We have replied directly, at greater length, to Dr Hawkins and would like to clarify these issues for all BCMJ readers:
1. This regulation applies to the vast majority of GPs in BC. If you’re an employer with staff, you’re required to register with WorkSafeBC and thus must follow the regulation. It also applies if you’re a salaried employee or a worker in your own corporation. The regulation doesn’t apply in fairly narrow circumstances, such as when you have a sole proprietorship and/or have no staff who could be exposed to needles. If you’re in doubt about your status, contact WorkSafeBC’s Assessment Department at 604 244-6181 (toll free 1 888 922-2768).
2. Currently, the new needles cost two to five times more than the old needles. Health regions have built the additional costs into their budgets. We will forward the question about compensation to the BCMA. WorkSafeBC doesn’t cover the cost of needles unless they’re a tray fee item for a worker with an accepted claim from WorkSafeBC.
3. Occupational health and safety regulations are determined by each provincial or territorial jurisdiction across Canada. Several provinces have regulations requiring safety needles in health care institutions. BC and Manitoba have extended these requirements to physicians’ offices.
4. WorkSafeBC is working with suppliers of pre-filled syringe/needle medications to resolve this issue. Suppliers have responsibilities under BC’s Workers Compensation Act to provide devices that are safe and meet regulations. In the meantime, make sure you have appropriate procedures in place to use these needles and have a plan to ensure compliance with the new regulations as soon as the new needles are available.
For more information, read the WorkSafeBC page in the January/February 2008 issue of BCMJ or call WorkSafeBC’s Industry and Labour Services Department toll free at 1 888 621-7233.
—Peter Rothfels, MD
Director, Clinical Services and Chief Medical Officer
Above is the information needed to cite this article in your paper or presentation. The International Committee
of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally
accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.
About the ICMJE and citation styles
The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.
An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.
BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:
- Only the first three authors are listed, followed by "et al."
- There is no period after the journal name.
- Page numbers are not abbreviated.
For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit www.icmje.org