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Epinet


Procedure Room

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

Total Cases: 483

JOB CATEGORY

M.D. (attending/staff)

50

10%

M.D. (intern/resident/fellow)

66

14%

Medical student

3

1%

Nurse RN/LPN

124

26%

Nursing student

1

0%

Respiratory therapist

4

1%

Surgery attendant

2

0%

Other attendant

14

3%

Phlebotomist/venipuncture/I.V. team

4

1%

Clinical laboratory worker

5

1%

Technologist (non-lab)

157

33%

Dentist

0

0%

Dental hygienist

0

0%

Housekeeper/laundry worker

10

2%

Paramedic

0

0%

Other student

6

1%

Other

37

8%

( 0 missing)



PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

0

0%

Outside patient room

0

0%

Emergency department

0

0%

Intensive/critical care unit

0

0%

Operating room

0

0%

Outpatient clinic/office

0

0%

Blood bank

0

0%

Venipuncture

0

0%

Dialysis facility

0

0%

Procedure room

483

100%

Clinical laboratories

0

0%

Autopsy/pathology

0

0%

Service/utility area

0

0%

Labor and delivery

0

0%

Home

0

0%

Other

0

0%

( 0 missing)



SOURCE PATIENT

Was the source patient known?

Yes

442

92%

No

22

5%

Unknown

15

3%

N/A

4

1%

( 0 missing)



ORIGINAL USER

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

Yes

277

57%

No

189

39%

Unknown

8

2%

N/A

8

2%

( 1 missing)



CONTAMINATION

Was the sharp item:

Contaminated

432

89%

Uncontaminated

11

2%

Unknown

39

8%

( 1 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

32

7%

Injection, IM/subcutaneous

111

23%

Heparin or saline flush

22

5%

Other injection/aspiration I.V.

57

12%

Connect I.V. line

21

4%

Start I.V. or heparin lock

50

10%

Draw venous blood sample

22

5%

Draw arterial blood sample

7

1%

Obtain body fluid/tissue sample

27

6%

Fingerstick/heel stick

2

0%

Suturing

13

3%

Cutting (surgery)

48

10%

Electrocautery

0

0%

Contain specimen/pharmaceutical

1

0%

Place arterial line

2

0%

Fingernails/teeth

3

1%

Other

63

13%

( 2 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

97

20%

Between steps

88

18%

Disassembling

24

5%

Preparing for reuse

13

3%

Recapping

25

5%

Withdrawing from resistant material

25

5%

Other after use, before disposal

131

27%

Item left on disposal container

2

0%

Putting item into disposal container

38

8%

After disposal

10

2%

Pierced side of disposal container

2

0%

Pierced side of inappropriate disposal container

7

1%

Restraining

0

0%

Other

20

4%

( 1 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

163

34%

Prefilled cartridge syringe

13

3%

Blood gas syringe

4

1%

Syringe, other type or not sure which

12

2%

Needle on I.V. line

16

3%

Winged steel needle I.V. set

36

7%

I.V. catheter (stylet)

39

8%

Vacuum tube blood collection needle

6

1%

Spinal or epidural needle

5

1%

Unattached hypodermic needle

18

2%

Arterial catheter introducer needle

1

0%

Central line catheter introducer needle

1

0%

Drum catheter needle

0

0%

Other vascular catheter needle

0

0%

Other non-vascular catheter needle

0

0%

Needle, not sure what kind

25

5%

Other needle

37

8%

.

Lancet

2

0%

Suture needle

12

2%

Scalpel blade

46

10%

Razor

3

1%

Pipette (plastic)

0

0%

Scissors

6

1%

Bovie electrocautery device

0

0%

Bone cutter

0

0%

Bone chip

0

0%

Towel clip

1

0%

Microtome blade

1

0%

Trocar

3

1%

Vacuum tube, plastic

0

0%

Specimen/test tube, plastic

0

0%

Fingernails/teeth

4

1%

Scalpel, disposable

2

0%

Retractor, skin/bone hooks

1

0%

Staples/steel sutures

0

0%

Wire

2

0%

Pin

0

0%

Drill bit/bur

0

0%

Pickups/forcepts/hemostats/clamps

2

0%

Sharp item, not sure what kind

4

1%

Other item

8

2%

.

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

1

0%

Glass slide

0

0%

Glass item, not sure what kind

2

0%

Other glass item

2

0%

( 5 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

483

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

200

41%

Moderate

260

54%

Severe

20

4%

( 2 missing)



BODY PART

Right hand, back

52

Right hand, front

158

Left hand, back

52

Left hand, front

180

Right arm

9

Left arm

5

Head

0

Chest

1

Back

0

Mid-body

0

Right leg

4

Left leg

4

Right foot and ankle

1

Left foot and ankle

1

( 16 missing)



OSHA

Is this incident OSHA reportable?

Yes

83

17%

No

245

51%

( 155 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