Vial Cap Removal
1.
What is your current role?
Pharmacy Tech
Pharmacist
Nurse
Other (please specify)
2.
How many years have you worked in your current profession?
3.
Do you use a tool to remove vial caps?
Yes
No
If yes, what tool do you use?
4.
How many vial caps do you remove per shift?
5 or less
6 to 10
11 to 15
16 to 20
21 to 25
Other (please specify amount)
5.
Do you experience pain when removing vial caps? (Check all that apply)
I don't experience pain
I don't use a tool
I use a tool
Yes, in my fingers
Yes, in my thumb
Yes, in my hand
Yes, in my wrist
Other (please specify)
6.
Data shows up to 70% of healthcare professionals work with an unreported injury.
Relating to injuries/pain caused by vial cap removal, Are you...
working with an
unreported
injury.
working with a
reported
injury.
losing time or have lost time because of your injury?
prefer not to answer
None of the above
Other (please specify)
7.
If you had a Lifty in your workplace would you use it?
Yes
No
If no, why not?
8.
If you answered 'Yes' to the question above, how many Lifty's would you need on your unit? (Think of where they may be used. IV poles, med rooms, carried with you, med carts, sterile prep areas, IV rooms, amt. need for sterilization cycles, etc.)
5 or less
6 to 10
11 to 15
16 to 20
More than 20
If more than 20, please enter amount.
9.
Is there anything else you'd like us to know?