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Epinet


Sharp Item, Unknown Type

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

Total Cases: 123

JOB CATEGORY

M.D. (attending/staff)

2

2%

M.D. (intern/resident/fellow)

1

1%

Medical student

0

0%

Nurse RN/LPN

21

17%

Nursing student

0

0%

Respiratory therapist

0

0%

Surgery attendant

12

10%

Other attendant

10

8%

Phlebotomist/venipuncture/I.V. team

2

2%

Clinical laboratory worker

2

2%

Technologist (non-lab)

5

4%

Dentist

0

0%

Dental hygienist

1

1%

Housekeeper/laundry worker

54

44%

Paramedic

0

0%

Other student

0

0%

Other

13

11%

( 0 missing)



PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

14

11%

Outside patient room

10

8%

Emergency department

9

7%

Intensive/critical care unit

6

5%

Operating room

22

18%

Outpatient clinic/office

6

5%

Blood bank

1

1%

Venipuncture

0

0%

Dialysis facility

1

1%

Procedure room

4

3%

Clinical laboratories

3

2%

Autopsy/pathology

1

1%

Service/utility area

34

28%

Labor and delivery

0

0%

Home

0

0%

Other

12

10%

( 0 missing)



SOURCE PATIENT

Was the source patient known?

Yes

37

30%

No

48

39%

Unknown

34

28%

N/A

3

2%

( 1 missing)



ORIGINAL USER

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

Yes

6

5%

No

102

83%

Unknown

11

9%

N/A

4

3%

( 0 missing)



CONTAMINATION

Was the sharp item:

Contaminated

44

36%

Uncontaminated

2

2%

Unknown

77

63%

( 0 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

98

80%

Injection, IM/subcutaneous

1

1%

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

0

0%

Draw venous blood sample

0

0%

Draw arterial blood sample

0

0%

Obtain body fluid/tissue sample

0

0%

Fingerstick/heel stick

1

1%

Suturing

1

1%

Cutting (surgery)

5

4%

Electrocautery

0

0%

Contain specimen/pharmaceutical

0

0%

Place arterial line

0

0%

Fingernails/teeth

0

0%

Other

17

14%

( 0 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

5

4%

Between steps

0

0%

Disassembling

7

6%

Preparing for reuse

13

11%

Recapping

0

0%

Withdrawing from resistant material

0

0%

Other after use, before disposal

14

11%

Item left on disposal container

0

0%

Putting item into disposal container

2

2%

After disposal

6

5%

Pierced side of disposal container

1

1%

Pierced side of inappropriate disposal container

51

41%

Restraining

0

0%

Other

23

19%

( 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

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

123

100%

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

123

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

63

51%

Moderate

53

43%

Severe

5

4%

( 2 missing)



BODY PART

Right hand, back

14

Right hand, front

49

Left hand, back

12

Left hand, front

24

Right arm

6

Left arm

1

Head

0

Chest

0

Back

0

Mid-body

0

Right leg

9

Left leg

5

Right foot and ankle

1

Left foot and ankle

0

( 2 missing)



OSHA

Is this incident OSHA reportable?

Yes

19

15%

No

73

59%

( 31 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