6 - NSIs

1/ How often do you use sharps as part of your role (needles, blades such as scalpels and other medical instruments that could cause an injury by cutting or pricking the skin)?

Never
Rarely
Once per week
2-3 times per week
4-7 times per week

2/ Definition of sharps injury: an incident that cause a sharps to penetrate the skin.

Does the risk of experiencing a sharps injury generally worry you?

Yes
No

3/ Have you received the Hepatitis B vaccine?

Yes
No
Unsure

4/ Have you experienced any kind of sharps injury during the past year?

Yes
No

6/ When did your MOST RECENT sharps injury occur?

Within the past month
Within the past 1-6 months
Within the past 6-12 months
More than 1 year ago

8/ Do you feel like your most recent sharps injury negatively impacted personal relationships

(i.e. with your spouse, significant other, friends, family, etc.)?

Yes - greatly
Yes - slightly
No
Unsure

9/ Do you feel like your most recent sharps injury decreased your satisfaction with your career choice?

Yes - greatly
Yes - slightly
No
Unsure

10/ Did you consider a career change after your most recent sharps injury?

Yes
No
Unsure

11/ Do you feel like your most recent sharps injury could have been avoided?

Yes
No
Unsure

12/ What was the cause of your most recent sharps injury?

Unfamiliar technique
Patient moved their head/body
Injured by a third party (i.e. another provider)
Tiredness
Lacking concentration
Feeling rushed
Stressful environment
Other (please specify):

14/ When in the practice did your most recent sharps injury occur?

o While setting up/before seating the instrument
During use of the sharps
After use of the sharps
Other (please specify):

15/ Did your most recent sharps injury involve a high-risk patient (patient with a history of intravenous drug use or known infection with HIV, Hepatitis B virus (HBV), or Hepatitis C virus (HCV)?

Yes
No
Unsure

16/ Did you report your most recent sharps injury after it occurred?

Yes
No

17/ Did you feel like you received adequate support/counseling after reporting your sharps/ injury?

Yes
No

18/ If you went through blood testing, how long did it take until you received the test results?

Less than 1 month
1-6 months
6 months-1 year
Greater than 1 year
Did not do blood testing

Other

20/ What was your reason for NOT reporting your sharps injury?

Takes too much time
You felt that the infection risk was low
Not familiar with the reporting protocol
Other (please specify):

Other

Questionnaire