“One and Only” posters instruct on safe injection practices

By: February 24th, 2009 Email This Post Print This Post

Concern about patient-to-patient transmission of hepatitis and HIV in non-hospital settings has prompted the “One and Only Campaign,” a coalition of the CDC, patient advocacy groups, healthcare professional organizations, and industry partners to promote safe injection practices. According to the “One and Only” web site:

  • 1% to 3% of healthcare providers reuse the same needle and/or syringe on multiple patients.
  • 31% of providers indicate that they reuse needles and/or syringes on the same patient

The campaign seeks to educate both patients and providers about their responsibility to ensure protection against healthcare-acquired infections, particularly in outpatient and ambulatory settings. When patients and providers remind healthcare professionals that syringes cannot be reused, then it will become second nature to check to make sure each patient gets a new syringe each time they are injected, according to the campaign announcement, February 11.

The campaign is reinforcing the safe injection practice message through patient and healthcare worker resource web pages which include questions for patients to ask before injection procedures and free posters to remind providers about the campaign’s slogan: “One Needle, One Syringe, and Only One Time.”

Click here to download the posters shown below.

1-oneandonlyposters Can I use that
when you are done
You wouldn’t share
this with anyone…
Your provider shouldn’t
share your syringe
2-oneandonlyposters 1 needle
1 syringe

+ 1 time
0 infections
3-oneandonlyposters Some things
should not
be reused


By Doreen Virgil on July 12th, 2009 at 3:40 am

What is OSHA’s position on reusing a needle on the same patient? Specifically, if the skin is prepped, a needle is inserted through the skin. Can this needle be reinserted (reused)on the same patient again through the same prepped area?

By David LaHoda on July 14th, 2009 at 3:02 pm

First of all, the skin prep stuff is irrelevant to OSHA, as skin prep is a patient IC and safety concern.

So the question focuses on handling and reusing a contaminated needle, and I’m sure an OSHA inspector can make a good case that handling contaminated needles is much more hazardous than handling clean needles.

So, unless you can make a case based on medical necessity or the lack of commercially feasible alternatives, I’d say that the example you provide is a violation.

Clinical experts tell me that the reuse of a needle on the same patient is a very rare situation in their experiences.

By Chris Wagner on July 21st, 2009 at 2:25 pm

I tried to download the pdf of the posters and it always came up connection failed. Any other source I can use?

The same needle is frequently reused when injecting a local anesthetic-the Anesthesiologist will reinsert the same needle multiple times when injecting a local for a block or central line. Dermatologists do the same. This is a very common practice.

By Cort Green on July 29th, 2009 at 3:26 pm

I’m also having issues downloading the posters. Let us know when the link is repaired or if there is another site we can go to.

By Evan Sweeney on July 29th, 2009 at 3:44 pm

The link should be fixed now. Let us know if you experience any other problems, and thanks for bringing that to our attention.

I have heard that nurses reuse the same needle when attempting to cannulate veins during PICC procedures. What is OSHA’s take on this.

I just attempted to download the posters without success. Any suggestions?

Thank you!

By David LaHoda on January 20th, 2011 at 6:18 pm

The links should work now.

By Joe Theile on August 12th, 2011 at 9:55 am

All new website and materials available at oneandonlycamapign.org. Patient Brochure and two poster avaiable in Spanish and all materials are free and can be ordered through the website. More materials being developed, bookmark the website.


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