Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-18T08:56:18.477Z Has data issue: false hasContentIssue false

Effect of Bedside Needle Disposal Units on Needle Recapping Frequency and Needlestick Injury

Published online by Cambridge University Press:  21 June 2016

Michael Edmond
Affiliation:
Section of Infectious Diseases, West Virginia University Medical Center, Morgantown, West Virginia
Rashida Khakoo*
Affiliation:
Section of Infectious Diseases, West Virginia University Medical Center, Morgantown, West Virginia
Bonny McTaggart
Affiliation:
Section of Infectious Diseases, West Virginia University Medical Center, Morgantown, West Virginia
Rose Solomon
Affiliation:
Section of Infectious Diseases, West Virginia University Medical Center, Morgantown, West Virginia
*
Section of Infectious Diseases, West Virginia University Medical Center, Morgantown, WV 26506

Abstract

Needle recapping has been shown to be one of the leading causes of needlestick injuries. Frequency of recapping has not been reported. This study was designed to determine the frequency of needle recapping by nursing personnel and the effect of bedside needle disposal units on the frequency of recapping and needlesticks. Seventy-four nurses carrying out 312 activities involving use of needles were observed. The subjects were not aware of the nature of the study. The recapping frequency was 93.9%. The study was repeated after educational programs and following installation of a hospital-wide bedside needle disposal system. Fifty-three nurses performing 151 activities with needles were observed. Frequency of recapping was 94%. There was no significant difference in the rate of recapping or needlestick injuries after installation of the new needle disposal system. Educational programs regarding recapping, a very common practice, may be ineffective. Alternate methods for preventing nee-dlesticks may be necessary.

Type
Original Articles
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1988

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. McCormick, RD, Maki, DG: Epidemiology of needle-stick injuries in hospital personnel. Am J Med 1981; 70:928932.CrossRefGoogle ScholarPubMed
2. Neuberger, JS, Harris, J, Kudin, WD, et al: Incidence of needlestick injuries in hospital personnel: Implications for prevention. Am J Infect Control 1984; 12:171176.CrossRefGoogle ScholarPubMed
3. Reuben, FL, Norden, CW, Rockwell, K, et al: Epidemiology of accidental puncture wounds in hospital workers. Am J Med Sci 1983; 286:2630.10.1097/00000441-198307000-00004CrossRefGoogle Scholar
4. Sharps injuries in hospital. Occup Health 1982; 34:502508.Google Scholar
5. Krasinski, K, LaCouture, R, Holzman, RS: Effect of changing needle disposal systems on needle puncture injuries. Infect Control 1987; 8:6366.CrossRefGoogle ScholarPubMed
6. Ribner, BS, Landry, MN, Gholson, GL, et al: Impact of a rigid, puncture resistant container system upon needlestick injuries. Infect Control 1987; 8:6366.CrossRefGoogle ScholarPubMed
7. Recommendations for prevention of HIV transmission in health-care settings. MMWR 1987; 36 (suppl 2S):118.Google Scholar
8. Hamory, BH: Underreporting of needlestick injuries in a university hospital. Am J Infect Control 1983: 11:174177.CrossRefGoogle ScholarPubMed
9. Hamory, BH: Error: Percent in “underreporting of needlestick injuries” was “underreported.” Am J Infect Control 1984; 12:68.CrossRefGoogle ScholarPubMed
10. Nixon, AD, Officer, JA, Law, R, et al: Simple device to prevent accidental needle-prick injuries. Lancet 1986; 1:888889.CrossRefGoogle ScholarPubMed
11. Sumner, W: Needlecaps to prevent needlestick injuries. Infect Control 1985; 6:495497.CrossRefGoogle ScholarPubMed