1999 Blood and Body Fluid Exposure Report

Epinet 

Uniform Blood and Body Fluid Exposure Report
14 Hospitals, 1999

Total Cases: 500
Total Average Daily Census: 4,197

JOB CATEGORY
M.D. (attending/staff) 15 3%
M.D. (intern/resident/fellow) 51 10%
Medical student 4 1%
Nurse RN/LPN 242 49%
Nursing student 2 0%
Respiratory therapist 15 3%
Surgery attendant 10 2%
Other attendant 26 5%
Phlebotomist/venipuncture/I.V. team 10 2%
Clinical laboratory worker 21 4%
Technologist (non-lab) 25 5%
Dentist 0 0%
Dental hygienist 0 0%
Housekeeper/laundry worker 3 1%
Paramedic 5 1%
CNA/HHA 10 2%
Security 3 1%
Other 57 11%
( 499 records)


PLACE OF OCCURRENCE
Where did the injury occur in the institution?
Patient room 166 33%
Outside patient room 10 2%
Emergency department 46 9%
Intensive/critical care unit 76 15%
Operating room 67 14%
Outpatient clinic/office 24 5%
Blood bank 5 1%
Venipuncture 2 0%
Dialysis facility 3 1%
Procedure room 27 5%
Clinical laboratories 19 4%
Autopsy/pathology 2 0%
Service/utility area 3 1%
Labor and delivery 17 3%
Home-care 2 0%
Other 29 6%
( 498 records)


SOURCE PATIENT
Was the source patient known?
Yes 453 92%
No 20 4%
Unknown 18 4%
N/A 1 0%
( 492 records)


BODY FLUIDS
Which body fluids were involved in the exposure?
Blood or blood product 355 71%
Vomit 16 3%
Sputum 17 3%
Saliva 25 5%
CSF 2 0%
Peritoneal fluid 9 2%
Pleural fluid 1 0%
Amniotic fluid 11 2%
Urine 42 8%
Other 202 40%


EXPOSED PART
Was the exposed part:
Intact skin 196 39%
Non-intact skin 87 17%
Eye(s) 273 55%
Nose 24 5%
Mouth 51 10%
Other 166 33%


TYPE OF EXPOSURE
Did the blood or body fluid:
Touch unprotected skin 435 86%
Touch skin through gap between protective garments 32 6%
Soak through protective garment 14 3%
Soak through clothing 28 6%


PROTECTIVE ITEMS WORN
Which protective items were worn at the time of the exposure?
Single pair latex/vinyl gloves 322 64%
Double pair latex/vinyl gloves 37 7%
Goggles 11 1%
Eyeglasses (not protective) 82 16%
Eyeglasses with sideshields 7 1%
Faceshield 21 4%
Surgical mask 61 12%
Surgical gown 55 11%
Plastic apron 5 1%
Lab coat, cloth (not protective) 37 7%
Lab coat, other 15 3%
Other item 178 36%


RESULT
Was the exposure the result of:
Direct patientcontact 232 47%
Specimen container leaked/spilled 36 7%
Specimen container broke 8 2%
IV tubing/bag/pump leaked 47 10%
Other body fluid container spilled/leaked 37 8%
Touched contaminated equipment/surface 12 2%
Touched contaminated drapes/sheets, etc. 7 1%
Feeding/ventilator/other tube separated/leaked/spilled 45 9%
Other 138 14%
( 495 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 385 79%
5-14 minutes 67 13%
15 minutes - 1 hour 24 5%
More than 1 hour 19 3%
( 495 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) 430 87%
Moderate amount (5-50 cc) 50 10%
Large amount (more than 50 cc) 15 3%
( 495 records)


BODY PART
Right hand 69
Left hand 58
Arm 83
Face/Head 504
Front/Chest 24
Leg 14
Foot 2
Back 1


OSHA
Is this incident OSHA reportable?
Yes 61 18%
No 282 82%
( 343 records)