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Universal Precautions: Environmental Cleanup

Harm reduction providers should, as a matter of course, include environmental cleanup of syringe litter and paraphernalia in and around where they provide services. The benefits of providing this kind of cleanup cannot be overstated. Not only will you be able to prevent needlestick injury in the community, you’ll also create goodwill with neighbors and others.

In order to do this properly, workers should never handle used sharps or supplies with bare hands. Instead, they should wear medical or work gloves and use tongs or other tools to pick up each syringe or piece of litter, one at a time, putting them in a sharps container. Workers should also wear gloves.

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. 

Once you have grounded yourself during an escalated situation, next engage in active listening with the person who is agitated. This can seem counterintuitive or difficult when you are dealing with somebody who is, for example, screaming at you, and it may feel like you’re rewarding them for being completely irrational. But it is key to getting them more centered and grounded so they’re less agitated and less likely to become a danger to themselves or others.
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.