soid11.html

Epinet


Needle, Unknown Type

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

Total Cases: 344

JOB CATEGORY

M.D. (attending/staff)

10

3%

M.D. (intern/resident/fellow)

8

2%

Medical student

2

1%

Nurse RN/LPN

88

26%

Nursing student

1

0%

Respiratory therapist

3

1%

Surgery attendant

8

2%

Other attendant

28

8%

Phlebotomist/venipuncture/I.V. team

10

3%

Clinical laboratory worker

5

1%

Technologist (non-lab)

24

7%

Dentist

0

0%

Dental hygienist

0

0%

Housekeeper/laundry worker

120

35%

Paramedic

1

0%

Other student

3

1%

Other

33

10%

( 0 missing)



PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

90

26%

Outside patient room

22

6%

Emergency department

21

6%

Intensive/critical care unit

30

9%

Operating room

38

11%

Outpatient clinic/office

16

5%

Blood bank

0

0%

Venipuncture

1

0%

Dialysis facility

0

0%

Procedure room

25

7%

Clinical laboratories

9

3%

Autopsy/pathology

1

0%

Service/utility area

55

16%

Labor and delivery

2

1%

Home

1

0%

Other

33

10%

( 0 missing)



SOURCE PATIENT

Was the source patient known?

Yes

141

41%

No

116

34%

Unknown

81

24%

N/A

5

1%

( 0 missing)



ORIGINAL USER

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

Yes

72

21%

No

249

72%

Unknown

22

6%

N/A

1

0%

( 0 missing)



CONTAMINATION

Was the sharp item:

Contaminated

198

58%

Uncontaminated

6

2%

Unknown

139

40%

( 1 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

238

69%

Injection, IM/subcutaneous

24

7%

Heparin or saline flush

1

0%

Other injection/aspiration I.V.

10

3%

Connect I.V. line

0

0%

Start I.V. or heparin lock

10

3%

Draw venous blood sample

17

5%

Draw arterial blood sample

3

1%

Obtain body fluid/tissue sample

9

3%

Fingerstick/heel stick

2

1%

Suturing

5

1%

Cutting (surgery)

1

0%

Electrocautery

0

0%

Contain specimen/pharmaceutical

1

0%

Place arterial line

1

0%

Fingernails/teeth

0

0%

Other

20

6%

( 2 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

33

10%

Between steps

15

4%

Disassembling

5

1%

Preparing for reuse

9

3%

Recapping

3

1%

Withdrawing from resistant material

2

1%

Other after use, before disposal

72

21%

Item left on disposal container

4

1%

Putting item into disposal container

21

6%

After disposal

42

12%

Pierced side of disposal container

35

10%

Pierced side of inappropriate disposal container

75

22%

Restraining

0

0%

Other

27

8%

( 1 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

0

0%

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

344

100%

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

344

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

184

53%

Moderate

150

44%

Severe

8

2%

( 0 missing)



BODY PART

Right hand, back

32

Right hand, front

100

Left hand, back

26

Left hand, front

122

Right arm

7

Left arm

6

Head

0

Chest

4

Back

0

Mid-body

0

Right leg

16

Left leg

13

Right foot and ankle

2

Left foot and ankle

4

( 12 missing)



OSHA

Is this incident OSHA reportable?

Yes

78

23%

No

154

45%

( 112 missing)



For those cases that are OSHA reportable:

Cumulative number of days away from work:

0

Cumulative number of days of restricted work activity:

0