By Michael Garvin, MHA
TheNational Phlebotomist Association (www.phlebotomy.org)strongly recommends that healthcare professionals who collection blood specimensshould use a single-use blood-draw set. The Occupational Safety and HealthAdministration (OSHA) agrees that healthcare organizations should purchasesingle-use blood-draw hubs. The conversion to single-use blood-draw hubs affectshospitals, clinics and physician offices in a number of ways.
First, the conversion will impact healthcare clinicians who are used tocarrying around a tray on which sits a needle disposal container. This allowsthat person to detach the needle from the multi-use blood-draw hub. With theconversion to single-use devices, all blood-draw sets will need to be placed ina sharps disposal container. Secondly, the conversion will negatively impact theefforts by the facility to reduce its amount of infectious waste.
In the late 1990s, the American Hospital Association (AHA) and the U.S.Environmental Protection Agency (EPA) signed a joint letter of agreement,detailing a commitment that the healthcare industry would reduce the amount ofinfectious waste generated by 50 percent by 2003. The conversion to single-useblood-draw sets will negatively impact a facility's effort to reduce wastevolumes. Thirdly, a conversion will negatively impact hospital's budgets in thatfacilities will have to not only pay more for blood draw sets but will have topurchase more sharps disposal boxes.
One way to meet both the commitment to regulatory compliance as well as beinga solid environmental citizen is to not include the single-use hub as infectiouswaste. The safety feature activated needle would have to be disposed of in asharps disposal box but the hub would not meet the criteria of infectious waste.
The standard definition of infectious waste is that the waste item issaturated with blood or other potentially infectious body fluid to a point thatit would drip if compressed. This is not the case of the blood-draw set hub. Theneedle can be covered with the safety feature and then the needle assembly canbe detached using a needle disposal box that is designed with a "grip anddrop" slot. This way the backside of the needle is never exposed so aninjury cannot happen. The hub can then be placed in a regular waste containerwithout any violation of safety or waste regulation.
If a facility decides to implement this approach to managing the single-useblood-draw conversion, it is strongly recommended that a document be writtenexplaining the rationale and procedure. The document should include:
A Helping Hand: Innovative Approaches to Expanding Hand Hygiene Programs in Acute Care Settings
July 9th 2025Who knew candy, UV lights, and a college kid in scrubs could double hand hygiene adherence? A Pennsylvania hospital’s creative shake-up of its infection prevention program shows that sometimes it takes more than soap to get hands clean—and keep them that way.
Broadening the Path: Diverse Educational Routes Into Infection Prevention Careers
July 4th 2025Once dominated by nurses, infection prevention now welcomes professionals from public health, lab science, and respiratory therapy—each bringing unique expertise that strengthens patient safety and IPC programs.
How Contaminated Is Your Stretcher? The Hidden Risks on Hospital Wheels
July 3rd 2025Despite routine disinfection, hospital surfaces, such as stretchers, remain reservoirs for harmful microbes, according to several recent studies. From high-touch areas to damaged mattresses and the effectiveness of antimicrobial coatings, researchers continue to uncover persistent risks in environmental hygiene, highlighting the critical need for innovative, continuous disinfection strategies in health care settings.