Get the free Sharps Injury Incident Form

This document is intended for recording incidents involving sharps injuries, including information about the donor and recipient, as well as details of medical investigations and actions to be taken

How to fill out sharps injury incident form

How to fill out Sharps Injury Incident Form

1. Start with the date and time of the incident.
2. Enter the location where the injury occurred.
3. Describe the type of sharp object involved in the incident.
4. Fill in the details of the person who was injured, including their name and job title.
5. Provide a description of the incident, including how the injury happened.
6. Record any immediate actions taken following the incident, such as injury treatment.
7. Include any witnesses' names and their statements if available.
8. Sign and date the form to confirm that the information provided is accurate.

Who needs Sharps Injury Incident Form?

1. Healthcare workers who handle sharp objects in their jobs.
2. Employers in healthcare settings to document incidents for safety compliance.
3. Safety officers or risk management personnel to analyze trends in injuries.
4. Anyone involved in the investigation of workplace injuries related to sharps.

People Also Ask about

What is an example of a sharps injury?

Needlestick injuries happen when a sharp object, such as a needle, syringe or blade, accidentally breaks the skin. A needlestick injury can expose you to blood-borne viruses (for example hepatitis B, hepatitis C and HIV) or dangerous substances, such as medicines, drugs or chemicals.

How do you write an incident report for a needle stick injury?

Take detailed information about the injury, including how long ago it happened, how deeply the skin was penetrated, whether or not the needle was visibly contaminated with blood, and any first aid measures used. Explain the transmission risks, which are small.

What should you do in the event of a sharps injury?

Needlestick injuries gently squeeze the wound to encourage it to bleed (ideally while holding it under running water) wash the wound using running water and plenty of soap. do not scrub or the wound. dry the wound and cover it with a waterproof plaster or dressing.

Which of the following would you do in the event of a sharps injury?

If you suffer an injury from a sharp which may be contaminated: Encourage the wound to gently bleed, ideally holding it under running water. Wash the wound using running water and plenty of soap; leave under running water for a minimum of 10 minutes - ideally 20 minutes.

How to report a sharps injury?

Sharps injuries must be reported to HSE under the Reporting of Injuries, Diseases and Dangerous Occurrences Regulations (RIDDOR) if: an employee is injured by a sharp known to be contaminated with a BBV, for example hepatitis B or C or HIV. This is reportable as a dangerous occurrence.

What should you do immediately if you receive a sharps injury?

Treating needlestick injuries Wash the area gently with soap and running tap water as soon as possible. Apply an antiseptic and a clean dressing. Obtain prompt medical advice from your local doctor or hospital emergency department, preferably within 24 hours. Dispose of the needle safely.

What should you do in the event of a needlestick sharps injury?

After a needlestick or cut exposure, wash the area with soap and water. For a splash exposure to the nose, mouth, or skin, flush with water. If exposure occurs to the eyes, irrigate with clean water, saline, or sterile irrigant. Report the exposure right away to your supervisor or the person in charge.

For pdfFiller’s FAQs

What is Sharps Injury Incident Form?

The Sharps Injury Incident Form is a document used to report incidents involving injuries caused by sharp objects such as needles, scalpels, or other medical instruments.

Who is required to file Sharps Injury Incident Form?

Any healthcare worker or staff member who experiences a sharps injury or witnesses an incident involving sharps is required to file a Sharps Injury Incident Form.

How to fill out Sharps Injury Incident Form?

To fill out the Sharps Injury Incident Form, the individual must provide details such as the date and time of the incident, description of the injury, names of involved persons, and any witnesses, along with specifics about the sharp object involved.

What is the purpose of Sharps Injury Incident Form?

The purpose of the Sharps Injury Incident Form is to document incidents of sharps injuries for tracking, investigation, and prevention purposes, ensuring proper reporting and compliance with safety regulations.

What information must be reported on Sharps Injury Incident Form?

The information that must be reported includes the date and time of the incident, location, description of the injury and sharp object, the circumstances surrounding the injury, treatment provided, and the names of the injured person and any witnesses.