Copyright 2013 by Virgo Publishing https://www.infectioncontroltoday.com/
Posted on: 07/22/2013
Rice University graduate student Oara Neumann, left, and scientist Naomi Halas are co-authors of a new study about a highly efficient method of turning sunlight into heat. They expect their technology to have an initial impact as an ultra-small-scale system to treat human waste in developing nations without sewer systems or electricity. Photo by Jeff Fitlow/Rice University.
I strongly suggest that my fellow piercers discontinue the use of any caps applied manually after piercing, especially two handed capping methods, which appear most likely to result in sharps injury.
OSHA considers recapping of needles unacceptable risk unless there are no alternatives. OSHA allows one handed capping, such as spearing the needle tip into a stopper on your work tray, or using a mechanical device such as a tweezer or clamp to apply the cap providing a safe distance from the sharp end. Even using a receiving tube can pose risks if the tube a small diameter or not sufficiently puncture resistant.
When piercing without a clamp, longer needles allow the tube to be held securely far away from the tip once it has passed through the body. I use 3 inch needles for all body piercings so that the sharp end can be cleared far enough from the pierced area and the tube can be secured close to the blunt base without the need to manipulate the sharp end.
The stylet approach is stable, and based on existing self-blunting sharps technology. Provided that the wire is the appropriate size, the sharp is secured and there is not a cutting edge to catch or stick. It will only move back in the needle with a similar level of force that would puncture through a cork or plastic tube. A telescoping metal tube with a reduction to catch the needle could be more secure, and I’m working on a demonstration of that as well.
This is a prototypical demonstration of the concept and a version of it can be made to fit into needles for our industry with a number of locking and blunting variations of the same strong passivated 304 steel as the needles.
Contaminated needles and other contaminated sharps shall not be bent, recapped, or removed except as noted in paragraphs (d)(2)(vii)(A) and (d)(2)(vii)(B) below. Shearing or breaking of contaminated needles is prohibited.
Contaminated needles and other contaminated sharps shall not be bent, recapped or removed unless the employer can demonstrate that no alternative is feasible or that such action is required by a specific medical or dental procedure.
CONFERENCE IS ALMOST UPON US! THE CONFERENCE ADVANCED (ONLINE) REGISTRATION WILL SHUT DOWN AT MIDNIGHT ON MAY 17TH, PST ANY CHANGES TO YOUR REGISTRATION SHOULD BE MADE BEFORE THEN (OR WILL HAVE TO WAIT UNTIL WE ARE ONSITE IN LAS VEGAS) BANQUET DINNER SPONSORED BY INDUSTRIAL STRENGTH BODY JEWELRY; ANATOMETAL, INC.; LEROI, INC.; AND KAOS SOFTWEAR THURSDAY JUNE … Read more
The Association of Professional Piercers is an international non-profit organization dedicated to the dissemination of vital health and safety information about body piercing to piercers, health care professionals, legislators, and the general public. Socially and legislatively, body piercing is situated within the greater body modification community. As a result, we recognize that our role extends beyond the discipline of body piercing. Our position on body art practices such as tattooing, cosmetic tattooing, branding, scarification, suspension, and other forms of body modification is as follows:
Standards are useful, and guidance based on evidence is often even more so.
This guidance provides recommendations regarding reuse instructions in labeling for reusable medical devices and the validation of the recommended reprocessing process in the instructions. The recommendations are applicable to the three device reprocessing situations below.
A gravity displacement (class N) steam sterilization process can not reliably remove gases from hollow or porous items, resulting in areas that do not get sterilized, and the failure of the load. They should not be used for body jewelry, needles, tattoo tubes or textiles.
395 CENTRAL SERVICE Volume 13 2005
Effects of Non-Condensable Gases (NCGs) on Steam Sterilisation Processes
steam sterilisation process
non-condensable gases (NCGs)
process challenge device (PCD)
The dangers posed by non-condensable gases (NCGs) in steam sterilisation processes have long been underestimated. Biological indicators, or the best chemical indicators on the market, do not signal the presence of a NCG content of up to 10% in a sterilisation process so long as there is mixing of steam and NCGs in the sterilisation chamber.
Water quality; staining of sterile packaging; soil detection devices
by Ray Taurasi
Q I work in a small rural hospital in New Hampshire. We only have one OR and one sterilizer and no automated washers. All of our instruments and other reprocessable items are manually cleaned. I have noticed at times, especially during the winter months, our tap water has a cloudy color. Since we use tap water to clean our instruments and to mix with our chemical disinfectants, I was wondering if the water is safe to use or if it can damage our instruments.
A In the winter time in cold regions such as New Hampshire, the water coming into the hospital is extremely colder than the inside temperature and your water may have a milky or cloudy appearance. The reason for this is that cold water holds more oxygen than warmer water does.
What Titanium materials are best for body jewelry? My articles at https://jewelry.piercing.org/ and https://brnskll.com/shares/titanium-standards-why-not-g23/ explain that the two most effective Titanium standards are alloyed ASTM F136 and pure ASTM F67, the most common being the former as it is stronger, harder and easier to polish. Both are used for permanent surgical implants.
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This is a cheeky demonstration of why we should make sure not to leave chemical residues behind on our work surfaces. All disinfectants leave a residues that should be washed and rinsed away on a regular basis.
Can unused wrapped items be re-sterilized reusing the original wraps?
When unused sterile instrument sets are returned from the OR or patient floors our policy is to re-sterilize the sets. Since these were unopened we inspect the wrap to be sure there are no holes, replace the tapes and labeling and re-sterilize the item.
An interesting observation on safety issues raised in returning contaminated items such as jewelry to clients, as voiced by this medical professional’s concerns for their patients. It is evident that infection control measures should be carefully considered when previously worn jewelry or other contaminated personal items are to be returned to a customer.
Please regard the discussion in the comments below
I am an OR nurse and recently started a new job in a prestigious orthopedic hospital. At the request of a surgeon or patient when implants are removed we have been cleaning and flashing them and returning them to the patient in a plastic bag.
[NOTE: Flashing is an outdated term for sterilizing items unwrapped for immediate use]
Can we label sterilization packages with a Sharpie brand marker?
Our staff used to label all of our cardiovascular sets and supplies with a red Sharpie brand permanent marker and we would use a black Sharpie for all other items. This provided a quick and easy method to visually identify these special critical items. The labeling was restricted to the autoclave tape on the outside of wrapped packages and the film side of peel pouches.
Equipment must be cleaned before sterilization. Heat fixes blood fibrin to instrument surfaces, and should not be used prior to cleaning. Reprocessing should be done according to evidence based scientific recommendations.
Have you noticed some sort of raised bump at the exit point of your piercing?
This could be due to a number of sources of irritation or infection that can result in overgrowth of scar tissue when the healing process is disrupted. There may be a single, simple solution though it commonly may take a combination of protective measures to help this turn out well.