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11. Safe Injection Practices Recent outbreaks of HBV and HIV in the out patient setting in the United States have been associated with breaches in infection control practices when using equipment for injection. Therefore it is essential to adhere to safe injection practises for administration of injections, this includes 1. Aseptic Technique a) Use of aseptic technique when preparing injections to avoid contamination of sterile injection equipment. b) Aseptic technique includes separation of clean and dirty areas. A clean area should be identified where injections are prepared. Preparation of medication on the surfaces where used equipment is disposed of is to be avoided. 2. Using single use sterile syringe and needle for each injection given. 3. Single dose vials are recommended where possible. 4. Multi-dose vials a) Where multi-dose vials are used do not access in the immediate resident /client treatment area. b) Prepare the injection in a preparation area and then bring to the resident /client area. c) Any multi dose vials accessed at the bedside or when the resident /client is present must be disposed of. d) A sterile needle and syringe must be used each time the vial is accessed. 5. Fluid infusions and administration sets. e.g. intravenous bags, tubing and connectors a) Are single use items i.e. use for one resident/client and discard after one use. b) Do not use fluid infusion bags to draw up mixing solutions for medications vials or flushing solutions for intravenous catheters (e.g., normal saline/sterile water) for multiple patients. c) A needle or syringe should be considered as contaminated once it has been used to enter or connect to a residents/client intravenous infusion bag or administration set. 6. Blood Glucose Monitoring a) Fingerstick devices should never be used for more then one person. A single use disposable device with a retractable needle is recommended. b) In long term care settings glucose monitoring devices should not be used for more then one person. In health centre and day centers encourage clients to bring their own devices. If they must be shared then cleaning and disinfection must be carried out between each use as per manufacturer’s instructions.(Refer to Blood Glucose Monitoring Section 12.5) c) Where insulin pens are used these must be dedicated to an individual and never shared and labeled with residents/client details. See Appendix 3.10 Safe injection poster Guidelines on Infection Prevention and Control 2012 HSE South (Cork and Kerry) Community and Disability Services. Standard Precautions Page 22 of 36