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APPENDIX IMU Environmental Health and SafetySafer Sharps Device Evaluation Form Department/Clinic:Date:Name of Device: Name of Manufacturer: Evaluators Name:Job Title:Number of times used to evaluate: Keep
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Begin by carefully reading the instructions provided on the form. This will help you understand the purpose of the evaluation and the specific information required.
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Who Needs Sharps Evaluation Form:

01
Healthcare Professionals: Sharps evaluation forms are often used by healthcare professionals, such as doctors, nurses, and laboratory technicians. They may need to evaluate the safety and effectiveness of different types of sharps, such as needles, syringes, or lancets, in their clinical practice.
02
Safety Committees: Organizations or institutions that have safety committees or committees dedicated to managing occupational health and safety may use sharps evaluation forms. These forms can help them assess the safety protocols followed in relation to sharps and identify areas for improvement.
03
Researchers: In the field of biomedical research or other scientific disciplines, researchers may need to evaluate the performance and usability of sharps used in their experiments or studies. Sharps evaluation forms can assist them in documenting their findings and making informed decisions about the sharps they use in their work.
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The sharps evaluation form is a document used to assess and record the use, disposal, and management of sharp objects, such as needles and blades, in a healthcare or laboratory setting.
Healthcare facilities, laboratories, and other organizations that use or dispose of sharps are required to file the sharps evaluation form to ensure safe handling and compliance with health regulations.
To fill out the sharps evaluation form, gather the necessary information about the types of sharps used, their quantities, disposal methods, and any incidents related to sharps. Complete each section accurately and submit it according to your organization's protocol.
The purpose of the sharps evaluation form is to enhance safety, track the use and disposal of sharps, minimize exposure risks to staff and patients, and ensure compliance with health and safety regulations.
Information reported on the sharps evaluation form typically includes the type of sharp object, quantity used, disposal methods, incidents of needlestick injuries or accidents, and any recommendations for improving safety practices.
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