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Definitions / Abbreviations: 5.1.6.2.9.Do not use fluid infusion or administration sets (e.g., IV bags, tubings, connections) for more than one patient.Unsafe injection practices that have resulted in disease transmission have most commonly included: 6.1.1.Using the same syringe to administer medication to more than one patient, even if the needle was changed or the injection was administered through an intervening length of intravenous (IV) tubing.These practices are intended to prevent transmission of infectious diseases between one patient and another, or between a patient and healthcare personnel during preparation and administration of parenteral medications.Dental practitioners should adhere to the following injection practices that are critical for patient safety: 6.2.1.Prepare injections using aseptic technique in a clean area.6.2.3.Do not use needles or syringes for more than one patient (this includes manufactured prefilled syringes and other devices such as insulin pens).6.2.4.Medication containers (single and multidose vials, ampules, and bags) are entered with a new needle and new syringe, even when obtaining additional doses for the same patient.Date multidose vials when first opened and discard within 28 days, unless the manufacturer specifies a shorter or longer date for that opened vial.6.Procedure: 6.1.6.2.6.2.8.2.6.2.8.3.6.2.8.4.

Original text

Definitions / Abbreviations:
5.1. Safe Injection Practices: refers to the proper use and handling of supplies for
administering injections and infusions. These practices are intended to prevent transmission of infectious diseases between one patient and another, or between a patient and healthcare personnel during preparation and administration of parenteral medications.
6. Procedure:
6.1. Unsafe injection practices that have resulted in disease transmission have most
commonly included:
6.1.1.Using the same syringe to administer medication to more than one patient, even if
the needle was changed or the injection was administered through an intervening
length of intravenous (IV) tubing.
6.1.2.Accessing a medication vial or bag with a syringe that has already been used to
administer medication to a patient, then reusing contents from that vial or bag for
another patient.
6.1.3.Using medications packaged as single-dose or single-use for more than one
patient.
6.1.4.Failing to use aseptic technique when preparing and administering injections.
6.2. Dental practitioners should adhere to the following injection practices that are critical for patient safety:
6.2.1.Prepare injections using aseptic technique in a clean area.
6.2.2.Disinfect the rubber septum on a medication vial with alcohol before piercing. 6.2.3.Do not use needles or syringes for more than one patient (this includes
manufactured prefilled syringes and other devices such as insulin pens). 6.2.4.Medication containers (single and multidose vials, ampules, and bags) are entered with a new needle and new syringe, even when obtaining additional doses for the
same patient.
6.2.5.Use single-dose vials for parenteral medications when possible.
6.2.6.Do not use single-dose (single-use) medication vials, ampules, and bags or bottles
of intravenous solution for more than one patient.
6.2.7.Do not combine the leftover contents of single-use vials for later use. 6.2.8.The following recommendations should be applied if multidose vials are used:
6.2.8.1. Dedicate multidose vials to a single patient whenever possible.
6.2.8.2. If multidose vials will be used for more than one patient, they should be restricted to a centralized medication area and should not enter the immediate patient treatment area (e.g., dental operatory) to prevent
inadvertent contamination.
6.2.8.3. If a multidose vial enters the immediate patient treatment area, it should
be dedicated for single-patient use and discarded immediately after use. 6.2.8.4. Date multidose vials when first opened and discard within 28 days, unless the manufacturer specifies a shorter or longer date for that opened
vial.
6.2.9.Do not use fluid infusion or administration sets (e.g., IV bags, tubings, connections)
for more than one patient.


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