soid16.html

Epinet


Other Surgical Sharp Item

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

Total Cases: 1023

JOB CATEGORY

M.D. (attending/staff)

79

8%

M.D. (intern/resident/fellow)

79

8%

Medical student

3

0%

Nurse RN/LPN

295

29%

Nursing student

5

0%

Respiratory therapist

7

1%

Surgery attendant

108

11%

Other attendant

73

7%

Phlebotomist/venipuncture/I.V. team

10

1%

Clinical laboratory worker

64

6%

Technologist (non-lab)

81

8%

Dentist

28

3%

Dental hygienist

23

2%

Housekeeper/laundry worker

32

3%

Paramedic

0

0%

Other student

17

2%

Other

116

11%

( 3 missing)



PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

139

14%

Outside patient room

33

3%

Emergency department

39

4%

Intensive/critical care unit

37

4%

Operating room

382

37%

Outpatient clinic/office

91

9%

Blood bank

9

1%

Venipuncture

1

0%

Dialysis facility

2

0%

Procedure room

33

3%

Clinical laboratories

55

5%

Autopsy/pathology

44

4%

Service/utility area

73

7%

Labor and delivery

4

0%

Home

9

1%

Other

70

7%

( 2 missing)



SOURCE PATIENT

Was the source patient known?

Yes

806

79%

No

126

12%

Unknown

73

7%

N/A

18

2%

( 0 missing)



ORIGINAL USER

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

Yes

370

36%

No

520

51%

Unknown

21

2%

N/A

111

11%

( 1 missing)



CONTAMINATION

Was the sharp item:

Contaminated

812

79%

Uncontaminated

28

3%

Unknown

182

18%

( 1 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

79

8%

Injection, IM/subcutaneous

3

0%

Heparin or saline flush

1

0%

Other injection/aspiration I.V.

3

0%

Connect I.V. line

1

0%

Start I.V. or heparin lock

3

0%

Draw venous blood sample

9

1%

Draw arterial blood sample

3

0%

Obtain body fluid/tissue sample

32

3%

Fingerstick/heel stick

4

0%

Suturing

28

3%

Cutting (surgery)

120

12%

Electrocautery

37

4%

Contain specimen/pharmaceutical

10

1%

Place arterial line

1

0%

Fingernails/teeth

86

8%

Other

601

59%

( 2 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

272

27%

Between steps

132

13%

Disassembling

76

7%

Preparing for reuse

134

13%

Recapping

3

0%

Withdrawing from resistant material

1

0%

Other after use, before disposal

127

12%

Item left on disposal container

1

0%

Putting item into disposal container

9

1%

After disposal

10

1%

Pierced side of disposal container

2

0%

Pierced side of inappropriate disposal container

22

2%

Restraining

41

4%

Other

192

19%

( 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

0

0%

Other needle

0

0%

.

Lancet

0

0%

Suture needle

0

0%

Scalpel blade

0

0%

Razor

70

7%

Pipette (plastic)

6

1%

Scissors

82

8%

Bovie electrocautery device

35

3%

Bone cutter

20

2%

Bone chip

6

1%

Towel clip

24

2%

Microtome blade

44

4%

Trocar

34

3%

Vacuum tube, plastic

8

1%

Specimen/test tube, plastic

11

1%

Fingernails/teeth

96

9%

Scalpel, disposable

30

3%

Retractor, skin/bone hooks

51

5%

Staples/steel sutures

11

1%

Wire

17

2%

Pin

17

2%

Drill bit/bur

26

3%

Pickups/forcepts/hemostats/clamps

30

3%

Sharp item, not sure what kind

0

0%

Other item

405

40%

.

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

1023

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

486

48%

Moderate

480

47%

Severe

51

5%

( 4 missing)



BODY PART

Right hand, back

136

Right hand, front

303

Left hand, back

115

Left hand, front

287

Right arm

57

Left arm

37

Head

15

Chest

6

Back

0

Mid-body

1

Right leg

14

Left leg

6

Right foot and ankle

4

Left foot and ankle

0

( 37 missing)



OSHA

Is this incident OSHA reportable?

Yes

145

14%

No

583

57%

( 295 missing)



For those cases that are OSHA reportable:

Cumulative number of days away from work:

1

Cumulative number of days of restricted work activity:

4