[MCOH-EH] [External] Re: BBP Safer Sharps
Sampson, Deborah
Deborah.Sampson at snhhs.org
Mon May 8 11:55:37 PDT 2017
Many providers, myself included, own prescription safety glasses and use them throughout personal and professional activities when needed. Anyone who needs prescription glasses, would need safety glasses for close work, regardless of age.
Just my 2 cents
Deb
Deborah A. Sampson, PhD, APRN, COHN-S, FAANP
Employee Health APRN
Employee Health and Wellness Services
Southern New Hampshire Health P.O.Box 2014 8 Prospect Street Nashua, NH 03060
p(603) 281-8575 f (603) 577-5665
deborah.sampson at snhhealth.org<mailto:deborah.sampson at snhhealth.org>
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I strive to provide high quality service ~ please let my manager, Joanie Basta, know how I'm doing by e-mailing joan.basta @snhhs.org<Jacqueline.Woolley at snhhs.org%20> with your feedback. Thank you!
From: MCOH-EH [mailto:mcoh-eh-bounces+deborah.sampson=snhhs.org at mylist.net] On Behalf Of Nancy Rodway
Sent: Monday, May 08, 2017 2:30 PM
To: MCOH/EH
Subject: [External] Re: [MCOH-EH] BBP Safer Sharps
The trouble is getting eye protection that actually allows a "mature" healthcare worker to FOCUS within those three feet. When I get that close to a patient, I have to put on my "cheaters" so safety glasses are a safety hazard for the patient when I have to suture! The employer is then obligated to purchase prescription safety glasses...which can be a big expense
Nancy Rodway MD MPH FACOEM
Sent from Outlook<http://aka.ms/weboutlook>
________________________________
From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> on behalf of Dr Amber H Mitchell <amber.mitchell at internationalsafetycenter.org<mailto:amber.mitchell at internationalsafetycenter.org>>
Sent: Monday, May 8, 2017 2:21 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] BBP Safer Sharps
That is a terrific program, Kate. Any other eye protection programs out there?
Our 2015 EPINet data, which is similar year after year, for BBFEs illustrate that exposures occur to the eyes 66.9% of the time and eye protection (goggles, eyeglasses with sideshields, and faceshields) are worn only 6.7% of the time. These exposures are especially high with nurses (49.4%) compared to all other professional groups and in patient rooms (51.9%).
The trends are getting worse. Eye exposures increase and eye protection wear is decreasing year after year. Programs like yours should function as best practice models.
From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> on behalf of Kate Miller <kemiller at stcharleshealthcare.org<mailto:kemiller at stcharleshealthcare.org>>
Reply-To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Date: Monday, May 8, 2017 at 10:22 AM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] BBP Safer Sharps
We now have a policy that states that you have to have your safety glasses above your waist at all times and if you are coming within 3 feet of a patient that you need to have them on. It is not really well enforced and we still have splashes however it has reduced them.
Kate Miller, RN
Caregiver Health Nurse
541-706-4771 (office) 541-706-2694 (fax)
kemiller at stcharleshealthcare.org<mailto:kemiller at stcharleshealthcare.org>
St. Charles Health System 2500 NE Neff Road Bend OR 97701 www.stcharleshealthcare.org<http://www.stcharleshealthcare.org>
Drop In Calendar Link:
Drop-In Clinic Calendar and Locations<http://quality.scmc.org/Lists/Caregiver%20Health%20Dropin%20Calendar/calendar.aspx>
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Hudson, T. Warner
Sent: Friday, May 05, 2017 2:48 PM
To: MCOH/EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: Re: [MCOH-EH] BBP Safer Sharps
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<mailto: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>>
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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
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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
425.899.2278<tel:425.899.2278> (P) | 425.899.2277<tel:425.899.2277> (F) | TMBoveeMcKelvey at evergreenhealth.com<mailto:TMBoveeMcKelvey at evergreenhealth.com><mailto:TMBoveeMcKelvey at evergreenhealth.com<mailto:TMBoveeMcKelvey at evergreenhealth.com>>
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