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Needlestick Prevention Devices: A Pointed Discussion

Published online by Cambridge University Press:  21 June 2016

Lee Wugofski*
Affiliation:
Center for Municipal Occupational Safety and Health, San Francisco General Hospital, San Francisco, California
*
Center for Municipal Occupational Safety and Health, San Francisco General Hospital, Building 9, Room 200, 1001 Potrero Ave., San Francisco, CA 94110

Extract

Institutions and employees in the healthcare industry recently have been flooded with a variety of new preventive devices, with the promise of reducing the risk of needlestick accidents. With the known risk of occupational human immunodeficiency virus (HIV) infection and the greater risk of morbidity and mortality of occupational hepatitis B virus (HBV) infection, it is hard not to get swept away by the tsunami of “safer devices.” The ultimate question of course, is whether these new or improved products actually contribute to the reduction of accidents and diminish the transmission of these diseases. With the demand for safer working conditions in the context of the HIV epidemic and in times of shrinking budgets, the safest and most cost-effective devices must be determined. Although the Occupational Safety and Health Administrations (OSHA) final ruling on occupational exposure to bloodborne pathogens may not directly address the issue of needlestick prevention devices, institutions should be prepared to justify their practices and selection of equipment, given its emphasis on engineering and work practices that states “Engineering and work practice controls shall be used to eliminate or minimize employee exposure.”

Type
Product Commentary
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1992

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References

1. Occupational Safety and Health Administration. Occupational exposure to bloodbome pathogens final rule. Federal Register 29CFRpart 1910 subpart 2 [amended]. §1919.1030 (d) (2) (i).Google Scholar
2. Emergency Care Research Institute. Needlestick prevention devices. Health Devices. 1991;20:154180.Google Scholar
3. Occupational Safety and Health Administration. Occupational exposure to bloodborne pathogens final rule. Federal Register. 29CFR part 1910 subpart 2 [amended]. §1919.1030 (d) (2) (vii) (A).Google Scholar
4. Jagger, J, Hunt, E, Pearson, RD. Estimated cost of needlestick injuries for six major needled devices. Infect Control Hosp Epidemiol. 1990;11:584588.CrossRefGoogle ScholarPubMed
5. California code of regulations. California Occupational Safety and Health Standards. North Highlands, Calif: Office of Administrative Hearings; October 1989: title 8, section 8203.Google Scholar
6. Olishifski, JB. Occupational hearing loss, noise, and hearing conservation. In: Zenz, C, ed. Occupational Medicine: Principles and Practical Applications. Chicago, Ill: Yearbook Medical Publishers; 1988.Google Scholar