2000 Sharp Object Injury Report

Epinet

Uniform Needlestick and Sharp Object Injury Report
26 Hospitals, 2000

Total Cases: 1,787
Total Average Daily Census: 4,721

JOB CATEGORY
M.D. (attending/staff) 125 7%
M.D. (intern/resident/fellow) 193 11%
Medical student 15 1%
Nurse RN/LPN 769 43%
Nursing student 4 0%
Respiratory therapist 34 2%
Surgery attendant 121 7%
Other attendant 42 2%
Phlebotomist/venipuncture/I.V. team 82 5%
Clinical laboratory worker 41 2%
Technologist (non-lab) 67 4%
Dentist 5 0%
Dental hygienist 2 0%
Housekeeper 67 4%
Laundry worker 1 0%
Paramedic 2 0%
CNA/HHA 32 2%
Security 4 0%
Other student 31 2%
Other 146 8%
(1,783 records)


PLACE OF OCCURRENCE
Where did the injury occur in the institution?
Patient room                                                       497 28%
Outside patient room 44 3%
Emergency department 172 10%
Intensive/critical care unit 122 7%
Operating room 450 25%
Outpatient clinic/office 142 8%
Blood bank 1 0%
Venipuncture center 14 1%
Dialysis facility 8 0%
Procedure room 86 5%
Clinical laboratories 47 3%
Autopsy/pathology 14 1%
Service/utility area 45 3%
Labor and delivery 42 2%
Home-care 25 1%
Other 74 4%
(1,783 records)


SOURCE PATIENT
Was the source patient known?
Yes                                                                                               1,592 89%
No 110 6%
Unknown 48 3%
N/A 32 21%
(1,782 records)


ORIGINAL USER
Was the injured worker the original user of the sharp item?
Yes                                                                1,119 63%
No                                                                 596 33%
Unknown 15 1%
N/A 49 3%
(1,779 records)


CONTAMINATION
Was the sharp item:
Contaminated                                                  1,552 87%
Uncontaminated 91 5%
Unknown 138 8%
(1,781 records)


ORIGINAL PURPOSE
For what purpose was the sharp item originally used?
Unknown, N/A 119 7%
Injection, IM/subcutaneous 340 19%
Heparin or saline flush 45 3%
Other injection into IV site or port 71
4%
Connect IV line 17 1%
Start IV or heparin lock 90 5%
Draw venous blood sample 288 16%
Draw arterial blood sample 44 3%
Obtain body fluid/tissue sample 30 2%
Fingerstick/heel stick 45 3%
Suturing 283 16%
Cutting (surgery) 124 7%
Electrocautery 6 0%
Contain specimen/pharmaceutical 27 2%
Place arterial line 23 1%
Fingernails/teeth 0 0%
Drilling 9 1%
Other 224 13%
(1,785 records)


HOW INJURY OCCURRED
Did the injury occur:
Before use 23 1%
During use 537 30%
Between steps 204 12%
Disassembling 67 4%
Preparing for reuse 30 2%
Recapping 66 4%
Withdrawing from resistant material 51 3%
Other after use, before disposal 366 21%
Item left on disposal container 3 0%
Putting item into disposal container 129 7%
After disposal, item protuding from disposal container 38 2%
Pierced side of disposal container 7 0%
Pierced trash/side of inappropriate disposal container 41 2%
Restraining patient 20 1%
Device left on floor/bed/table/inappropriate place 83 5%
Other 113 6%
(1,778 records)


DEVICE
What device or item caused the injury?
Disposable syringe 508 29%
Prefilled cartridge syringe 40 2%
Blood gas syringe 22 1%
Syringe, other type or not sure which 21 1%
Needle on IV line/tubing 16 1%
Winged needle IV set 146 8%
IV catheter (stylet) 87 5%
Vacuum tube blood collection needle/holder 75 4%
Spinal or epidural needle 9 1%
Unattached hypodermic needle 22 1%
Arterial catheter introducer needle 10 1%
Central line catheter introducer needle 2 0%
Drum catheter needle 0 0%
Other vascular catheter needle 7 0%
Other non-vascular catheter needle 0 0%
Needle, not sure what kind 37 2%
Other needle 82 5%
.
Lancet 39 2%
Suture needle 268 15%
Scalpel, reusable 68 4%
Razor 13 1%
Pipette (plastic) 1 0%
Scissors 14 1%
Bovie electrocautery device 7 0%
Bone cutter 2 0%
Bone chip 1 0%
Towel clip 4 0%
Microtome blade 1 0%
Trocar 5 0%
Vacuum tube, plastic 1 0%
Specimen/test tube, plastic 3 0%
Fingernails/teeth 30 2%
Scalpel, disposable 44 3%
Retractor, skin/bone hooks 9 1%
Staples/steel sutures 3 0%
Wire 13 1%
Pin 5 0%
Drill bit/bur 14 1%
Pickups/forcepts/hemostats/clamps 6 0%
Sharp item, not sure what kind 18 1%
Other item 69 4%
.
Medication ampule 4 0%
Medication vial (small) 5 0%
Pipette, glass 1 0%
Vacuum tube, glass 3 0%
Specimen/test tube, glass 5 0%
Capillary tube 3 0%
Glass slide 4 0%
Glass item, not sure what kind 4 0%
Other glass item 5 1%
(1,756 records)


SAFETY DESIGN
If the item causing the injury was a needle, was it a safety design with a shielded, recessed, or retractable needle?
Yes 218 13%
No 1,504 87%
Unknown 9 0%
(1,731 records)


IF SAFETY DESIGN:
If the item causing the injury was a safety design with a shielded, recessed, or retractable needle, was the safety mechanism activated?
Yes, fully 5 5%
Yes, partially 24 22%
No 80 73%
(109 records)


IF SAFETY DESIGN:
If the item causing the injury was a safety design with a shielded, recessed, or retractable needle, did the injury happen?
Before activation 72 68%
During activation 24 23%
After activation 10 9%
(106 records)


SEVERITY OF INJURY
Was the injury:
Superficial                                        901 51%
Moderate 785 45%
Severe 69 4%
(1,755 records)


BODY PART
Right hand                                                665
Left hand 917
Arm 67
Face/Head 14
Chest/Front 10
Back 2
Leg 24
Foot and ankle 7
(1,706 records)