[MCOH-EH] Safety devices for shorter insulin needles?

[Steivang, Kristen]

Our TB syringes used to be the BD with the aforementioned sliding stick cap.  Took a bit, but our short learning curve and we were able to use these pretty efficiently without needle stick injuries.  We now use the Covidien - Magellan  1ml TB Safety syringe (a 27g X 1/2") but this comes as an assembly - don't think it should be used for your diabetics as the needle is not removable and designed as a TB syringe - not insulin.  We have not used the intradermal needles for flu vaccines, but that is the only shorter needle I'm aware of - but also don't know if the needle is detachable or long enough.  Could also check with your PICU or Neonatal ICU to see if they have shorter needles??  Good luck!

Kristen

Kristen L. Steivang MSN, RN, ANP-BC, APNP
Employee Health Services
St. Mary's Hospital
700 S Park St.
Madison  WI 53715
608-258-6995
Fax 608-259-3239


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-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces+kristen_steivang=ssmhc.com at mylist.net] On Behalf Of Sampson, Deborah
Sent: Thursday, May 05, 2016 6:44 AM
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Safety devices for shorter insulin needles?

Haven't dealt with this peds population issue yet.
What I do know is that our patient care staff developed a way to use a table top to engage the caps on BD syringes because we were getting needle sticks when staff tried closing the safety cap.

Now the only time we get sticks from engaging the cap is when staff do not use the table top technique.



-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Swift, Melanie
Sent: Wednesday, May 04, 2016 9:29 PM
To: MCOH/EH
Subject: [MCOH-EH] Safety devices for shorter insulin needles?

Need your collective wisdom, MCOH peeps!

Our pediatric diabetes team is looking for an insulin syringe with a 6mm needle. They believe that  pediatric Type I DM pts are at risk for getting their insulin IM with the standard 1/2 inch needle, and they send patients home with a 6mm needle (which is a nonsafety needle for home use.)

Problem: the only safety device we've found in this length is a BD safety glide product that is basically a little hard cap on a sliding stick. It does not cover the entire needle, just bobbles out there like a tiny hard hat on the tip of the needle. I tried to activate and slid the thing out but it didn't catch - it slid back onto the needle, bending it sideways, then when I did get it to lock I had a completely exposed tip sticking out sideways.

Anyone use this product and have experience with how it performs in terms of injury?
Anyone know of another short safety-engineered insulin needle?
Has anyone dealt with this pediatric issue of making sure the SQ injection isn't too deep?

Thanks!!
Melanie Swift, MD
Medical Director, Vanderbilt Occupational Health Clinic occupationalhealth.vanderbilt.edu

Excuse any typos please - Sent from my iPad.
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The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
List membership is free, but only subscribers may post to the list.
To post send messages to: mcoh-eh at mylist.net
To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc):   http://www.mcoh-eh.net
MediTrax / Occupational Health Systems, Inc. provides financial support to ensure the list remains a free resource for the occupational health community.
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List archives (public): http://mylist.net/archives/mcoh-eh/
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Send administrative requests to: drjoe at meditrax.com
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