[MCOH-EH] Safety devices for shorter insulin needles?
Swift, Melanie
melanie.swift at Vanderbilt.Edu
Thu May 5 11:05:52 PDT 2016
Amber, to clarify, in this database, is all "during use" activation of the safety? We use "during use" when the person is actually giving the injection and sticks themselves because the patient moved, for instance. We track "while activating safety device" separately and find it's a much lower number.
Melanie Swift, MD
Director, Vanderbilt Occupational Health Clinic
http://occupationalhealth.vanderbilt.edu
-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Dr Amber H Mitchell
Sent: Thursday, May 05, 2016 12:50 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Safety devices for shorter insulin needles?
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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