1. Connolly Memorial Hospital Blanchardstown Dublin 15 Introduction of a Needle Safe System Margaret Kelleher Occupational Health CNM 2 22 nd April 2006

2. Process of Introducing a Needle Safe System

3. Introduction of Needle Safe Butterflies for Phlebotomy & S/c use Background Meeting Key Persons Proposal

4. Introduction of Needle Safe Butterflies Who were the Key Stake Holders? Occupational Health Physician Consultant Microbiologist € Infection Control Specialist Director of Nursing Nurse Practice Coordinator Finance Manager € €

5. Introduction of Needle Safe Butterflies Key Stake Holders Occupational Health Nurses Hepatitis B Nurse Coordinator Senior Phlebotomist CNM’s (Pilot Areas) Stores Manager

6. Introduction of Needle Safe Butterflies The Proposal: Issued to Key Persons  Pre Trial evaluation  Devices  Training requisite  Post Trial evaluation  Date for return  Signature of agreement

7. Introduction of Needle Safe Butterflies Selection of Pilot Areas:  Device Usage  Sample Size  CNM Commitment

8. Introduction of Needle Safe Butterflies Duration of Trial: 5 weeks a) 2 weeks dual purpose first device i.e. covering both phlebotomy and S/c b) 1 week interval c) 2 weeks single purpose second & third devices i.e. separate devices for phlebotomy and S/c

9. Introduction of Needle Safe Butterflies During the trial period:  3 way coordination Supplier OHD Pilot areas

10. Introduction of Needle Safe Butterflies Post Trial 1. Post Trial evaluation 2. Meeting of Key Persons Presentation of results of Trial Discussion Agreement 3. Further proposal submitted to Hospital Chief Executives 4. Approval

11. Introduction of Needle Safe Butterflies Action after Hospital Board Approval Persons to inform:  Supplier of the approved device  Stores Manager  Key Persons

12. Introduction of Needle Safe Butterflies Further Action:  Set up Training Agreement with supplier  Consult Nurse Practice Development coordinator Training coordinators for each section  Confirm numbers Nurses/Doctors for training  rosters given to Supplier  Records of training  Post introduction evaluation

13.  2 Weeks  Day & Night Staff  Weekly visits by Rep.  Induction of Doctors & Nurses  Helpline Introduction of Needle Safe Butterflies Training Agreement

14. Summary  Proposal  Key Persons  Pilot Areas  Trial  Pre and Post Evaluation  Training  Post introduction evaluation Introduction of Needle Safe Butterflies