Occupationally Acquired Co- Infection of HIV and Hepatitis C Lisa M. Black RN, BSN Director at Large...
-
Upload
elfrieda-kelly -
Category
Documents
-
view
215 -
download
1
Transcript of Occupationally Acquired Co- Infection of HIV and Hepatitis C Lisa M. Black RN, BSN Director at Large...
![Page 1: Occupationally Acquired Co- Infection of HIV and Hepatitis C Lisa M. Black RN, BSN Director at Large Nevada Nurses Association Health Care Worker Liability.](https://reader035.fdocuments.net/reader035/viewer/2022062718/56649e845503460f94b86186/html5/thumbnails/1.jpg)
Occupationally Acquired Co-Infection of HIV and Hepatitis C
Lisa M. Black RN, BSN
Director at Large
Nevada Nurses Association
Health Care Worker Liability and Legal Vulnerability
![Page 2: Occupationally Acquired Co- Infection of HIV and Hepatitis C Lisa M. Black RN, BSN Director at Large Nevada Nurses Association Health Care Worker Liability.](https://reader035.fdocuments.net/reader035/viewer/2022062718/56649e845503460f94b86186/html5/thumbnails/2.jpg)
American healthcare workers sustain
approximately 590,000 needlestick injuries
EVERY YEAR:
12,000 of these injuries expose the worker to HIV...the virus that causes AIDS
12,000 of these injuries expose the worker to HIV...the virus that causes AIDS
Statistics
![Page 3: Occupationally Acquired Co- Infection of HIV and Hepatitis C Lisa M. Black RN, BSN Director at Large Nevada Nurses Association Health Care Worker Liability.](https://reader035.fdocuments.net/reader035/viewer/2022062718/56649e845503460f94b86186/html5/thumbnails/3.jpg)
Needlestick and Other Risks from Hypodermic Needles on Secondary I.V. Administration Sets -- Piggyback and
Intermittent I.V.
April 16, 1992
Dear Colleague:
This is to alert you to the risk of needlestick injuries from the use of hypodermic needles as a connection between two pieces of intravenous (I.V.) equipment . . . . . .
FDA SAFETY ALERT:
![Page 4: Occupationally Acquired Co- Infection of HIV and Hepatitis C Lisa M. Black RN, BSN Director at Large Nevada Nurses Association Health Care Worker Liability.](https://reader035.fdocuments.net/reader035/viewer/2022062718/56649e845503460f94b86186/html5/thumbnails/4.jpg)
In 1998, California nurses were the first to win legislative protection from needlestick injuries
California Assembly Bill 1208
![Page 5: Occupationally Acquired Co- Infection of HIV and Hepatitis C Lisa M. Black RN, BSN Director at Large Nevada Nurses Association Health Care Worker Liability.](https://reader035.fdocuments.net/reader035/viewer/2022062718/56649e845503460f94b86186/html5/thumbnails/5.jpg)
Historic Nationwide Needlestick Prevention Legislation was signed into law on November 6, 2000
Legislation modeled after the California Law was introduced into the United States Congress June 2000
Federal Legislation
![Page 6: Occupationally Acquired Co- Infection of HIV and Hepatitis C Lisa M. Black RN, BSN Director at Large Nevada Nurses Association Health Care Worker Liability.](https://reader035.fdocuments.net/reader035/viewer/2022062718/56649e845503460f94b86186/html5/thumbnails/6.jpg)
Engineered Sharps Engineered Sharps Injury Prevention Injury Prevention TechnologyTechnology
Needlestick Injury Needlestick Injury LogLog
Involves bedside Involves bedside employees in device employees in device selection selection
Components of United States Needlestick Legislation
![Page 7: Occupationally Acquired Co- Infection of HIV and Hepatitis C Lisa M. Black RN, BSN Director at Large Nevada Nurses Association Health Care Worker Liability.](https://reader035.fdocuments.net/reader035/viewer/2022062718/56649e845503460f94b86186/html5/thumbnails/7.jpg)
HIV treatment cost$3,000 USD per month
Hepatitis C treatment$2,000 USD per month
Lost wages $
Emotional/ Psychological impact is devastating
Cost
![Page 8: Occupationally Acquired Co- Infection of HIV and Hepatitis C Lisa M. Black RN, BSN Director at Large Nevada Nurses Association Health Care Worker Liability.](https://reader035.fdocuments.net/reader035/viewer/2022062718/56649e845503460f94b86186/html5/thumbnails/8.jpg)
Governed and defined by state law
Employees are eligible to receive benefits without proving employer fault
This protection insulates employers from liability
Workers Compensation
![Page 9: Occupationally Acquired Co- Infection of HIV and Hepatitis C Lisa M. Black RN, BSN Director at Large Nevada Nurses Association Health Care Worker Liability.](https://reader035.fdocuments.net/reader035/viewer/2022062718/56649e845503460f94b86186/html5/thumbnails/9.jpg)
Precludes employees from bringing private suit for occupational disease or injury
Provides little legal incentive for healthcare institutions to purchase safer equipment
Exclusive Remedy Provision
![Page 10: Occupationally Acquired Co- Infection of HIV and Hepatitis C Lisa M. Black RN, BSN Director at Large Nevada Nurses Association Health Care Worker Liability.](https://reader035.fdocuments.net/reader035/viewer/2022062718/56649e845503460f94b86186/html5/thumbnails/10.jpg)
Occupational Illness??
Conflicting decisions Conflicting decisions have resulted when have resulted when the courts have been the courts have been left to decide if a left to decide if a bloodborne illness bloodborne illness meets the definition of meets the definition of a occupational diseasea occupational disease
![Page 11: Occupationally Acquired Co- Infection of HIV and Hepatitis C Lisa M. Black RN, BSN Director at Large Nevada Nurses Association Health Care Worker Liability.](https://reader035.fdocuments.net/reader035/viewer/2022062718/56649e845503460f94b86186/html5/thumbnails/11.jpg)
Product Liability
Many injured Many injured healthcare workers healthcare workers have brought suit have brought suit against the against the manufacturer of the manufacturer of the device they were using device they were using at the time of their at the time of their injuryinjury
![Page 12: Occupationally Acquired Co- Infection of HIV and Hepatitis C Lisa M. Black RN, BSN Director at Large Nevada Nurses Association Health Care Worker Liability.](https://reader035.fdocuments.net/reader035/viewer/2022062718/56649e845503460f94b86186/html5/thumbnails/12.jpg)
Presumptive EligibilityHistory of contact with History of contact with a potentially infectious a potentially infectious clientele is sufficient clientele is sufficient proof that a blood borne proof that a blood borne illness originated in the illness originated in the workplaceworkplace
Financial coverage is Financial coverage is VITALVITAL
![Page 13: Occupationally Acquired Co- Infection of HIV and Hepatitis C Lisa M. Black RN, BSN Director at Large Nevada Nurses Association Health Care Worker Liability.](https://reader035.fdocuments.net/reader035/viewer/2022062718/56649e845503460f94b86186/html5/thumbnails/13.jpg)
“Each of us is but one personal tragedy away
from becoming politically active”
![Page 14: Occupationally Acquired Co- Infection of HIV and Hepatitis C Lisa M. Black RN, BSN Director at Large Nevada Nurses Association Health Care Worker Liability.](https://reader035.fdocuments.net/reader035/viewer/2022062718/56649e845503460f94b86186/html5/thumbnails/14.jpg)
Nevada Assembly Bill 279Will Create a statutory presumption of occupational transmission if a healthcare worker is infected with a blood borne disease
Signed by Governor Kenny Guinn on
May 28, 2001
Effective October 1, 2001
Assemblywoman Sheila Leslie
![Page 15: Occupationally Acquired Co- Infection of HIV and Hepatitis C Lisa M. Black RN, BSN Director at Large Nevada Nurses Association Health Care Worker Liability.](https://reader035.fdocuments.net/reader035/viewer/2022062718/56649e845503460f94b86186/html5/thumbnails/15.jpg)
Don’t let stories such as mine be repeated in your
facility
![Page 16: Occupationally Acquired Co- Infection of HIV and Hepatitis C Lisa M. Black RN, BSN Director at Large Nevada Nurses Association Health Care Worker Liability.](https://reader035.fdocuments.net/reader035/viewer/2022062718/56649e845503460f94b86186/html5/thumbnails/16.jpg)
HIVHIVHIV HIV HCV
HCV HCVHIV HBV HCV