soil9.html

Epinet


Dialysis Facility

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

Total Cases: 58

JOB CATEGORY

M.D. (attending/staff)

1

2%

M.D. (intern/resident/fellow)

0

0%

Medical student

0

0%

Nurse RN/LPN

34

59%

Nursing student

0

0%

Respiratory therapist

0

0%

Surgery attendant

0

0%

Other attendant

1

2%

Phlebotomist/venipuncture/I.V. team

0

0%

Clinical laboratory worker

0

0%

Technologist (non-lab)

13

22%

Dentist

0

0%

Dental hygienist

0

0%

Housekeeper/laundry worker

1

2%

Paramedic

0

0%

Other student

0

0%

Other

8

14%

( 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

58

100%

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

50

86%

No

2

3%

Unknown

4

7%

N/A

2

3%

( 0 missing)



ORIGINAL USER

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

Yes

42

72%

No

14

24%

Unknown

1

2%

N/A

1

2%

( 0 missing)



CONTAMINATION

Was the sharp item:

Contaminated

55

95%

Uncontaminated

1

2%

Unknown

2

3%

( 0 missing)



ORIGINAL PURPOSE

For what purpose was the sharp item originally used?

Unknown, N/A

4

7%

Injection, IM/subcutaneous

8

14%

Heparin or saline flush

1

2%

Other injection/aspiration I.V.

8

14%

Connect I.V. line

7

12%

Start I.V. or heparin lock

0

0%

Draw venous blood sample

9

16%

Draw arterial blood sample

0

0%

Obtain body fluid/tissue sample

1

2%

Fingerstick/heel stick

0

0%

Suturing

0

0%

Cutting (surgery)

0

0%

Electrocautery

0

0%

Contain specimen/pharmaceutical

1

2%

Place arterial line

0

0%

Fingernails/teeth

0

0%

Other

19

33%

( 0 missing)



HOW INJURY OCCURRED

Did the injury occur:

Before use

0

0%

During use

11

19%

Between steps

6

10%

Disassembling

4

7%

Preparing for reuse

0

0%

Recapping

4

7%

Withdrawing from resistant material

9

16%

Other after use, before disposal

12

21%

Item left on disposal container

0

0%

Putting item into disposal container

4

7%

After disposal

5

9%

Pierced side of disposal container

0

0%

Pierced side of inappropriate disposal container

1

2%

Restraining

0

0%

Other

2

3%

( 0 missing)



DEVICE

What device or item caused the injury?

Disposable syringe

28

48%

Prefilled cartridge syringe

0

0%

Blood gas syringe

0

0%

Syringe, other type or not sure which

0

0%

Needle on I.V. line

7

12%

Winged steel needle I.V. set

1

2%

I.V. catheter (stylet)

0

0%

Vacuum tube blood collection needle

1

2%

Spinal or epidural needle

0

0%

Unattached hypodermic needle

0

0%

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

0

0%

Other needle

15

26%

.

Lancet

0

0%

Suture needle

0

0%

Scalpel blade

0

0%

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

0

0%

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

1

2%

Other item

2

3%

.

Medication ampule

1

2%

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

1

2%

Capillary tube

0

0%

Glass slide

0

0%

Glass item, not sure what kind

0

0%

Other glass item

0

0%

( 0 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

58

100%

( 0 missing)



SEVERITY OF INJURY

Was the injury:

Superficial

21

36%

Moderate

32

55%

Severe

2

3%

( 0 missing)



BODY PART

Right hand, back

5

Right hand, front

20

Left hand, back

6

Left hand, front

22

Right arm

1

Left arm

1

Head

0

Chest

0

Back

0

Mid-body

0

Right leg

0

Left leg

0

Right foot and ankle

0

Left foot and ankle

0

( 3 missing)



OSHA

Is this incident OSHA reportable?

Yes

8

14%

No

29

50%

( 21 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