It is unfortunate that we cannot find one syringe that is superior for multiple uses in our facility as we have a range of need from pre-mature infants to adolescent/young adult and researchers.

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of william hyman
Sent: Saturday, February 25, 2017 8:06 PM
To: mcoh-eh@mylist.net
Subject: [MCOH-EH] Vanish Point

The fact that the VP and/or other devices may not be suitable for everything raises both a syringe specific and a broader question.

Is it better to use a superior device when it can be used and something else when it can't, or is it better to use a mediocre (less safe) device that is suitable for everything? The argument for partial use of the superior device is that total needlesticks (or other risks) will be lower, which is of course the goal. If there is an argument for standardizing on mediocre it is presumably that stocking fewer products is good even if safety is reduced, or that lowering training needs and wider product familiarity offsets less device-specific safety. I don't think either of these alternatives is convincing, especially for the people that get stuck (or otherwise injured).

On a separate issue, OSHA has previously noted that "not on contract" cannot be a sole reason not to use a particular safety product.