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

[Hudson, T. Warner]

We have only seen spattering with the BD retractable needles when the needle is removed from the vein before retraction...which you are not supposed to do...and caused us to do come retraining in the early year of the switchover.

Which brand/model retractable TB needle/syringe are you using?

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 at mylist.net] On Behalf Of Budnick, Lawrence
Sent: Thursday, May 05, 2016 8:15 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] Safety devices for shorter insulin needles?

We were seeing issues of non retraction with the TB syringe needles, but have switched to a different manufacturer. We have not had a problem with non-retraction with the BD butterfly needles, but the nurses report that blood may splatter when the needle retracts. 

Lawrence D. Budnick, MD, MPH
Director, Occupational Medicine Service
Associate Professor of Medicine
Rutgers University - New Jersey Medical School
65 Bergen Street, Suite GA-167, Newark, NJ 07107 tel 973.972.2900 fax 973.972.2904 lawrence.budnick at rutgers.edu

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-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces+budnicla=njms.rutgers.edu at mylist.net] On Behalf Of Hudson, T. Warner
Sent: Thursday, May 05, 2016 11:00 AM
To: MCOH/EH <mcoh-eh at mylist.net>
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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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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