion kits that contain needles glued to tubes; * Catheter or fine butterfly needles; * Vacutainer needles directly mounted on tubes. We move further and further towards recycling of plastic parts. Strategies are therefore developed to separate needles from syringes and there is an unlimited quantity of safety boxes. If I am not mistaken, there is no universal safety box used by nurses for all sharp wastes. For example, ‘needle cutters’ can be used for AD syringes, eventually disposable syringes and even for transfusion kit, but are not suitable for butterfly needles or vacutainers. Safety boxes for vacutainers (on which one can block the needle and with a quarter-turn, remove it) are usable for vacutainers or disposable syringes, but not for AD syringes, transfusion kits or butterfly needles, ‘needle lyzers’ can not be used for vacutainers…etc. The heterogeneity of safety boxes is mainly due to the fact that vertical programmes are developed according to specific needs and there is no lateral approach: immunization programmes with AD syringes, transfusion safety programmes with vacutainers, sectoral support programmes for the remaining, etc… The consequences of all this is that countries can not implement a simple safety boxes supply policies (which remains compartmented according to programmes) and where health personnel get a little bit confused (just like consultants). Second: Towards a universal safety box The very lastest safety box is the plastic one developed by BD and which works a bit on the principle of the stapler. This safety box is not functional for butterfly needles and can not be used safely for vacutainers. Looking closely at existing models, a technical solution could be proposed regarding the needle dropping slit, in order to combine at the same time: 1. the cutting of needles (AD syringes et kits de transfusion) 2. the removal by a quarter turn (for disposable syringes and vacutainers) 3. Again the cutting for butterfly needles. Without underestimating the technical and financial constraints for the production of a multi-purpose universal security box, international organizations such as WHO and UNICEF would be in a better position to encourage the development of such a safety box, which could be used for all types of sharp wastes. With detailed and clear specifications, a company should be able to meet the challenge and this would solve quite many headaches afflicting us... Emergence-Environmental Health Franck Bouvet France ______________________________________________________________________________ ______________________ Visit the TECHNET21 Website at You will find instructions to subscribe, a direct access to archives, links to reference documents and other features. ______________________________________________________________________________ To UNSUBSCRIBE, send a message to : Leave the subject area BLANK In the message body, write unsubscribe TECHNET21E ______________________________________________________________________________ The World Health Organization and UNICEF support TechNet21. The TechNet21 e-Forum is a communication/information tool for generation of ideas on how to improve immunization services. It is moderated by Claude Letarte and is hosted in cooperation with the Centre de coopération internationale en santé et développement, Québec, Canada ( ______________________________________________________________________________

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