The One & Only Campaign

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What you need to know

The One & Only Campaign is a public health effort, led by the Centers for Disease Control and Prevention (CDC) and the Safe Injection Practices Coalition (SIPC), to raise awareness among patients and healthcare providers about safe injection practices.

The Campaign aims to eliminate infections resulting from unsafe injection practices.

Sections on this page

Background

Since 2001, more than 150,000 patients in the United States have been notified of potential exposure to hepatitis B virus (HBV), hepatitis C virus (HCV), and HIV due to lapses in basic infection control practices.

Many of these lapses involved healthcare providers reusing syringes, resulting in contamination of medication vials or containers which were used then on subsequent patients.

The goal of the One & Only Campaign is to ensure patients are protected each and every time they receive a medical injection. This will be attained by empowering patients and re-educating healthcare providers regarding safe injection practices. Targeted education and awareness campaigns focus on influencing the culture of patient safety. Patients and providers must both insist on nothing less than One Needle, One Syringe, Only One Time for each and every injection. This practice will greatly reduce the risk of contracting hepatitis and other infections through medical injection. The SIPC and One & Only Campaign are made possible by a CDC Foundation partnership with Eli Lilly and Company.

Anticipated outcomes of the One & Only Campaign include:

Increased awareness among the general public and healthcare providers about safe injection practices;
Increased patient involvement/empowerment as a strategy to promote healthcare provider adherence to safe injection practices; and
Increased understanding and implementation of safe injection practices among healthcare providers.

News

An Unsafe Practice: Reuse of Prefilled Saline Flush
Recent survey findings: One percent of the survey respondents admitted to always or sometimes reusing a syringe for more than 1 patient.
Hep C Virus Potentially Transmitted by Opiod Drug Diversion from a Nurse - Washington, August 2017 - March 2018
Drug diversion poses a serious threat to health and well-being of patients.
Patients Infected After Worker Replaced Narcotic from Syringes with Water, New York Hospital Says
Several patients at Buffalo, N.Y.-based Roswell Park Cancer Comprehensive Cancer Center developed an infection after an employee swapped a narcotic drug from syringes with water, and the patients were injected with the syringes.

Hear Evelyn's Story about her health crisis resulting from unsafe injection practices.

Managing Patient Safety, One Injection at a Time - VIDEO

Watch this educational video on Safe Injection Practices

Use the CDC's Injection Safety Checklist

This checklist, developed by CDC and the Safe Injection Practices Coalition, includes nine observations to help healthcare workers ensure they are adhering to safe injection practices during the care of patients.

Injection Safety Checklist

When in Doubt, Throw it Out!

CDC recommends the following injection safety practice: When you administer an injection, carefully check the label of the vial. If it says single-dose and has already been accessed, throw it away.

Single dose vial education

State Injection Safety Resources

Nebraska DHHS Healthcare Associated Infections (HAI) Program

The HAI team of the Epidemiology Unit of DHHS is tasked with helping to decrease the incidence of HAIs in Nebraska by:

Monitoring the occurrence of HAI's in local hospitals
Tracking antibiotic resistance
Working with the ICAP Program to assess and promote quality infection control at health
care facilities
Coordinating the state HAI Advisory Committee
Developing an HAI Outbreak Detection and Management Program
Supporting efforts in Antibiotic Stewardship
Managing a website with HAI information for the public and healthcare professionals

More Resources

Nebraska Infection Control Assessment and Promotion Program (ICAP)

Nebraska ICAP is CDC-funded partnership between Nebraska Medicine, the University of Nebraska Medical Center and the Nebraska DHHS HAI/AR Program. Since 2015, the team has performed assessments in over 150 Nebraska healthcare facilities, all across the healthcare continuum. In each facility, our experienced infection prevention team shares the latest evidence-based infection control practices and strategies. Promotion of safe injection practice resources is a core activity and great passion of the team, and includes direct dialogue among infection preventionists about relevant risks in healthcare facilities. For more information and useful tools and links, visit the ICAP website at https://icap.nebraskamed.com

The Nebraska Infection Control Network (NICN)

The NICN was founded in 1980 by Philip W. Smith, MD. Its mission was to improve the quality of healthcare in Nebraska hospitals, long term care facilities and communities through the prevention and control of infectious diseases. The NICN uniquely combines the volunteer efforts of key agencies and emphasizes educational programs. In the more than 30 years these courses have been provided, over 4000 trainees have attended.

The intensive two-day Primary Infection Prevention course is held twice a year in Omaha and has included an injection safety lecture since 2017.

http://www.nicn.org/

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