Sharp Object Injury Overall Report

Epinet 

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

Total Cases: 10639

JOB CATEGORY
M.D. (attending/staff) 529 5%
M.D. (intern/resident/fellow) 790 7%
Medical student 91 1%
Nurse RN/LPN 5185 49%
Nursing student 79 1%
Respiratory therapist 171 2%
Surgery attendant 575 5%
Other attendant 423 4%
Phlebotomist/venipuncture/I.V. team 546 5%
Clinical laboratory worker 388 4%
Technologist (non-lab) 528 5%
Dentist 44 0%
Dental hygienist 36 0%
Housekeeper/laundry worker 499 5%
Paramedic 18 0%
Other student 84 1%
Other 644 6%
( 7 missing)


PLACE OF OCCURRENCE
Where did the injury occur in the institution?
Patient room 3814 36%
Outside patient room 264 2%
Emergency department 746 7%
Intensive/critical care unit 788 7%
Operating room 2259 21%
Outpatient clinic/office 547 5%
Blood bank 32 0%
Venipuncture 53 0%
Dialysis facility 63 1%
Procedure room 501 5%
Clinical laboratories 324 3%
Autopsy/pathology 90 1%
Service/utility area 266 3%
Labor and delivery 114 1%
Home 154 1%
Other 611 6%
( 13 missing)


SOURCE PATIENT
Was the source patient known?
Yes 9202 86%
No 750 7%
Unknown 545 5%
N/A 127 1%
( 11 missing)


ORIGINAL USER
Was the injured worker the original user of the sharp item?
Yes 6045 57%
No 4151 39%
Unknown 178 2%
N/A 185 2%
( 78 missing)


CONTAMINATION
Was the sharp item:
Contaminated 9343 88%
Uncontaminated 257 2%
Unknown 954 9%
( 77 missing)


ORIGINAL PURPOSE
For what purpose was the sharp item originally used?
Unknown, N/A 955 9%
Injection, IM/subcutaneous 1746 16%
Heparin or saline flush 499 5%
Other injection/aspiration I.V. 623 6%
Connect I.V. line 544 5%
Start I.V. or heparin lock 741 7%
Draw venous blood sample 1358 13%
Draw arterial blood sample 295 3%
Obtain body fluid/tissue sample 234 2%
Fingerstick/heel stick 330 3%
Suturing 1122 11%
Cutting (surgery) 730 7%
Electrocautery 44 0%
Contain specimen/pharmaceutical 122 1%
Place arterial line 13 0%
Fingernails/teeth 88 1%
Other 1116 10%
( 79 missing)


HOW INJURY OCCURRED
Did the injury occur:
Before use 0 0%
During use 2774 26%
Between steps 1300 12%
Disassembling 664 6%
Preparing for reuse 234 2%
Recapping 396 4%
Withdrawing from resistant material 466 4%
Other after use, before disposal 2469 23%
Item left on disposal container 105 1%
Putting item into disposal container 717 7%
After disposal 262 2%
Pierced side of disposal container 52 0%
Pierced side of inappropriate disposal container 369 3%
Restraining 41 0%
Other 670 6%
( 118 missing)


DEVICE
What device or item caused the injury?
Disposable syringe 3138 29%
Prefilled cartridge syringe 387 4%
Blood gas syringe 153 1%
Syringe, other type or not sure which 172 2%
Needle on I.V. line 559 5%
Winged steel needle I.V. set 502 5%
I.V. catheter (stylet) 642 6%
Vacuum tube blood collection needle 535 5%
Spinal or epidural needle 40 0%
Unattached hypodermic needle 196 2%
Arterial catheter introducer needle 9 0%
Central line catheter introducer needle 13 0%
Drum catheter needle 0 0%
Other vascular catheter needle 9 0%
Other non-vascular catheter needle 3 0%
Needle, not sure what kind 348 3%
Other needle 296 3%
.
Lancet 300 3%
Suture needle 1054 10%
Scalpel blade 685 6%
Razor 70 1%
Pipette (plastic) 6 0%
Scissors 83 1%
Bovie electrocautery device 35 0%
Bone cutter 20 0%
Bone chip 6 0%
Towel clip 25 0%
Microtome blade 47 0%
Trocar 36 0%
Vacuum tube, plastic 9 0%
Specimen/test tube, plastic 12 0%
Fingernails/teeth 97 1%
Scalpel, disposable 30 0%
Retractor, skin/bone hooks 53 0%
Staples/steel sutures 11 0%
Wire 17 0%
Pin 17 0%
Drill bit/bur 26 0%
Pickups/forcepts/hemostats/clamps 30 0%
Sharp item, not sure what kind 126 1%
Other item 410 4%
.
Medication ampule 12 0%
Medication vial (small) 0 0%
Medication/I.V. bottle (large) 2 0%
Pipette, glass 14 0%
Vacuum tube, glass 26 0%
Specimen/test tube, glass 52 0%
Capillary tube 33 0%
Glass slide 11 0%
Glass item, not sure what kind 22 0%
Other glass item 37 0%
( 207 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 605 6%
No/not applicable 9851 93%
( 150 missing)


SEVERITY OF INJURY
Was the injury:
Superficial 4882 46%
Moderate 5150 48%
Severe 401 4%
( 179 missing)


BODY PART
Right hand, back 1110
Right hand, front 2993
Left hand, back 1161
Left hand, front 4085
Right arm 214
Left arm 153
Head 31
Chest 25
Back 0
Mid-body 25
Right leg 131
Left leg 121
Right foot and ankle 49
Left foot and ankle 28
( 501 missing)


OSHA
Is this incident OSHA reportable?
Yes 1690 16%
No 5471 51%
( 3466 missing)


For those cases that are OSHA reportable:
Cumulative number of days away from work: 8
Cumulative number of days of restricted work activity: 55