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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. 

Community member agreements are shared agreements regarding behavior expected of everyone who participates in a harm reduction site or service. The primary rule all harm reduction leaders talked about was the need to treat everyone with respect.
Though not all harm reduction organizations or programs are in need of universal precautions or OSHA considerations, most are. It’s important when setting up a harm reduction space to take into consideration the important and real risks of harm reduction work. This includes the potential for entry and exposure to blood-borne pathogens as well as airborne pathogens.