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Epinet


Outside Patient Room

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

Total Cases: 246

JOB CATEGORY

M.D. (attending/staff)

0

0%

M.D. (intern/resident/fellow)

3

1%

Medical student

0

0%

Nurse RN/LPN

130

53%

Nursing student

1

0%

Respiratory therapist

2

1%

Surgery attendant

4

2%

Other attendant

15

6%

Phlebotomist/venipuncture/I.V. team

13

5%

Clinical laboratory worker

2

1%

Technologist (non-lab)

8

3%

Dentist

0

0%

Dental hygienist

0

0%

Housekeeper/laundry worker

53

22%

Paramedic

0

0%

Other student

1

0%

Other

14

6%

( 0 missing)



PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

0

0%

Outside patient room

246

100%

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

133

54%

No

63

26%

Unknown

43

17%

N/A

7

3%

( 0 missing)



ORIGINAL USER

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

Yes

86

35%

No

137

56%

Unknown

9

4%

N/A

13

5%

( 1 missing)



CONTAMINATION

Was the sharp item:

Contaminated

159

65%

Uncontaminated

12

5%

Unknown

75

30%

( 0 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

85

35%

Injection, IM/subcutaneous

39

16%

Heparin or saline flush

9

4%

Other injection/aspiration I.V.

13

5%

Connect I.V. line

11

4%

Start I.V. or heparin lock

12

5%

Draw venous blood sample

18

7%

Draw arterial blood sample

4

2%

Obtain body fluid/tissue sample

5

2%

Fingerstick/heel stick

10

4%

Suturing

4

2%

Cutting (surgery)

0

0%

Electrocautery

0

0%

Contain specimen/pharmaceutical

2

1%

Place arterial line

0

0%

Fingernails/teeth

11

4%

Other

23

9%

( 0 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

11

4%

Between steps

9

4%

Disassembling

12

5%

Preparing for reuse

3

1%

Recapping

8

3%

Withdrawing from resistant material

11

4%

Other after use, before disposal

56

23%

Item left on disposal container

4

2%

Putting item into disposal container

17

7%

After disposal

21

9%

Pierced side of disposal container

6

2%

Pierced side of inappropriate disposal container

49

20%

Restraining

8

3%

Other

29

12%

( 1 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

90

37%

Prefilled cartridge syringe

17

7%

Blood gas syringe

0

0%

Syringe, other type or not sure which

7

3%

Needle on I.V. line

11

4%

Winged steel needle I.V. set

3

1%

I.V. catheter (stylet)

12

5%

Vacuum tube blood collection needle

5

2%

Spinal or epidural needle

1

0%

Unattached hypodermic needle

9

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

1

0%

Needle, not sure what kind

22

9%

Other needle

4

2%

.

Lancet

11

4%

Suture needle

3

1%

Scalpel blade

1

0%

Razor

9

4%

Pipette (plastic)

0

0%

Scissors

6

2%

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

2

1%

Fingernails/teeth

11

4%

Scalpel, disposable

0

0%

Retractor, skin/bone hooks

2

1%

Staples/steel sutures

0

0%

Wire

0

0%

Pin

1

0%

Drill bit/bur

0

0%

Pickups/forcepts/hemostats/clamps

0

0%

Sharp item, not sure what kind

10

4%

Other item

2

1%

.

Medication ampule

0

0%

Medication vial (small)

0

0%

Medication/I.V. bottle (large)

0

0%

Pipette, glass

1

0%

Vacuum tube, glass

1

0%

Specimen/test tube, glass

1

0%

Capillary tube

1

0%

Glass slide

0

0%

Glass item, not sure what kind

0

0%

Other glass item

1

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

246

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

110

45%

Moderate

126

51%

Severe

8

3%

( 2 missing)



BODY PART

Right hand, back

22

Right hand, front

62

Left hand, back

25

Left hand, front

87

Right arm

6

Left arm

3

Head

0

Chest

2

Back

0

Mid-body

0

Right leg

10

Left leg

19

Right foot and ankle

4

Left foot and ankle

2

( 4 missing)



OSHA

Is this incident OSHA reportable?

Yes

54

22%

No

126

51%

( 66 missing)



For those cases that are OSHA reportable:

Cumulative number of days away from work:

0

Cumulative number of days of restricted work activity:

9