soijc2.html

Epinet


M.D. (intern/resident/fellow)

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

Total Cases: 768

JOB CATEGORY

M.D. (attending/staff)

0

0%

M.D. (intern/resident/fellow)

768

100%

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

0

0%

( 0 missing)



PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

140

18%

Outside patient room

3

0%

Emergency department

56

7%

Intensive/critical care unit

78

10%

Operating room

302

39%

Outpatient clinic/office

26

3%

Blood bank

0

0%

Venipuncture

2

0%

Dialysis facility

0

0%

Procedure room

66

9%

Clinical laboratories

8

1%

Autopsy/pathology

36

5%

Service/utility area

1

0%

Labor and delivery

26

3%

Home

0

0%

Other

23

3%

( 1 missing)



SOURCE PATIENT

Was the source patient known?

Yes

738

96%

No

13

2%

Unknown

12

2%

N/A

4

1%

( 1 missing)



ORIGINAL USER

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

Yes

605

79%

No

150

20%

Unknown

9

1%

N/A

4

1%

( 0 missing)



CONTAMINATION

Was the sharp item:

Contaminated

739

96%

Uncontaminated

10

1%

Unknown

18

2%

( 1 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

13

2%

Injection, IM/subcutaneous

145

19%

Heparin or saline flush

7

1%

Other injection/aspiration I.V.

16

2%

Connect I.V. line

2

0%

Start I.V. or heparin lock

30

4%

Draw venous blood sample

52

7%

Draw arterial blood sample

24

3%

Obtain body fluid/tissue sample

35

5%

Fingerstick/heel stick

1

0%

Suturing

237

31%

Cutting (surgery)

109

14%

Electrocautery

5

1%

Contain specimen/pharmaceutical

3

0%

Place arterial line

3

0%

Fingernails/teeth

0

0%

Other

86

11%

( 0 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

405

53%

Between steps

179

23%

Disassembling

9

1%

Preparing for reuse

2

0%

Recapping

29

4%

Withdrawing from resistant material

15

2%

Other after use, before disposal

89

12%

Item left on disposal container

1

0%

Putting item into disposal container

15

2%

After disposal

4

1%

Pierced side of disposal container

0

0%

Pierced side of inappropriate disposal container

0

0%

Restraining

0

0%

Other

18

2%

( 2 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

197

26%

Prefilled cartridge syringe

5

1%

Blood gas syringe

13

2%

Syringe, other type or not sure which

13

2%

Needle on I.V. line

3

0%

Winged steel needle I.V. set

31

4%

I.V. catheter (stylet)

25

3%

Vacuum tube blood collection needle

4

1%

Spinal or epidural needle

8

1%

Unattached hypodermic needle

10

1%

Arterial catheter introducer needle

2

0%

Central line catheter introducer needle

4

1%

Drum catheter needle

0

0%

Other vascular catheter needle

1

0%

Other non-vascular catheter needle

0

0%

Needle, not sure what kind

8

1%

Other needle

25

3%

.

Lancet

0

0%

Suture needle

228

30%

Scalpel blade

103

13%

Razor

9

1%

Pipette (plastic)

0

0%

Scissors

5

1%

Bovie electrocautery device

5

1%

Bone cutter

2

0%

Bone chip

1

0%

Towel clip

0

0%

Microtome blade

3

0%

Trocar

2

0%

Vacuum tube, plastic

0

0%

Specimen/test tube, plastic

0

0%

Fingernails/teeth

0

0%

Scalpel, disposable

6

1%

Retractor, skin/bone hooks

4

1%

Staples/steel sutures

2

0%

Wire

4

1%

Pin

2

0%

Drill bit/bur

0

0%

Pickups/forcepts/hemostats/clamps

3

0%

Sharp item, not sure what kind

1

0%

Other item

31

4%

.

Medication ampule

2

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

0

0%

Capillary tube

1

0%

Glass slide

0

0%

Glass item, not sure what kind

0

0%

Other glass item

0

0%

( 3 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

768

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

303

39%

Moderate

414

54%

Severe

42

5%

( 9 missing)



BODY PART

Right hand, back

75

Right hand, front

179

Left hand, back

117

Left hand, front

349

Right arm

9

Left arm

4

Head

1

Chest

2

Back

0

Mid-body

0

Right leg

2

Left leg

1

Right foot and ankle

1

Left foot and ankle

3

( 24 missing)



OSHA

Is this incident OSHA reportable?

Yes

137

18%

No

423

55%

( 207 missing)



For those cases that are OSHA reportable:

Cumulative number of days away from work:

0

Cumulative number of days of restricted work activity:

42