soijc7.html

Epinet


Surgery Attendant

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

Total Cases: 553

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

553

100%

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

8

1%

Outside patient room

4

1%

Emergency department

3

1%

Intensive/critical care unit

0

0%

Operating room

511

92%

Outpatient clinic/office

0

0%

Blood bank

0

0%

Venipuncture

0

0%

Dialysis facility

0

0%

Procedure room

2

0%

Clinical laboratories

0

0%

Autopsy/pathology

0

0%

Service/utility area

8

1%

Labor and delivery

6

1%

Home

0

0%

Other

11

2%

( 0 missing)



SOURCE PATIENT

Was the source patient known?

Yes

509

92%

No

26

5%

Unknown

14

3%

N/A

4

1%

( 0 missing)



ORIGINAL USER

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

Yes

77

14%

No

465

84%

Unknown

7

1%

N/A

3

1%

( 1 missing)



CONTAMINATION

Was the sharp item:

Contaminated

512

93%

Uncontaminated

10

2%

Unknown

31

6%

( 0 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

32

6%

Injection, IM/subcutaneous

48

9%

Heparin or saline flush

0

0%

Other injection/aspiration I.V.

3

1%

Connect I.V. line

5

1%

Start I.V. or heparin lock

2

0%

Draw venous blood sample

8

1%

Draw arterial blood sample

3

1%

Obtain body fluid/tissue sample

9

2%

Fingerstick/heel stick

3

1%

Suturing

218

39%

Cutting (surgery)

125

23%

Electrocautery

10

2%

Contain specimen/pharmaceutical

1

0%

Place arterial line

1

0%

Fingernails/teeth

1

0%

Other

83

15%

( 1 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

165

30%

Between steps

149

27%

Disassembling

40

7%

Preparing for reuse

35

6%

Recapping

6

1%

Withdrawing from resistant material

1

0%

Other after use, before disposal

99

18%

Item left on disposal container

3

1%

Putting item into disposal container

8

1%

After disposal

10

2%

Pierced side of disposal container

1

0%

Pierced side of inappropriate disposal container

10

2%

Restraining

0

0%

Other

25

5%

( 1 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

65

12%

Prefilled cartridge syringe

1

0%

Blood gas syringe

2

0%

Syringe, other type or not sure which

4

1%

Needle on I.V. line

5

1%

Winged steel needle I.V. set

1

0%

I.V. catheter (stylet)

1

0%

Vacuum tube blood collection needle

0

0%

Spinal or epidural needle

2

0%

Unattached hypodermic needle

8

1%

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

8

1%

Other needle

9

2%

.

Lancet

2

0%

Suture needle

206

37%

Scalpel blade

114

21%

Razor

3

1%

Pipette (plastic)

0

0%

Scissors

0

0%

Bovie electrocautery device

9

2%

Bone cutter

4

1%

Bone chip

0

0%

Towel clip

0

0%

Microtome blade

2

0%

Trocar

10

2%

Vacuum tube, plastic

0

0%

Specimen/test tube, plastic

0

0%

Fingernails/teeth

1

0%

Scalpel, disposable

1

0%

Retractor, skin/bone hooks

8

1%

Staples/steel sutures

2

0%

Wire

1

0%

Pin

3

1%

Drill bit/bur

5

1%

Pickups/forcepts/hemostats/clamps

3

1%

Sharp item, not sure what kind

12

2%

Other item

56

10%

.

Medication ampule

1

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%

( 2 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

553

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

272

49%

Moderate

258

47%

Severe

20

4%

( 2 missing)



BODY PART

Right hand, back

92

Right hand, front

176

Left hand, back

64

Left hand, front

166

Right arm

19

Left arm

7

Head

0

Chest

1

Back

0

Mid-body

3

Right leg

6

Left leg

6

Right foot and ankle

1

Left foot and ankle

1

( 11 missing)



OSHA

Is this incident OSHA reportable?

Yes

79

14%

No

363

66%

( 111 missing)



For those cases that are OSHA reportable:

Cumulative number of days away from work:

1

Cumulative number of days of restricted work activity:

0