soijc9.html

Epinet


Phlebotomist/Venipuncture/IV Team

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

Total Cases: 488

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

488

100%

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

290

59%

Outside patient room

13

3%

Emergency department

54

11%

Intensive/critical care unit

29

6%

Operating room

0

0%

Outpatient clinic/office

26

5%

Blood bank

2

0%

Venipuncture

23

5%

Dialysis facility

0

0%

Procedure room

4

1%

Clinical laboratories

34

7%

Autopsy/pathology

2

0%

Service/utility area

1

0%

Labor and delivery

1

0%

Home

0

0%

Other

9

2%

( 0 missing)



SOURCE PATIENT

Was the source patient known?

Yes

444

91%

No

28

6%

Unknown

10

2%

N/A

6

1%

( 0 missing)



ORIGINAL USER

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

Yes

415

85%

No

65

13%

Unknown

2

0%

N/A

6

1%

( 0 missing)



CONTAMINATION

Was the sharp item:

Contaminated

468

96%

Uncontaminated

4

1%

Unknown

16

3%

( 0 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

29

6%

Injection, IM/subcutaneous

2

0%

Heparin or saline flush

1

0%

Other injection/aspiration I.V.

4

1%

Connect I.V. line

3

1%

Start I.V. or heparin lock

5

1%

Draw venous blood sample

395

81%

Draw arterial blood sample

6

1%

Obtain body fluid/tissue sample

4

1%

Fingerstick/heel stick

20

4%

Suturing

0

0%

Cutting (surgery)

2

0%

Electrocautery

0

0%

Contain specimen/pharmaceutical

9

2%

Place arterial line

0

0%

Fingernails/teeth

0

0%

Other

8

2%

( 0 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

125

26%

Between steps

49

10%

Disassembling

22

5%

Preparing for reuse

1

0%

Recapping

19

4%

Withdrawing from resistant material

16

3%

Other after use, before disposal

133

27%

Item left on disposal container

7

1%

Putting item into disposal container

79

16%

After disposal

14

3%

Pierced side of disposal container

2

0%

Pierced side of inappropriate disposal container

1

0%

Restraining

0

0%

Other

18

4%

( 2 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

112

23%

Prefilled cartridge syringe

2

0%

Blood gas syringe

3

1%

Syringe, other type or not sure which

12

2%

Needle on I.V. line

3

1%

Winged steel needle I.V. set

89

18%

I.V. catheter (stylet)

7

1%

Vacuum tube blood collection needle

185

38%

Spinal or epidural needle

0

0%

Unattached hypodermic needle

3

1%

Arterial catheter introducer needle

0

0%

Central line catheter introducer needle

1

0%

Drum catheter needle

0

0%

Other vascular catheter needle

1

0%

Other non-vascular catheter needle

0

0%

Needle, not sure what kind

10

2%

Other needle

7

1%

.

Lancet

20

4%

Suture needle

0

0%

Scalpel blade

2

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

3

1%

Specimen/test tube, plastic

0

0%

Fingernails/teeth

2

0%

Scalpel, disposable

1

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

1

0%

Sharp item, not sure what kind

2

0%

Other item

3

1%

.

Medication ampule

0

0%

Medication vial (small)

0

0%

Medication/I.V. bottle (large)

0

0%

Pipette, glass

0

0%

Vacuum tube, glass

3

1%

Specimen/test tube, glass

3

1%

Capillary tube

1

0%

Glass slide

0

0%

Glass item, not sure what kind

0

0%

Other glass item

2

0%

( 10 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

488

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

235

48%

Moderate

234

48%

Severe

14

3%

( 5 missing)



BODY PART

Right hand, back

54

Right hand, front

136

Left hand, back

54

Left hand, front

195

Right arm

3

Left arm

10

Head

0

Chest

2

Back

0

Mid-body

1

Right leg

4

Left leg

2

Right foot and ankle

2

Left foot and ankle

0

( 23 missing)



OSHA

Is this incident OSHA reportable?

Yes

85

17%

No

283

58%

( 120 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