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Epinet


IV Cathether Stylet

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

Total Cases: 565

JOB CATEGORY

M.D. (attending/staff)

17

3%

M.D. (intern/resident/fellow)

25

4%

Medical student

1

0%

Nurse RN/LPN

426

75%

Nursing student

1

0%

Respiratory therapist

3

1%

Surgery attendant

1

0%

Other attendant

15

3%

Phlebotomist/venipuncture/I.V. team

7

1%

Clinical laboratory worker

2

0%

Technologist (non-lab)

14

2%

Dentist

0

0%

Dental hygienist

0

0%

Housekeeper/laundry worker

20

4%

Paramedic

6

1%

Other student

2

0%

Other

25

4%

( 0 missing)



PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

266

47%

Outside patient room

12

2%

Emergency department

60

11%

Intensive/critical care unit

75

13%

Operating room

42

7%

Outpatient clinic/office

6

1%

Blood bank

0

0%

Venipuncture

4

1%

Dialysis facility

0

0%

Procedure room

39

7%

Clinical laboratories

1

0%

Autopsy/pathology

0

0%

Service/utility area

10

2%

Labor and delivery

7

1%

Home

1

0%

Other

42

7%

( 0 missing)



SOURCE PATIENT

Was the source patient known?

Yes

512

91%

No

30

5%

Unknown

23

4%

N/A

0

0%

( 0 missing)



ORIGINAL USER

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

Yes

352

62%

No

201

36%

Unknown

9

2%

N/A

1

0%

( 2 missing)



CONTAMINATION

Was the sharp item:

Contaminated

549

97%

Uncontaminated

2

0%

Unknown

13

2%

( 1 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

14

2%

Injection, IM/subcutaneous

2

0%

Heparin or saline flush

1

0%

Other injection/aspiration I.V.

4

1%

Connect I.V. line

2

0%

Start I.V. or heparin lock

520

92%

Draw venous blood sample

9

2%

Draw arterial blood sample

1

0%

Obtain body fluid/tissue sample

1

0%

Fingerstick/heel stick

0

0%

Suturing

0

0%

Cutting (surgery)

0

0%

Electrocautery

0

0%

Contain specimen/pharmaceutical

1

0%

Place arterial line

4

1%

Fingernails/teeth

0

0%

Other

6

1%

( 0 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

131

23%

Between steps

48

8%

Disassembling

14

2%

Preparing for reuse

0

0%

Recapping

2

0%

Withdrawing from resistant material

8

1%

Other after use, before disposal

269

48%

Item left on disposal container

11

2%

Putting item into disposal container

28

5%

After disposal

8

1%

Pierced side of disposal container

0

0%

Pierced side of inappropriate disposal container

19

3%

Restraining

0

0%

Other

22

4%

( 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)

565

100%

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

565

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

276

49%

Moderate

264

47%

Severe

22

4%

( 3 missing)



BODY PART

Right hand, back

69

Right hand, front

150

Left hand, back

80

Left hand, front

179

Right arm

11

Left arm

13

Head

1

Chest

0

Back

0

Mid-body

1

Right leg

16

Left leg

9

Right foot and ankle

7

Left foot and ankle

3

( 26 missing)



OSHA

Is this incident OSHA reportable?

Yes

84

15%

No

293

52%

( 188 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