soil6.html

Epinet


Outpatient Clinic

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

Total Cases: 518

JOB CATEGORY

M.D. (attending/staff)

44

8%

M.D. (intern/resident/fellow)

26

5%

Medical student

3

1%

Nurse RN/LPN

186

36%

Nursing student

2

0%

Respiratory therapist

2

0%

Surgery attendant

0

0%

Other attendant

32

6%

Phlebotomist/venipuncture/I.V. team

26

5%

Clinical laboratory worker

9

2%

Technologist (non-lab)

15

3%

Dentist

37

7%

Dental hygienist

27

5%

Housekeeper/laundry worker

24

5%

Paramedic

0

0%

Other student

35

7%

Other

50

10%

( 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

518

100%

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

443

86%

No

32

6%

Unknown

39

8%

N/A

3

1%

( 1 missing)



ORIGINAL USER

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

Yes

358

69%

No

6151

29%

Unknown

6

1%

N/A

3

1%

( 0 missing)



CONTAMINATION

Was the sharp item:

Contaminated

467

90%

Uncontaminated

10

2%

Unknown

41

8%

( 0 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

41

8%

Injection, IM/subcutaneous

181

35%

Heparin or saline flush

5

1%

Other injection/aspiration I.V.

5

1%

Connect I.V. line

1

0%

Start I.V. or heparin lock

11

2%

Draw venous blood sample

94

18%

Draw arterial blood sample

3

1%

Obtain body fluid/tissue sample

8

2%

Fingerstick/heel stick

24

5%

Suturing

15

3%

Cutting (surgery)

24

5%

Electrocautery

0

0%

Contain specimen/pharmaceutical

5

1%

Place arterial line

0

0%

Fingernails/teeth

3

1%

Other

97

19%

( 1 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

142

27%

Between steps

61

12%

Disassembling

43

8%

Preparing for reuse

21

4%

Recapping

29

6%

Withdrawing from resistant material

8

2%

Other after use, before disposal

105

20%

Item left on disposal container

9

2%

Putting item into disposal container

48

9%

After disposal

12

2%

Pierced side of disposal container

2

0%

Pierced side of inappropriate disposal container

19

4%

Restraining

1

0%

Other

13

3%

( 5 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

204

39%

Prefilled cartridge syringe

19

4%

Blood gas syringe

3

1%

Syringe, other type or not sure which

5

1%

Needle on I.V. line

1

0%

Winged steel needle I.V. set

28

5%

I.V. catheter (stylet)

6

1%

Vacuum tube blood collection needle

44

8%

Spinal or epidural needle

0

0%

Unattached hypodermic needle

10

2%

Arterial catheter introducer needle

1

0%

Central line catheter introducer needle

1

0%

Drum catheter needle

0

0%

Other vascular catheter needle

1

0%

Other non-vascular catheter needle

0

0%

Needle, not sure what kind

16

3%

Other needle

9

2%

.

Lancet

25

5%

Suture needle

12

2%

Scalpel blade

26

5%

Razor

2

0%

Pipette (plastic)

0

0%

Scissors

5

1%

Bovie electrocautery device

0

0%

Bone cutter

2

0%

Bone chip

0

0%

Towel clip

0

0%

Microtome blade

0

0%

Trocar

0

0%

Vacuum tube, plastic

2

0%

Specimen/test tube, plastic

0

0%

Fingernails/teeth

3

1%

Scalpel, disposable

3

1%

Retractor, skin/bone hooks

1

0%

Staples/steel sutures

0

0%

Wire

1

0%

Pin

2

0%

Drill bit/bur

11

2%

Pickups/forcepts/hemostats/clamps

2

0%

Sharp item, not sure what kind

6

1%

Other item

57

11%

.

Medication ampule

0

0%

Medication vial (small)

0

0%

Medication/I.V. bottle (large)

0

0%

Pipette, glass

0

0%

Vacuum tube, glass

1

0%

Specimen/test tube, glass

1

0%

Capillary tube

2

0%

Glass slide

1

0%

Glass item, not sure what kind

0

0%

Other glass item

0

0%

( 4 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

518

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

218

42%

Moderate

275

53%

Severe

18

3%

( 6 missing)



BODY PART

Right hand, back

45

Right hand, front

143

Left hand, back

71

Left hand, front

199

Right arm

12

Left arm

7

Head

3

Chest

0

Back

0

Mid-body

0

Right leg

7

Left leg

5

Right foot and ankle

2

Left foot and ankle

3

( 18 missing)



OSHA

Is this incident OSHA reportable?

Yes

82

16%

No

261

50%

( 174 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