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Epinet


Suture Needle

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

Total Cases: 1036

JOB CATEGORY

M.D. (attending/staff)

161

16%

M.D. (intern/resident/fellow)

228

22%

Medical student

42

4%

Nurse RN/LPN

236

23%

Nursing student

6

1%

Respiratory therapist

0

0%

Surgery attendant

206

20%

Other attendant

15

1%

Phlebotomist/venipuncture/I.V. team

0

0%

Clinical laboratory worker

0

0%

Technologist (non-lab)

65

6%

Dentist

1

0%

Dental hygienist

2

0%

Housekeeper/laundry worker

12

1%

Paramedic

0

0%

Other student

11

1%

Other

51

5%

( 0 missing)



PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

49

5%

Outside patient room

3

0%

Emergency department

63

6%

Intensive/critical care unit

29

3%

Operating room

808

78%

Outpatient clinic/office

12

1%

Blood bank

0

0%

Venipuncture

0

0%

Dialysis facility

0

0%

Procedure room

12

1%

Clinical laboratories

0

0%

Autopsy/pathology

0

0%

Service/utility area

9

1%

Labor and delivery

36

3%

Home

0

0%

Other

13

1%

( 2 missing)



SOURCE PATIENT

Was the source patient known?

Yes

996

96%

No

17

2%

Unknown

18

2%

N/A

3

0%

( 2 missing)



ORIGINAL USER

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

Yes

415

40%

No

608

59%

Unknown

6

1%

N/A

5

0%

( 2 missing)



CONTAMINATION

Was the sharp item:

Contaminated

998

96%

Uncontaminated

19

2%

Unknown

18

2%

( 1 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

5

0%

Injection, IM/subcutaneous

2

0%

Heparin or saline flush

0

0%

Other injection/aspiration I.V.

1

0%

Connect I.V. line

0

0%

Start I.V. or heparin lock

0

0%

Draw venous blood sample

0

0%

Draw arterial blood sample

0

0%

Obtain body fluid/tissue sample

0

0%

Fingerstick/heel stick

0

0%

Suturing

1020

98%

Cutting (surgery)

2

0%

Electrocautery

0

0%

Contain specimen/pharmaceutical

1

0%

Place arterial line

0

0%

Fingernails/teeth

1

0%

Other

3

0%

( 1 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

577

56%

Between steps

262

25%

Disassembling

18

2%

Preparing for reuse

7

1%

Recapping

0

0%

Withdrawing from resistant material

2

0%

Other after use, before disposal

97

9%

Item left on disposal container

2

0%

Putting item into disposal container

23

2%

After disposal

6

1%

Pierced side of disposal container

0

0%

Pierced side of inappropriate disposal container

4

0%

Restraining

0

0%

Other

33

3%

( 5 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

0

0%

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

1036

100%

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

1036

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

547

53%

Moderate

458

44%

Severe

17

2%

( 11 missing)



BODY PART

Right hand, back

136

Right hand, front

254

Left hand, back

149

Left hand, front

431

Right arm

12

Left arm

10

Head

1

Chest

0

Back

0

Mid-body

1

Right leg

0

Left leg

0

Right foot and ankle

2

Left foot and ankle

2

( 36 missing)



OSHA

Is this incident OSHA reportable?

Yes

174

17%

No

580

56%

( 278 missing)



For those cases that are OSHA reportable:

Cumulative number of days away from work:

0

Cumulative number of days of restricted work activity:

42