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Epinet


Spinal/Epidural Needle

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

Total Cases: 40

JOB CATEGORY

M.D. (attending/staff)

7

18%

M.D. (intern/resident/fellow)

8

20%

Medical student

0

0%

Nurse RN/LPN

15

38%

Nursing student

0

0%

Respiratory therapist

1

3%

Surgery attendant

2

5%

Other attendant

0

0%

Phlebotomist/venipuncture/I.V. team

0

0%

Clinical laboratory worker

0

0%

Technologist (non-lab)

2

5%

Dentist

0

0%

Dental hygienist

0

0%

Housekeeper/laundry worker

0

0%

Paramedic

0

0%

Other student

2

5%

Other

3

8%

( 0 missing)



PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

6

15%

Outside patient room

1

3%

Emergency department

5

13%

Intensive/critical care unit

5

13%

Operating room

13

33%

Outpatient clinic/office

0

0%

Blood bank

0

0%

Venipuncture

0

0%

Dialysis facility

0

0%

Procedure room

5

13%

Clinical laboratories

0

0%

Autopsy/pathology

0

0%

Service/utility area

1

3%

Labor and delivery

2

5%

Home

0

0%

Other

2

5%

( 0 missing)



SOURCE PATIENT

Was the source patient known?

Yes

39

98%

No

0

0%

Unknown

1

3%

N/A

0

0%

( 0 missing)



ORIGINAL USER

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

Yes

18

45%

No

21

53%

Unknown

1

3%

N/A

0

0%

( 0 missing)



CONTAMINATION

Was the sharp item:

Contaminated

40

100%

Uncontaminated

0

0%

Unknown

0

0%

( 0 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

2

5%

Injection, IM/subcutaneous

10

25%

Heparin or saline flush

0

0%

Other injection/aspiration I.V.

1

3%

Connect I.V. line

0

0%

Start I.V. or heparin lock

0

0%

Draw venous blood sample

1

3%

Draw arterial blood sample

0

0%

Obtain body fluid/tissue sample

17

43%

Fingerstick/heel stick

0

0%

Suturing

0

0%

Cutting (surgery)

0

0%

Electrocautery

0

0%

Contain specimen/pharmaceutical

0

0%

Place arterial line

0

0%

Fingernails/teeth

0

0%

Other

9

23%

( 0 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

6

15%

Between steps

4

10%

Disassembling

3

8%

Preparing for reuse

1

3%

Recapping

0

0%

Withdrawing from resistant material

0

0%

Other after use, before disposal

20

50%

Item left on disposal container

0

0%

Putting item into disposal container

1

3%

After disposal

3

8%

Pierced side of disposal container

0

0%

Pierced side of inappropriate disposal container

1

3%

Restraining

0

0%

Other

1

3%

( 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

40

100%

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

40

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

12

30%

Moderate

28

70%

Severe

0

0%

( 0 missing)



BODY PART

Right hand, back

5

Right hand, front

14

Left hand, back

2

Left hand, front

18

Right arm

0

Left arm

0

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

5

13%

No

26

65%

( 9 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