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Epinet


Clinical Laboratories

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

Total Cases: 301

JOB CATEGORY

M.D. (attending/staff)

1

0%

M.D. (intern/resident/fellow)

8

3%

Medical student

2

1%

Nurse RN/LPN

7

2%

Nursing student

0

0%

Respiratory therapist

2

1%

Surgery attendant

0

0%

Other attendant

6

2%

Phlebotomist/venipuncture/I.V. team

34

11%

Clinical laboratory worker

209

69%

Technologist (non-lab)

9

3%

Dentist

1

0%

Dental hygienist

0

0%

Housekeeper/laundry worker

8

3%

Paramedic

0

0%

Other student

4

1%

Other

10

3%

( 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

0

0%

Clinical laboratories

301

100%

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

159

53%

No

80

27%

Unknown

43

14%

N/A

17

6%

( 1 missing)



ORIGINAL USER

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

Yes

170

56%

No

102

34%

Unknown

17

6%

N/A

12

4%

( 0 missing)



CONTAMINATION

Was the sharp item:

Contaminated

229

76%

Uncontaminated

15

5%

Unknown

57

19%

( 0 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

40

13%

Injection, IM/subcutaneous

2

1%

Heparin or saline flush

0

0%

Other injection/aspiration I.V.

2

1%

Connect I.V. line

0

0%

Start I.V. or heparin lock

0

0%

Draw venous blood sample

47

16%

Draw arterial blood sample

6

2%

Obtain body fluid/tissue sample

25

8%

Fingerstick/heel stick

9

3%

Suturing

1

0%

Cutting (surgery)

8

3%

Electrocautery

0

0%

Contain specimen/pharmaceutical

63

21%

Place arterial line

0

0%

Fingernails/teeth

0

0%

Other

98

33%

( 0 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

100

33%

Between steps

22

7%

Disassembling

23

8%

Preparing for reuse

10

3%

Recapping

4

1%

Withdrawing from resistant material

11

4%

Other after use, before disposal

35

12%

Item left on disposal container

4

1%

Putting item into disposal container

22

7%

After disposal

3

1%

Pierced side of disposal container

2

1%

Pierced side of inappropriate disposal container

10

3%

Restraining

0

0%

Other

53

18%

( 2 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

35

12%

Prefilled cartridge syringe

0

0%

Blood gas syringe

4

1%

Syringe, other type or not sure which

3

1%

Needle on I.V. line

0

0%

Winged steel needle I.V. set

12

4%

I.V. catheter (stylet)

1

0%

Vacuum tube blood collection needle

22

7%

Spinal or epidural needle

0

0%

Unattached hypodermic needle

4

1%

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

9

3%

Other needle

16

5%

.

Lancet

2

1%

Suture needle

0

0%

Scalpel blade

15

5%

Razor

2

1%

Pipette (plastic)

2

1%

Scissors

2

1%

Bovie electrocautery device

0

0%

Bone cutter

0

0%

Bone chip

0

0%

Towel clip

0

0%

Microtome blade

19

6%

Trocar

0

0%

Vacuum tube, plastic

1

0%

Specimen/test tube, plastic

3

1%

Fingernails/teeth

0

0%

Scalpel, disposable

1

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

2

1%

Sharp item, not sure what kind

3

1%

Other item

23

8%

.

Medication ampule

1

0%

Medication vial (small)

0

0%

Medication/I.V. bottle (large)

0

0%

Pipette, glass

11

4%

Vacuum tube, glass

17

6%

Specimen/test tube, glass

34

11%

Capillary tube

16

5%

Glass slide

10

3%

Glass item, not sure what kind

11

4%

Other glass item

15

5%

( 4 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

301

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

144

48%

Moderate

144

48%

Severe

11

4%

( 2 missing)



BODY PART

Right hand, back

29

Right hand, front

110

Left hand, back

15

Left hand, front

123

Right arm

6

Left arm

3

Head

0

Chest

1

Back

0

Mid-body

0

Right leg

1

Left leg

0

Right foot and ankle

0

Left foot and ankle

1

( 12 missing)



OSHA

Is this incident OSHA reportable?

Yes

33

11%

No

161

53%

( 107 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