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Epinet


Autopsy/Pathology

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

Total Cases: 88

JOB CATEGORY

M.D. (attending/staff)

10

11%

M.D. (intern/resident/fellow)

36

41%

Medical student

1

1%

Nurse RN/LPN

0

0%

Nursing student

0

0%

Respiratory therapist

0

0%

Surgery attendant

0

0%

Other attendant

2

2%

Phlebotomist/venipuncture/I.V. team

2

2%

Clinical laboratory worker

20

23%

Technologist (non-lab)

3

3%

Dentist

0

0%

Dental hygienist

0

0%

Housekeeper/laundry worker

1

1%

Paramedic

0

0%

Other student

0

0%

Other

13

15%

( 0 missing)



PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

0

0%

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

88

100%

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

66

75%

No

10

11%

Unknown

10

11%

N/A

2

2%

( 0 missing)



ORIGINAL USER

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

Yes

66

75%

No

17

19%

Unknown

1

1%

N/A

4

5%

( 0 missing)



CONTAMINATION

Was the sharp item:

Contaminated

78

89%

Uncontaminated

1

1%

Unknown

9

10%

( 0 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

5

6%

Injection, IM/subcutaneous

0

0%

Heparin or saline flush

0

0%

Other injection/aspiration I.V.

0

0%

Connect I.V. line

1

1%

Start I.V. or heparin lock

0

0%

Draw venous blood sample

2

2%

Draw arterial blood sample

0

0%

Obtain body fluid/tissue sample

13

15%

Fingerstick/heel stick

0

0%

Suturing

1

1%

Cutting (surgery)

37

42%

Electrocautery

0

0%

Contain specimen/pharmaceutical

1

1%

Place arterial line

0

0%

Fingernails/teeth

0

0%

Other

28

32%

( 0 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

55

63%

Between steps

8

9%

Disassembling

1

1%

Preparing for reuse

4

5%

Recapping

0

0%

Withdrawing from resistant material

1

1%

Other after use, before disposal

10

11%

Item left on disposal container

0

0%

Putting item into disposal container

1

1%

After disposal

1

1%

Pierced side of disposal container

0

0%

Pierced side of inappropriate disposal container

1

1%

Restraining

0

0%

Other

6

7%

( 0 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

3

3%

Prefilled cartridge syringe

1

1%

Blood gas syringe

0

0%

Syringe, other type or not sure which

0

0%

Needle on I.V. line

1

1%

Winged steel needle I.V. set

0

0%

I.V. catheter (stylet)

0

0%

Vacuum tube blood collection needle

0

0%

Spinal or epidural needle

0

0%

Unattached hypodermic needle

1

1%

Arterial catheter introducer needle

0

0%

Central line catheter introducer needle

0

0%

Drum catheter needle

0

0%

Other vascular catheter needle

0

0%

Other non-vascular catheter needle

0

0%

Needle, not sure what kind

1

1%

Other needle

1

1%

.

Lancet

0

0%

Suture needle

0

0%

Scalpel blade

33

38%

Razor

8

9%

Pipette (plastic)

0

0%

Scissors

1

1%

Bovie electrocautery device

0

0%

Bone cutter

3

3%

Bone chip

1

1%

Towel clip

0

0%

Microtome blade

15

17%

Trocar

0

0%

Vacuum tube, plastic

0

0%

Specimen/test tube, plastic

0

0%

Fingernails/teeth

0

0%

Scalpel, disposable

5

6%

Retractor, skin/bone hooks

0

0%

Staples/steel sutures

0

0%

Wire

1

1%

Pin

0

0%

Drill bit/bur

1

1%

Pickups/forcepts/hemostats/clamps

1

1%

Sharp item, not sure what kind

1

1%

Other item

8

9%

.

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

0

0%

Capillary tube

0

0%

Glass slide

0

0%

Glass item, not sure what kind

0

0%

Other glass item

0

0%

( 1 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

88

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

24

27%

Moderate

51

58%

Severe

12

14%

( 1 missing)



BODY PART

Right hand, back

6

Right hand, front

26

Left hand, back

11

Left hand, front

36

Right arm

2

Left arm

0

Head

0

Chest

0

Back

0

Mid-body

0

Right leg

0

Left leg

0

Right foot and ankle

2

Left foot and ankle

0

( 4 missing)



OSHA

Is this incident OSHA reportable?

Yes

13

15%

No

46

52%

( 29 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