1999 Sharp Object Injury Report

Epinet 

Uniform Needlestick and Sharp Object Injury Report
21 Hospitals, 1999

Total Cases: 1,996
Total Average Daily Census: 5,118

JOB CATEGORY
M.D. (attending/staff) 165 8%
M.D. (intern/resident/fellow) 278 14%
Medical student 24 1%
Nurse RN/LPN 790 40%
Nursing student 12 1%
Respiratory therapist 42 2%
Surgery attendant 96 5%
Other attendant 61 3%
Phlebotomist/venipuncture/I.V. team 83 4%
Clinical laboratory worker 79 4%
Technologist (non-lab) 90 5%
Dentist 5 0%
Dental hygienist 3 0%
Housekeeper/laundry worker 70 4%
Paramedic 7 0%
CNA/HHA 22 1%
Security 3 0%
Other student 36 2%
Other 129 7%
( 1,995 records)


PLACE OF OCCURRENCE
Where did the injury occur in the institution?
Patient room 596 30%
Outside patient room 52 3%
Emergency department 134 7%
Intensive/critical care unit 152 8%
Operating room 508 25%
Outpatient clinic/office 120 6%
Blood bank 5 0%
Venipuncture 13 1%
Dialysis facility 12 0%
Procedure room 115 6%
Clinical laboratories 61 3%
Autopsy/pathology 24 1%
Service/utility area 37 2%
Labor and delivery 41 2%
Home-care 14 1%
Other 108 5%
( 1,992 records)


SOURCE PATIENT
Was the source patient known?
Yes 1,786 90%
No 128 6%
Unknown 59 3%
N/A 19 1%
( 1,992 records)


ORIGINAL USER
Was the injured worker the original user of the sharp item?
Yes 1,237 62%
No 667 33%
Unknown 34 2%
N/A 55 3%
( 1,993 records)


CONTAMINATION
Was the sharp item:
Contaminated 1,733 87%
Uncontaminated 50 3%
Unknown 207 10%
( 1,990 records)


ORIGINAL PURPOSE
For what purpose was the sharp item originally used?
Unknown, N/A 155 8%
Injection, IM/subcutaneous 319 16%
Heparin or saline flush 48 2%
Other injection into IV site or port 69 4%
Connect IV line 21 1%
Start IV or heparin lock 105 5%
Draw venous blood sample 325 16%
Draw arterial blood sample 55 3%
Obtain body fluid/tissue sample 33 2%
Fingerstick/heel stick 44 2%
Suturing 328 17%
Cutting (surgery) 165 8%
Electrocautery 12 1%
Contain specimen/pharmaceutical 29 1%
Place arterial line 21 1%
Fingernails/teeth 0 0%
Drilling 3 0%
Other 261 13%
( 1,993 records)


HOW INJURY OCCURRED
Did the injury occur:
During use 634 32%
Between steps 261 13%
Disassembling 92 5%
Preparing for reuse 33 2%
Recapping 69 3%
Withdrawing from resistant material 51 2%
Other after use, before disposal 349 18%
Item left on disposal container 8 0%
Putting item into disposal container 131 7%
After disposal, item protuding from disposal container 48 2%
Pierced side of disposal container 4 0%
Pierced trash/side of inappropriate disposal container 52 3%
Restraining patient 17 1%
Device left on floor/bed/table/inappropriate place 93 5%
Other 141 7%
( 1,983 records)


DEVICE
What device or item caused the injury?
Disposable syringe 506 26%
Prefilled cartridge syringe 33 2%
Blood gas syringe 27 1%
Syringe, other type or not sure which 20 1%
Needle on IV line/tubing 25 1%
Winged needle IV set 174 9%
IV catheter (stylet) 94 5%
Vacuum tube blood collection needle/holder 81 4%
Spinal or epidural needle 11 1%
Unattached hypodermic needle 42 2%
Arterial catheter introducer needle 3 0%
Central line catheter introducer needle 11 1%
Drum catheter needle 1 0%
Other vascular catheter needle 7 0%
Other non-vascular catheter needle 4 0%
Needle, not sure what kind 48 2%
Other needle 116 6%
.
Lancet 43 2%
Suture needle 312 16%
Scalpel, reusable 90 5%
Razor 5 0%
Pipette (plastic) 2 0%
Scissors 21 1%
Bovie electrocautery device 9 1%
Bone cutter 4 0%
Bone chip 2 0%
Towel clip 4 0%
Microtome blade 4 0%
Trocar 5 0%
Specimen/test tube, plastic 2 0%
Fingernails/teeth 21 1%
Scalpel, disposable 58 3%
Retractor, skin/bone hooks 7 0%
Staples/steel sutures 3 0%
Wire 10 1%
Pin 6 0%
Drill bit/bur 15 1%
Pickups/forcepts/hemostats/clamps 5 0%
Sharp item, not sure what kind 20 1%
Other item 69 4%
.
Medication ampule 3 0%
Medication vial (small) 1 0%
Pipette, glass 4 0%
Vacuum tube, glass 12 1%
Specimen/test tube, glass 4 0%
Capillary tube 2 0%
Glass slide 1 0%
Glass item, not sure what kind 7 0%
Other glass item 11 1%
( 1,963 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 164 9%
No/not applicable 1,790 91%
( 1,954 records)


SEVERITY OF INJURY
Was the injury:
Superficial 862 43%
Moderate 1,022 52%
Severe 98 5%
( 1,982 records)


BODY PART
Right hand 779
Left hand 1,032
Arm 53
Face/Head 24
Ches/Frontt 7
Leg 26
Foot and ankle 14
( 1,935 records)


OSHA
Is this incident OSHA reportable?
Yes 296 26%
No 860 74%
( 1,156 records)