This customizable document, Sharps Injury Log, is taken from MCN Healthcare’s Ambulatory Services Environment of Care Manual. For more than 20 years, MCN has been the health care industry’s leading provider of policy and procedure templates, forms, competencies and other compliance tools.

MCN’s templates save you time, money and resources, rather than developing healthcare policy and procedure manuals from scratch.

Here is some sample content from Sharps Injury Log:

	SHARPS INJURY LOG Please complete a Log for each employee exposure incident involving a sharp. Employee Name: Date of Injury: Complete this form and a Supervisor Injury Report. Send employee to ED to be seen by physician. Sharps Injury Log and Supervisor Injury Report are to be forwarded to Human Resources after employee is seen in ED. Description of the exposure incident: Job Classification Department/Location MD Patient Room Nurse: Nurse's Station Tech: Operating Room/PACU Phlebotomist/Lab tech Urgent Care Services Housekeeper/Janitor Clinical Laboratory Student, type: ...
Second excerpt:
	...of sharp Draw arterial blood Between steps of a multistep procedure Injection, through skin After use and before disposal of sharp Start IV/set up Saline Lock While putting sharp into disposal container Unknown/not applicable Sharp left in inappropriate place table, bed, etc. Heparin/Saline Flush Disassembling Cutting Other: Suturing Other: Body Part Check all that apply Identify sharp involved If known Did the device being used have engineered sharps injury protection? ...