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Universal Precautions: Syringes & Supplies

In general, exposed syringes, that is, unpackaged, unused single syringes, and safer injection supplies such as cottons, cookers, tourniquets, etc. should always be treated with universal precautions. This means that staff and volunteers should never handle them without gloves and/or proper precautions, even if they are capped. Syringes that are still in containers such as boxes or bags are not subject to universal precautions.

Safer injection supplies, especially used supplies, should always be treated with universal precautions. This means that staff and volunteers should never handle any supplies or equipment that might enter a participant’s body without gloves and/or proper precautions.

Safety for Accepting Used Equipment

Used syringes should always be treated with universal precautions and as if they are contaminated. Harm reduction workers should never use bare hands to handle used sharps or sharps containers. Instead, they should use gloved hands to open the large sharps container, and ask participants to place their used syringes and waste inside. The exchange worker who manages the sharps container on the shift should wear gloves throughout the shift to avoid cross-contamination.

REMINDER: Avoid Cross-Contamination

Harm reduction workers can avoid cross-contamination by being mindful not to touch any used object and then a new one, such as a used syringe and then new supplies. Instead, harm reduction workers should change or remove gloves in-between to handle another object or set of objects.

Featured Hacks

These featured hacks highlight creative, practical solutions from harm reduction leaders on the ground. From DIY tools to clever workarounds, each one reflects the ingenuity, care, and real-world experience that keeps this movement alive. 

One of the main goals of active listening with an agitated person is reaching affirmation and accord. You are looking to try and find ways to agree with the person who is agitated. Even if you don’t entirely agree with the person, try to find at least a small way in which they may be right, or in which you can be on the same page, or team, with them.
As discussed in the part of the site on preventing escalation, it is essential for harm reduction workers to stay present and remain centered and relatively calm during escalated events. This is one of the hardest things to do, but staying present and centered during any kind of escalated situation at your harm reduction site is essential to de-escalation.