1997 Sharp Object Injury Report

Epinet 

Uniform Needlestick and Sharp Object Injury Report
55 Hospitals, 1997

Total Cases: 3,005 (excluding injuries occurring before use)
Total Average Daily Census: 10,087

JOB CATEGORY
M.D. (attending/staff) 171 6%
M.D. (intern/resident/fellow) 270 9%
Medical student 30 1%
Nurse RN/LPN 1334 44%
Nursing student 25 1%
Respiratory therapist 43 1%
Surgery attendant 152 5%
Other attendant 138 5%
Phlebotomist/venipuncture/I.V. team 148 5%
Clinical laboratory worker 95 3%
Technologist (non-lab) 126 4%
Dentist 7 0%
Dental hygienist 5 0%
Housekeeper/laundry worker 136 5%
Paramedic 3 0%
Other student 30 1%
Other 285 9%
( 7 missing)


PLACE OF OCCURRENCE
Where did the injury occur in the institution?
Patient room 1016 34%
Outside patient room 66 2%
Emergency department 265 9%
Intensive/critical care unit 211 7%
Operating room 715 24%
Outpatient clinic/office 186 6%
Blood bank 7 0%
Venipuncture 17 1%
Dialysis facility 18 1%
Procedure room 119 4%
Clinical laboratories 61 2%
Autopsy/pathology 25 1%
Service/utility area 63 2%
Labor and delivery 17 1%
Home 42 1%
Other 174 6%
( 3 missing)


SOURCE PATIENT
Was the source patient known?
Yes 2654 88%
No 232 8%
Unknown 92 3%
N/A 22 1%
( 0 missing)


ORIGINAL USER
Was the injured worker the original user of the sharp item?
Yes 1791 60%
No 989 33%
Unknown 34 1%
N/A 87 3%
( 102 missing)


CONTAMINATION
Was the sharp item:
Contaminated 2634 88%
Uncontaminated 42 1%
Unknown 321 11%
( 2 missing)


ORIGINAL PURPOSE
For what purpose was the sharp item originally used?
Unknown, N/A 259 9%
Injection, IM/subcutaneous 501 17%
Heparin or saline flush 100 3%
Other injection/aspiration I.V. 153 5%
Connect I.V. line 44 1%
Start I.V. or heparin lock 197 7%
Draw venous blood sample 496 17%
Draw arterial blood sample 67 2%
Obtain body fluid/tissue sample 50 2%
Fingerstick/heel stick 85 3%
Suturing 421 14%
Cutting (surgery) 214 7%
Electrocautery 10 0%
Contain specimen/pharmaceutical 33 1%
Place arterial line 4 0%
Fingernails/teeth 48 2%
Other 317 11%
( 4 missing)


HOW INJURY OCCURRED
Did the injury occur:
Before use 0 0%
During use 843 28%
Between steps 366 12%
Disassembling 163 5%
Preparing for reuse 58 2%
Recapping 106 4%
Withdrawing from resistant material 95 3%
Other after use, before disposal 669 22%
Item left on disposal container 19 1%
Putting item into disposal container 256 9%
After disposal 75 2%
Pierced side of disposal container 16 1%
Pierced side of inappropriate disposal container 131 4%
Restraining 17 1%
Other 181 6%
( 7 missing)


DEVICE
What device or item caused the injury?
Disposable syringe 839 28%
Prefilled cartridge syringe 97 3%
Blood gas syringe 35 1%
Syringe, other type or not sure which 27 1%
Needle on I.V. line 49 2%
Winged steel needle I.V. set 203 7%
I.V. catheter (stylet) 166 6%
Vacuum tube blood collection needle 179 6%
Spinal or epidural needle 9 0%
Unattached hypodermic needle 46 2%
Arterial catheter introducer needle 4 0%
Central line catheter introducer needle 6 0%
Drum catheter needle 2 0%
Other vascular catheter needle 2 0%
Other non-vascular catheter needle 2 0%
Needle, not sure what kind 116 4%
Other needle 91 3%
.
Lancet 82 3%
Suture needle 409 14%
Scalpel blade 162 5%
Razor 13 0%
Pipette (plastic) 1 0%
Scissors 36 1%
Bovie electrocautery device 11 0%
Bone cutter 7 0%
Bone chip 1 0%
Towel clip 6 0%
Microtome blade 8 0%
Trocar 10 0%
Vacuum tube, plastic 3 0%
Specimen/test tube, plastic 1 0%
Fingernails/teeth 48 2%
Scalpel, disposable 43 1%
Retractor, skin/bone hooks 21 1%
Staples/steel sutures 3 0%
Wire 11 0%
Pin 9 0%
Drill bit/bur 6 0%
Pickups/forcepts/hemostats/clamps 6 0%
Sharp item, not sure what kind 38 1%
Other item 84 3%
.
Medication ampule 1 0%
Medication vial (small) 0 0%
Medication/I.V. bottle (large) 0 0%
Pipette, glass 3 0%
Vacuum tube, glass 7 0%
Specimen/test tube, glass 7 0%
Capillary tube 10 0%
Glass slide 7 0%
Glass item, not sure what kind 8 0%
Other glass item 15 0%
( 45 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 221 7%
No/not applicable 2752 92%
( 18 missing)


SEVERITY OF INJURY
Was the injury:
Superficial 1505 50%
Moderate 1370 46%
Severe 98 3%
( 28 missing)


BODY PART
Right hand, back 311
Right hand, front 879
Left hand, back 376
Left hand, front 1136
Right arm 63
Left arm 48
Head 8
Chest 6
Back 0
Mid-body 7
Right leg 32
Left leg 37
Right foot and ankle 10
Left foot and ankle 5
( 85 missing)


OSHA
Is this incident OSHA reportable?
Yes 513 17%
No 1637 54%
( 853 missing)


For those cases that are OSHA reportable:
Cumulative number of days away from work: 1
Cumulative number of days of restricted work activity: 0