I know personally that the docs and CRNA's in our hospital use safety syringes. In other words, they use a needle to draw it up, but the syringe to inject the medication. How else are you supposed to draw up that cardizem or whatever? Since medications in the OR have to be given so quickly, it is necessary to have the ability to draw up whatever one needs at that particular moment. To take away this ability with the discontinuation of needles hinders CRNA's and MDA's from performing these tasks quickly. Let's face it. Some of our nurses and docs are just old school, and prefer to do it the way they know how to do it. I still find my self using needles sometimes in my critical care unit to draw out of arterial lines even though we have the non-needleless system available for use. Sometimes if all you need is a glucose, you just use a needle and syringe because it is quicker and the result is faster.
As far as reuse, I've never seen anybody actually do it. It seems that one bird makes it bad for the whole flock, because the poop is flying downhill after this whole Oklahoma incident, and now MDA's and CRNA's are scrutinized to the tilt. There have been other instances, but who can say this is a blanket problem when no studies have been done. Or am I nieve that no studies have been done on this, and I just don't know about them?
I don't think it's a cavelier attitude toward needle stick injuries. I simply believe that the quickest method to deliver meds to a patient is utilized, and providers stick to the method they are most comfortable using, a method that they have been using for several years. Maybe they are just resistant to change, and this is part of the problem. Sometimes, drawing up, capping, recapping, then getting your needleless device does take a lot of time, especially when you're in the operating room where time is so critical.