Workbook for Designing, Implementing, and Evaluating a Sharps Injury Prevention Program

Contents:

A-12 Device Pre-Selection Worksheet

This worksheet will help product evaluation teams or committees discuss and determine relevant criteria when considering a particular sharps injury prevention device. The form may be completed individually or collectively. The worksheet should help determine whether a device merits further consideration, including in-use evaluation and, if so, identify questions that should be asked during the evaluation.

A variety of factors for consideration are included, and space is provided for others to be added as necessary. Each factor should be assessed for its relevance and importance for the device in question. Committees may want to use this tool before looking at a category of devices (e.g., intravenous catheters) in order to decide which criteria are important.

A tool for compiling information after completing this worksheet is not included. Once completed, the team may wish to summarize the responses to document why a particular device was accepted or rejected for further evaluation.

Workbook Section Link for this Toolkit Product:
A-12 Worksheet (134 KB/4 pages) / A-12 Worksheet (107 KB/4 pages)

  Operational Processes
Selection of Sharps Injury Prevention Devices
Step 4. Establish Criteria for Product Selection and Identify Other Issues for Consideration