soil1.html

Epinet


Patient Room

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

Total Cases: 3392

JOB CATEGORY

M.D. (attending/staff)

48

1%

M.D. (intern/resident/fellow)

140

4%

Medical student

10

0%

Nurse RN/LPN

2266

67%

Nursing student

49

1%

Respiratory therapist

66

2%

Surgery attendant

8

0%

Other attendant

171

5%

Phlebotomist/venipuncture/I.V. team

290

9%

Clinical laboratory worker

62

2%

Technologist (non-lab)

26

1%

Dentist

1

0%

Dental hygienist

1

0%

Housekeeper/laundry worker

123

4%

Paramedic

0

0%

Other student

9

0%

Other

120

4%

( 1 missing)



PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

3392

100%

Outside patient room

0

0%

Emergency department

0

0%

Intensive/critical care unit

0

0%

Operating room

0

0%

Outpatient clinic/office

0

0%

Blood bank

0

0%

Venipuncture

0

0%

Dialysis facility

0

0%

Procedure room

0

0%

Clinical laboratories

0

0%

Autopsy/pathology

0

0%

Service/utility area

0

0%

Labor and delivery

0

0%

Home

0

0%

Other

0

0%

( 0 missing)



SOURCE PATIENT

Was the source patient known?

Yes

3136

92%

No

128

4%

Unknown

104

3%

N/A

20

1%

( 2 missing)



ORIGINAL USER

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

Yes

2372

70%

No

903

27%

Unknown

46

1%

N/A

60

2%

( 10 missing)



CONTAMINATION

Was the sharp item:

Contaminated

3090

91%

Uncontaminated

66

2%

Unknown

226

7%

( 7 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

229

7%

Injection, IM/subcutaneous

737

22%

Heparin or saline flush

321

9%

Other injection/aspiration I.V.

270

8%

Connect I.V. line

329

10%

Start I.V. or heparin lock

305

9%

Draw venous blood sample

599

18%

Draw arterial blood sample

89

3%

Obtain body fluid/tissue sample

59

2%

Fingerstick/heel stick

147

4%

Suturing

57

2%

Cutting (surgery)

22

1%

Electrocautery

2

0%

Contain specimen/pharmaceutical

14

0%

Place arterial line

4

0%

Fingernails/teeth

48

1%

Other

158

5%

( 2 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

738

22%

Between steps

261

8%

Disassembling

247

7%

Preparing for reuse

8

0%

Recapping

185

5%

Withdrawing from resistant material

240

7%

Other after use, before disposal

964

28%

Item left on disposal container

40

1%

Putting item into disposal container

326

10%

After disposal

103

3%

Pierced side of disposal container

5

0%

Pierced side of inappropriate disposal container

63

2%

Restraining

21

1%

Other

181

5%

( 9 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

1361

40%

Prefilled cartridge syringe

229

7%

Blood gas syringe

47

1%

Syringe, other type or not sure which

60

2%

Needle on I.V. line

343

10%

Winged steel needle I.V. set

195

6%

I.V. catheter (stylet)

266

8%

Vacuum tube blood collection needle

231

7%

Spinal or epidural needle

6

0%

Unattached hypodermic needle

46

1%

Arterial catheter introducer needle

1

0%

Central line catheter introducer needle

1

0%

Drum catheter needle

0

0%

Other vascular catheter needle

3

0%

Other non-vascular catheter needle

0

0%

Needle, not sure what kind

90

3%

Other needle

86

3%

.

Lancet

143

4%

Suture needle

49

1%

Scalpel blade

28

1%

Razor

26

1%

Pipette (plastic)

1

0%

Scissors

12

0%

Bovie electrocautery device

0

0%

Bone cutter

0

0%

Bone chip

0

0%

Towel clip

0

0%

Microtome blade

1

0%

Trocar

1

0%

Vacuum tube, plastic

2

0%

Specimen/test tube, plastic

0

0%

Fingernails/teeth

51

2%

Scalpel, disposable

4

0%

Retractor, skin/bone hooks

0

0%

Staples/steel sutures

3

0%

Wire

0

0%

Pin

1

0%

Drill bit/bur

0

0%

Pickups/forcepts/hemostats/clamps

2

0%

Sharp item, not sure what kind

14

0%

Other item

35

1%

.

Medication ampule

4

0%

Medication vial (small)

0

0%

Medication/I.V. bottle (large)

0

0%

Pipette, glass

0

0%

Vacuum tube, glass

2

0%

Specimen/test tube, glass

3

0%

Capillary tube

0

0%

Glass slide

0

0%

Glass item, not sure what kind

0

0%

Other glass item

3

0%

( 40 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

3392

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

1632

48%

Moderate

1618

48%

Severe

108

3%

( 26 missing)



BODY PART

Right hand, back

304

Right hand, front

939

Left hand, back

359

Left hand, front

1394

Right arm

63

Left arm

54

Head

12

Chest

5

Back

0

Mid-body

13

Right leg

36

Left leg

34

Right foot and ankle

16

Left foot and ankle

9

( 151 missing)



OSHA

Is this incident OSHA reportable?

Yes

583

17%

No

1769

52%

( 1036 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