2002 Sharp Object Injury Report

Epinet

Uniform Needlestick and Sharp Object Injury Report
47 Hospitals, 2002

Total Cases: 1,732
Total Average Daily Census: 7,431

 

JOB CATEGORY

M.D. (attending/staff)

139

8%

M.D. (intern/resident/fellow)

141

8%

Medical student

17

1%

Nurse RN/LPN

701

41%

Nursing student

8

0%

Respiratory therapist

37

2%

Surgery attendant

171

10%

Other attendant

46

3%

Phlebotomist/venipuncture/I.V. team

77

5%

Clinical laboratory worker

34

2%

Technologist (non-lab)

103

6%

Dentist

2

0%

Dental hygienist

1

0%

Housekeeper

56

3%

Laundry worker

3

0%

Paramedic

12

1%

CNA/HHA

27

2%

Security

2

0%

Other student

34

2%

Other

106

6%

(1,717 records)

 

 

PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

527

30%

Outside patient room

38

2%

Emergency department

157

9%

Intensive/critical care unit

119

7%

Operating room/recovery

508

29%

Outpatient clinic/office

76

4%

Blood bank

4

0%

Venipuncture center

14

1%

Dialysis facility

10

1%

Procedure room

82

5%

Clinical laboratories

30

2%

Autopsy/pathology

10

1%

Service/utility area

28

2%

Labor and delivery

34

2%

Home-care

13

1%

Other

76

4%

(1,726 records)

 

 

SOURCE PATIENT

Was the source patient known/identifiable?

Yes

1,572

91%

No

96

6%

Unknown

41

2%

N/A

13

1%

(1,722 records)

 

 

ORIGINAL USER

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

Yes

986

58%

No

659

39%

Unknown

22

1%

N/A

42

2%

(1,709 records)

 

 

CONTAMINATION

Was the sharp item:

Contaminated

1,529

89%

Uncontaminated

44

3%

Unknown

141

8%

(1,714 records)

 

 

ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

119

7%

Injection, IM/subcutaneous

327

19%

Heparin or saline flush

25

1%

Other injection into IV site or port

76

4%

Connect IV line

16

1%

Start IV or heparin lock

96

6%

Draw venous blood sample

244

14%

Draw arterial blood sample

46

3%

Obtain body fluid/tissue sample

26

2%

Fingerstick/heel stick

31

2%

Suturing

329

19%

Cutting (surgery)

145

8%

Electrocautery

8

1%

Contain specimen/pharmaceutical

7

0%

Place arterial line

35

2%

Fingernails/teeth

0

0%

Drilling

10

1%

Other

178

10%

(1,718 records)

 

 

HOW INJURY OCCURRED

Did the injury occur:

Before use

39

2%

During use

537

31%

Between steps

222

13%

Disassembling

65

4%

Preparing for reuse

38

2%

Recapping

57

3%

Withdrawing from resistant material

57

3%

Other after use, before disposal

281

16%

Item left on disposal container

5

0%

Putting item into disposal container

107

6%

After disposal, item protruding from disposal container

28

2%

Pierced side of disposal container

1

0%

Pierced trash/side of inappropriate disposal container

29

2%

Restraining patient

16

1%

Device left on floor/bed/table/inappropriate place

108

6%

Other

132

7%

(1,722 records)

 

 

DEVICE

What device or item caused the injury?

Disposable syringe

586

35%

Pre-filled cartridge syringe

19

1%

Blood gas syringe

17

1%

Syringe, other type or not sure which

16

1%

Needle on IV line/tubing

9

.5%

Winged needle IV set

112

7%

IV catheter (stylet)

76

5%

Vacuum tube blood collection needle/holder

44

3%

Spinal or epidural needle

6

0%

Unattached hypodermic needle

18

1%

Arterial catheter introducer needle

10

1%

Central line catheter introducer needle

11

1%

Drum catheter needle

1

0%

Other vascular catheter needle

5

0%

Other non-vascular catheter needle

1

0%

Needle, not sure what kind

35

2%

Other needle

59

4%

.

Lancet

24

1%

Suture needle

317

19%

Scalpel, reusable

63

4%

Razor

14

1%

Pipette (plastic)

0

0%

Scissors

10

1%

Bovie electrocautery device

8

.5%

Bone cutter

2

0%

Bone chip

3

0%

Towel clip

8

.5%

Microtome blade

2

0%

Trocar

5

0%

Vacuum tube, plastic

0

0%

Specimen/test tube, plastic

0

0%

Fingernails/teeth

15

1%

Scalpel, disposable

63

4%

Retractor, skin/bone hooks

11

1%

Staples/steel sutures

5

0%

Wire

11

1%

Pin

7

0%

Drill bit/bur

8

.5%

Pickups/forceps/hemostats/clamps

9

.5%

Sharp item, not sure what kind

9

.5%

Other item

47

3%

.

Medication ampule

1

0%

Medication vial (small)

0

0%

Pipette, glass

1

0%

Vacuum tube, glass

5

0%

Specimen/test tube, glass

7

0%

Capillary tube

1

0%

Glass slide

0

0%

Glass item, not sure what kind

3

0%

Other glass item

3

0%

(1,687 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

470

29%

No

1,062

66%

Unknown

80

5%

(1,612 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

24

5.5%

Yes, partially

85

19.5%

No

326

75%

(435 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

259

65%

During activation

91

23%

After activation

46

12%

(396 records)

 

 

SEVERITY OF INJURY

Was the injury:

Superficial

858

50%

Moderate

776

46%

Severe

75

4%

(1,709 records)

 

 

BODY PART

Right hand

652

Left hand

951

Arm

49

Face/Head

3

Chest/Front

5

Back

4

Leg

29

Foot and ankle

8

(1,700 records)