1998 Sharp Object Injury Report

Epinet 

Uniform Needlestick and Sharp Object Injury Report
52 Hospitals, 1998

Total Cases: 3,180
Total Average Daily Census: 9,681

JOB CATEGORY
M.D. (attending/staff) 190 6%
M.D. (intern/resident/fellow) 293 9%
Medical student 28 1%
Nurse RN/LPN 1409 44%
Nursing student 13 0%
Respiratory therapist 68 2%
Surgery attendant 168 5%
Other attendant 132 4%
Phlebotomist/venipuncture/I.V. team 137 4%
Clinical laboratory worker 125 4%
Technologist (non-lab) 171 5%
Dentist 4 0%
Dental hygienist 3 0%
Housekeeper/laundry worker 130 4%
Paramedic 7 0%
Other student 33 1%
Other 266 8%
( 3 missing)


PLACE OF OCCURRENCE
Where did the injury occur in the institution?
Patient room 1121 35%
Outside patient room 61 2%
Emergency department 254 8%
Intensive/critical care unit 213 7%
Operating room 692 22%
Outpatient clinic/office 193 6%
Blood bank 7 0%
Venipuncture 17 1%
Dialysis facility 24 1%
Procedure room 159 5%
Clinical laboratories 91 3%
Autopsy/pathology 29 1%
Service/utility area 68 2%
Labor and delivery 39 1%
Home 49 2%
Other 162 5%
( 0 missing)


SOURCE PATIENT
Was the source patient known?
Yes 2824 89%
No 198 6%
Unknown 112 4%
N/A 46 1%
( 0 missing)


ORIGINAL USER
Was the injured worker the original user of the sharp item?
Yes 2016 63%
No 1041 33%
Unknown 45 1%
N/A 78 2%
( 0 missing)


CONTAMINATION
Was the sharp item:
Contaminated 2797 88%
Uncontaminated 87 3%
Unknown 296 9%
( 0 missing)


ORIGINAL PURPOSE
For what purpose was the sharp item originally used?
Unknown, N/A 284 9%
Injection, IM/subcutaneous 535 17%
Heparin or saline flush 89 3%
Other injection/aspiration I.V. 130 4%
Connect I.V. line 54 2%
Start I.V. or heparin lock 227 7%
Draw venous blood sample 553 17%
Draw arterial blood sample 106 3%
Obtain body fluid/tissue sample 50 2%
Fingerstick/heel stick 101 3%
Suturing 409 13%
Cutting (surgery) 194 6%
Electrocautery 9 0%
Contain specimen/pharmaceutical 34 1%
Place arterial line 16 1%
Fingernails/teeth 28 1%
Other 358 11%
( 3 missing)


HOW INJURY OCCURRED
Did the injury occur:
Before use 56 2%
During use 1014 32%
Between steps 333 10%
Disassembling 154 5%
Preparing for reuse 52 2%
Recapping 114 4%
Withdrawing from resistant material 93 3%
Other after use, before disposal 694 22%
Item left on disposal container 24 1%
Putting item into disposal container 266 8%
After disposal 77 2%
Pierced side of disposal container 10 0%
Pierced side of inappropriate disposal container 116 4%
Restraining 14 0%
Other 158 5%
( 3 missing)


DEVICE
What device or item caused the injury?
Disposable syringe 919 29%
Prefilled cartridge syringe 70 2%
Blood gas syringe 46 1%
Syringe, other type or not sure which 31 1%
Needle on I.V. line 60 2%
Winged steel needle I.V. set 256 8%
I.V. catheter (stylet) 195 6%
Vacuum tube blood collection needle 193 6%
Spinal or epidural needle 11 0%
Unattached hypodermic needle 54 2%
Arterial catheter introducer needle 7 0%
Central line catheter introducer needle 8 0%
Drum catheter needle 3 0%
Other vascular catheter needle 5 0%
Other non-vascular catheter needle 1 0%
Needle, not sure what kind 102 3%
Other needle 84 3%
.
Lancet 98 3%
Suture needle 395 12%
Scalpel blade 149 5%
Razor 17 1%
Pipette (plastic) 2 0%
Scissors 32 1%
Bovie electrocautery device 8 0%
Bone cutter 4 0%
Bone chip 2 0%
Towel clip 8 0%
Microtome blade 10 0%
Trocar 11 0%
Vacuum tube, plastic 2 0%
Specimen/test tube, plastic 1 0%
Fingernails/teeth 33 1%
Scalpel, disposable 39 1%
Retractor, skin/bone hooks 18 1%
Staples/steel sutures 5 0%
Wire 14 0%
Pin 17 1%
Drill bit/bur 10 0%
Pickups/forcepts/hemostats/clamps 10 0%
Sharp item, not sure what kind 47 1%
Other item 97 3%
.
Medication ampule 11 0%
Medication vial (small) 3 0%
Medication/I.V. bottle (large) 1 0%
Pipette, glass 3 0%
Vacuum tube, glass 8 0%
Specimen/test tube, glass 10 0%
Capillary tube 4 0%
Glass slide 2 0%
Glass item, not sure what kind 5 0%
Other glass item 11 0%
( 42 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 290 9%
No/not applicable 2873 90%
( 10 missing)


SEVERITY OF INJURY
Was the injury:
Superficial 1549 49%
Moderate 1447 46%
Severe 114 4%
( 66 missing)


BODY PART
Right hand, back 332
Right hand, front 901
Left hand, back 391
Left hand, front 1270
Right arm 56
Left arm 47
Head 8
Chest 5
Back 0
Mid-body 11
Right leg 31
Left leg 23
Right foot and ankle 9
Left foot and ankle 12
( 66 missing)


OSHA
Is this incident OSHA reportable?
Yes 614 19%
No 1795 56%
( 769 missing)


For those cases that are OSHA reportable:
Cumulative number of days away from work: 19
Cumulative number of days of restricted work activity: 16