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Epinet


Venipuncture

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

Total Cases: 46

JOB CATEGORY

M.D. (attending/staff)

0

0%

M.D. (intern/resident/fellow)

2

4%

Medical student

0

0%

Nurse RN/LPN

12

26%

Nursing student

0

0%

Respiratory therapist

0

0%

Surgery attendant

0

0%

Other attendant

1

2%

Phlebotomist/venipuncture/I.V. team

23

50%

Clinical laboratory worker

5

11%

Technologist (non-lab)

1

2%

Dentist

0

0%

Dental hygienist

0

0%

Housekeeper/laundry worker

1

2%

Paramedic

0

0%

Other student

1

2%

Other

0

0%

( 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

46

100%

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

41

89%

No

4

9%

Unknown

1

2%

N/A

0

0%

( 0 missing)



ORIGINAL USER

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

Yes

34

74%

No

12

26%

Unknown

0

0%

N/A

0

0%

( 0 missing)



CONTAMINATION

Was the sharp item:

Contaminated

43

93%

Uncontaminated

1

2%

Unknown

2

4%

( 0 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

2

4%

Injection, IM/subcutaneous

1

2%

Heparin or saline flush

1

2%

Other injection/aspiration I.V.

0

0%

Connect I.V. line

0

0%

Start I.V. or heparin lock

4

9%

Draw venous blood sample

37

80%

Draw arterial blood sample

0

0%

Obtain body fluid/tissue sample

0

0%

Fingerstick/heel stick

0

0%

Suturing

0

0%

Cutting (surgery)

0

0%

Electrocautery

0

0%

Contain specimen/pharmaceutical

1

2%

Place arterial line

0

0%

Fingernails/teeth

0

0%

Other

0

0%

( 0 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

15

33%

Between steps

2

4%

Disassembling

2

4%

Preparing for reuse

0

0%

Recapping

0

0%

Withdrawing from resistant material

1

2%

Other after use, before disposal

12

26%

Item left on disposal container

2

4%

Putting item into disposal container

8

17%

After disposal

3

7%

Pierced side of disposal container

0

0%

Pierced side of inappropriate disposal container

0

0%

Restraining

0

0%

Other

1

2%

( 0 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

5

11%

Prefilled cartridge syringe

0

0%

Blood gas syringe

0

0%

Syringe, other type or not sure which

1

2%

Needle on I.V. line

1

2%

Winged steel needle I.V. set

12

26%

I.V. catheter (stylet)

4

9%

Vacuum tube blood collection needle

20

43%

Spinal or epidural needle

0

0%

Unattached hypodermic needle

0

0%

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

1

2%

Other needle

0

0%

.

Lancet

0

0%

Suture needle

0

0%

Scalpel blade

0

0%

Razor

0

0%

Pipette (plastic)

0

0%

Scissors

0

0%

Bovie electrocautery device

0

0%

Bone cutter

0

0%

Bone chip

0

0%

Towel clip

0

0%

Microtome blade

0

0%

Trocar

0

0%

Vacuum tube, plastic

1

2%

Specimen/test tube, plastic

0

0%

Fingernails/teeth

0

0%

Scalpel, disposable

0

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

0

0%

Sharp item, not sure what kind

0

0%

Other item

0

0%

.

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

1

2%

Capillary tube

0

0%

Glass slide

0

0%

Glass item, not sure what kind

0

0%

Other glass item

0

0%

( 0 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

46

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

27

59%

Moderate

19

41%

Severe

0

0%

( 0 missing)



BODY PART

Right hand, back

7

Right hand, front

19

Left hand, back

2

Left hand, front

14

Right arm

0

Left arm

0

Head

0

Chest

1

Back

0

Mid-body

0

Right leg

1

Left leg

0

Right foot and ankle

0

Left foot and ankle

0

( 1 missing)



OSHA

Is this incident OSHA reportable?

Yes

7

15%

No

30

65%

( 9 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