Sharp Object Injury Report by Job Category

Epinet


M.D. (Attending/Staff)

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

Total Cases: 511

JOB CATEGORY

M.D. (attending/staff)

511

100%

M.D. (intern/resident/fellow)

0

0%

Medical student

0

0%

Nurse RN/LPN

0

0%

Nursing student

0

0%

Respiratory therapist

0

0%

Surgery attendant

0

0%

Other attendant

0

0%

Phlebotomist/venipuncture/I.V. team

0

0%

Clinical laboratory worker

0

0%

Technologist (non-lab)

0

0%

Dentist

0

0%

Dental hygienist

0

0%

Housekeeper/laundry worker

0

0%

Paramedic

0

0%

Other student

0

0%

Other

0

0%

( 0 missing)



PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

48

9%

Outside patient room

0

0%

Emergency department

52

10%

Intensive/critical care unit

16

3%

Operating room

265

52%

Outpatient clinic/office

44

9%

Blood bank

0

0%

Venipuncture

0

0%

Dialysis facility

1

0%

Procedure room

50

10%

Clinical laboratories

1

0%

Autopsy/pathology

10

2%

Service/utility area

0

0%

Labor and delivery

7

1%

Home

0

0%

Other

16

3%

( 1 missing)



SOURCE PATIENT

Was the source patient known?

Yes

503

98%

No

5

1%

Unknown

3

1%

N/A

0

0%

( 0 missing)



ORIGINAL USER

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

Yes

438

86%

No

66

13%

Unknown

3

1%

N/A

4

1%

( 0 missing)



CONTAMINATION

Was the sharp item:

Contaminated

494

97%

Uncontaminated

2

0%

Unknown

14

3%

( 1 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

13

3%

Injection, IM/subcutaneous

106

21%

Heparin or saline flush

1

0%

Other injection/aspiration I.V.

3

1%

Connect I.V. line

5

1%

Start I.V. or heparin lock

18

4%

Draw venous blood sample

9

2%

Draw arterial blood sample

5

1%

Obtain body fluid/tissue sample

15

3%

Fingerstick/heel stick

0

0%

Suturing

168

33%

Cutting (surgery)

74

14%

Electrocautery

1

0%

Contain specimen/pharmaceutical

1

0%

Place arterial line

5

1%

Fingernails/teeth

1

0%

Other

86

17%

( 0 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

310

61%

Between steps

84

16%

Disassembling

6

1%

Preparing for reuse

3

1%

Recapping

26

5%

Withdrawing from resistant material

4

1%

Other after use, before disposal

48

9%

Item left on disposal container

2

0%

Putting item into disposal container

6

1%

After disposal

0

0%

Pierced side of disposal container

0

0%

Pierced side of inappropriate disposal container

0

0%

Restraining

0

0%

Other

21

4%

( 1 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

108

21%

Prefilled cartridge syringe

4

1%

Blood gas syringe

2

0%

Syringe, other type or not sure which

9

2%

Needle on I.V. line

6

1%

Winged steel needle I.V. set

4

1%

I.V. catheter (stylet)

17

3%

Vacuum tube blood collection needle

2

0%

Spinal or epidural needle

7

1%

Unattached hypodermic needle

9

2%

Arterial catheter introducer needle

2

0%

Central line catheter introducer needle

2

0%

Drum catheter needle

0

0%

Other vascular catheter needle

0

0%

Other non-vascular catheter needle

1

0%

Needle, not sure what kind

10

2%

Other needle

21

4%

.

Lancet

1

0%

Suture needle

161

32%

Scalpel blade

60

12%

Razor

2

0%

Pipette (plastic)

0

0%

Scissors

6

1%

Bovie electrocautery device

1

0%

Bone cutter

5

1%

Bone chip

2

0%

Towel clip

1

0%

Microtome blade

1

0%

Trocar

3

1%

Vacuum tube, plastic

0

0%

Specimen/test tube, plastic

0

0%

Fingernails/teeth

2

0%

Scalpel, disposable

5

1%

Retractor, skin/bone hooks

5

1%

Staples/steel sutures

1

0%

Wire

1

0%

Pin

1

0%

Drill bit/bur

2

0%

Pickups/forcepts/hemostats/clamps

3

1%

Sharp item, not sure what kind

2

0%

Other item

38

7%

.

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%

( 3 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

511

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

198

39%

Moderate

292

57%

Severe

14

3%

( 3 missing)



BODY PART

Right hand, back

47

Right hand, front

121

Left hand, back

68

Left hand, front

243

Right arm

0

Left arm

1

Head

1

Chest

0

Back

0

Mid-body

1

Right leg

1

Left leg

3

Right foot and ankle

1

Left foot and ankle

0

( 21 missing)



OSHA

Is this incident OSHA reportable?

Yes

90

18%

No

259

51%

( 160 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