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Epinet


Labor and Delivery

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

Total Cases: 110

JOB CATEGORY

M.D. (attending/staff)

7

6%

M.D. (intern/resident/fellow)

26

24%

Medical student

7

6%

Nurse RN/LPN

42

38%

Nursing student

2

2%

Respiratory therapist

0

0%

Surgery attendant

6

5%

Other attendant

2

2%

Phlebotomist/venipuncture/I.V. team

1

1%

Clinical laboratory worker

0

0%

Technologist (non-lab)

2

2%

Dentist

0

0%

Dental hygienist

1

1%

Housekeeper/laundry worker

5

5%

Paramedic

0

0%

Other student

0

0%

Other

9

8%

( 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

0

0%

Service/utility area

0

0%

Labor and delivery

110

100%

Home

0

0%

Other

0

0%

( 0 missing)



SOURCE PATIENT

Was the source patient known?

Yes

104

95%

No

4

4%

Unknown

1

1%

N/A

1

1%

( 0 missing)



ORIGINAL USER

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

Yes

64

58%

No

43

39%

Unknown

1

1%

N/A

2

2%

( 0 missing)



CONTAMINATION

Was the sharp item:

Contaminated

100

91%

Uncontaminated

1

1%

Unknown

9

8%

( 0 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

7

6%

Injection, IM/subcutaneous

17

15%

Heparin or saline flush

0

0%

Other injection/aspiration I.V.

2

2%

Connect I.V. line

2

2%

Start I.V. or heparin lock

7

6%

Draw venous blood sample

12

11%

Draw arterial blood sample

1

1%

Obtain body fluid/tissue sample

3

3%

Fingerstick/heel stick

0

0%

Suturing

37

34%

Cutting (surgery)

8

7%

Electrocautery

1

1%

Contain specimen/pharmaceutical

0

0%

Place arterial line

0

0%

Fingernails/teeth

1

1%

Other

12

11%

( 0 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

54

49%

Between steps

12

11%

Disassembling

6

5%

Preparing for reuse

0

0%

Recapping

4

4%

Withdrawing from resistant material

3

3%

Other after use, before disposal

21

19%

Item left on disposal container

2

2%

Putting item into disposal container

3

3%

After disposal

0

0%

Pierced side of disposal container

0

0%

Pierced side of inappropriate disposal container

1

1%

Restraining

0

0%

Other

4

4%

( 0 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

24

22%

Prefilled cartridge syringe

1

1%

Blood gas syringe

0

0%

Syringe, other type or not sure which

4

4%

Needle on I.V. line

2

2%

Winged steel needle I.V. set

2

2%

I.V. catheter (stylet)

7

6%

Vacuum tube blood collection needle

4

4%

Spinal or epidural needle

2

2%

Unattached hypodermic needle

4

4%

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

2

2%

Other needle

3

3%

.

Lancet

1

1%

Suture needle

36

33%

Scalpel blade

10

9%

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

0

0%

Specimen/test tube, plastic

0

0%

Fingernails/teeth

1

1%

Scalpel, disposable

0

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

0

0%

Sharp item, not sure what kind

0

0%

Other item

3

3%

.

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

1

1%

Glass slide

0

0%

Glass item, not sure what kind

0

0%

Other glass item

0

0%

( 3 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

110

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

60

55%

Moderate

47

43%

Severe

3

3%

( 0 missing)



BODY PART

Right hand, back

10

Right hand, front

26

Left hand, back

11

Left hand, front

52

Right arm

2

Left arm

0

Head

0

Chest

0

Back

0

Mid-body

1

Right leg

3

Left leg

1

Right foot and ankle

0

Left foot and ankle

0

( 4 missing)



OSHA

Is this incident OSHA reportable?

Yes

17

15%

No

68

62%

( 25 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