BBF 2003

Epinet

Uniform Blood and Body Fluid Exposure Report
48 Hospitals, 2003

Total Cases: 524
Total Average Daily Census: 7,239

JOB CATEGORY

M.D. (attending/staff)

25

4.8%

M.D. (intern/resident/fellow)

31

5.9%

Medical student

6

1.1%

Nurse RN/LPN/NP/CRNA/Midwife

262

50.2%

Nursing student

3

0.6%

Other student

3

0.6%

Respiratory therapist

22

4.2%

Surgery attendant

18

3.4%

Other attendant

9

1.7%

Phlebotomist/Venipuncture/I.V. team

16

3.1%

Clinical laboratory worker

11

2.1%

Technologist (non-lab)

31

5.9%

Dentist

0

0.0%

Dental hygienist

0

0.0%

Housekeeper/Laundry worker

2

0.4%

Paramedic

13

2.5%

CNA/HHA

22

4.2%

Security

7

1.3%

Other

41

7.9%

(522 records)

 

PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room/Ward                                                              

193

37.0%

Outside patient room

13

2.5%

Emergency department

64

12.3%

Intensive/Critical care unit

53

10.2%

Operating room/Recovery

86

16.5%

Outpatient clinic/office

9

1.7%

Blood bank

1

0.2%

Venipuncture center

1

0.2%

Dialysis facility

0

0.0%

Procedure room

37

7.1%

Clinical laboratories

9

1.7%

Autopsy/Pathology

1

0.2%

Service/utility area

1

0.2%

Labor and delivery

18

3.4%

Home-care

4

0.8%

Other

32

6.1%

(522 records)

 

SOURCE PATIENT

Was the source patient known?

Yes                                                                                   

492

96.5%

No

11

2.2%

Unknown

4

0.8%

N/A

3

0.6%

(510 records)

 

BODY FLUIDS

Which body fluids were involved in the exposure?

Blood or blood product                                            

389

74.2%

Vomit

23

4.4%

Sputum

42

8.0%

Saliva

30

5.7%

CSF

4

0.8%

Peritoneal fluid

5

1.0%

Pleural fluid

4

0.8%

Amniotic fluid

6

1.1%

Urine

30

5.7%

Other

53

10.1%

 

EXPOSED PART

Was the exposed part:

Intact skin                                      

180

34.4%

Non-intact skin

69

13.2%

Eye(s)

344

65.6%

Nose

8

1.5%

Mouth

55

10.5%

Other

9

1.7%

 

TYPE OF EXPOSURE

Did the blood or body fluid:

Touch unprotected skin                                                       

424     

86.2%    

Touch skin through gap between protective garments

52

10.6%

Soak through protective garment

4

0.8%

Soak through clothing

12

2.4%

 

PROTECTIVE ITEMS WORN

Which protective items were worn at the time of the exposure?

Single pair latex/vinyl/nitrile gloves                  

312

59.5%

Double pair latex/vinyl/nitrile gloves

41

7.8%

Goggles

21

4.0%

Eyeglasses (not protective)

64

12.2%

Eyeglasses with sideshields

8

1.5%

Faceshield

17

3.2%

Surgical mask

63   

12.0%

Surgical gown

69

13.2%

Plastic apron

5

1.0%

Lab coat, cloth (not protective)

15

2.9%

Lab coat, other

9

1.7%

Other item

66

12.6%

 

RESULT

Was the exposure the result of:

Direct patient contact

252  

49.2%   

Specimen container leaked/spilled

28

5.5%

Specimen container broke

3

0.6%

IV tubing/bag/pump leaked

42

8.2%

Other body fluid container spilled/leaked

18

3.5%

Touched contaminated equipment/surface

9

1.8%

Touched contaminated drapes/sheets, etc.

0

0.0%

Feeding/ventilator/other tube separated/leaked/spilled

59

11.5%

Unknown

2

0.4%

Other

99

19.3%

(512 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                                                            

393

77.5%

5-14 minutes                                                                          

76

15.0%

15 minutes - 1 hour            

35

6.9%

More than 1 hour

3

0.6%

(507 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)

455

90.5%

Moderate amount (5-50 cc)

33

6.6%

Large amount (more than 50 cc)

15

3.0%

(503 records)

 

BODY PART

Right hand        

54

Left hand

40

Arm

54

Face/Head

564

Front/Chest

28

Leg

9

Foot

3

Back

2