soijc11.html

Epinet


Technologist (non-lab)

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

Total Cases: 507

JOB CATEGORY

M.D. (attending/staff)

0

0%

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)

507

100%

Dentist

0

0%

Dental hygienist

0

0%

Housekeeper/laundry worker

0

0%

Paramedic

0

0%

Other student

0

0%

Other

 

0%

( 0 missing)



PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

26

5%

Outside patient room

8

2%

Emergency department

13

3%

Intensive/critical care unit

10

2%

Operating room

172

34%

Outpatient clinic/office

15

3%

Blood bank

0

0%

Venipuncture

1

0%

Dialysis facility

13

3%

Procedure room

157

31%

Clinical laboratories

9

2%

Autopsy/pathology

3

1%

Service/utility area

33

7%

Labor and delivery

2

0%

Home

0

0%

Other

43

8%

( 2 missing)



SOURCE PATIENT

Was the source patient known?

Yes

425

84%

No

40

8%

Unknown

36

7%

N/A

6

1%

( 0 missing)



ORIGINAL USER

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

Yes

177

35%

No

305

60%

Unknown

14

3%

N/A

9

2%

( 2 missing)



CONTAMINATION

Was the sharp item:

Contaminated

433

85%

Uncontaminated

18

4%

Unknown

55

11%

( 1 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

49

10%

Injection, IM/subcutaneous

62

12%

Heparin or saline flush

14

3%

Other injection/aspiration I.V.

39

8%

Connect I.V. line

17

3%

Start I.V. or heparin lock

21

4%

Draw venous blood sample

14

3%

Draw arterial blood sample

10

2%

Obtain body fluid/tissue sample

17

3%

Fingerstick/heel stick

2

0%

Suturing

68

13%

Cutting (surgery)

89

18%

Electrocautery

7

1%

Contain specimen/pharmaceutical

9

2%

Place arterial line

0

0%

Fingernails/teeth

2

0%

Other

85

17%

( 2 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

90

18%

Between steps

102

20%

Disassembling

35

7%

Preparing for reuse

37

7%

Recapping

18

4%

Withdrawing from resistant material

13

3%

Other after use, before disposal

114

22%

Item left on disposal container

3

1%

Putting item into disposal container

41

8%

After disposal

8

2%

Pierced side of disposal container

3

1%

Pierced side of inappropriate disposal container

2

0%

Restraining

1

0%

Other

38

7%

( 2 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

105

21%

Prefilled cartridge syringe

9

2%

Blood gas syringe

2

0%

Syringe, other type or not sure which

5

1%

Needle on I.V. line

15

3%

Winged steel needle I.V. set

27

5%

I.V. catheter (stylet)

14

3%

Vacuum tube blood collection needle

6

1%

Spinal or epidural needle

2

0%

Unattached hypodermic needle

16

3%

Arterial catheter introducer needle

0

0%

Central line catheter introducer needle

0

0%

Drum catheter needle

0

0%

Other vascular catheter needle

1

0%

Other non-vascular catheter needle

0

0%

Needle, not sure what kind

24

5%

Other needle

24

5%

.

Lancet

2

0%

Suture needle

65

13%

Scalpel blade

79

16%

Razor

2

0%

Pipette (plastic)

0

0%

Scissors

10

2%

Bovie electrocautery device

4

1%

Bone cutter

2

0%

Bone chip

0

0%

Towel clip

5

1%

Microtome blade

5

1%

Trocar

5

1%

Vacuum tube, plastic

0

0%

Specimen/test tube, plastic

0

0%

Fingernails/teeth

3

1%

Scalpel, disposable

1

0%

Retractor, skin/bone hooks

3

1%

Staples/steel sutures

0

0%

Wire

2

0%

Pin

1

0%

Drill bit/bur

2

0%

Pickups/forcepts/hemostats/clamps

3

1%

Sharp item, not sure what kind

5

1%

Other item

33

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

5

1%

Capillary tube

4

1%

Glass slide

0

0%

Glass item, not sure what kind

4

1%

Other glass item

6

1%

( 6 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

507

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

243

48%

Moderate

231

46%

Severe

24

5%

( 6 missing)



BODY PART

Right hand, back

69

Right hand, front

173

Left hand, back

62

Left hand, front

153

Right arm

14

Left arm

7

Head

3

Chest

1

Back

0

Mid-body

0

Right leg

3

Left leg

4

Right foot and ankle

6

Left foot and ankle

0

( 12 missing)



OSHA

Is this incident OSHA reportable?

Yes

78

15%

No

257

51%

( 170 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