2000 Blood and Body Fluid Exposure Report

Epinet

Uniform Blood and Body Fluid Exposure Report
18 Hospitals, 2000

Total Cases: 470
Total Average Daily Census: 4,064

JOB CATEGORY
M.D. (attending/staff) 27 6%
M.D. (intern/resident/fellow) 37 8%
Medical student 1 0%
Nurse RN/LPN/NP/CRNA/Midwife 232 50%
Nursing student 6 1%
Other student 3 1%
Respiratory therapist 17 3%
Surgery attendant 14 3%
Other attendant 22 5%
Phlebotomist/venipuncture/I.V. team 10 2%
Clinical laboratory worker 18 4%
Technologist (non-lab) 24 5%
Dentist 0 0%
Dental hygienist 0 0%
Housekeeper/laundry worker 4 1%
Paramedic 2 0%
CNA/HHA 9 2%
Security 3 1%
Other 40 8%
( 469 records)


PLACE OF OCCURRENCE
Where did the injury occur in the institution?
Patient room 147 31%
Outside patient room 7 2%
Emergency department 58 12%
Intensive/critical care unit 82 18%
Operating room 67 14%
Outpatient clinic/office 11 2%
Blood bank 1 0%
Venipuncture 2 0%
Dialysis facility 3 1%
Procedure room 35 8%
Clinical laboratories 21 5%
Autopsy/pathology 0 0%
Service/utility area 1 0%
Labor and delivery 12 3%
Home-care 2 0%
Other 20 4%
( 469 records)


SOURCE PATIENT
Was the source patient known?
Yes 456 98%
No 6 1%
Unknown 3 1%
N/A 1 0%
( 463 records)


BODY FLUIDS
Which body fluids were involved in the exposure?
Blood or blood product 330 70%
Vomit 18 4%
Sputum 23 5%
Saliva 24 5%
CSF 2 0%
Peritoneal fluid 1 0%
Pleural fluid 3 1%
Amniotic fluid 6 1%
Urine 34 7%
Other 81 17%


EXPOSED PART
Was the exposed part:
Intact skin 177 38%
Non-intact skin 86 18%
Eye(s) 271 58%
Nose 17 4%
Mouth 40 9%
Other 36 8%


TYPE OF EXPOSURE
Did the blood or body fluid:
Touch unprotected skin 409 84%
Touch skin through gap between protective garments 41 8%
Soak through protective garment 16 3%
Soak through clothing 24 5%


PROTECTIVE ITEMS WORN
Which protective items were worn at the time of the exposure?
Single pair latex/vinyl gloves 286 61%
Double pair latex/vinyl gloves 33 7%
Goggles 9 2%
Eyeglasses (not protective) 80 17%
Eyeglasses with sideshields 4 1%
Faceshield 13 3%
Surgical mask 67 14%
Surgical gown 53 11%
Plastic apron 1 0%
Lab coat, cloth (not protective) 27 6%
Lab coat, other 6 1%
Other item 50 11%


RESULT
Was the exposure the result of:
Direct patientcontact 235 51%
Specimen container leaked/spilled 38 8%
Specimen container broke 9 2%
IV tubing/bag/pump leaked 35 7%
Other body fluid container spilled/leaked 20 4%
Touched contaminated equipment/surface 12 3%
Touched contaminated drapes/sheets, etc. 3 1%
Feeding/ventilator/other tube separated/leaked/spilled 67 15%
Other 39 9%
( 460 records)


TIME IN CONTACT
For how long was the blood or body fluid in contact with your skin or mucous membranes?
Less than 5 minutes 360 78%
5-14 minutes 60 13%
15 minutes - 1 hour 26 6%
More than 1 hour 15 3%
( 461 records)


QUANTITY
Estimate the quantity of blood/body fluid that came in contact with your skin or mucous membranes:
Small amount (up to 5 cc) 410 89%
Moderate amount (5-50 cc) 37 8%
Large amount (more than 50 cc) 16 3%
( 463 records)


BODY PART
Right hand 64
Left hand 55
Arm 57
Face/Head 492
Front/Chest 16
Leg 13
Foot 2
Back 0


OSHA
Is this incident OSHA reportable?
Yes 69 20%
No 281 80%
( 350 records)