soijc8.html

Epinet


Other Attendant

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

Total Cases: 396

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

396

100%

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%

( 7 missing)



PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

171

43%

Outside patient room

15

4%

Emergency department

39

10%

Intensive/critical care unit

14

4%

Operating room

46

12%

Outpatient clinic/office

32

8%

Blood bank

1

0%

Venipuncture

1

0%

Dialysis facility

1

0%

Procedure room

14

4%

Clinical laboratories

6

2%

Autopsy/pathology

2

1%

Service/utility area

22

6%

Labor and delivery

2

1%

Home

8

2%

Other

22

6%

( 0 missing)



SOURCE PATIENT

Was the source patient known?

Yes

305

77%

No

49

12%

Unknown

36

9%

N/A

6

2%

( 0 missing)



ORIGINAL USER

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

Yes

94

24%

No

271

68%

Unknown

6

2%

N/A

24

6%

( 1 missing)



CONTAMINATION

Was the sharp item:

Contaminated

309

78%

Uncontaminated

13

3%

Unknown

74

19%

( 0 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

73

18%

Injection, IM/subcutaneous

46

12%

Heparin or saline flush

5

1%

Other injection/aspiration I.V.

13

3%

Connect I.V. line

41

10%

Start I.V. or heparin lock

15

4%

Draw venous blood sample

51

13%

Draw arterial blood sample

1

0%

Obtain body fluid/tissue sample

10

3%

Fingerstick/heel stick

27

7%

Suturing

23

6%

Cutting (surgery)

13

3%

Electrocautery

1

0%

Contain specimen/pharmaceutical

3

1%

Place arterial line

1

0%

Fingernails/teeth

20

5%

Other

53

13%

( 0 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

52

13%

Between steps

29

7%

Disassembling

27

7%

Preparing for reuse

25

6%

Recapping

7

2%

Withdrawing from resistant material

2

1%

Other after use, before disposal

120

30%

Item left on disposal container

13

3%

Putting item into disposal container

17

4%

After disposal

16

4%

Pierced side of disposal container

9

2%

Pierced side of inappropriate disposal container

23

6%

Restraining

7

2%

Other

47

12%

( 2 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

76

19%

Prefilled cartridge syringe

7

2%

Blood gas syringe

1

0%

Syringe, other type or not sure which

12

3%

Needle on I.V. line

43

11%

Winged steel needle I.V. set

22

6%

I.V. catheter (stylet)

15

4%

Vacuum tube blood collection needle

19

5%

Spinal or epidural needle

0

0%

Unattached hypodermic needle

13

3%

Arterial catheter introducer needle

0

0%

Central line catheter introducer needle

1

0%

Drum catheter needle

0

0%

Other vascular catheter needle

0

0%

Other non-vascular catheter needle

0

0%

Needle, not sure what kind

28

7%

Other needle

14

4%

.

Lancet

24

6%

Suture needle

15

4%

Scalpel blade

14

4%

Razor

10

3%

Pipette (plastic)

0

0%

Scissors

13

3%

Bovie electrocautery device

0

0%

Bone cutter

1

0%

Bone chip

1

0%

Towel clip

4

1%

Microtome blade

1

0%

Trocar

0

0%

Vacuum tube, plastic

0

0%

Specimen/test tube, plastic

1

0%

Fingernails/teeth

16

4%

Scalpel, disposable

1

0%

Retractor, skin/bone hooks

4

1%

Staples/steel sutures

1

0%

Wire

0

0%

Pin

1

0%

Drill bit/bur

0

0%

Pickups/forcepts/hemostats/clamps

1

0%

Sharp item, not sure what kind

10

3%

Other item

18

5%

.

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

1

0%

Capillary tube

0

0%

Glass slide

0

0%

Glass item, not sure what kind

1

0%

Other glass item

1

0%

( 5 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

396

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

221

56%

Moderate

158

40%

Severe

15

4%

( 2 missing)



BODY PART

Right hand, back

43

Right hand, front

118

Left hand, back

33

Left hand, front

122

Right arm

20

Left arm

22

Head

4

Chest

2

Back

0

Mid-body

0

Right leg

7

Left leg

6

Right foot and ankle

1

Left foot and ankle

3

( 15 missing)



OSHA

Is this incident OSHA reportable?

Yes

52

13%

No

238

60%

( 106 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