Recapping Needles at an Agricultural Animal Facility, Standard Operating Procedure for
Details
This SOP pertains to those in agricultural facilities who use needles. Research shows that 80% of farmworkers have accidentally stuck themselves with a needle. Recapping needles poses an increased risk of needlestick to the worker. Most needlesticks are minor but serious injury could result including:
- Allergic reaction
- Deep tissue wound
- Miscarriage due to accidental injection of a hormone product
- Serious cardiovascular event or death due to accidental injection of Tilmicosin/Micotil
Purpose
A guideline to avoid the recapping of needles where possible and techniques to follow if recapping is necessary.
Procedures
- A multi-dose vaccination gun with a retractable needle would be the optimum solution; however, the cost may be the limiting factor.
- If you need to recap a needle, do not bend or break the needle and NEVER remove the needle from the syringe by hand. This could result in accidental needle sticks, cuts, or punctures.
- Recapping should ONLY be performed using a mechanical device or the one-handed technique. ANY RECAPPED NEEDLE MUST BE PLACED IN AN APPROPRIATE SHARPS CONTAINER AT THE NEXT AVAILABLE OPPORTUNITY.
- What guidance does OSHA give on recapping fill needles? OSHA is pretty blunt about recapping needles—they don’t recommend it!!
One-Handed Needle Recapping Method
- Place the cap on a flat surface with something firm to “push” the needle cap against.
- Holding the syringe with the needle attached in one hand, scoop the needle into the cap without using the other hand.
- Push the capped needle against a firm object to “seat” the cap onto the needle firmly using only one hand or lift the syringe/needle vertically and once the tip of the needle is completely covered, use the other hand to secure the cap in place.
- https://www.youtube.com/watch?v=AYUbpBLceTg
It is recommended that you should NEVER RECAP NEEDLES that have been used for:
- Sedatives (E.G., xylazine)
- **Tilmicosin (Micotil)
- Oil-based products or vaccines
- Modified live vaccines
- Hormones
- Antibiotics
- Johne’s Vaccine
- Brucella abortus strain RB51 vaccine
- **Injection of this drug into humans has been associated with fatalities
If you stick yourself with a needle, you should:
- Make sure the animal is secure
- Properly dispose of the needle
- Remove gloves and wash the needlestick area thoroughly
- Tell your supervisor and complete the injury report within 24 hours
- Seek medical attention during working hours at:
Carle Occupational Medicine
810 W. Anthony Drive
Urbana, IL 61801
217-383-3077
Safeworks Illinois 1
806 N. Market Street
Champaign, IL 61820
217-356-6150
Seek medical attention after hours at:
Carle Hospital ER
611 W. Park Street 1
Urbana, IL 61801
217-383-3313
OSF Hospital ER
400 W. Park Street
Urbana, IL 61801
217-337-2131
If appropriate, take the Safety Data Sheet of the product you were using.
Contacts
If you have any questions, please contact:
- Occupational Health and Safety Specialist: 217-244-0781
- ACP-AG (formerly AACUP) Office: 217-265-6790
References
- https://www.osha.gov/dsg/topics/agriculturaloperations/hazards_controls.html
- http://www.fda.gov/medicaldevices/productsandmedicalprocedures/homehealthandconsumer/consumerproducts/sharps/ucm263259.htm
- http://umash.umn.edu/resources/pdf/Needlestick-Farmworkers-FactSheet.pdf