If yes, state how many times
in the last 6 months
Scalpel cut Yes/no/don’t know
Injury from diatermy Yes/no/don’t know
Cuts from drug ampoules Yes/no/don’t know
Needle pricks Yes/no/don’t know
Blood splashes on face and other parts of the body Yes/no/don’t know
Accidents from falls Yes/no/don’t know
Electric shock Yes/no/don’t know
Contact with patient’s blood with ungloved hands Yes/no/don’t know
Assault by violent aggressive patient Yes/no/don’t know
Chemical splashes Yes/no/don’t know
Open wound contamination with patient blood Yes/no/don’t know
Fire accidents Yes/no/don’t know
Glove perforation during surgery Yes/no/don’t know