Get Needlestick & Sharp Object Injury Report/or

Filling out the Needlestick & Sharp Object Injury Report/OR online is a crucial step in documenting workplace injuries involving sharp objects. This guide provides clear, step-by-step instructions to help users complete the form efficiently and accurately.

Follow the steps to effectively fill out the form.

1. Click the ‘Get Form’ button to access the online version of the Needlestick & Sharp Object Injury Report/OR.
2. Begin by filling in the last name and first name of the injured person. Ensure accuracy in spelling.
3. Record the date and time of the injury in the specified fields, using the proper format.
4. Select the surgical service from the provided options that aligns with the situation (e.g., general, orthopedic, etc.).
5. Describe the surgical procedure being performed at the time of injury in the corresponding text box.
6. Indicate whether the procedure was endoscopic/laparoscopic by checking the appropriate box.
7. Select the job title of the injured worker from the category list, ensuring only one box is checked.
8. If applicable, detail the anesthesia task performed by the anesthesia team member during the injury in the provided field.
9. Select the location of the injury from the listed options, ensuring to check only one box.
10. Indicate whether the source patient's identity was known at the time of the incident.
11. Describe the purpose of the sharp item originally and select the appropriate category from the options listed.
12. Identify when the injury occurred in relation to the use of the sharp item by selecting the correct option.
13. Choose whether the sharp instrument was held by another person, the injured individual, or not held by anyone.
14. Determine if the sharp item was contaminated or uncontaminated at the time of the injury by checking the appropriate box.
15. Select the type of device that caused the injury from the comprehensive list provided.
16. If known, fill in the brand/manufacturer of the product that caused the injury.
17. Mark the injury's severity level from the provided options.
18. For injuries specific to the hand, indicate whether or not the sharp item penetrated through gloves.
19. Describe the circumstances leading to the injury in the provided space, focusing on device malfunction if applicable.
20. Conclude by saving your changes. You may choose to download, print, or share the completed form as needed.

Complete your Needlestick & Sharp Object Injury Report/OR online today!