gudeta 1
Name of health institute you are working in?
Your Identification number
Write your age
circle your sex
Circle on the level of your educational status
What is the type of your employment/qualification?
What is the name the department you are working in?
What was your previous department just before joining the current one?
Do you have additional responsibilities in your institution
How much is your total work experience in health facilities?
How much is your work experience in this health institute?
Have you assigned to work in night, weekends and holidays?
Have you ever taken training on work place health and safety in your institution?
If you answered yes, for question number 011, are you satisfied by the tra
Have you ever participated in any training program on infection prevention
Is it safe to use syringe between patients if the needle is changed?
Gloves and gowns are required for any contact with patients
To prevent accidental injury, contaminated needles should be recapped imme
When do you use glove?
Where do you dispose sharp materials such as used needles?
Hepatitis B virus can transmits through dirty needles or sharps.
Hepatitis C virus can transmits through dirty needles or sharps.
HIV/AIDS can transmits through dirty needles or sharps.
Tetanus can transmits through dirty needles or sharps.
Malaria can transmits through dirty needles or sharps.
Tuberculosis can transmits through dirty needles or sharps.
other(specify)
Where do you think that you are most likely to get infected with HBV, HCV,
How do you level your risk of injury and splash exposure at your work depa
When caring with a patient having blood born pathogens like HBV, HCV, or H
When admitted to hospital, patients who are HIV, HBV, or HCV positive shou
Do you think that you always follow standard procedures at your work place
Do you always wash your hands before examining a patient or before making
Do you recap needles immediately after using them?
Do you always wear personal protective equipments during procedure?
If you answered yes, for question number 028, how often do you wear personal protective equipment?
Do you always use apron during procedure?
Do you always use glove during procedure?
Do you always use head cover during procedure?
Do you always use boots/shoes during procedure?
Do you always use goggle during procedure?
Do you always use masks during procedure?
Do you always use examination glove during procedure?
Do you always use gown during procedure?
Do you always use utility glove during procedure?
If you answered no, for question number o28, what was your reason?
Are you satisfied with the personal protective equipments supplied by your
Have you ever had needle stick injury?
Have faced a needle stick injury in the last one year?
During recapping
sudden movement of the patient
Emergency situation
During suturing
After drawing blood
During securing of IV line
During heavy work load
During sharp Disposal
During injection
During removing of needle cap
passing instrument in OR
During sharp collection
Other reasons of needle stick injuries
If you answered yes for question number 033, have you reported after your
If you answered yes for question number 036, for whom have you reported?
Have you ever had sharps injury?
Have you faced a sharp injury in the last one year?
Have you ever had blood and body fluid splash to your eyes, ears, and/or m
Have you faced blood and body fluid splash to your eyes, ears, and/or m in the last one year
If you had ever injured or splash exposed, have you started post exposure
Have you ever washed linen in your institution?
If you answered yes, for question number 043, how did you washed soiled li
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sum up of ever needle stick injury and sharps injury/percutanous injury/
Have you ever faced percutanous injury?
The sum of ever training on occupational health and safety and infection prevention and control.
Have you ever taken training on workplce safety or infection prevention and control?
Age
Sex
Educational status
Is it safe to use syringe
To prevent accidental needl stick injury.
When doyou use glove?
where do you dispose sharps?
HBV is transmitted throug
HCV is transmitted
HIV is transmitted
Tetanus is transmitted
Malaria is transmitted
TB is transmitted
other diseases transmitted through
Have you ever taken training in OHS?
Have you ever taken training in IPC?
Gloves and gowns are used for any patient contact
Knowledge of HCWs
Health care workers knowledge
Where do you think that you are most likely to get infected with HBV, HCV and HIV?
How do you level your risk of injury or splash exposure at your department?
When caring with a patient having blood born pathogens like HBV,HCV, or HIV, you worry about getting infected with those
when admitted to hospital, patients who are HIV, HBV and HCV should not put together with other patients.
HCWs attitude assessment
HCWs attitude
Do you always wear PPEs during procedure?
Do you always wear head cover during procedure?
Do you always wear goggle during procedure?
Do you always wear mask during procedure?
Do you always wear gown during procedure?
Do you always use glove for procedure?
sum of utility glove, examination glove and heavy duty glove
Qualification
General service year
Department recode again
Do you ever wash linen?
Qualification final 2
Qualification final 3
Total work experience
Your age
prevalence of one year percutanous injuries
One year percutanous injury
COMPUTE permuco=EverBBF_new + EverNs_new + EvershI_new
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COMPUTE per=EvershI_new + EverNs_new
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COMPUTE perctnys=Ever_had_needle_stick_injury + Ever_had_sharps_injury + Ever_had_blood_body_fluids_splash