soijc4.html

Epinet


Nurse RN/LPN

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

Total Cases: 4680

JOB CATEGORY

M.D. (attending/staff)

0

0%

M.D. (intern/resident/fellow)

0

0%

Medical student

0

0%

Nurse RN/LPN

4680

100%

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

2266

48%

Outside patient room

130

3%

Emergency department

325

7%

Intensive/critical care unit

508

11%

Operating room

681

15%

Outpatient clinic/office

186

4%

Blood bank

2

0%

Venipuncture

12

0%

Dialysis facility

34

1%

Procedure room

124

3%

Clinical laboratories

7

0%

Autopsy/pathology

0

0%

Service/utility area

17

0%

Labor and delivery

42

1%

Home

123

3%

Other

222

5%

( 1 missing)



SOURCE PATIENT

Was the source patient known?

Yes

4345

93%

No

150

3%

Unknown

141

3%

N/A

37

1%

( 5 missing)



ORIGINAL USER

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

Yes

2930

63%

No

1578

34%

Unknown

84

2%

N/A

75

2%

( 12 missing)



CONTAMINATION

Was the sharp item:

Contaminated

4275

91%

Uncontaminated

108

2%

Unknown

283

6%

( 7 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

254

5%

Injection, IM/subcutaneous

1021

22%

Heparin or saline flush

395

8%

Other injection/aspiration I.V.

447

10%

Connect I.V. line

393

8%

Start I.V. or heparin lock

490

10%

Draw venous blood sample

462

10%

Draw arterial blood sample

89

2%

Obtain body fluid/tissue sample

66

1%

Fingerstick/heel stick

172

4%

Suturing

254

5%

Cutting (surgery)

216

5%

Electrocautery

15

0%

Contain specimen/pharmaceutical

16

0%

Place arterial line

2

0%

Fingernails/teeth

44

1%

Other

338

7%

( 6 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

986

21%

Between steps

486

10%

Disassembling

381

8%

Preparing for reuse

43

1%

Recapping

226

5%

Withdrawing from resistant material

345

7%

Other after use, before disposal

1292

28%

Item left on disposal container

37

1%

Putting item into disposal container

419

9%

After disposal

133

3%

Pierced side of disposal container

9

0%

Pierced side of inappropriate disposal container

35

1%

Restraining

22

0%

Other

244

5%

( 21 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

1793

38%

Prefilled cartridge syringe

317

7%

Blood gas syringe

19

0%

Syringe, other type or not sure which

69

1%

Needle on I.V. line

406

9%

Winged steel needle I.V. set

174

4%

I.V. catheter (stylet)

426

9%

Vacuum tube blood collection needle

162

3%

Spinal or epidural needle

15

0%

Unattached hypodermic needle

84

2%

Arterial catheter introducer needle

3

0%

Central line catheter introducer needle

5

0%

Drum catheter needle

0

0%

Other vascular catheter needle

5

0%

Other non-vascular catheter needle

1

0%

Needle, not sure what kind

88

2%

Other needle

117

3%

.

Lancet

162

3%

Suture needle

236

5%

Scalpel blade

199

4%

Razor

34

1%

Pipette (plastic)

1

0%

Scissors

29

1%

Bovie electrocautery device

15

0%

Bone cutter

1

0%

Bone chip

2

0%

Towel clip

6

0%

Microtome blade

3

0%

Trocar

11

0%

Vacuum tube, plastic

3

0%

Specimen/test tube, plastic

5

0%

Fingernails/teeth

51

1%

Scalpel, disposable

13

0%

Retractor, skin/bone hooks

19

0%

Staples/steel sutures

4

0%

Wire

4

0%

Pin

7

0%

Drill bit/bur

4

0%

Pickups/forcepts/hemostats/clamps

8

0%

Sharp item, not sure what kind

21

0%

Other item

75

2%

.

Medication ampule

7

0%

Medication vial (small)

0

0%

Medication/I.V. bottle (large)

2

0%

Pipette, glass

1

0%

Vacuum tube, glass

4

0%

Specimen/test tube, glass

2

0%

Capillary tube

2

0%

Glass slide

0

0%

Glass item, not sure what kind

2

0%

Other glass item

7

0%

( 50 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

4680

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

2147

46%

Moderate

2310

49%

Severe

177

4%

( 33 missing)



BODY PART

Right hand, back

481

Right hand, front

1323

Left hand, back

513

Left hand, front

1887

Right arm

82

Left arm

61

Head

11

Chest

9

Back

0

Mid-body

11

Right leg

48

Left leg

39

Right foot and ankle

21

Left foot and ankle

11

( 181 missing)



OSHA

Is this incident OSHA reportable?

Yes

776

17%

No

2249

48%

( 1649 missing)



For those cases that are OSHA reportable:

Cumulative number of days away from work:

2

Cumulative number of days of restricted work activity:

9