EPINet Overview & RCN Surveillance Project 2005 Data

1. EPINet Overview&RCN Surveillance Project2005 Data

2. EPINET • Exposure • Prevention • Information • NETwork

3. What does EPINet do? • Records occupational exposures to Blood & Body Fluids • Records occupationally acquired Sharps injuries • Tracks the results/consequences of these incidents

4. How does EPINet do this? Uses 3 forms: • 1 Blood & Body Fluid Incident form • 1 Needlestick & Sharp Object Incident form • 1 Post Exposure form

5. Blood & Body Fluid Incident 16 Questions Records exact details of exposures to Blood & Body fluids, including: • Which body fluids were involved • Where the exposure occurred • Which part of the body was exposed • The length of time of the exposure • The amount of fluid involved in the exposure

6. Needlestick & Sharp object Incident 20 Questions Records exact details of Sharps injuries including: • What type of device caused the injury • The original user of the sharp item • The extent of the puncture • The location of the injury on the victim • A description of how the incident occurred

7. Post Exposure Incident 11 Questions Records details of the follow up to the incident, including: • Results of testing for HCV, HBV, HIV • If the patient carried any BBV • Treatment given

8. Feedback Feedback comes in 2 formats • Reports: • Single Incident Report • Summary Report • Graphs: • Variety of graphs from BBF and Needlestick incidents • 19 graphs to choose from

9. Single Incident Report • Available on all 3 forms • Select the record you want to view • Report shows full details of incident • One page report • Option to print

10. Single Incident Report: Example

11. Summary Report • 4 reports available in total • Set criteria for data you want to view • EPINet generates summary report • Breaks down figures for easy analysis • 5 page printable report

12. Summary Report: Example

13. Graphs • 19 graphs • Available on BBF & Needlestick incidents • Allows for easy analysis of data • Graphs include: • Job Category • Original Purpose • Device (needlestick)

14. Where is EPINet used: • 6 Other European Countries run their own versions of EPINet • 60 Sites through out the UK • 22 of which form the basis of the RCN surveillance project into NSI’s

15. Job Description Other: Ambulance/ Paramedic, Laundry, Physiotherapist, Clinical laboratory worker, Technician (non lab), Other attendant, Medical student

16. Where Injury Occurred Other: Day Centre, Blood bank, Venepuncture Centre, Dialysis facility

17. Source Patient Identifiable

18. Injured Worker was the Original User of Sharp Item

19. Was the sharp Item Contaminated

20. Purpose of the Sharp Item Other: Heparin/ Saline IV Flush, Electrocautery, To contain a specimen or pharmaceutical (glass item)

21. When did the Injury Occur

22. Type of Device Causing Injury 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

23. Depth of Injury

24. Glove Penetration

25. Average NSI per 100 Beds = 14.8

26. NSI AVERAGE YEAR ON YEAR • Year 1 Average 11.3 • Year 2 Average 11.6 • Year 3 Average 14.1 • Year 4 Average 14.5 • Year 5 Average 14.8

27. Requirements • 1 strict requirement • MS Access 2000 or XP • EPINet is a file which uses database features of Access