epinet overview & rcn surveillance project 2005 data
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EPINet OverviewEPINet Overview&&
RCN Surveillance ProjectRCN Surveillance Project
2005 Data2005 Data
EPINETEPINET
ExposureExposure PreventionPrevention Information Information NETworkNETwork
What does EPINet do?What does EPINet do?
Records occupational exposures to Blood & Body FluidsRecords occupational exposures to Blood & Body Fluids
Records occupationally acquired Sharps injuriesRecords occupationally acquired Sharps injuries
Tracks the results/consequences of these incidentsTracks the results/consequences of these incidents
How does EPINet do this?How does EPINet do this?
Uses 3 forms:Uses 3 forms:
1 Blood & Body Fluid Incident form1 Blood & Body Fluid Incident form
1 Needlestick & Sharp Object Incident form1 Needlestick & Sharp Object Incident form
1 Post Exposure form1 Post Exposure form
Blood & Body Fluid IncidentBlood & Body Fluid Incident
16 Questions16 Questions
Records exact details of exposures to Blood & Body Records exact details of exposures to Blood & Body fluids, including:fluids, including:
Which body fluids were involvedWhich body fluids were involved Where the exposure occurredWhere the exposure occurred Which part of the body was exposedWhich part of the body was exposed The length of time of the exposureThe length of time of the exposure The amount of fluid involved in the exposureThe amount of fluid involved in the exposure
Needlestick & Sharp object IncidentNeedlestick & Sharp object Incident
20 Questions20 Questions
Records exact details of Sharps injuries including:Records exact details of Sharps injuries including:
What type of device caused the injuryWhat type of device caused the injury The original user of the sharp itemThe original user of the sharp item The extent of the punctureThe extent of the puncture The location of the injury on the victimThe location of the injury on the victim A description of how the incident occurredA description of how the incident occurred
Post Exposure IncidentPost Exposure Incident
11 Questions11 Questions
Records details of the follow up to the incident, Records details of the follow up to the incident, including:including:
Results of testing for HCV, HBV, HIVResults of testing for HCV, HBV, HIV If the patient carried any BBVIf the patient carried any BBV
Treatment givenTreatment given
FeedbackFeedbackFeedback comes in 2 formatsFeedback comes in 2 formats
1.1. Reports:Reports:
Single Incident ReportSingle Incident Report Summary ReportSummary Report
2.2. Graphs:Graphs:
Variety of graphs from BBF and Needlestick Variety of graphs from BBF and Needlestick incidentsincidents
19 graphs to choose from19 graphs to choose from
Single Incident ReportSingle Incident Report
Available on all 3 formsAvailable on all 3 forms
Select the record you want to viewSelect the record you want to view
Report shows full details of incidentReport shows full details of incident
One page report One page report
Option to printOption to print
Single Incident Report: ExampleSingle Incident Report: Example
Summary ReportSummary Report
4 reports available in total4 reports available in total
Set criteria for data you want to viewSet criteria for data you want to view
EPINet generates summary reportEPINet generates summary report
Breaks down figures for easy analysisBreaks down figures for easy analysis
5 page printable report5 page printable report
Summary Report: ExampleSummary Report: Example
GraphsGraphs
19 graphs19 graphs
Available on BBF & Needlestick incidentsAvailable on BBF & Needlestick incidents
Allows for easy analysis of dataAllows for easy analysis of data
Graphs include:Graphs include: Job CategoryJob Category Original PurposeOriginal Purpose
Device (needlestick)Device (needlestick)
Where is EPINet used:Where is EPINet used:
6 Other European Countries run their own versions of 6 Other European Countries run their own versions of EPINetEPINet
60 Sites through out the UK60 Sites through out the UK
22 of which form the basis of the RCN surveillance 22 of which form the basis of the RCN surveillance project into NSI’sproject into NSI’s
Job DescriptionJob Description
10%
16%
1%
1%
2%
2%
3%3%
4%
4%9%
37%
8%
Consultant/ Registrar
SHO/HO
Professions Allied to Medicine(PAMS)
ODA/ ODP
Dentist
Sterile services
Dental hygienist/ Dental Nurse
Nursing Student
Phlebotomist/ IV Team
Domestic/ Porter
HCA/NA
Nurse
Other
Other: Ambulance/ Paramedic, Laundry, Physiotherapist, Clinical laboratory worker, Technician (non lab), Other attendant, Medical student
Where Injury OccurredWhere Injury Occurred
39%
3%6%2%
18%
4%
13%
1%
1%
3%
2%
2%
6%
Patient room
Outside patient room
A&E
ITU/ CCU
Theatre/ Recovery
OPD
Procedure room
Clinical Laboratories
Mortuary/ pathology
Service/ Utility
Labour/ delivery room
Home care
Other
Other: Day Centre, Blood bank, Venepuncture Centre, Dialysis facility
Source Patient IdentifiableSource Patient Identifiable
87%
10%1%2%
Yes
No
Unknown
N/A
Injured Worker was the Original User of Sharp ItemInjured Worker was the Original User of Sharp Item
62%
33%
3% 2%
Yes
No
Unknown
N/A
Was the sharp Item ContaminatedWas the sharp Item Contaminated
84%
2%
14%
Contaminated
Uncontaminated
Unknown
Purpose of the Sharp ItemPurpose of the Sharp Item8%
23%
1%
1%
8%
15%2%
3%
4%
11%
6%
1%
1%
3%
13%
Unknown/ N/A
Injection, intramuscular/ subcutaneous or other injection through the skin (syringe)
Other injection into (or aspiration form) IV injection site or IV port (syringe)
To connect to IV line(intermittent IV/ piggyback/ IV infusion/ other IV line connection)
Cannulate IV or set up heparin lock (IV catheter or winged set-type needle)
To draw venous blood sample
To draw arterial blood sample
To obtain a body fluid or tissue sample
Finger stick/ heel stick
Suturing
Cutting
To place an arterial/ central line
Drilling
Subcutaneous infusion (fluid/ medication)
Other
Other: Heparin/ Saline IV Flush, Electrocautery, To contain a specimen or pharmaceutical (glass item)
When did the Injury OccurWhen did the Injury Occur
1%
32%
7%
6%2%
2%
1%
23%
2%
7%
3%
0%
2%6%
1%5%
Before use of item (item/ broke/ slipped, assembling deviceetc)
During use of item (item slipped, patient jarred item etc)
Betw een steps of a multi-step procedure (betw eenincremental injections,passing instruments etc)
Disassembling device or equipment
Inpreparation for reuse of reusable intrucment (sorting,disinfecting, sterilising etc)
While recapping used needle
Withdraw ing a needle from rubber or other resistantmaterial (rubber stopper, IV port etc)
Other after use (before disposale - intransit to w aste,cleaning, sorting etc)
From item left on or near disposal container
While putting item into disposal container
After disposal, stuck by item protruding from opening ofdisposal container
Item pierced side of disposal container
After disposal, item proturded from w aste beg orinappropriate w aste container
Other after use (before disposale - intransit to w aste,cleaning, sorting etc)
Restraining patient
Device left on f loor, table, bed or other inappropriate place
Type of Device Causing InjuryType of Device Causing Injury
24%
4%
1%
1%
3%
7%
5%8%2%
6%
10%
3%
8%
3%1%1%1%
2%
10%
1%
Disposable syringe with needle
Pre-filled cartridge syringe
Blood gas syringe
Syringe, other type
Needle on IV line
Winged steel needle
IV catheter stylet
Vacuum tube blood collection holder/ needle
Unattached hypodermic needle
Needle, not sure what kind
Other needle
Lancet (finger or heel stick)
Suture needle
Scalpel, reusable
Electro-cautery device
Trocar
Fingernails/ teeth
Scalpel, disposable
Wire (suture/ fixation/ guide wire)
Other
Other glass item, Specimen/ test tube, Forceps/ Clamps, Non-vascular catheter needle,Other vascular catherter needle, Central line catheter, Arterial introducer, Spinal or epidural needle, Scissors, Razor, Microtome blade, Towel chip, Bone cutter, Staples, Retractors, Other Sharp item, Drill bit/ bur, Pin, Other sharp item
Depth of InjuryDepth of Injury
46%
51%
3%
Superficial (little or no bleeding)
Moderate (skin puncture, somebleeding)
Severe (deep stick/ cut, orprofuse bleeding)
Glove PenetrationGlove Penetration
59%
5%
36%
Single pair of gloves
Double pair of gloves
No gloves
Average NSI per 100 Beds = 14.8
Site number Number of beds Total needle sticks NSI / 100 beds103 340 47 13.82106 1014 88 8.68111 446 71 15.92116 520 78 15.00121 1472 181 12.30124 1168 151 12.93125 364 76 20.88129 744 145 19.49134 439 49 11.16135 1200 165 13.75136 550 56 10.18138 950 194 20.42150 589 85 14.43194 532 95 17.86195 687 87 12.66196 656 133 20.27197 973 128 13.16198 225 43 19.11199 460 107 23.26
NSI AVERAGE YEAR ON YEARNSI AVERAGE YEAR ON YEAR
• Year 1 AverageYear 1 Average 11.311.3• Year 2 Average Year 2 Average 11.611.6• Year 3 AverageYear 3 Average 14.114.1• Year 4 Average Year 4 Average 14.514.5• Year 5 AverageYear 5 Average 14.814.8
RequirementsRequirements
• 1 strict requirement1 strict requirement
• MS Access 2000 or XPMS Access 2000 or XP
• EPINet is a file which uses database features of EPINet is a file which uses database features of AccessAccess
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