Get Us Uniform Needlestick And Sharp Object Injury - Uthsc

Navigating the process of filling out the US Uniform Needlestick And Sharp Object Injury report can be straightforward with the right guidance. This document serves to detail the steps necessary to ensure accurate and efficient completion of the form online.

Follow the steps to fill out the form correctly.

1. Click the ‘Get Form’ button to access the document and open it in your preferred online editor.
2. Begin by filling in the last name and first name of the individual reporting the injury in the indicated fields.
3. Record the Date of Injury and Time of Injury in the appropriate sections. This information is crucial for accurate documentation.
4. Specify the Department where the incident occurred, using the designated space to ensure clarity.
5. Indicate the Home Department, filling in the relevant department where the injured individual is employed.
6. Select the Job Category of the Injured Worker by checking the appropriate box. Only one category should be selected.
7. Indicate the location of the injury by checking the corresponding option where the injury occurred. Only one selection is permitted.
8. Answer whether the source patient was identifiable by checking 'Yes', 'No', or 'Unknown', as applicable.
9. Indicate if the injured worker was the original user of the sharp item by selecting the appropriate box.
10. Select whether the sharp item was contaminated, uncontaminated, or if the status is unknown.
11. Provide details regarding the purpose for which the sharp item was originally used, checking only one box from the options provided.
12. Mark the specific circumstances of the injury in the provided section, elaborating if necessary.
13. Complete the analysis section about the type of device that caused the injury by checking only one option from the categories.
14. Fill out the section regarding whether the device had a safety design and whether the protective mechanism was activated.
15. Describe the circumstances leading to the injury in the specified area, ensuring to include vital information.
16. Once completed, review the form for accuracy and save changes. You may also choose to download, print, or share the form for further processing.

Complete your documents online to ensure timely and accurate reporting.