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Battle Post-op Pain Without Opioids - April 2016 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 62 of 122

International Safety Center, which created the sharps injury report. "Participate in evaluating safety devices, and select devices that are easy to use and safe. Frontline employee evaluation of devices may improve activation because employees will use a device they like and are more familiar with." The EPINet report holds other surprising findings. One-third (33%) of sharps injuries occur during use of the device, but they also occur while disassembling the device (4.8%), while putting the device in the sharps container (3.7%) and while recapping used needles (5.5%), a practice the Occupational Safety and Health Administration explicitly prohibits. Perhaps most surprising of all: In more than two-thirds (68.5%) of sharps injuries, a safety device was used. "A high incidence of sharps injuries from safety-engineered devices can mean that safety features aren't intuitive or that instead of decreasing risk, the design increases risk," says Dr. Mitchell. Vangie Dennis, BSN, RN, CNOR, CMLSO, says safety devices can't interfere with the natural flow of surgery. "When you start trying to change the culture and the rhythm in surgery with engineering con- trols, you're gong to fail 100% of the time," says Ms. Dennis, the direc- tor of patient care practice at the Emory Clinics ASC, a group of 8 sur- gery centers in the Atlanta, Ga., area. "You can make all the guarded blades you want, but surgeons are not going to use them if they have to add an extra step to activate and close them, just as they won't use neutral zone passing trays if they have to take their eyes off the sterile field." When do injuries occur? Jennifer L. Fencl, DNP, RN, CNS-BC, CNOR, a clinical nurse specialist, operative services, at Cone Health in Greensboro, N.C., found that most sharps injuries at her facilities didn't occur during passing, but A P R I L 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 6 3

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