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Sharps injury checklist - BVSDE

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<strong>Sharps</strong> <strong>injury</strong> <strong>checklist</strong><br />

Safety Representatives should use this <strong>checklist</strong> to find out how well their<br />

hospital or workplace is doing at preventing occupational exposure to sharps<br />

<strong>injury</strong> and blood borne diseases.<br />

Checklist results should be discussed by safety committees and when<br />

necessary used as the basis of an action plan for safer sharps handling.<br />

Policy Yes No Action<br />

• does your workplace have a<br />

written sharps management<br />

policy?<br />

• has the policy been reviewed<br />

in the last year?<br />

• are systems in place to audit<br />

the policy?<br />

• are all nurses and students<br />

offered a free hepatitis B<br />

vaccination?<br />

• does your workplace follow<br />

universal precautions?<br />

• does the safety committee<br />

receive a regular analysis of<br />

sharps injuries?<br />

Risk assessments<br />

• is exposure to blood and body<br />

fluids covered by risk<br />

management?<br />

• are the results of the risk<br />

assessment fed back to staff<br />

exposed to blood and body<br />

fluids?<br />

Training Yes No Action<br />

• do all staff undertake annual<br />

training in safe working<br />

practices and the employer’s<br />

duties under health and safety<br />

legislation?<br />

• do staff receive training on<br />

induction?<br />

What to do after<br />

an accident<br />

• do all staff know what action<br />

to take if they are injured by a<br />

contaminated sharp?<br />

• is there a nominated person<br />

available to give advice on<br />

post exposure prophylaxis (PEP)<br />

24 hours a day?<br />

• have all staff been given an<br />

RCN sharps action card?<br />

• are all sharps incidents<br />

recorded?<br />

Prevention<br />

• does the risk assessment<br />

specify a safer device to use?<br />

• is the device in use?<br />

• is there a safer way to carry<br />

out a procedure?<br />

www.saferneedlesnow.net


Safety devices <strong>checklist</strong><br />

• have all unnecessary needles been eliminated from use,<br />

including needles used for drawing blood from intravenous<br />

and central lines that can be replaced by needleless or blunt<br />

cannula devices?<br />

Yes No Action<br />

• does your workplace use automatically retracting finger/heel<br />

lancets in place of manual lancets or non-retracting spring<br />

lancets?<br />

• have all staff been advised not to re-sheath needles manually<br />

or remove needles from syringes after use?<br />

• has your workplace introduced safer IV catheters?<br />

• has your workplace introduced safer blood collection devices?<br />

• has your workplace adopted needleless, blunt or protected<br />

needle IV systems?<br />

• is your workplace aware of the risks associated with<br />

‘piggyback’ or intermittent IV line connections?<br />

• has your workplace adopted devices with integrated safety<br />

features for needles and syringes?<br />

• are theatre staff following expert guidance on sharp instument<br />

use? (1998 UK Departments of Health Expert Advisory Group)<br />

• is your hospital/trust PPE policy implemented for gloves, facial<br />

protection, clothing and footwear?<br />

• does sharps disposal conform to your local waste<br />

disposal policy?<br />

www.saferneedlesnow.net

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