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Epinet


Prefilled Syringe

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

Total Cases: 374

JOB CATEGORY

M.D. (attending/staff)

4

1%

M.D. (intern/resident/fellow)

5

1%

Medical student

1

0%

Nurse RN/LPN

317

85%

Nursing student

0

0%

Respiratory therapist

0

0%

Surgery attendant

1

0%

Other attendant

7

2%

Phlebotomist/venipuncture/I.V. team

2

1%

Clinical laboratory worker

0

0%

Technologist (non-lab)

9

2%

Dentist

1

0%

Dental hygienist

2

1%

Housekeeper/laundry worker

4

1%

Paramedic

2

1%

Other student

6

2%

Other

13

3%

( 0 missing)



PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

229

61%

Outside patient room

17

5%

Emergency department

48

13%

Intensive/critical care unit

15

4%

Operating room

15

4%

Outpatient clinic/office

19

5%

Blood bank

1

0%

Venipuncture

0

0%

Dialysis facility

0

0%

Procedure room

13

3%

Clinical laboratories

0

0%

Autopsy/pathology

1

0%

Service/utility area

0

0%

Labor and delivery

1

0%

Home

1

0%

Other

14

4%

( 0 missing)



SOURCE PATIENT

Was the source patient known?

Yes

354

95%

No

13

3%

Unknown

5

1%

N/A

2

1%

( 0 missing)



ORIGINAL USER

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

Yes

312

83%

No

58

16%

Unknown

1

0%

N/A

1

0%

( 1 missing)



CONTAMINATION

Was the sharp item:

Contaminated

350

94%

Uncontaminated

8

2%

Unknown

14

4%

( 1 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

11

3%

Injection, IM/subcutaneous

140

37%

Heparin or saline flush

116

31%

Other injection/aspiration I.V.

96

26%

Connect I.V. line

3

1%

Start I.V. or heparin lock

2

1%

Draw venous blood sample

2

1%

Draw arterial blood sample

0

0%

Obtain body fluid/tissue sample

0

0%

Fingerstick/heel stick

0

0%

Suturing

1

0%

Cutting (surgery)

2

1%

Electrocautery

0

0%

Contain specimen/pharmaceutical

0

0%

Place arterial line

0

0%

Fingernails/teeth

0

0%

Other

1

0%

( 0 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

60

16%

Between steps

28

7%

Disassembling

78

21%

Preparing for reuse

0

0%

Recapping

15

4%

Withdrawing from resistant material

32

9%

Other after use, before disposal

119

32%

Item left on disposal container

1

0%

Putting item into disposal container

21

6%

After disposal

6

2%

Pierced side of disposal container

0

0%

Pierced side of inappropriate disposal container

4

1%

Restraining

0

0%

Other

7

2%

( 2 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

0

0%

Prefilled cartridge syringe

374

100%

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

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

374

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

161

43%

Moderate

198

53%

Severe

13

3%

( 1 missing)



BODY PART

Right hand, back

23

Right hand, front

79

Left hand, back

47

Left hand, front

173

Right arm

9

Left arm

7

Head

0

Chest

2

Back

0

Mid-body

4

Right leg

6

Left leg

9

Right foot and ankle

2

Left foot and ankle

2

( 10 missing)



OSHA

Is this incident OSHA reportable?

Yes

47

13%

No

238

64%

( 89 missing)



For those cases that are OSHA reportable:

Cumulative number of days away from work:

0

Cumulative number of days of restricted work activity:

9