SOI 2003

Epinet

Uniform Needlestick and Sharp Object Injury Report
48 Hospitals, 2003

Total Cases: 1,728
Total Average Daily Census: 7,239

 

JOB CATEGORY

M.D. (attending/staff)

182

10.6%

M.D. (intern/resident/fellow)

195

11.4%

Medical student

17

1.0%

Nurse RN/LPN/NP/CRNA/Midwife

649

37.8%

Nursing student

9

0.5%

Respiratory therapist

31

1.8%

Surgery attendant

156

9.1%

Other attendant

39

2.3%

Phlebotomist/Venipuncture/I.V. team

92

5.4%

Clinical laboratory worker

42

2.4%

Technologist (non-lab)

80

4.7%

Dentist

2

0.1%

Dental hygienist

1

0.1%

Housekeeper

43

2.5%

Laundry worker

3

0.2%

Paramedic

2

0.1%

CNA/HHA

33

1.9%

Security

2

0.1%

Other student

25

1.5%

Other

112

6.5%

(1,715 records)

 

 

PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room/Ward

463

26.9%

Outside patient room

17

1.0%

Emergency department

173

10.1%

Intensive/Critical care unit

92

5.4%

Operating room/Recovery

576

33.5%

Outpatient clinic/office

78

4.5%

Blood bank

2

0.1%

Venipuncture center

20

1.2%

Dialysis facility

5

0.3%

Procedure room

89

5.2%

Clinical laboratories

27

1.6%

Autopsy/Pathology

15

0.9%

Service/Utility area

25

1.5%

Labor and delivery

53

3.1%

Home-care

6

0.3%

Other

78

4.5%

(1,719 records)

 

 

SOURCE PATIENT

Was the source patient known/identifiable?

Yes

1,575

91.9%

No

99

5.8%

Unknown

31

1.8%

N/A

8

0.5%

(1,713 records)

 

 

ORIGINAL USER

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

Yes

1,016

59.7%

No

638

37.5%

Unknown

19

1.1%

N/A

28

1.6%

(1,701 records)

 

 

CONTAMINATION

Was the sharp item:

Contaminated

1,559

91.2%

Uncontaminated

34

2.0%

Unknown

116

6.8%

(1,709 records)

 

 

ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

84

4.9%

Injection, IM/Subcutaneous

358

20.9%

Heparin or saline flush

14

0.8%

Other injection into IV site or port

51

3.0%

Connect IV line

3

0.2%

Start IV or heparin lock

87

5.1%

Draw venous blood sample

253

14.7%

Draw arterial blood sample

50

2.9%

Obtain body fluid/tissue sample

34

2.0%

Fingerstick/heel stick

29

1.7%

Suturing

357

20.8%

Cutting (surgery)

156

9.1%

Electrocautery

13

0.8%

Contain specimen/pharmaceutical

14

0.8%

Place arterial line

33

1.9%

Fingernails/teeth

0

0.0%

Drilling

11

0.6%

Other

169

9.8%

(1,716 records)

 

 

HOW INJURY OCCURRED

Did the injury occur:

Before use

20

1.2%

During use

634

37%

Between steps

229

13.4%

Disassembling

50

2.9%

Preparing for reuse

21

1.2%

Recapping

57

3.3%

Withdrawing from resistant material

34

2.0%

Other after use, before disposal

292

17.0%

Item left on disposal container

4

0.2%

Putting item into disposal container

94

5.5%

After disposal, item protruding from disposal container

24

1.4%

Pierced side of disposal container

4

0.2%

Pierced trash/side of inappropriate disposal container

31

1.8%

Restraining patient

14

0.8%

Device left on floor/bed/table/inappropriate place

101

5.9%

Other

104

6.1%

(1,713 records)

 

 

DEVICE

What device or item caused the injury?

Disposable syringe

530

31.7%

Pre-filled cartridge syringe

25

1.5%

Blood gas syringe

21

1.3%

Syringe, other type or not sure which

19

1.1%

Needle on IV line/tubing

7

0.4%

Winged needle IV set

127

7.6%

IV catheter (stylet)

71

4.3%

Vacuum tube blood collection needle/holder

64

3.8%

Spinal or epidural needle

6

0.4%

Unattached hypodermic needle

9

0.5%

Arterial catheter introducer needle

7

0.4%

Central line catheter introducer needle

8

0.5%

Drum catheter needle

3

0.2%

Other vascular catheter needle

4

0.2%

Other non-vascular catheter needle

1

0.1%

Needle, not sure what kind

16

1.0%

Other needle

40

2.4%

.

Lancet

24

1.4%

Suture needle

347

20.8%

Scalpel, reusable

67

4.0%

Razor

8

0.5%

Pipette (plastic)

0

0.0%

Scissors

13

0.8%

Bovie electrocautery device

14

0.8%

Bone cutter

3

0.2%

Bone chip

4

0.2%

Towel clip

4

0.2%

Microtome blade

1

0.1%

Trocar

8

0.5%

Vacuum tube, plastic

0

0.0%

Specimen/test tube, plastic

0

0.0%

Fingernails/teeth

13

0.8%

Scalpel, disposable

67

4.0%

Retractor, skin/bone hooks

14

0.8%

Staples/steel sutures

6

0.4%

Wire

15

0.9%

Pin

9

0.5%

Drill bit/bur

2

0.1%

Pickups/forceps/hemostats/clamps

6

0.4%

Sharp item, not sure what kind

18

1.1%

Other item

43

2.6%

.

Medication ampule

3

0.2%

Medication vial (small)

0

0.0%

Pipette, glass

1

0.1%

Vacuum tube, glass

5

0.3%

Specimen/test tube, glass

7

0.4%

Capillary tube

0

0.0%

Glass slide

5

0.3%

Glass item, not sure what kind

0

0.0%

Other glass item

5

0.3%

(1,670 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

519

31.6%

No

936

56.9%

Unknown

189

11.5%

(1,644 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

44

9.0%

Yes, partially

100

20.5%

No

344

70.5%

(488 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

285

63.3%

During activation

104

23.1%

After activation

61

13.6%

(450 records)

 

 

SEVERITY OF INJURY

Was the injury:

Superficial

974

57.3%

Moderate

675

39.7%

Severe

52

3.1%

(1,701 records)

 

 

BODY PART

Right hand

631

Left hand

960

Arm

50

Face/Head

1

Chest/Front

5

Back

1

Leg

34

Foot and ankle

7

(1,689 records)