[MCOH-EH] Vanish Point

[william hyman]

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.
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