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Epinet


Other Syringe

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

Total Cases: 160

JOB CATEGORY

M.D. (attending/staff)

9

6%

M.D. (intern/resident/fellow)

13

8%

Medical student

4

3%

Nurse RN/LPN

69

43%

Nursing student

2

1%

Respiratory therapist

2

1%

Surgery attendant

4

3%

Other attendant

12

8%

Phlebotomist/venipuncture/I.V. team

12

8%

Clinical laboratory worker

4

3%

Technologist (non-lab)

5

3%

Dentist

1

1%

Dental hygienist

0

0%

Housekeeper/laundry worker

10

6%

Paramedic

1

1%

Other student

2

1%

Other

10

6%

( 0 missing)



PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

60

38%

Outside patient room

7

4%

Emergency department

12

8%

Intensive/critical care unit

12

8%

Operating room

24

15%

Outpatient clinic/office

5

3%

Blood bank

0

0%

Venipuncture

1

1%

Dialysis facility

0

0%

Procedure room

12

8%

Clinical laboratories

3

2%

Autopsy/pathology

0

0%

Service/utility area

5

3%

Labor and delivery

4

3%

Home

2

1%

Other

13

8%

( 0 missing)



SOURCE PATIENT

Was the source patient known?

Yes

134

84%

No

11

7%

Unknown

12

8%

N/A

3

2%

( 0 missing)



ORIGINAL USER

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

Yes

100

63%

No

58

36%

Unknown

2

1%

N/A

0

0%

( 0 missing)



CONTAMINATION

Was the sharp item:

Contaminated

142

89%

Uncontaminated

5

3%

Unknown

13

8%

( 0 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

16

10%

Injection, IM/subcutaneous

54

34%

Heparin or saline flush

21

13%

Other injection/aspiration I.V.

23

14%

Connect I.V. line

0

0%

Start I.V. or heparin lock

0

0%

Draw venous blood sample

24

15%

Draw arterial blood sample

2

1%

Obtain body fluid/tissue sample

7

4%

Fingerstick/heel stick

0

0%

Suturing

1

1%

Cutting (surgery)

0

0%

Electrocautery

0

0%

Contain specimen/pharmaceutical

2

1%

Place arterial line

0

0%

Fingernails/teeth

0

0%

Other

10

6%

( 0 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

35

22%

Between steps

23

14%

Disassembling

9

6%

Preparing for reuse

3

2%

Recapping

7

4%

Withdrawing from resistant material

12

8%

Other after use, before disposal

38

24%

Item left on disposal container

1

1%

Putting item into disposal container

14

9%

After disposal

12

8%

Pierced side of disposal container

1

1%

Pierced side of inappropriate disposal container

3

2%

Restraining

0

0%

Other

2

1%

( 0 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

160

100%

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

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

160

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

68

43%

Moderate

84

53%

Severe

6

4%

( 2 missing)



BODY PART

Right hand, back

11

Right hand, front

44

Left hand, back

15

Left hand, front

73

Right arm

2

Left arm

2

Head

0

Chest

1

Back

0

Mid-body

1

Right leg

1

Left leg

1

Right foot and ankle

2

Left foot and ankle

1

( 6 missing)



OSHA

Is this incident OSHA reportable?

Yes

29

18%

No

91

57%

( 40 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