[MCOH-EH] Safety devices for shorter insulin needles?
Dr Amber H Mitchell
amber.mitchell at internationalsafetycenter.org
Thu May 5 10:50:21 PDT 2016
If it helps the group, we did some advanced data extraction from our
EPINet aggregate of hospitals (2010-2014).
This data is from sharps injuries that were reported to employee health
from ONLY safety devices used ONLY during injection and ONLY among nurses.
I have blood collection device data too, if anyone feels it would be
useful send me an email.
11. Did the injury occur?
1 Before use of item 4 0.7%
2 During use of item 232 41.4%
3 Between steps of a multi-step procedure 13 2.3%
4 Disassembling device or equipment 15 2.7%
5 In preparation for reuse of reusable instruments 1 0.2%
6 While recapping a used needle 31 5.5%
7 Withdrawing a needle from rubber or other resistance 4 0.7%
8 Other after use, before disposal 159 28.4%
10 While putting the item into the disposal container 21 3.8%
11 After disposal, stuck by item protruding from disposal
container 4 0.7%
13 After disposal, item protruding from trash bag or inapp
container 2 0.4%
14 Other, describe 66 11.8%
15 Restraining patient 1 0.2%
16 Device left on floor, table, bed or other inappropriate place 7 1.3%
Total records: 560
And this is when they are occurring during the use of safety syringes.
1 Before activation 241 48.0%
2 During activation 208 41.4%
3 After activation 52 10.4%
4 Unknown 1 0.2%
You¹ll note that more than 40% of injuries occur during activation of the
safety feature. Again, this is skin injection only and the use of safety
devices only.
Amber
Amber Hogan Mitchell, DrPH, MPH, CPH
President | Executive Director
International Safety Center
Email: amber.mitchell at internationalsafetycenter.org
On 5/5/16, 11:14 AM, "Sampson, Deborah" <Deborah.Sampson at snhhs.org> wrote:
>Haven't seen that. What I am identifying is that most sticks in the last
>6 months were due to inattention during clean up, during disposal or
>safety activation such as speaking with the patient, family, or a
>colleague.
>We are considering suggesting a " Watch that needle" campaign.
>Deb
>Deborah A. Sampson, PhD, APRN, COHN-S, FAANP
>Director
>Employee Health and Wellness Services
>Southern New Hampshire Health P.O.Box 2014 8 Prospect Street
>Nashua, NH 03060
>p(603) 281-8583 f (603) 577-5665
>deborah.sampson at snhhealth.org
>
>
>
>
>
>-----Original Message-----
>From: MCOH-EH
>[mailto:mcoh-eh-bounces+deborah.sampson=snhhs.org at mylist.net] On Behalf
>Of Hudson, T. Warner
>Sent: Thursday, May 05, 2016 11:00 AM
>To: MCOH/EH
>Subject: Re: [MCOH-EH] Safety devices for shorter insulin needles?
>
>Melanie - I know when we replaced all 350,000 per year re-sheathing
>butterflies here in 2012 with the BD retractable butterfly ,ones we heard
>about the peds insulin needle issue and have not had a solution so very
>interested in how this plays out.
>
>An on another note we are seeing 2-5 incidents where people report the
>needle in the BD retractable butterfly needle did not retract. We spoke
>with BD a couple years ago and they were skeptical, said they checked
>with their quality folks, and et we keep getting reports of this; it
>think 4 last year. It is possible to touch so lightly the needle does not
>retract before removing from the vein but to me this is a training issue
>as there is an audible click when the little triangle is pressed
>correctly. But I want to be open to the possibility of a manufacturing
>problem too. Is anyone else seeing these reports of non - retraction?
>
>Thanks,
>
>Warner
>
>T. Warner Hudson, MD FACOEM, FAAFP
>Medical Director, Occupational and Employee Health UCLA Health System and
>Campus Office 310.825.9146 Fax 310.206.4585 Pager 800.233.7231 ID 27132
>E-mail twhudson at mednet.ucla.edu Website www.ohs.uclahealth.org
>
>
>-----Original Message-----
>From: MCOH-EH
>[mailto:mcoh-eh-bounces+twhudson=mednet.ucla.edu at mylist.net] On Behalf Of
>Sampson, Deborah
>Sent: Thursday, May 05, 2016 4:44 AM
>To: MCOH/EH
>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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