soil4.html

Epinet


ICU/CCU

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

Total Cases: 750

JOB CATEGORY

M.D. (attending/staff)

16

2%

M.D. (intern/resident/fellow)

78

10%

Medical student

4

1%

Nurse RN/LPN

508

68%

Nursing student

3

0%

Respiratory therapist

43

6%

Surgery attendant

0

0%

Other attendant

14

2%

Phlebotomist/venipuncture/I.V. team

29

4%

Clinical laboratory worker

8

1%

Technologist (non-lab)

10

1%

Dentist

0

0%

Dental hygienist

0

0%

Housekeeper/laundry worker

25

3%

Paramedic

0

0%

Other student

1

0%

Other

11

1%

( 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

750

100%

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

684

91%

No

30

4%

Unknown

25

3%

N/A

9

1%

( 2 missing)



ORIGINAL USER

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

Yes

488

65%

No

230

31%

Unknown

17

2%

N/A

14

2%

( 1 missing)



CONTAMINATION

Was the sharp item:

Contaminated

646

86%

Uncontaminated

26

3%

Unknown

74

10%

( 2 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

65

9%

Injection, IM/subcutaneous

64

9%

Heparin or saline flush

41

5%

Other injection/aspiration I.V.

74

10%

Connect I.V. line

74

10%

Start I.V. or heparin lock

87

12%

Draw venous blood sample

90

12%

Draw arterial blood sample

92

12%

Obtain body fluid/tissue sample

21

3%

Fingerstick/heel stick

23

3%

Suturing

30

4%

Cutting (surgery)

20

3%

Electrocautery

2

0%

Contain specimen/pharmaceutical

3

0%

Place arterial line

4

1%

Fingernails/teeth

8

1%

Other

50

7%

( 2 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

222

30%

Between steps

75

10%

Disassembling

36

5%

Preparing for reuse

2

0%

Recapping

34

5%

Withdrawing from resistant material

71

9%

Other after use, before disposal

183

24%

Item left on disposal container

6

1%

Putting item into disposal container

39

5%

After disposal

20

3%

Pierced side of disposal container

1

0%

Pierced side of inappropriate disposal container

15

2%

Restraining

5

1%

Other

38

5%

( 3 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

279

39%

Prefilled cartridge syringe

15

2%

Blood gas syringe

28

4%

Syringe, other type or not sure which

12

2%

Needle on I.V. line

76

10%

Winged steel needle I.V. set

44

6%

I.V. catheter (stylet)

75

10%

Vacuum tube blood collection needle

22

3%

Spinal or epidural needle

5

1%

Unattached hypodermic needle

17

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

0

0%

Needle, not sure what kind

30

4%

Other needle

14

2%

.

Lancet

19

3%

Suture needle

29

4%

Scalpel blade

25

3%

Razor

5

1%

Pipette (plastic)

0

0%

Scissors

5

1%

Bovie electrocautery device

0

0%

Bone cutter

0

0%

Bone chip

0

0%

Towel clip

0

0%

Microtome blade

0

0%

Trocar

1

0%

Vacuum tube, plastic

0

0%

Specimen/test tube, plastic

4

1%

Fingernails/teeth

9

1%

Scalpel, disposable

0

0%

Retractor, skin/bone hooks

1

0%

Staples/steel sutures

0

0%

Wire

1

0%

Pin

0

0%

Drill bit/bur

0

0%

Pickups/forcepts/hemostats/clamps

0

0%

Sharp item, not sure what kind

6

1%

Other item

11

1%

.

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

6

1%

Glass slide

0

0%

Glass item, not sure what kind

1

0%

Other glass item

2

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

750

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

337

45%

Moderate

378

50%

Severe

27

4%

( 7 missing)



BODY PART

Right hand, back

75

Right hand, front

202

Left hand, back

90

Left hand, front

312

Right arm

13

Left arm

13

Head

2

Chest

3

Back

0

Mid-body

3

Right leg

7

Left leg

6

Right foot and ankle

2

Left foot and ankle

2

( 19 missing)



OSHA

Is this incident OSHA reportable?

Yes

116

15%

No

410

55%

( 222 missing)



For those cases that are OSHA reportable:

Cumulative number of days away from work:

1

Cumulative number of days of restricted work activity:

4