Questionnaire for Needlestick practice and injury in the ...
Questionnaire for Needlestick practice and injury in the radiology department
Q1 Position
Radiographer Radiologist Nursing
● Superintendent ● Consultant ● Trained nurse
● Senior 1 ● Specialist registrar
● Senior 2 ● Helper
● Student
Allied staff (please answer Sections 3 and 4 only)
● Clerical/secretarial ● Porter ● Domestic
● Other (specify) _________________________________________________________________
ION 1: DISPOSAL OF USED NEEDLES
Q2 Have you ever administered injections in any form?
● Yes ● No
Q3 Have you ever assisted in the removal or disposal of needles?
● Yes ● No
Q4 If you administer or assist with injections what do you do with the needle?
● Re-sheath ● Not re-sheath
● Other _______________________________________________
Q5 If you need to separate a needle from a syringe, how do you do it?
● Bare hands but with great caution ● Gloved hands ● Never separate ● Forceps
● Other ___________________________________________________________________ON 2: DISPOSAL OF SHARPS BOX
Q6 When disposing of a sharps box do you wait until it is…?
● 1/2 full ● 2/3 full ● 3/4 full ● Completely full
Q7 What would you do with a sharps box prior to disposal?
● Make sure that it is properly labelled ● Ensure that the box is secure and correctly assembled
● Put it in a yellow bag ● Lock it up until it is collected
● Wait until the next box is available ● Nothing
● Other (specify) ___________________________________________________________________
Q8 What would you do if you find a used needle on the floor after you have closed the sharps box?
● Re-open the box carefully and put it in ● Use a new box
● Wait until the next box is available
● Other (specify) _______________________________________: INCIDENCE AND ACTION
Q9 Have you sustained a needlestick injury during the last 12 months?
● Yes ● No
Q10 If yes, how many injuries? ____________________________________
Q11 How did the most recent incident happen?
● Poor disposal of needle ● Individual carelessness/accident ● Cannot remember
● Other ____________________________________________________________________________
Q12 To whom did you report the injury?
● Line manager ● Occupational Health ● Infection Control
● Nobody ● Cannot remember
● Other (specify) ______________________________________
Q13 Did you fill in an incident report?
● Yes ● No ● Cannot remember
Q14 Was there a sharps box in the room/area where the incident occurred?
● Yes ● No ● Not sure
Q15 Where were you working at the time?
● Inpatient x-ray ● Outpatient x-ray ● CT
● Ultrasound ● MRI ● Radionuclide Radiology
● Interventional room ● Screening room
● Other ______________________________________________________________________________
Q16 Was the injury sustained?
● Monday-Friday (09:00–17:00) ● Monday-Friday (17:00–09:00)
● At a weekend ● Cannot remember
Q17 Do you think that an incident report should be completed following:
● New/unused needlestick injury ● Used needlestick injury
● Both used and unused needlestick injury
● Other __________________________________________TION 4: PREVENTION/HEALTH AND Y EDUCATION
Q18 Have you been fully inoculated against Hepatitis B?
● Yes u No ● Not sure
Q19 Have you ever received training in the prevention and/or treatment of needlestick injury?
● Yes ● No
● Where were you trained? ________________________________________________________________
● How long ago were you trained? __________________________________________________________
Q20 During the past two years have you read a copy of the hospital’s Health & Safety policy on the safe and ethical disposal of clinical waste?
● Yes ● No
Q21 Where [in the Radiology Department] is the policy kept? ____________________________________________
● Do not know
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