soijc14.html

Epinet


Housekeeper/Laundry Worker

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

Total Cases: 482

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

0

0%

Technologist (non-lab)

0

0%

Dentist

0

0%

Dental hygienist

0

0%

Housekeeper/laundry worker

482

100%

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

123

26%

Outside patient room

53

11%

Emergency department

21

4%

Intensive/critical care unit

25

5%

Operating room

29

6%

Outpatient clinic/office

24

5%

Blood bank

2

0%

Venipuncture

1

0%

Dialysis facility

1

0%

Procedure room

10

2%

Clinical laboratories

8

2%

Autopsy/pathology

1

0%

Service/utility area

122

25%

Labor and delivery

5

1%

Home

0

0%

Other

56

12%

( 1 missing)



SOURCE PATIENT

Was the source patient known?

Yes

88

18%

No

238

49%

Unknown

141

29%

N/A

14

3%

( 0 missing)



ORIGINAL USER

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

Yes

13

3%

No

449

93%

Unknown

9

2%

N/A

10

2%

( 1 missing)



CONTAMINATION

Was the sharp item:

Contaminated

207

43%

Uncontaminated

19

4%

Unknown

255

53%

( 1 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

324

67%

Injection, IM/subcutaneous

46

10%

Heparin or saline flush

2

0%

Other injection/aspiration I.V.

6

1%

Connect I.V. line

15

3%

Start I.V. or heparin lock

21

4%

Draw venous blood sample

4

1%

Draw arterial blood sample

1

0%

Obtain body fluid/tissue sample

0

0%

Fingerstick/heel stick

8

2%

Suturing

9

2%

Cutting (surgery)

2

0%

Electrocautery

0

0%

Contain specimen/pharmaceutical

2

0%

Place arterial line

0

0%

Fingernails/teeth

0

0%

Other

41

9%

( 1 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

6

1%

Between steps

0

0%

Disassembling

3

1%

Preparing for reuse

2

0%

Recapping

1

0%

Withdrawing from resistant material

0

0%

Other after use, before disposal

82

17%

Item left on disposal container

21

4%

Putting item into disposal container

5

1%

After disposal

45

9%

Pierced side of disposal container

21

4%

Pierced side of inappropriate disposal container

253

52%

Restraining

0

0%

Other

42

9%

( 1 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

125

26%

Prefilled cartridge syringe

4

1%

Blood gas syringe

3

1%

Syringe, other type or not sure which

10

2%

Needle on I.V. line

15

3%

Winged steel needle I.V. set

5

1%

I.V. catheter (stylet)

20

4%

Vacuum tube blood collection needle

2

0%

Spinal or epidural needle

0

0%

Unattached hypodermic needle

21

4%

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

1

0%

Needle, not sure what kind

120

25%

Other needle

21

4%

.

Lancet

13

3%

Suture needle

12

2%

Scalpel blade

6

1%

Razor

4

1%

Pipette (plastic)

0

0%

Scissors

0

0%

Bovie electrocautery device

1

0%

Bone cutter

0

0%

Bone chip

0

0%

Towel clip

0

0%

Microtome blade

0

0%

Trocar

1

0%

Vacuum tube, plastic

1

0%

Specimen/test tube, plastic

0

0%

Fingernails/teeth

0

0%

Scalpel, disposable

1

0%

Retractor, skin/bone hooks

0

0%

Staples/steel sutures

0

0%

Wire

3

1%

Pin

0

0%

Drill bit/bur

0

0%

Pickups/forcepts/hemostats/clamps

0

0%

Sharp item, not sure what kind

54

11%

Other item

21

4%

.

Medication ampule

1

0%

Medication vial (small)

0

0%

Medication/I.V. bottle (large)

0

0%

Pipette, glass

1

0%

Vacuum tube, glass

0

0%

Specimen/test tube, glass

3

1%

Capillary tube

0

0%

Glass slide

0

0%

Glass item, not sure what kind

2

0%

Other glass item

1

0%

( 10 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

482

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

235

49%

Moderate

223

46%

Severe

21

4%

( 2 missing)



BODY PART

Right hand, back

41

Right hand, front

152

Left hand, back

32

Left hand, front

109

Right arm

19

Left arm

6

Head

1

Chest

4

Back

0

Mid-body

4

Right leg

41

Left leg

43

Right foot and ankle

5

Left foot and ankle

4

( 21 missing)



OSHA

Is this incident OSHA reportable?

Yes

107

22%

No

220

46%

( 155 missing)



For those cases that are OSHA reportable:

Cumulative number of days away from work:

1

Cumulative number of days of restricted work activity:

4