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Epinet


Phlebotomy Needle

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

Total Cases: 471

JOB CATEGORY

M.D. (attending/staff)

2

0%

M.D. (intern/resident/fellow)

4

1%

Medical student

0

0%

Nurse RN/LPN

162

34%

Nursing student

6

1%

Respiratory therapist

4

1%

Surgery attendant

0

0%

Other attendant

19

4%

Phlebotomist/venipuncture/I.V. team

185

39%

Clinical laboratory worker

45

10%

Technologist (non-lab)

6

1%

Dentist

0

0%

Dental hygienist

1

0%

Housekeeper/laundry worker

2

0%

Paramedic

3

1%

Other student

7

1%

Other

25

5%

( 0 missing)



PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

231

49%

Outside patient room

5

1%

Emergency department

71

15%

Intensive/critical care unit

22

5%

Operating room

3

1%

Outpatient clinic/office

44

9%

Blood bank

1

0%

Venipuncture

20

4%

Dialysis facility

1

0%

Procedure room

6

1%

Clinical laboratories

22

5%

Autopsy/pathology

0

0%

Service/utility area

0

0%

Labor and delivery

4

1%

Home

22

5%

Other

19

4%

( 0 missing)



SOURCE PATIENT

Was the source patient known?

Yes

445

94%

No

19

4%

Unknown

7

1%

N/A

0

0%

( 0 missing)



ORIGINAL USER

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

Yes

403

86%

No

65

14%

Unknown

2

0%

N/A

0

0%

( 1 missing)



CONTAMINATION

Was the sharp item:

Contaminated

458

97%

Uncontaminated

4

1%

Unknown

9

2%

( 0 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

4

1%

Injection, IM/subcutaneous

1

0%

Heparin or saline flush

0

0%

Other injection/aspiration I.V.

2

0%

Connect I.V. line

0

0%

Start I.V. or heparin lock

1

0%

Draw venous blood sample

447

95%

Draw arterial blood sample

10

2%

Obtain body fluid/tissue sample

2

0%

Fingerstick/heel stick

0

0%

Suturing

0

0%

Cutting (surgery)

0

0%

Electrocautery

0

0%

Contain specimen/pharmaceutical

1

0%

Place arterial line

0

0%

Fingernails/teeth

0

0%

Other

3

1%

( 0 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

112

24%

Between steps

26

6%

Disassembling

46

10%

Preparing for reuse

0

0%

Recapping

30

6%

Withdrawing from resistant material

16

3%

Other after use, before disposal

146

31%

Item left on disposal container

9

2%

Putting item into disposal container

67

14%

After disposal

5

1%

Pierced side of disposal container

0

0%

Pierced side of inappropriate disposal container

0

0%

Restraining

0

0%

Other

12

3%

( 2 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

471

100%

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

471

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

203

43%

Moderate

243

52%

Severe

21

4%

( 4 missing)



BODY PART

Right hand, back

53

Right hand, front

149

Left hand, back

41

Left hand, front

179

Right arm

7

Left arm

10

Head

0

Chest

2

Back

0

Mid-body

0

Right leg

2

Left leg

3

Right foot and ankle

1

Left foot and ankle

2

( 21 missing)



OSHA

Is this incident OSHA reportable?

Yes

89

19%

No

225

48%

( 157 missing)



For those cases that are OSHA reportable:

Cumulative number of days away from work:

1

Cumulative number of days of restricted work activity:

0