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Epinet


Emergency Department

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

Total Cases: 664

JOB CATEGORY

M.D. (attending/staff)

52

8%

M.D. (intern/resident/fellow)

56

8%

Medical student

10

2%

Nurse RN/LPN

325

49%

Nursing student

7

1%

Respiratory therapist

18

3%

Surgery attendant

3

0%

Other attendant

39

6%

Phlebotomist/venipuncture/I.V. team

54

8%

Clinical laboratory worker

14

2%

Technologist (non-lab)

13

2%

Dentist

0

0%

Dental hygienist

0

0%

Housekeeper/laundry worker

21

3%

Paramedic

8

1%

Other student

6

1%

Other

38

6%

( 0 missing)



PLACE OF OCCURRENCE

Where did the injury occur in the institution?

Patient room

0

0%

Outside patient room

0

0%

Emergency department

664

100%

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

580

87%

No

45

7%

Unknown

35

5%

N/A

4

1%

( 0 missing)



ORIGINAL USER

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

Yes

418

63%

No

221

33%

Unknown

7

1%

N/A

15

2%

( 2 missing)



CONTAMINATION

Was the sharp item:

Contaminated

608

92%

Uncontaminated

12

2%

Unknown

42

6%

( 2 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

53

8%

Injection, IM/subcutaneous

112

17%

Heparin or saline flush

19

3%

Other injection/aspiration I.V.

42

6%

Connect I.V. line

23

3%

Start I.V. or heparin lock

72

11%

Draw venous blood sample

149

22%

Draw arterial blood sample

34

5%

Obtain body fluid/tissue sample

12

2%

Fingerstick/heel stick

11

2%

Suturing

71

11%

Cutting (surgery)

15

2%

Electrocautery

0

0%

Contain specimen/pharmaceutical

6

1%

Place arterial line

0

0%

Fingernails/teeth

6

1%

Other

39

6%

( 0 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

197

30%

Between steps

59

9%

Disassembling

30

5%

Preparing for reuse

6

1%

Recapping

18

3%

Withdrawing from resistant material

25

4%

Other after use, before disposal

183

28%

Item left on disposal container

7

1%

Putting item into disposal container

51

8%

After disposal

12

2%

Pierced side of disposal container

2

0%

Pierced side of inappropriate disposal container

20

3%

Restraining

2

0%

Other

49

7%

( 3 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

164

25%

Prefilled cartridge syringe

48

7%

Blood gas syringe

24

4%

Syringe, other type or not sure which

12

2%

Needle on I.V. line

27

4%

Winged steel needle I.V. set

47

7%

I.V. catheter (stylet)

60

9%

Vacuum tube blood collection needle

71

11%

Spinal or epidural needle

5

1%

Unattached hypodermic needle

11

2%

Arterial catheter introducer needle

1

0%

Central line catheter introducer needle

4

1%

Drum catheter needle

0

0%

Other vascular catheter needle

0

0%

Other non-vascular catheter needle

1

0%

Needle, not sure what kind

21

3%

Other needle

11

2%

.

Lancet

10

2%

Suture needle

63

9%

Scalpel blade

15

2%

Razor

0

0%

Pipette (plastic)

0

0%

Scissors

7

1%

Bovie electrocautery device

0

0%

Bone cutter

0

0%

Bone chip

0

0%

Towel clip

1

0%

Microtome blade

0

0%

Trocar

1

0%

Vacuum tube, plastic

1

0%

Specimen/test tube, plastic

1

0%

Fingernails/teeth

8

1%

Scalpel, disposable

0

0%

Retractor, skin/bone hooks

4

1%

Staples/steel sutures

1

0%

Wire

0

0%

Pin

0

0%

Drill bit/bur

0

0%

Pickups/forcepts/hemostats/clamps

1

0%

Sharp item, not sure what kind

9

1%

Other item

14

2%

.

Medication ampule

3

0%

Medication vial (small)

0

0%

Medication/I.V. bottle (large)

1

0%

Pipette, glass

0

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

5

1%

( 7 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

664

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

308

46%

Moderate

330

50%

Severe

22

3%

( 3 missing)



BODY PART

Right hand, back

62

Right hand, front

175

Left hand, back

71

Left hand, front

269

Right arm

19

Left arm

11

Head

1

Chest

3

Back

0

Mid-body

1

Right leg

19

Left leg

6

Right foot and ankle

4

Left foot and ankle

2

( 21 missing)



OSHA

Is this incident OSHA reportable?

Yes

98

15%

No

378

57%

( 188 missing)



For those cases that are OSHA reportable:

Cumulative number of days away from work:

2

Cumulative number of days of restricted work activity:

0