[MCOH-EH] BBP Safer Sharps

[Hudson, T. Warner]

Another issue is that as we have gotten better with sharps, using push button retractable butterflies and so on, our experience at UCLA hospitals is that now for 3 years running our leading cause of BBP exposures in nurses; of 50% of BBP exposures in nurses, is splashes not sharps.

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<mailto:twhudson at mednet.ucla.edu>
Website www.ohs.uclahealth.org<http://www.ohs.uclahealth.org>

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of william hyman
Sent: Friday, May 05, 2017 2:34 PM
To: mcoh-eh at mylist.net
Subject: Re: [MCOH-EH] BBP Safer Sharps



   1. Re:  BBP Safer Sharps (Dr Amber H Mitchell)

As Dr, Mitchell  and I have discussed between us before, if 52% of injuries are non-safety then 48% are with (so called) safety. Part of that 48% is associated with non-activation, which is a serious issue. But another part is with activation, ie activating the device did not prevent the injury, or maybe even caused the injury. This is also a serious issue and it means that activating  some devices may not be a safe thing to do. This may be a link to the non-activations, ie people don't activate some devices because they correctly perceive that doing so can be dangerous.

   Not all devices named or designated as safety are actually safe when used by real people in      the real environment of use. There can be a difference between the apparent capability of some  devices to render the sharp safe and whether this will actually occur on a consistent basis.    Seemingly safe when demonstrated is not always good enough.
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Message: 1
Date: Fri, 5 May 2017 19:27:33 +0000
From: Dr Amber H Mitchell
        <amber.mitchell at internationalsafetycenter.org<mailto:amber.mitchell at internationalsafetycenter.org>>
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] BBP Safer Sharps
Message-ID:
        <FBF6A285-7794-4EA7-BC22-6D3401887553 at internationalsafetycenter.org<mailto:FBF6A285-7794-4EA7-BC22-6D3401887553 at internationalsafetycenter.org>>
Content-Type: text/plain; charset="utf-8"

Therese,

For our EPINet network of hospitals, we do capture information for each incident from the injured healthcare worker:

?If the sharp had no integral safety feature, do you have an opinion that such a feature could have prevented the injury?? and
?Do you have an opinion that any other engineering control, administrative or work practice could have prevented the injury??

We haven?t released 2015 to the public yet, but here is 2014.  We?ve always wanted to build out this data with survey research about what they think would increase safety device use, improve safety feature activation, and decrease personnel access to non-safety.  The OSHA requirement to include frontline non-managerial employees in device evaluation clearly isn?t driving injuries down as much as we?d hoped.

http://internationalsafetycenter.org/wp-content/uploads/2016/08/Official-2014-NeedleSummary.pdf<https://na01.safelinks.protection.outlook.com/?url=http%3A%2F%2Finternationalsafetycenter.org%2Fwp-content%2Fuploads%2F2016%2F08%2FOfficial-2014-NeedleSummary.pdf&data=01%7C01%7Ctwhudson%40mednet.ucla.edu%7Ca9ae093f5e2e4698268908d493fe7d7e%7C39c3716b64714fd5ac04a7dbaa32782b%7C0&sdata=IsklhZZqC4p1mPiR5HxiNoLI962BqHJk781xYtDeMVo%3D&reserved=0>

Since 52.3% of all sharps injuries continue to occur from non-safety devices, we still have a good bit of work to do to understand why whole institutions or departments aren?t implementing safety devices.  And for those that are using safety, we need to understand why 64% are not activating the safety feature (or haven?t had the opportunity to activate the safety feature).

Qualitative survey data like what you are proposing would be instrumental in helping us identify underlying reasons why injuries are not declining nationally.

Let me know how we can help.

Regards,


Amber Hogan Mitchell, DrPH, MPH, CPH
President | Executive Director
[cid:image001.png at 01D2C5AB.BE9570F0]



From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> on behalf of Therese Bovee-McKelvey <TMBoveeMcKelvey at evergreenhealthcare.org<mailto:TMBoveeMcKelvey at evergreenhealthcare.org>>
Reply-To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Date: Thursday, May 4, 2017 at 4:48 PM
To: "mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>" <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: [MCOH-EH] BBP Safer Sharps

Hello ,

We are looking at doing a survey monkey to get input from front-line staff regarding BBP/safer sharps concerns / issues.  Has anyone done this before and if so would you be willing to share what questions you asked and how that worked out for you?  We are looking at comparing survey results to our BBP exposure data and possibly prioritizing where to best spend our resources and efforts.


Thank you in advance,


Therese
Therese Bovee McKelvey, MN, RN  Sr. Employee Health Nurse - Employee Health
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