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WHO Best Practices for Injections and Related Procedures Toolkit. Geneva: World Health Organization; 2010 Mar.
Safe methods of removing the needle from the syringe or other devices are necessary to protect health workers from injury.
This procedure must be carried out close to a sharps container, and the needle must be discarded immediately.
NEVER disassemble an exposed used needle with your bare hands
If the needle has to be disassembled from the barrel or syringe, re-sheath using a one-hand scoop technique, then remove the needle using a removal device. Both of these procedures are explained below.
One-hand scoop technique
- Leave the needle cap on the surface and guide the tip of the used needle tip into it using only one hand. Clean the surface with disinfectant afterwards to avoid leaving blood.
- Place the needle cap against a firm upright surface with its opening towards the phlebotomist, and place the used needle tip into it.
- Lift the needle and syringe vertically and, once the tip is covered, use the other hand to fix the cap into place.
Use of a removal device
- Needle pliers – Hold the needle with pliers or artery forceps. Dislodge the needle by unscrewing it or by pulling it off. Discard immediately into a sharps container.
- Needle guard (mushroom) – Place the cap in the device. Using one hand, insert the needle tip into the cap vertically and turn firmly to fix the needle in the cap. Lift the syringe or barrel and removed the covered needle. Discard immediately.
- Disassembly of needle from syringe or other devices - WHO Best Practices for Inj...Disassembly of needle from syringe or other devices - WHO Best Practices for Injections and Related Procedures Toolkit
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