2001 Blood and Body Fluid Exposure Report

Epinet


Uniform Blood and Body Fluid Exposure Report
49 Hospitals, 2001

Total Cases: 463
Total Average Daily Census: 7,716

JOB CATEGORY
M.D. (attending/staff) 25 5%
M.D. (intern/resident/fellow) 25 5%
Medical student 1 0%
Nurse RN/LPN/NP/CRNA/Midwife 250 54%
Nursing student 3 1%
Other student 5 1%
Respiratory therapist 16 4%
Surgery attendant 23 5%
Other attendant 5 1%
Phlebotomist/venipuncture/I.V. team 5 1%
Clinical laboratory worker 12 3%
Technologist (non-lab) 31 7%
Dentist 0 0%
Dental hygienist 0 0%
Housekeeper/laundry worker 4 1%
Paramedic 7 2%
CNA/HHA 17 4%
Security 0 0%
Other 32 7%
(461 records)


PLACE OF OCCURRENCE
Where did the injury occur in the institution?
Patient room                                                               175 38%
Outside patient room 9 2%
Emergency department 61 13.2%
Intensive/critical care unit 34 7%
Operating room 81 18%
Outpatient clinic/office 8 2%
Blood bank 3 1%
Venipuncture 1 0%
Dialysis facility 1 0%
Procedure room 31 7%
Clinical laboratories 7 2%
Autopsy/pathology 0 0%
Service/utility area 2 0%
Labor and delivery 8 2%
Home-care 6 1%
Other 36 8%
(463 records)


SOURCE PATIENT
Was the source patient known?
Yes                                                                                    427 97%
No 12 3%
Unknown 3 1%
N/A 0 0%
(442 records)


BODY FLUIDS
Which body fluids were involved in the exposure?
Blood or blood product                                             332 72%
Vomit 10 2%
Sputum 36 8%
Saliva 29 6%
CSF 2 0%
Peritoneal fluid 3 01%
Pleural fluid 6 1%
Amniotic fluid 12 3%
Urine 23 5%
Other 50 11%


EXPOSED PART
Was the exposed part:
Intact skin                                       187 40%
Non-intact skin 82 18%
Eye(s) 268 58%
Nose 7 2%
Mouth 37 8%
Other 12 3%


TYPE OF EXPOSURE
Did the blood or body fluid:
Touch unprotected skin                                                        355       83%    
Touch skin through gap between protective garments 48 11%
Soak through protective garment 13 3%
Soak through clothing 12 3%


PROTECTIVE ITEMS WORN
Which protective items were worn at the time of the exposure?
Single pair latex/vinyl gloves                   283 61%
Double pair latex/vinyl gloves 28 6%
Goggles 18 4%
Eyeglasses (not protective) 50 11%
Eyeglasses with sideshields 2 0%
Faceshield 13 3%
Surgical mask 42     9%
Surgical gown 39 8%
Plastic apron 2 0%
Lab coat, cloth (not protective) 25 5%
Lab coat, other 4 1%
Other item 50 11%


RESULT
Was the exposure the result of:
Direct patientcontact 218     48%   
Specimen container leaked/spilled 21 5%
Specimen container broke 10 2%
IV tubing/bag/pump leaked 38 8.7%
Other body fluid container spilled/leaked 23 5%
Touched contaminated equipment/surface 5 1%
Touched contaminated drapes/sheets, etc. 3 1%
Feeding/ventilator/other tube separated/leaked/spilled 45 10%
Unknown 5 1%
Other 89 20%
(457 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                                                                               357 81%
5-14 minutes                                                                                         49 11%
15 minutes - 1 hour             30 7%
More than 1 hour 6 1%
(442 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) 387 88%
Moderate amount (5-50 cc) 37 8%
Large amount (more than 50 cc) 14 3%
(438 records)


BODY PART
Right hand         81
Left hand 47
Arm 45
Face/Head 453
Front/Chest 36
Leg 10
Foot 1
Back 0