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Epinet


Glass Vacuum/Specimen Tube

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

Total Cases: 76

JOB CATEGORY

M.D. (attending/staff)

0

0%

M.D. (intern/resident/fellow)

0

0%

Medical student

0

0%

Nurse RN/LPN

6

8%

Nursing student

1

1%

Respiratory therapist

0

0%

Surgery attendant

0

0%

Other attendant

1

1%

Phlebotomist/venipuncture/I.V. team

6

8%

Clinical laboratory worker

49

64%

Technologist (non-lab)

5

7%

Dentist

0

0%

Dental hygienist

0

0%

Housekeeper/laundry worker

3

4%

Paramedic

0

0%

Other student

1

1%

Other

4

5%

( 0 missing)



PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

5

7%

Outside patient room

2

3%

Emergency department

2

3%

Intensive/critical care unit

0

0%

Operating room

0

0%

Outpatient clinic/office

2

3%

Blood bank

9

12%

Venipuncture

1

1%

Dialysis facility

1

1%

Procedure room

0

0%

Clinical laboratories

51

67%

Autopsy/pathology

0

0%

Service/utility area

2

3%

Labor and delivery

0

0%

Home

0

0%

Other

1

1%

( 0 missing)



SOURCE PATIENT

Was the source patient known?

Yes

54

71%

No

13

17%

Unknown

7

9%

N/A

1

1%

( 0 missing)



ORIGINAL USER

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

Yes

46

61%

No

21

28%

Unknown

4

5%

N/A

5

7%

( 0 missing)



CONTAMINATION

Was the sharp item:

Contaminated

63

83%

Uncontaminated

2

3%

Unknown

11

14%

( 0 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

4

5%

Injection, IM/subcutaneous

0

0%

Heparin or saline flush

0

0%

Other injection/aspiration I.V.

0

0%

Connect I.V. line

0

0%

Start I.V. or heparin lock

0

0%

Draw venous blood sample

5

7%

Draw arterial blood sample

0

0%

Obtain body fluid/tissue sample

2

3%

Fingerstick/heel stick

1

1%

Suturing

0

0%

Cutting (surgery)

0

0%

Electrocautery

0

0%

Contain specimen/pharmaceutical

48

63%

Place arterial line

0

0%

Fingernails/teeth

0

0%

Other

16

21%

( 0 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

34

45%

Between steps

5

7%

Disassembling

2

3%

Preparing for reuse

0

0%

Recapping

0

0%

Withdrawing from resistant material

0

0%

Other after use, before disposal

11

14%

Item left on disposal container

0

0%

Putting item into disposal container

1

1%

After disposal

0

0%

Pierced side of disposal container

1

1%

Pierced side of inappropriate disposal container

3

4%

Restraining

0

0%

Other

18

24%

( 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

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

25

33%

Specimen/test tube, glass

51

67%

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

76

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

32

42%

Moderate

42

55%

Severe

1

1%

( 1 missing)



BODY PART

Right hand, back

10

Right hand, front

21

Left hand, back

9

Left hand, front

32

Right arm

2

Left arm

1

Head

0

Chest

0

Back

0

Mid-body

0

Right leg

0

Left leg

0

Right foot and ankle

0

Left foot and ankle

0

( 1 missing)



OSHA

Is this incident OSHA reportable?

Yes

7

9%

No

45

59%

( 24 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