EPINet Overview
&
RCN Surveillance Project
2005 Data
EPINET
 Exposure
 Prevention
 Information
 NETwork
What does EPINet do?
 Records occupational exposures to Blood & Body Fluids
 Records occupationally acquired Sharps injuries
 Tracks the results/consequences of these incidents
How does EPINet do this?
Uses 3 forms:
 1 Blood & Body Fluid Incident form
 1 Needlestick & Sharp Object Incident form
 1 Post Exposure form
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
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
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
Feedback
Feedback comes in 2 formats
1.
Reports:


2.
Single Incident Report
Summary Report
Graphs:


Variety of graphs from BBF and Needlestick
incidents
19 graphs to choose from
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
Single Incident Report: Example
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
Summary Report: Example
Graphs
 19 graphs
 Available on BBF & Needlestick incidents
 Allows for easy analysis of data
 Graphs include:
 Job Category
 Original Purpose
 Device (needlestick)
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
Job Description
Consultant/ Registrar
SHO/HO
8%
10%
Professions Allied to Medicine
(PAMS)
ODA/ ODP
Dentist
16%
Sterile services
Dental hygienist/ Dental Nurse
37%
1%
1%
Nursing Student
2%
2%
3%
3%
4%
4%
9%
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 Occurred
Patient room
2%
Outside patient room
2%
3%
6%
A&E
1%
ITU/ CCU
1%
Theatre/ Recovery
39%
13%
OPD
Procedure room
Clinical Laboratories
4%
Mortuary/ pathology
Service/ Utility
18%
3%
2%
6%
Labour/ delivery room
Home care
Other
Other: Day Centre, Blood bank, Venepuncture Centre, Dialysis facility
Source Patient Identifiable
2%
1%
10%
Yes
No
Unknown
N/A
87%
Injured Worker was the Original User of Sharp Item
3% 2%
Yes
No
Unknown
33%
N/A
62%
Was the sharp Item Contaminated
14%
2%
Contaminated
Uncontaminated
Unknown
84%
Purpose of the Sharp Item
8%
13%
3%
1%
1%
23%
6%
11%
1%
1%
4%
8%
3%
2%
15%
Unknown/ N/ A
Inject ion, int ramuscular/ subcut aneous or ot her inject ion t hrough t he skin (syringe)
Ot her inject ion int o (or aspirat ion f orm) IV inject ion sit e or IV port (syringe)
To connect t o IV line(int ermit t ent IV/ piggyback/ IV inf usion/ ot her IV line connect ion)
Cannulat e IV or set up heparin lock (IV cat het er or winged set -t ype needle)
To draw venous blood sample
To draw art erial blood sample
To obt ain a body f luid or t issue sample
Finger st ick/ heel st ick
Sut uring
Cut t ing
To place an art erial/ cent ral line
Drilling
Subcut aneous inf usion (f luid/ medicat ion)
Ot her
Other: Heparin/ Saline IV Flush, Electrocautery, To contain a specimen or pharmaceutical (glass item)
When did the Injury Occur
Before use of item (item/ broke/ slipped, assembling device
etc)
During use of item (item slipped, patient jarred item etc)
1%
5%
1%
Betw een steps of a multi-step procedure (betw een
incremental injections,passing instruments etc)
6%
2%
Disassembling device or equipment
0%
3%
32%
Inpreparation for reuse of reusable intrucment (sorting,
disinfecting, sterilising etc)
While recapping used needle
Withdraw ing a needle from rubber or other resistant
material (rubber stopper, IV port etc)
7%
Other after use (before disposale - intransit to w aste,
cleaning, sorting etc)
2%
From item left on or near disposal container
While putting item into disposal container
After disposal, stuck by item protruding from opening of
disposal container
7%
23%
6%
2%
2%
Item pierced side of disposal container
After disposal, item proturded from w aste beg or
inappropriate w aste container
Other after use (before disposale - intransit to w aste,
cleaning, sorting etc)
Restraining patient
1%
Device left on floor, table, bed or other inappropriate place
Type of Device Causing Injury
Disposable syringe with needle
10%
1%
2%
1%
1%
1%
Pre-filled cartridge syringe
Blood gas syringe
24%
Syringe, other type
Needle on IV line
3%
Winged steel needle
IV catheter stylet
Vacuum tube blood collection holder/ needle
Unattached hypodermic needle
8%
Needle, not sure what kind
Other needle
4%
3%
1%
1%
10%
3%
7%
6%
2%
5%
8%
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
Lancet (finger or heel stick)
Suture needle
Scalpel, reusable
Electro-cautery device
Trocar
Fingernails/ teeth
Scalpel, disposable
Wire (suture/ fixation/ guide wire)
Other
Depth of Injury
3%
Superficial (little or no bleeding)
46%
Moderate (skin puncture, some
bleeding)
51%
Severe (deep stick/ cut, or
profuse bleeding)
Glove Penetration
36%
Single pair of gloves
Double pair of gloves
No gloves
59%
5%
Site number
103
106
111
116
121
124
125
129
134
135
136
138
150
194
195
196
197
198
199
Number of beds
340
1014
446
520
1472
1168
364
744
439
1200
550
950
589
532
687
656
973
225
460
Total needle sticks
47
88
71
78
181
151
76
145
49
165
56
194
85
95
87
133
128
43
107
Average NSI per 100 Beds
=
NSI / 100 beds
13.82
8.68
15.92
15.00
12.30
12.93
20.88
19.49
11.16
13.75
10.18
20.42
14.43
17.86
12.66
20.27
13.16
19.11
23.26
14.8
NSI AVERAGE YEAR ON YEAR
•
•
•
•
•
Year 1 Average
Year 2 Average
Year 3 Average
Year 4 Average
Year 5 Average
11.3
11.6
14.1
14.5
14.8
Requirements
• 1 strict requirement
• MS Access 2000 or XP
• EPINet is a file which uses database features of
Access