Prevention of scalpel blade injuries: Staff ignorance of the Australian/New Zealand Standard
The objectives of this study were to (1) Assess staff knowledge of Australian/New Zealand Standard (AS/NZS 3825:1998), ’Procedures and devices for the removal and disposal of scalpel blades from scalpel handles’; (2) Determine compliance with this standard within a tertiary hospital setting. Knowled...
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Published in | Australian infection control Vol. 10; no. 3; pp. 89,92 - 90,94 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
01.09.2005
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Abstract | The objectives of this study were to (1) Assess staff knowledge of Australian/New Zealand Standard (AS/NZS 3825:1998), ’Procedures and devices for the removal and disposal of scalpel blades from scalpel handles’; (2) Determine compliance with this standard within a tertiary hospital setting.
Knowledge of and compliance with AS/NZS 3825:1998 (the Standard) at the Princess Alexandra Hospital was determined by a non standardised, de-identified cross sectional survey. The sampling frame was clinical staff working in areas where scalpel blades and reusable scalpel handles were in common usage (as defined by data from the hospital's purchasing department).
A total of 96 medical and nursing personnel completed the survey. No staff member was able to describe the Standard completely. Only 16% (5/30) of medical staff and 19% (13/66) of nursing staff surveyed were able to describe the AS/NZS 3825:1998 in part. It was determined that only 3.3% (1/30) of medical and 1.5% (1/66) of nursing staff were routinely utilising a safe method for the removal of scalpel blades.
Within the study hospital there is a deficiency in the knowledge of AS/NZS 3825:1998. The majority of currently employed methods for removing used scalpel blades from reusable scalpel handles in this setting do not comply with this Standard. |
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AbstractList | The objectives of this study were to (1) Assess staff knowledge of Australian/New Zealand Standard (AS/NZS 3825:1998), ’Procedures and devices for the removal and disposal of scalpel blades from scalpel handles’; (2) Determine compliance with this standard within a tertiary hospital setting.
Knowledge of and compliance with AS/NZS 3825:1998 (the Standard) at the Princess Alexandra Hospital was determined by a non standardised, de-identified cross sectional survey. The sampling frame was clinical staff working in areas where scalpel blades and reusable scalpel handles were in common usage (as defined by data from the hospital's purchasing department).
A total of 96 medical and nursing personnel completed the survey. No staff member was able to describe the Standard completely. Only 16% (5/30) of medical staff and 19% (13/66) of nursing staff surveyed were able to describe the AS/NZS 3825:1998 in part. It was determined that only 3.3% (1/30) of medical and 1.5% (1/66) of nursing staff were routinely utilising a safe method for the removal of scalpel blades.
Within the study hospital there is a deficiency in the knowledge of AS/NZS 3825:1998. The majority of currently employed methods for removing used scalpel blades from reusable scalpel handles in this setting do not comply with this Standard. |
Author | Sinnott, Michael Wall, Daryl Tseng, Dennis Whitby, Michael Collier, James |
Author_xml | – sequence: 1 givenname: Dennis surname: Tseng fullname: Tseng, Dennis organization: Advanced General Surgical Trainee RACS, Princess Alexandra Hospital – sequence: 2 givenname: Michael surname: Sinnott fullname: Sinnott, Michael organization: Senior Staff Specialist in Emergency Medicine, Princess Alexandra Hospital – sequence: 3 givenname: James surname: Collier fullname: Collier, James organization: Staff Specialist in Emergency Medicine, Princess Alexandra Hospital – sequence: 4 givenname: Daryl surname: Wall fullname: Wall, Daryl organization: Director of General Surgery, Princess Alexandra Hospital – sequence: 5 givenname: Michael surname: Whitby fullname: Whitby, Michael organization: Director of Infection Management Services, Southern Queensland, Princess Alexandra Hospital |
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CitedBy_id | crossref_primary_10_1002_ase_1414 crossref_primary_10_1016_j_colegn_2013_06_003 crossref_primary_10_1002_ase_1363 crossref_primary_10_1016_j_aorn_2014_05_006 |
Cites_doi | 10.1056/NEJM199502163320707 10.1001/archinte.1997.00440380076008 10.1016/0195-6701(92)90005-7 |
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Copyright | 2005 Australasian College for Infection Prevention and Control |
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References | Wong, Poynard, Ling, Albrecht, Pauker (bib0045) 2000; 95 Gerberding (bib0020) 1995; 332 Whitby, McLaws (bib0015) 2002; 177 Eisenstein, Smith (bib0010) 1992; 20 Jagger, Bentley, Juillet (bib0035) 1998; 3 Panlilio, Cardo, Campbell (bib0005) 2000 (bib0025) 1998; 3825 Pinkerton, Holtgrave, Pinkerton (bib0050) 1997; 157 Occupational safety: Cost and benefit implications of needlestick prevention devices for hospitals Washington, DC: US General Accounting Office. 2000 Nov. Report No.: GAO-01-60-R. Perry, Parker, Jagger (bib0030) 2003; 6 Gerberding (10.1071/HI05089_bib0020) 1995; 332 Whitby (10.1071/HI05089_bib0015) 2002; 177 (10.1071/HI05089_bib0025) 1998; 3825 Perry (10.1071/HI05089_bib0030) 2003; 6 Panlilio (10.1071/HI05089_bib0005) 2000 Pinkerton (10.1071/HI05089_bib0050) 1997; 157 Eisenstein (10.1071/HI05089_bib0010) 1992; 20 Jagger (10.1071/HI05089_bib0035) 1998; 3 Wong (10.1071/HI05089_bib0045) 2000; 95 10.1071/HI05089_bib0040 |
References_xml | – volume: 332 start-page: 444 year: 1995 end-page: 451 ident: bib0020 article-title: Management of occupational exposures to blood- borne viruses publication-title: New England Journal of Medicine contributor: fullname: Gerberding – year: 2000 ident: bib0005 article-title: Estimate of the annual number of percutaneous injuries in US health care workers publication-title: 4th Decennial International Conference on Nosocomial & Health care- Associated infections; contributor: fullname: Campbell – volume: 95 start-page: 1524 year: 2000 end-page: 1530 ident: bib0045 article-title: Cost-effectiveness of 24 or 48 weeks of interferon alpha-2b alone or with ribavirin as initial treatment of chronic hepatitis C. International hepatitis interventional Therapy Group publication-title: Am J Gastroenterol contributor: fullname: Pauker – volume: 157 start-page: 1972 year: 1997 end-page: 1980 ident: bib0050 article-title: Cost-effectiveness of chemoprophylaxis after occupational exposure to HIV publication-title: Arc Intern Med contributor: fullname: Pinkerton – volume: 20 start-page: 271 year: 1992 end-page: 280 ident: bib0010 article-title: Epidemiology of reported sharps injuries in a tertiary care hospital publication-title: Journal of Hospital Infection contributor: fullname: Smith – volume: 3825 year: 1998 ident: bib0025 article-title: Procedures and devices for the removal and disposal of scalpel blades from scalpel handles publication-title: AS/NZS – volume: 3 start-page: 1 year: 1998 end-page: 3 ident: bib0035 article-title: Direct cost of follow-up for percutaneous and mucocutaneous exposures to at-risk body fluids: data from two hospitals publication-title: Adv Exposure Prev contributor: fullname: Juillet – volume: 177 start-page: 418 year: 2002 end-page: 422 ident: bib0015 article-title: Hollow-bore needlestick injuries in a tertiary teaching hospital: epidemiology, education and engineering publication-title: MJA contributor: fullname: McLaws – volume: 6 start-page: 37 year: 2003 end-page: 40 ident: bib0030 article-title: Scalpel blades: reducing injury risks publication-title: Adv Exposure Prev contributor: fullname: Jagger – volume: 332 start-page: 444 year: 1995 ident: 10.1071/HI05089_bib0020 article-title: Management of occupational exposures to blood- borne viruses publication-title: New England Journal of Medicine doi: 10.1056/NEJM199502163320707 contributor: fullname: Gerberding – volume: 157 start-page: 1972 year: 1997 ident: 10.1071/HI05089_bib0050 article-title: Cost-effectiveness of chemoprophylaxis after occupational exposure to HIV publication-title: Arc Intern Med doi: 10.1001/archinte.1997.00440380076008 contributor: fullname: Pinkerton – volume: 3825 year: 1998 ident: 10.1071/HI05089_bib0025 article-title: Procedures and devices for the removal and disposal of scalpel blades from scalpel handles publication-title: AS/NZS – volume: 6 start-page: 37 year: 2003 ident: 10.1071/HI05089_bib0030 article-title: Scalpel blades: reducing injury risks publication-title: Adv Exposure Prev contributor: fullname: Perry – year: 2000 ident: 10.1071/HI05089_bib0005 article-title: Estimate of the annual number of percutaneous injuries in US health care workers contributor: fullname: Panlilio – volume: 3 start-page: 1 year: 1998 ident: 10.1071/HI05089_bib0035 article-title: Direct cost of follow-up for percutaneous and mucocutaneous exposures to at-risk body fluids: data from two hospitals publication-title: Adv Exposure Prev contributor: fullname: Jagger – volume: 20 start-page: 271 year: 1992 ident: 10.1071/HI05089_bib0010 article-title: Epidemiology of reported sharps injuries in a tertiary care hospital publication-title: Journal of Hospital Infection doi: 10.1016/0195-6701(92)90005-7 contributor: fullname: Eisenstein – ident: 10.1071/HI05089_bib0040 – volume: 95 start-page: 1524 year: 2000 ident: 10.1071/HI05089_bib0045 article-title: Cost-effectiveness of 24 or 48 weeks of interferon alpha-2b alone or with ribavirin as initial treatment of chronic hepatitis C. International hepatitis interventional Therapy Group publication-title: Am J Gastroenterol contributor: fullname: Wong – volume: 177 start-page: 418 year: 2002 ident: 10.1071/HI05089_bib0015 article-title: Hollow-bore needlestick injuries in a tertiary teaching hospital: epidemiology, education and engineering publication-title: MJA contributor: fullname: Whitby |
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Title | Prevention of scalpel blade injuries: Staff ignorance of the Australian/New Zealand Standard |
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