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Epinet


Other Needle

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

Total Cases: 305

JOB CATEGORY

M.D. (attending/staff)

26

9%

M.D. (intern/resident/fellow)

32

10%

Medical student

2

1%

Nurse RN/LPN

131

43%

Nursing student

0

0%

Respiratory therapist

2

1%

Surgery attendant

10

3%

Other attendant

15

5%

Phlebotomist/venipuncture/I.V. team

9

3%

Clinical laboratory worker

13

4%

Technologist (non-lab)

25

8%

Dentist

2

1%

Dental hygienist

1

0%

Housekeeper/laundry worker

22

7%

Paramedic

0

0%

Other student

0

0%

Other

15

5%

( 0 missing)



PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

91

30%

Outside patient room

5

2%

Emergency department

17

6%

Intensive/critical care unit

19

6%

Operating room

55

18%

Outpatient clinic/office

12

4%

Blood bank

0

0%

Venipuncture

0

0%

Dialysis facility

15

5%

Procedure room

39

13%

Clinical laboratories

16

5%

Autopsy/pathology

1

0%

Service/utility area

7

2%

Labor and delivery

3

1%

Home

7

2%

Other

17

6%

( 1 missing)



SOURCE PATIENT

Was the source patient known?

Yes

245

80%

No

25

8%

Unknown

29

10%

N/A

6

2%

( 0 missing)



ORIGINAL USER

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

Yes

158

52%

No

135

44%

Unknown

3

1%

N/A

9

3%

( 0 missing)



CONTAMINATION

Was the sharp item:

Contaminated

267

88%

Uncontaminated

6

2%

Unknown

29

10%

( 2 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

29

10%

Injection, IM/subcutaneous

27

9%

Heparin or saline flush

3

1%

Other injection/aspiration I.V.

34

11%

Connect I.V. line

5

2%

Start I.V. or heparin lock

14

5%

Draw venous blood sample

17

6%

Draw arterial blood sample

5

2%

Obtain body fluid/tissue sample

19

6%

Fingerstick/heel stick

6

2%

Suturing

18

6%

Cutting (surgery)

5

2%

Electrocautery

0

0%

Contain specimen/pharmaceutical

4

1%

Place arterial line

6

2%

Fingernails/teeth

0

0%

Other

111

36%

( 2 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

65

21%

Between steps

39

13%

Disassembling

20

7%

Preparing for reuse

11

4%

Recapping

9

3%

Withdrawing from resistant material

23

8%

Other after use, before disposal

64

21%

Item left on disposal container

2

1%

Putting item into disposal container

26

9%

After disposal

8

3%

Pierced side of disposal container

0

0%

Pierced side of inappropriate disposal container

10

3%

Restraining

0

0%

Other

26

9%

( 2 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

9

3%

Central line catheter introducer needle

13

4%

Drum catheter needle

0

0%

Other vascular catheter needle

9

3%

Other non-vascular catheter needle

3

1%

Needle, not sure what kind

0

0%

Other needle

271

89%

.

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

305

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

152

50%

Moderate

135

44%

Severe

11

4%

( 4 missing)



BODY PART

Right hand, back

34

Right hand, front

100

Left hand, back

45

Left hand, front

94

Right arm

4

Left arm

4

Head

2

Chest

0

Back

0

Mid-body

0

Right leg

4

Left leg

3

Right foot and ankle

2

Left foot and ankle

0

( 13 missing)



OSHA

Is this incident OSHA reportable?

Yes

49

16%

No

154

50%

( 102 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