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Epinet


Other Glass Item

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

Total Cases: 129

JOB CATEGORY

M.D. (attending/staff)

0

0%

M.D. (intern/resident/fellow)

4

3%

Medical student

2

2%

Nurse RN/LPN

21

16%

Nursing student

0

0%

Respiratory therapist

5

4%

Surgery attendant

1

1%

Other attendant

2

2%

Phlebotomist/venipuncture/I.V. team

3

2%

Clinical laboratory worker

60

47%

Technologist (non-lab)

14

11%

Dentist

0

0%

Dental hygienist

0

0%

Housekeeper/laundry worker

5

4%

Paramedic

0

0%

Other student

1

1%

Other

11

9%

( 0 missing)



PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

7

5%

Outside patient room

3

2%

Emergency department

10

8%

Intensive/critical care unit

9

7%

Operating room

6

5%

Outpatient clinic/office

3

2%

Blood bank

4

3%

Venipuncture

0

0%

Dialysis facility

1

1%

Procedure room

5

4%

Clinical laboratories

64

50%

Autopsy/pathology

0

0%

Service/utility area

3

2%

Labor and delivery

1

1%

Home

0

0%

Other

13

10%

( 0 missing)



SOURCE PATIENT

Was the source patient known?

Yes

63

49%

No

34

26%

Unknown

20

16%

N/A

11

9%

( 1 missing)



ORIGINAL USER

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

Yes

61

47%

No

42

33%

Unknown

14

11%

N/A

12

9%

( 0 missing)



CONTAMINATION

Was the sharp item:

Contaminated

74

57%

Uncontaminated

11

9%

Unknown

44

34%

( 0 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

27

21%

Injection, IM/subcutaneous

0

0%

Heparin or saline flush

1

1%

Other injection/aspiration I.V.

2

2%

Connect I.V. line

1

1%

Start I.V. or heparin lock

0

0%

Draw venous blood sample

4

3%

Draw arterial blood sample

1

1%

Obtain body fluid/tissue sample

6

5%

Fingerstick/heel stick

7

5%

Suturing

0

0%

Cutting (surgery)

0

0%

Electrocautery

1

1%

Contain specimen/pharmaceutical

39

30%

Place arterial line

0

0%

Fingernails/teeth

0

0%

Other

40

31%

( 0 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

35

27%

Between steps

15

12%

Disassembling

4

3%

Preparing for reuse

1

1%

Recapping

0

0%

Withdrawing from resistant material

0

0%

Other after use, before disposal

20

16%

Item left on disposal container

3

2%

Putting item into disposal container

4

3%

After disposal

2

2%

Pierced side of disposal container

1

1%

Pierced side of inappropriate disposal container

6

5%

Restraining

0

0%

Other

38

29%

( 0 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

12

9%

Medication vial (small)

0

0%

Medication/I.V. bottle (large)

2

2%

Pipette, glass

14

11%

Vacuum tube, glass

0

0%

Specimen/test tube, glass

0

0%

Capillary tube

32

25%

Glass slide

11

9%

Glass item, not sure what kind

22

17%

Other glass item

36

28%

( 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

129

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

62

48%

Moderate

60

47%

Severe

7

5%

( 0 missing)



BODY PART

Right hand, back

10

Right hand, front

60

Left hand, back

8

Left hand, front

32

Right arm

5

Left arm

4

Head

2

Chest

0

Back

0

Mid-body

0

Right leg

1

Left leg

2

Right foot and ankle

0

Left foot and ankle

2

( 3 missing)



OSHA

Is this incident OSHA reportable?

Yes

15

12%

No

75

58%

( 39 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