soijc10.html

Epinet


Clinical Lab Worker

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

Total Cases: 362

JOB CATEGORY

M.D. (attending/staff)

0

0%

M.D. (intern/resident/fellow)

0

0%

Medical student

0

0%

Nurse RN/LPN

0

0%

Nursing student

0

0%

Respiratory therapist

0

0%

Surgery attendant

0

0%

Other attendant

0

0%

Phlebotomist/venipuncture/I.V. team

0

0%

Clinical laboratory worker

362

100%

Technologist (non-lab)

0

0%

Dentist

0

0%

Dental hygienist

0

0%

Housekeeper/laundry worker

0

0%

Paramedic

0

0%

Other student

0

0%

Other

0

0%

( 0 missing)



PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

62

17%

Outside patient room

2

1%

Emergency department

14

4%

Intensive/critical care unit

8

2%

Operating room

2

1%

Outpatient clinic/office

9

2%

Blood bank

17

5%

Venipuncture

5

1%

Dialysis facility

0

0%

Procedure room

5

1%

Clinical laboratories

209

58%

Autopsy/pathology

20

6%

Service/utility area

0

0%

Labor and delivery

0

0%

Home

0

0%

Other

9

2%

( 0 missing)



SOURCE PATIENT

Was the source patient known?

Yes

240

66%

No

69

19%

Unknown

41

11%

N/A

10

3%

( 1 missing)



ORIGINAL USER

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

Yes

239

66%

No

97

27%

Unknown

14

4%

N/A

11

3%

( 1 missing)



CONTAMINATION

Was the sharp item:

Contaminated

304

84%

Uncontaminated

13

4%

Unknown

45

12%

( 0 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

24

7%

Injection, IM/subcutaneous

4

1%

Heparin or saline flush

0

0%

Other injection/aspiration I.V.

0

0%

Connect I.V. line

1

0%

Start I.V. or heparin lock

1

0%

Draw venous blood sample

97

27%

Draw arterial blood sample

12

3%

Obtain body fluid/tissue sample

39

11%

Fingerstick/heel stick

9

2%

Suturing

1

0%

Cutting (surgery)

9

2%

Electrocautery

1

0%

Contain specimen/pharmaceutical

60

17%

Place arterial line

0

0%

Fingernails/teeth

0

0%

Other

104

29%

( 0 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

125

35%

Between steps

32

9%

Disassembling

30

8%

Preparing for reuse

8

2%

Recapping

6

4%

Withdrawing from resistant material

19

5%

Other after use, before disposal

49

14%

Item left on disposal container

2

1%

Putting item into disposal container

23

6%

After disposal

5

1%

Pierced side of disposal container

1

0%

Pierced side of inappropriate disposal container

3

1%

Restraining

1

0%

Other

54

15%

( 4 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

54

15%

Prefilled cartridge syringe

0

0%

Blood gas syringe

6

2%

Syringe, other type or not sure which

4

1%

Needle on I.V. line

1

0%

Winged steel needle I.V. set

24

7%

I.V. catheter (stylet)

2

1%

Vacuum tube blood collection needle

45

12%

Spinal or epidural needle

0

0%

Unattached hypodermic needle

6

2%

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

5

1%

Other needle

13

4%

.

Lancet

2

1%

Suture needle

0

0%

Scalpel blade

19

5%

Razor

2

1%

Pipette (plastic)

3

1%

Scissors

6

2%

Bovie electrocautery device

0

0%

Bone cutter

0

0%

Bone chip

0

0%

Towel clip

0

0%

Microtome blade

28

8%

Trocar

0

0%

Vacuum tube, plastic

0

0%

Specimen/test tube, plastic

3

1%

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

2

1%

Sharp item, not sure what kind

2

1%

Other item

20

6%

.

Medication ampule

0

0%

Medication vial (small)

0

0%

Medication/I.V. bottle (large)

0

0%

Pipette, glass

10

3%

Vacuum tube, glass

16

4%

Specimen/test tube, glass

33

9%

Capillary tube

19

5%

Glass slide

10

3%

Glass item, not sure what kind

7

2%

Other glass item

14

4%

( 4 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

362

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

173

48%

Moderate

173

48%

Severe

13

4%

( 3 missing)



BODY PART

Right hand, back

33

Right hand, front

131

Left hand, back

25

Left hand, front

141

Right arm

9

Left arm

2

Head

0

Chest

0

Back

0

Mid-body

0

Right leg

1

Left leg

0

Right foot and ankle

0

Left foot and ankle

1

( 18 missing)



OSHA

Is this incident OSHA reportable?

Yes

32

9%

No

204

56%

( 125 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