Haiduven Donna, Ferrol Shalah
James A. Haley V.A. Patient Safety Center, Tampa, Florida, USA.
AAOHN J. 2004 Mar;52(3):102-8.
Home health care nurses are at risk of needlesticks and blood exposures, yet few studies have been conducted related to such exposures in the home health care setting. This article describes a cross sectional prevalence pilot study of needlesticks and blood exposures conducted among three home health care agencies in the San Francisco Bay area. Needlestick and blood exposure reports from 1993 to 1996 were submitted from three home health care agencies. The exposures were categorized using an existing categorization system and compiled into a composite report. A total of 52 exposures occurred; nurses sustained 92% of exposures. Twenty-three percent occurred before, during, or after needle disposal; 17% from manipulating intravenous/access ports; 15% from improper disposal; and 13.5% during or after blood draw. Needle safety devices need to be specifically designed for the unique home health care setting and for a standardized rate of calculating needlestick injuries in this setting.
家庭健康护理护士面临针刺和血液暴露的风险，但针对家庭健康护理环境中此类暴露的研究却很少。本文描述了一项在旧金山湾区的三个家庭健康护理机构中进行的关于针刺和血液暴露的横断面患病率试点研究。1993年至1996年期间，三个家庭健康护理机构提交了针刺和血液暴露报告。这些暴露事件使用现有的分类系统进行分类，并汇编成一份综合报告。总共发生了52起暴露事件；护士占暴露事件的92%。23%的暴露事件发生在针头处理之前、期间或之后；17%发生在操作静脉注射/接入端口时；15%是由于不当处理；13.5%发生在抽血期间或之后。针头安全装置需要专门为独特的家庭健康护理环境以及该环境中针刺伤的标准化计算率而设计。
