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Epinet


Unattached Needle

Uniform Needlestick and Sharp Object Injury Report
77 Hospitals, 1993-1995

Total Cases: 188

JOB CATEGORY

M.D. (attending/staff)

9

5%

M.D. (intern/resident/fellow)

10

5%

Medical student

0

0%

Nurse RN/LPN

84

45%

Nursing student

0

0%

Respiratory therapist

2

1%

Surgery attendant

8

4%

Other attendant

13

7%

Phlebotomist/venipuncture/I.V. team

3

2%

Clinical laboratory worker

6

3%

Technologist (non-lab)

16

9%

Dentist

0

0%

Dental hygienist

1

1%

Housekeeper/laundry worker

21

11%

Paramedic

0

0%

Other student

0

0%

Other

15

8%

( 0 missing)



PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

46

24%

Outside patient room

9

5%

Emergency department

11

6%

Intensive/critical care unit

17

9%

Operating room

35

19%

Outpatient clinic/office

10

5%

Blood bank

0

0%

Venipuncture

0

0%

Dialysis facility

0

0%

Procedure room

18

10%

Clinical laboratories

4

2%

Autopsy/pathology

1

1%

Service/utility area

8

4%

Labor and delivery

4

2%

Home

2

1%

Other

23

12%

( 0 missing)



SOURCE PATIENT

Was the source patient known?

Yes

131

70%

No

29

15%

Unknown

22

12%

N/A

6

3%

( 0 missing)



ORIGINAL USER

Was the injured worker the original user of the sharp item?

Yes

73

39%

No

111

59%

Unknown

3

2%

N/A

0

0%

( 1 missing)



CONTAMINATION

Was the sharp item:

Contaminated

131

70%

Uncontaminated

10

5%

Unknown

46

24%

( 0 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

69

7%

Injection, IM/subcutaneous

38

20%

Heparin or saline flush

4

2%

Other injection/aspiration I.V.

7

4%

Connect I.V. line

1

1%

Start I.V. or heparin lock

1

1%

Draw venous blood sample

10

5%

Draw arterial blood sample

5

3%

Obtain body fluid/tissue sample

10

5%

Fingerstick/heel stick

7

4%

Suturing

1

1%

Cutting (surgery)

2

1%

Electrocautery

0

0%

Contain specimen/pharmaceutical

1

1%

Place arterial line

0

0%

Fingernails/teeth

0

0%

Other

31

16%

( 1 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

22

12%

Between steps

23

12%

Disassembling

3

2%

Preparing for reuse

6

3%

Recapping

6

3%

Withdrawing from resistant material

5

3%

Other after use, before disposal

67

36%

Item left on disposal container

8

4%

Putting item into disposal container

11

6%

After disposal

6

3%

Pierced side of disposal container

0

0%

Pierced side of inappropriate disposal container

13

7%

Restraining

0

0%

Other

17

9%

( 1 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

0

0%

Prefilled cartridge syringe

0

0%

Blood gas syringe

0

0%

Syringe, other type or not sure which

0

0%

Needle on I.V. line

0

0%

Winged steel needle I.V. set

0

0%

I.V. catheter (stylet)

0

0%

Vacuum tube blood collection needle

0

0%

Spinal or epidural needle

0

0%

Unattached hypodermic needle

188

100%

Arterial catheter introducer needle

0

0%

Central line catheter introducer needle

0

0%

Drum catheter needle

0

0%

Other vascular catheter needle

0

0%

Other non-vascular catheter needle

0

0%

Needle, not sure what kind

0

0%

Other needle

0

0%

.

Lancet

0

0%

Suture needle

0

0%

Scalpel blade

0

0%

Razor

0

0%

Pipette (plastic)

0

0%

Scissors

0

0%

Bovie electrocautery device

0

0%

Bone cutter

0

0%

Bone chip

0

0%

Towel clip

0

0%

Microtome blade

0

0%

Trocar

0

0%

Vacuum tube, plastic

0

0%

Specimen/test tube, plastic

0

0%

Fingernails/teeth

0

0%

Scalpel, disposable

0

0%

Retractor, skin/bone hooks

0

0%

Staples/steel sutures

0

0%

Wire

0

0%

Pin

0

0%

Drill bit/bur

0

0%

Pickups/forcepts/hemostats/clamps

0

0%

Sharp item, not sure what kind

0

0%

Other item

0

0%

.

Medication ampule

0

0%

Medication vial (small)

0

0%

Medication/I.V. bottle (large)

0

0%

Pipette, glass

0

0%

Vacuum tube, glass

0

0%

Specimen/test tube, glass

0

0%

Capillary tube

0

0%

Glass slide

0

0%

Glass item, not sure what kind

0

0%

Other glass item

0

0%

( 0 missing)



SAFETY DESIGN

If the item causing the injury was a needle, was it a safety design with a shielded, recessed, or retractable needle?

Yes

0

0%

No/not applicable

188

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

96

51%

Moderate

86

46%

Severe

4

2%

( 1 missing)



BODY PART

Right hand, back

16

Right hand, front

60

Left hand, back

16

Left hand, front

82

Right arm

2

Left arm

0

Head

1

Chest

1

Back

0

Mid-body

1

Right leg

2

Left leg

1

Right foot and ankle

3

Left foot and ankle

1

( 2 missing)



OSHA

Is this incident OSHA reportable?

Yes

42

22%

No

109

58%

( 36 missing)



For those cases that are OSHA reportable:

Cumulative number of days away from work:

0

Cumulative number of days of restricted work activity:

0