This case study was developed in collaboration with Public Health Ontario.
Mary, a nurse, is providing cosmetic filler injections in a medical spa to a number of patients. Mary injects approximately six patients per day using pre-loaded syringes that come packaged with two sterile needles from the manufacturer. The manufacturer label states that the product is for single-use. At times, there may be leftover filler in the syringe, so she removes the used needle, caps the syringe with the plastic cap, and stores the used syringe for later use. Mary reuses the leftover filler syringe, with a new sterile needle, on other patients. How does Mary’s practice impact infection prevention and control?
Response:
By reusing a syringe on another patient, even with a new, sterile needle attached, Mary potentially transmits micro-organisms from one patient to another. Her actions place other patients at risk because she failed to assess the risk of potential infectious disease transmission related to syringe reuse.
Mary did not read the product monograph that indicates the product is single-use only and that any remaining unused product needs to be discarded. The Medication standard emphasizes that nurses have an accountability to administer medications safely. This accountability includes taking appropriate action to resolve or minimize the risk of patient harm with any medication practice.
The Code of Conduct also emphasizes, all nurses are accountable for seeking and using the best available evidence to inform their practice. This accountability includes identifying situations that place a patient at risk of harm and taking evidence-informed measures to minimize and prevent such risks.