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Epinet


Other

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

Total Cases: 556

JOB CATEGORY

M.D. (attending/staff)

16

3%

M.D. (intern/resident/fellow)

23

4%

Medical student

3

1%

Nurse RN/LPN

222

40%

Nursing student

1

0%

Respiratory therapist

11

2%

Surgery attendant

11

2%

Other attendant

22

4%

Phlebotomist/venipuncture/I.V. team

9

2%

Clinical laboratory worker

9

2%

Technologist (non-lab)

43

8%

Dentist

3

1%

Dental hygienist

2

0%

Housekeeper/laundry worker

56

10%

Paramedic

8

1%

Other student

4

1%

Other

111

20%

( 1 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

0

0%

Labor and delivery

0

0%

Home

0

0%

Other

556

100%

( 0 missing)



SOURCE PATIENT

Was the source patient known?

Yes

367

66%

No

93

17%

Unknown

66

12%

N/A

28

5%

( 1 missing)



ORIGINAL USER

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

Yes

268

48%

No

255

46%

Unknown

15

3%

N/A

17

3%

( 1 missing)



CONTAMINATION

Was the sharp item:

Contaminated

411

74%

Uncontaminated

31

6%

Unknown

113

20%

( 1 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

109

20%

Injection, IM/subcutaneous

95

17%

Heparin or saline flush

12

2%

Other injection/aspiration I.V.

40

7%

Connect I.V. line

16

3%

Start I.V. or heparin lock

45

8%

Draw venous blood sample

44

8%

Draw arterial blood sample

10

2%

Obtain body fluid/tissue sample

6

1%

Fingerstick/heel stick

19

3%

Suturing

13

2%

Cutting (surgery)

25

4%

Electrocautery

2

0%

Contain specimen/pharmaceutical

8

1%

Place arterial line

0

0%

Fingernails/teeth

5

1%

Other

105

19%

( 2 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

109

20%

Between steps

38

7%

Disassembling

29

5%

Preparing for reuse

31

6%

Recapping

22

4%

Withdrawing from resistant material

13

2%

Other after use, before disposal

129

23%

Item left on disposal container

8

1%

Putting item into disposal container

34

6%

After disposal

14

3%

Pierced side of disposal container

6

1%

Pierced side of inappropriate disposal container

59

11%

Restraining

3

1%

Other

55

10%

( 6 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

170

31%

Prefilled cartridge syringe

14

3%

Blood gas syringe

9

2%

Syringe, other type or not sure which

13

2%

Needle on I.V. line

18

3%

Winged steel needle I.V. set

19

3%

I.V. catheter (stylet)

42

8%

Vacuum tube blood collection needle

19

3%

Spinal or epidural needle

2

0%

Unattached hypodermic needle

23

4%

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

33

6%

Other needle

17

3%

.

Lancet

15

3%

Suture needle

13

2%

Scalpel blade

36

6%

Razor

4

1%

Pipette (plastic)

3

1%

Scissors

3

1%

Bovie electrocautery device

0

0%

Bone cutter

1

0%

Bone chip

0

0%

Towel clip

4

1%

Microtome blade

2

0%

Trocar

0

0%

Vacuum tube, plastic

0

0%

Specimen/test tube, plastic

1

0%

Fingernails/teeth

5

1%

Scalpel, disposable

1

0%

Retractor, skin/bone hooks

7

1%

Staples/steel sutures

0

0%

Wire

1

0%

Pin

2

0%

Drill bit/bur

3

1%

Pickups/forcepts/hemostats/clamps

2

0%

Sharp item, not sure what kind

12

2%

Other item

31

6%

.

Medication ampule

1

0%

Medication vial (small)

0

0%

Medication/I.V. bottle (large)

1

0%

Pipette, glass

1

0%

Vacuum tube, glass

1

0%

Specimen/test tube, glass

0

0%

Capillary tube

2

0%

Glass slide

0

0%

Glass item, not sure what kind

3

1%

Other glass item

5

1%

( 17 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

556

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

282

51%

Moderate

240

43%

Severe

27

5%

( 6 missing)



BODY PART

Right hand, back

53

Right hand, front

154

Left hand, back

56

Left hand, front

204

Right arm

11

Left arm

14

Head

4

Chest

1

Back

0

Mid-body

0

Right leg

9

Left leg

15

Right foot and ankle

3

Left foot and ankle

1

( 31 missing)



OSHA

Is this incident OSHA reportable?

Yes

78

14%

No

286

51%

( 192 missing)



For those cases that are OSHA reportable:

Cumulative number of days away from work:

1

Cumulative number of days of restricted work activity:

0