soil5.html

Epinet


Operating Room

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

Total Cases: 2196

JOB CATEGORY

M.D. (attending/staff)

265

12%

M.D. (intern/resident/fellow)

302

14%

Medical student

42

2%

Nurse RN/LPN

681

31%

Nursing student

8

0%

Respiratory therapist

0

0%

Surgery attendant

511

23%

Other attendant

46

2%

Phlebotomist/venipuncture/I.V. team

0

0%

Clinical laboratory worker

2

0%

Technologist (non-lab)

172

8%

Dentist

2

0%

Dental hygienist

2

0%

Housekeeper/laundry worker

29

1%

Paramedic

0

0%

Other student

17

1%

Other

114

5%

( 3 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

2196

100%

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

0

0%

( 0 missing)



SOURCE PATIENT

Was the source patient known?

Yes

2058

94%

No

74

3%

Unknown

51

2%

N/A

12

1%

( 1 missing)



ORIGINAL USER

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

Yes

737

36%

No

1408

64%

Unknown

31

1%

N/A

16

1%

( 4 missing)



CONTAMINATION

Was the sharp item:

Contaminated

2016

94%

Uncontaminated

39

2%

Unknown

92

4%

( 2 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

104

5%

Injection, IM/subcutaneous

1217

10%

Heparin or saline flush

7

0%

Other injection/aspiration I.V.

41

2%

Connect I.V. line

18

1%

Start I.V. or heparin lock

44

2%

Draw venous blood sample

18

1%

Draw arterial blood sample

10

0%

Obtain body fluid/tissue sample

30

1%

Fingerstick/heel stick

4

0%

Suturing

848

39%

Cutting (surgery)

488

22%

Electrocautery

34

2%

Contain specimen/pharmaceutical

4

0%

Place arterial line

3

0%

Fingernails/teeth

0

0%

Other

324

15%

( 2 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

784

36%

Between steps

595

27%

Disassembling

125

6%

Preparing for reuse

67

3%

Recapping

33

2%

Withdrawing from resistant material

12

1%

Other after use, before disposal

349

16%

Item left on disposal container

9

0%

Putting item into disposal container

42

2%

After disposal

29

1%

Pierced side of disposal container

6

0%

Pierced side of inappropriate disposal container

25

1%

Restraining

0

0%

Other

111

5%

( 9 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

278

13%

Prefilled cartridge syringe

15

1%

Blood gas syringe

4

0%

Syringe, other type or not sure which

24

1%

Needle on I.V. line

19

1%

Winged steel needle I.V. set

4

0%

I.V. catheter (stylet)

42

2%

Vacuum tube blood collection needle

3

0%

Spinal or epidural needle

13

1%

Unattached hypodermic needle

35

2%

Arterial catheter introducer needle

3

0%

Central line catheter introducer needle

2

0%

Drum catheter needle

0

0%

Other vascular catheter needle

4

0%

Other non-vascular catheter needle

1

0%

Needle, not sure what kind

38

2%

Other needle

45

2%

.

Lancet

3

0%

Suture needle

808

37%

Scalpel blade

423

19%

Razor

10

0%

Pipette (plastic)

0

0%

Scissors

16

1%

Bovie electrocautery device

32

1%

Bone cutter

12

1%

Bone chip

5

0%

Towel clip

9

0%

Microtome blade

6

0%

Trocar

27

1%

Vacuum tube, plastic

0

0%

Specimen/test tube, plastic

0

0%

Fingernails/teeth

1

0%

Scalpel, disposable

12

1%

Retractor, skin/bone hooks

30

1%

Staples/steel sutures

6

0%

Wire

9

0%

Pin

11

1%

Drill bit/bur

10

0%

Pickups/forcepts/hemostats/clamps

14

1%

Sharp item, not sure what kind

22

1%

Other item

172

8%

.

Medication ampule

2

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

0

0%

Glass slide

0

0%

Glass item, not sure what kind

3

0%

Other glass item

1

0%

( 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

2196

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

983

45%

Moderate

1086

49%

Severe

101

5%

( 17 missing)



BODY PART

Right hand, back

335

Right hand, front

605

Left hand, back

301

Left hand, front

748

Right arm

51

Left arm

29

Head

3

Chest

3

Back

0

Mid-body

5

Right leg

14

Left leg

14

Right foot and ankle

8

Left foot and ankle

5

( 72 missing)



OSHA

Is this incident OSHA reportable?

Yes

341

16%

No

1129

51%

( 721 missing)



For those cases that are OSHA reportable:

Cumulative number of days away from work:

1

Cumulative number of days of restricted work activity:

42