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Epinet


Scalpel Blade

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

Total Cases: 675

JOB CATEGORY

M.D. (attending/staff)

60

9%

M.D. (intern/resident/fellow)

103

15%

Medical student

9

1%

Nurse RN/LPN

199

29%

Nursing student

3

0%

Respiratory therapist

3

0%

Surgery attendant

114

17%

Other attendant

14

2%

Phlebotomist/venipuncture/I.V. team

2

0%

Clinical laboratory worker

19

3%

Technologist (non-lab)

79

12%

Dentist

1

0%

Dental hygienist

1

0%

Housekeeper/laundry worker

6

1%

Paramedic

0

0%

Other student

3

0%

Other

59

9%

( 0 missing)



PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

28

4%

Outside patient room

1

0%

Emergency department

15

2%

Intensive/critical care unit

25

4%

Operating room

423

63%

Outpatient clinic/office

26

4%

Blood bank

1

0%

Venipuncture

0

0%

Dialysis facility

0

0%

Procedure room

46

7%

Clinical laboratories

15

2%

Autopsy/pathology

33

5%

Service/utility area

16

2%

Labor and delivery

10

1%

Home

0

0%

Other

36

5%

( 0 missing)



SOURCE PATIENT

Was the source patient known?

Yes

625

93%

No

23

3%

Unknown

18

3%

N/A

9

1%

( 0 missing)



ORIGINAL USER

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

Yes

232

34%

No

436

65%

Unknown

3

0%

N/A

3

0%

( 1 missing)



CONTAMINATION

Was the sharp item:

Contaminated

637

94%

Uncontaminated

14

2%

Unknown

24

4%

( 0 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

22

3%

Injection, IM/subcutaneous

0

0%

Heparin or saline flush

0

0%

Other injection/aspiration I.V.

0

0%

Connect I.V. line

0

0%

Start I.V. or heparin lock

1

0%

Draw venous blood sample

0

0%

Draw arterial blood sample

0

0%

Obtain body fluid/tissue sample

16

2%

Fingerstick/heel stick

2

0%

Suturing

6

1%

Cutting (surgery)

572

85%

Electrocautery

4

1%

Contain specimen/pharmaceutical

0

0%

Place arterial line

1

0%

Fingernails/teeth

0

0%

Other

51

8%

( 0 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

221

33%

Between steps

204

30%

Disassembling

72

11%

Preparing for reuse

23

3%

Recapping

2

0%

Withdrawing from resistant material

0

0%

Other after use, before disposal

109

16%

Item left on disposal container

3

0%

Putting item into disposal container

12

2%

After disposal

4

1%

Pierced side of disposal container

0

0%

Pierced side of inappropriate disposal container

2

0%

Restraining

0

0%

Other

22

3%

( 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

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

0

0%

Scalpel blade

675

100%

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

675

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

226

33%

Moderate

380

56%

Severe

67

10%

( 1 missing)



BODY PART

Right hand, back

123

Right hand, front

187

Left hand, back

105

Left hand, front

188

Right arm

25

Left arm

12

Head

0

Chest

0

Back

0

Mid-body

2

Right leg

0

Left leg

7

Right foot and ankle

4

Left foot and ankle

3

( 19 missing)



OSHA

Is this incident OSHA reportable?

Yes

110

16%

No

319

47%

( 245 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