Surveillance Branch, Division of Surveillance, Hazard Evaluations and Field Studies, National Institute for Occupational Safety and Health, Cincinnati, Ohio, 45226-1998.
Am J Ind Med. 2014 Jun;57(6):640-52. doi: 10.1002/ajim.22305. Epub 2014 Feb 18.
The Health and Safety Practices Survey of Healthcare Workers describes current practices used to minimize chemical exposures and barriers to using recommended personal protective equipment for the following: antineoplastic drugs, anesthetic gases, high level disinfectants, surgical smoke, aerosolized medications (pentamidine, ribavirin, and antibiotics), and chemical sterilants.
Twenty-one healthcare professional practice organizations collaborated with NIOSH to develop and implement the web-based survey.
Twelve thousand twenty-eight respondents included professional, technical, and support occupations which routinely come in contact with the targeted hazardous chemicals. Chemical-specific safe handling training was lowest for aerosolized antibiotics (52%, n = 316), and surgical smoke (57%, n = 4,747). Reported employer procedures for minimizing exposure was lowest for surgical smoke (32%, n = 4,746) and anesthetic gases (56%, n = 3,604).
Training and having procedures in place to minimize exposure to these chemicals is one indication of employer and worker safety awareness. Safe handling practices for use of these chemicals will be reported in subsequent papers.
医护人员健康与安全操作调查描述了目前用于尽量减少接触以下化学物质的暴露和使用推荐的个人防护设备的障碍的实践:抗肿瘤药物、麻醉气体、高水平消毒剂、手术烟雾、雾化药物(戊二脒、利巴韦林和抗生素)和化学杀菌剂。
21 个医疗保健专业实践组织与 NIOSH 合作,开发并实施了基于网络的调查。
12028 名受访者包括专业、技术和支持职业,他们通常会接触到目标危险化学品。针对雾化抗生素(52%,n=316)和手术烟雾(57%,n=4747)的特定化学品安全处理培训最低。报告的雇主减少接触的程序最低的是手术烟雾(32%,n=4746)和麻醉气体(56%,n=3604)。
培训和制定程序以尽量减少这些化学物质的暴露是雇主和工人安全意识的一个指标。将在后续论文中报告这些化学品使用的安全处理措施。