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Epinet



Disposable Syringe

Uniform Needlestick and Sharp Object Injury Report
77 Hospitals, 1993-1995

Total Cases: 2883

JOB CATEGORY

M.D. (attending/staff)

108

4%

M.D. (intern/resident/fellow)

197

7%

Medical student

16

1%

Nurse RN/LPN

1793

62%

Nursing student

33

1%

Respiratory therapist

30

1%

Surgery attendant

65

2%

Other attendant

76

3%

Phlebotomist/venipuncture/I.V. team

112

4%

Clinical laboratory worker

54

2%

Technologist (non-lab)

105

4%

Dentist

9

0%

Dental hygienist

3

0%

Housekeeper/laundry worker

125

4%

Paramedic

2

0%

Other student

24

1%

Other

129

4%

( 2 missing)



PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

1361

47%

Outside patient room

90

3%

Emergency department

164

6%

Intensive/critical care unit

279

10%

Operating room

278

10%

Outpatient clinic/office

204

7%

Blood bank

1

0%

Venipuncture

5

0%

Dialysis facility

28

1%

Procedure room

163

6%

Clinical laboratories

35

1%

Autopsy/pathology

3

0%

Service/utility area

28

1%

Labor and delivery

24

1%

Home

47

2%

Other

170

6%

( 3 missing)



SOURCE PATIENT

Was the source patient known?

Yes

2556

89%

No

156

5%

Unknown

125

4%

N/A

42

1%

( 3 missing)



ORIGINAL USER

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

Yes

2024

70%

No

812

28%

Unknown

29

1%

N/A

12

0%

( 5 missing)



CONTAMINATION

Was the sharp item:

Contaminated

2603

90%

Uncontaminated

80

3%

Unknown

192

7%

( 5 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

262

9%

Injection, IM/subcutaneous

1311

45%

Heparin or saline flush

285

10%

Other injection/aspiration I.V.

349

12%

Connect I.V. line

9

0%

Start I.V. or heparin lock

18

1%

Draw venous blood sample

335

12%

Draw arterial blood sample

84

3%

Obtain body fluid/tissue sample

89

3%

Fingerstick/heel stick

4

0%

Suturing

10

0%

Cutting (surgery)

2

0%

Electrocautery

1

0%

Contain specimen/pharmaceutical

7

0%

Place arterial line

0

0%

Fingernails/teeth

1

0%

Other

114

4%

( 2 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

666

23%

Between steps

304

11%

Disassembling

59

2%

Preparing for reuse

11

0%

Recapping

245

8%

Withdrawing from resistant material

248

9%

Other after use, before disposal

703

24%

Item left on disposal container

30

1%

Putting item into disposal container

287

10%

After disposal

113

4%

Pierced side of disposal container

7

0%

Pierced side of inappropriate disposal container

113

4%

Restraining

0

0%

Other

87

3%

( 9 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

2883

100%

Prefilled cartridge syringe

0

0%

Blood gas syringe

0

0%

Syringe, other type or not sure which

0

0%

Needle on I.V. line

0

0%

Winged steel needle I.V. set

0

0%

I.V. catheter (stylet)

0

0%

Vacuum tube blood collection needle

0

0%

Spinal or epidural needle

0

0%

Unattached hypodermic needle

0

0%

Arterial catheter introducer needle

0

0%

Central line catheter introducer needle

0

0%

Drum catheter needle

0

0%

Other vascular catheter needle

0

0%

Other non-vascular catheter needle

0

0%

Needle, not sure what kind

0

0%

Other needle

0

0%

.

Lancet

0

0%

Suture needle

0

0%

Scalpel blade

0

0%

Razor

0

0%

Pipette (plastic)

0

0%

Scissors

0

0%

Bovie electrocautery device

0

0%

Bone cutter

0

0%

Bone chip

0

0%

Towel clip

0

0%

Microtome blade

0

0%

Trocar

0

0%

Vacuum tube, plastic

0

0%

Specimen/test tube, plastic

0

0%

Fingernails/teeth

0

0%

Scalpel, disposable

0

0%

Retractor, skin/bone hooks

0

0%

Staples/steel sutures

0

0%

Wire

0

0%

Pin

0

0%

Drill bit/bur

0

0%

Pickups/forcepts/hemostats/clamps

0

0%

Sharp item, not sure what kind

0

0%

Other item

0

0%

.

Medication ampule

0

0%

Medication vial (small)

0

0%

Medication/I.V. bottle (large)

0

0%

Pipette, glass

0

0%

Vacuum tube, glass

0

0%

Specimen/test tube, glass

0

0%

Capillary tube

0

0%

Glass slide

0

0%

Glass item, not sure what kind

0

0%

Other glass item

0

0%

( 0 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

0

0%

No/not applicable

2883

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

1254

43%

Moderate

1498

52%

Severe

95

3%

( 27 missing)



BODY PART

Right hand, back

240

Right hand, front

712

Left hand, back

330

Left hand, front

1314

Right arm

34

Left arm

21

Head

2

Chest

6

Back

0

Mid-body

10

Right leg

41

Left leg

43

Right foot and ankle

13

Left foot and ankle

6

( 109 missing)



OSHA

Is this incident OSHA reportable?

Yes

511

18%

No

1409

49%

( 965 missing)



For those cases that are OSHA reportable:

Cumulative number of days away from work:

2

Cumulative number of days of restricted work activity:

0