soijc3.html

Epinet


Medical Student

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

Total Cases: 87

JOB CATEGORY

M.D. (attending/staff)

0

0%

M.D. (intern/resident/fellow)

0

0%

Medical student

87

100%

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

10

11%

Outside patient room

0

0%

Emergency department

10

11%

Intensive/critical care unit

4

5%

Operating room

42

48%

Outpatient clinic/office

3

3%

Blood bank

1

1%

Venipuncture

0

0%

Dialysis facility

0

0%

Procedure room

3

3%

Clinical laboratories

2

2%

Autopsy/pathology

1

1%

Service/utility area

0

0%

Labor and delivery

7

8%

Home

1

1%

Other

3

3%

( 0 missing)



SOURCE PATIENT

Was the source patient known?

Yes

82

94%

No

2

2%

Unknown

2

2%

N/A

1

1%

( 0 missing)



ORIGINAL USER

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

Yes

49

56%

No

36

41%

Unknown

2

2%

N/A

0

0%

( 0 missing)



CONTAMINATION

Was the sharp item:

Contaminated

79

91%

Uncontaminated

5

6%

Unknown

3

3%

( 0 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

1

1%

Injection, IM/subcutaneous

12

14%

Heparin or saline flush

2

2%

Other injection/aspiration I.V.

1

1%

Connect I.V. line

0

0%

Start I.V. or heparin lock

1

1%

Draw venous blood sample

5

6%

Draw arterial blood sample

3

3%

Obtain body fluid/tissue sample

1

1%

Fingerstick/heel stick

1

1%

Suturing

43

49%

Cutting (surgery)

10

11%

Electrocautery

0

0%

Contain specimen/pharmaceutical

2

2%

Place arterial line

0

0%

Fingernails/teeth

0

0%

Other

4

5%

( 1 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

50

57%

Between steps

16

18%

Disassembling

1

1%

Preparing for reuse

2

2%

Recapping

2

2%

Withdrawing from resistant material

1

1%

Other after use, before disposal

12

14%

Item left on disposal container

0

0%

Putting item into disposal container

1

1%

After disposal

0

0%

Pierced side of disposal container

0

0%

Pierced side of inappropriate disposal container

0

0%

Restraining

0

0%

Other

2

2%

( 0 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

16

18%

Prefilled cartridge syringe

1

1%

Blood gas syringe

2

2%

Syringe, other type or not sure which

4

5%

Needle on I.V. line

0

0%

Winged steel needle I.V. set

2

2%

I.V. catheter (stylet)

1

1%

Vacuum tube blood collection needle

0

0%

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

2

2%

Other needle

2

2%

.

Lancet

1

1%

Suture needle

42

48%

Scalpel blade

9

10%

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

3

3%

.

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

1

1%

Glass item, not sure what kind

0

0%

Other glass item

1

1%

( 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

87

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

40

46%

Moderate

46

53%

Severe

0

0%

( 1 missing)



BODY PART

Right hand, back

11

Right hand, front

19

Left hand, back

10

Left hand, front

41

Right arm

2

Left arm

2

Head

0

Chest

0

Back

0

Mid-body

0

Right leg

0

Left leg

0

Right foot and ankle

0

Left foot and ankle

0

( 2 missing)



OSHA

Is this incident OSHA reportable?

Yes

17

20%

No

47

54%

( 23 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