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Epinet


Service/Utility Area

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

Total Cases: 263

JOB CATEGORY

M.D. (attending/staff)

0

0%

M.D. (intern/resident/fellow)

1

0%

Medical student

0

0%

Nurse RN/LPN

17

6%

Nursing student

1

0%

Respiratory therapist

0

0%

Surgery attendant

8

3%

Other attendant

22

8%

Phlebotomist/venipuncture/I.V. team

1

0%

Clinical laboratory worker

0

0%

Technologist (non-lab)

33

13%

Dentist

0

0%

Dental hygienist

2

1%

Housekeeper/laundry worker

122

46%

Paramedic

0

0%

Other student

0

0%

Other

56

21%

( 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

0

0%

Autopsy/pathology

0

0%

Service/utility area

263

100%

Labor and delivery

0

0%

Home

0

0%

Other

0

0%

( 0 missing)



SOURCE PATIENT

Was the source patient known?

Yes

68

26%

No

113

43%

Unknown

74

28%

N/A

8

3%

( 0 missing)



ORIGINAL USER

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

Yes

13

5%

No

239

91%

Unknown

4

2%

N/A

7

3%

( 0 missing)



CONTAMINATION

Was the sharp item:

Contaminated

142

54%

Uncontaminated

9

3%

Unknown

112

43%

( 0 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

141

54%

Injection, IM/subcutaneous

14

5%

Heparin or saline flush

0

0%

Other injection/aspiration I.V.

3

1%

Connect I.V. line

6

2%

Start I.V. or heparin lock

8

3%

Draw venous blood sample

0

0%

Draw arterial blood sample

1

0%

Obtain body fluid/tissue sample

6

2%

Fingerstick/heel stick

2

1%

Suturing

8

3%

Cutting (surgery)

22

8%

Electrocautery

2

1%

Contain specimen/pharmaceutical

2

1%

Place arterial line

0

0%

Fingernails/teeth

1

0%

Other

46

17%

( 1 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

3

1%

Between steps

1

0%

Disassembling

13

5%

Preparing for reuse

62

24%

Recapping

0

0%

Withdrawing from resistant material

1

0%

Other after use, before disposal

32

12%

Item left on disposal container

3

1%

Putting item into disposal container

0

0%

After disposal

14

5%

Pierced side of disposal container

18

7%

Pierced side of inappropriate disposal container

82

31%

Restraining

0

0%

Other

32

12%

( 2 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

28

11%

Prefilled cartridge syringe

0

0%

Blood gas syringe

2

1%

Syringe, other type or not sure which

5

2%

Needle on I.V. line

4

2%

Winged steel needle I.V. set

1

0%

I.V. catheter (stylet)

10

4%

Vacuum tube blood collection needle

0

0%

Spinal or epidural needle

1

0%

Unattached hypodermic needle

8

3%

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

55

21%

Other needle

7

3%

.

Lancet

1

0%

Suture needle

9

3%

Scalpel blade

16

6%

Razor

1

0%

Pipette (plastic)

0

0%

Scissors

14

5%

Bovie electrocautery device

3

1%

Bone cutter

2

1%

Bone chip

0

0%

Towel clip

9

3%

Microtome blade

0

0%

Trocar

1

0%

Vacuum tube, plastic

0

0%

Specimen/test tube, plastic

0

0%

Fingernails/teeth

1

0%

Scalpel, disposable

1

1%

Retractor, skin/bone hooks

5

2%

Staples/steel sutures

0

0%

Wire

2

1%

Pin

0

0%

Drill bit/bur

1

0%

Pickups/forcepts/hemostats/clamps

4

2%

Sharp item, not sure what kind

34

13%

Other item

29

11%

.

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

2

1%

Capillary tube

1

0%

Glass slide

0

0%

Glass item, not sure what kind

2

1%

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

263

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

128

49%

Moderate

125

48%

Severe

9

3%

( 1 missing)



BODY PART

Right hand, back

25

Right hand, front

99

Left hand, back

16

Left hand, front

713

Right arm

9

Left arm

1

Head

2

Chest

2

Back

0

Mid-body

0

Right leg

12

Left leg

10

Right foot and ankle

1

Left foot and ankle

0

( 15 missing)



OSHA

Is this incident OSHA reportable?

Yes

54

21%

No

126

48%

( 83 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