soijc17.html

Epinet


Other

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

Total Cases: 605

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

0

0%

Paramedic

0

0%

Other student

0

0%

Other

605

100%

( 0 missing)



PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

120

20%

Outside patient room

14

2%

Emergency department

38

6%

Intensive/critical care unit

11

2%

Operating room

114

19%

Outpatient clinic/office

50

8%

Blood bank

4

1%

Venipuncture

0

0%

Dialysis facility

8

1%

Procedure room

37

6%

Clinical laboratories

10

2%

Autopsy/pathology

13

2%

Service/utility area

56

9%

Labor and delivery

9

1%

Home

9

1%

Other

111

18%

( 1 missing)



SOURCE PATIENT

Was the source patient known?

Yes

433

72%

No

76

13%

Unknown

68

11%

N/A

27

4%

( 1 missing)



ORIGINAL USER

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

Yes

202

33%

No

362

60%

Unknown

13

2%

N/A

26

4%

( 1 missing)



CONTAMINATION

Was the sharp item:

Contaminated

468

77%

Uncontaminated

28

5%

Unknown

105

17%

( 4 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

97

16%

Injection, IM/subcutaneous

72

12%

Heparin or saline flush

10

2%

Other injection/aspiration I.V.

21

3%

Connect I.V. line

21

3%

Start I.V. or heparin lock

26

4%

Draw venous blood sample

57

9%

Draw arterial blood sample

4

1%

Obtain body fluid/tissue sample

15

2%

Fingerstick/heel stick

23

4%

Suturing

59

10%

Cutting (surgery)

55

9%

Electrocautery

2

0%

Contain specimen/pharmaceutical

6

1%

Place arterial line

0

0%

Fingernails/teeth

17

3%

Other

118

20%

( 2 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

123

20%

Between steps

48

8%

Disassembling

31

5%

Preparing for reuse

50

8%

Recapping

16

3%

Withdrawing from resistant material

11

2%

Other after use, before disposal

144

24%

Item left on disposal container

7

1%

Putting item into disposal container

26

4%

After disposal

16

3%

Pierced side of disposal container

3

0%

Pierced side of inappropriate disposal container

31

5%

Restraining

9

1%

Other

84

14%

( 6 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

129

21%

Prefilled cartridge syringe

13

2%

Blood gas syringe

3

0%

Syringe, other type or not sure which

10

2%

Needle on I.V. line

21

3%

Winged steel needle I.V. set

25

4%

I.V. catheter (stylet)

25

4%

Vacuum tube blood collection needle

25

4%

Spinal or epidural needle

3

0%

Unattached hypodermic needle

15

2%

Arterial catheter introducer needle

1

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

33

5%

Other needle

14

2%

.

Lancet

20

3%

Suture needle

51

8%

Scalpel blade

59

10%

Razor

4

1%

Pipette (plastic)

2

0%

Scissors

10

2%

Bovie electrocautery device

0

0%

Bone cutter

3

0%

Bone chip

0

0%

Towel clip

8

1%

Microtome blade

1

0%

Trocar

2

0%

Vacuum tube, plastic

1

0%

Specimen/test tube, plastic

1

0%

Fingernails/teeth

17

3%

Scalpel, disposable

0

0%

Retractor, skin/bone hooks

7

1%

Staples/steel sutures

1

0%

Wire

2

0%

Pin

2

0%

Drill bit/bur

2

0%

Pickups/forcepts/hemostats/clamps

4

1%

Sharp item, not sure what kind

13

2%

Other item

49

8%

.

Medication ampule

0

0%

Medication vial (small)

0

0%

Medication/I.V. bottle (large)

0

0%

Pipette, glass

1

0%

Vacuum tube, glass

2

0%

Specimen/test tube, glass

2

0%

Capillary tube

2

0%

Glass slide

0

0%

Glass item, not sure what kind

5

1%

Other glass item

3

0%

( 12 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

605

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

297

49%

Moderate

277

46%

Severe

25

4%

( 4 missing)



BODY PART

Right hand, back

53

Right hand, front

169

Left hand, back

66

Left hand, front

216

Right arm

18

Left arm

13

Head

4

Chest

2

Back

0

Mid-body

2

Right leg

10

Left leg

7

Right foot and ankle

3

Left foot and ankle

4

( 38 missing)



OSHA

Is this incident OSHA reportable?

Yes

85

14%

No

310

51%

( 210 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