Bessesen Mary T, Adams Jill C, Radonovich Lewis, Anderson Judith
Department of Veterans Affairs, Eastern Colorado Healthcare System, Denver, CO; Division of Infectious Diseases, School of Medicine, University of Colorado, Aurora, CO.
Department of Veterans Affairs, Eastern Colorado Healthcare System, Denver, CO.
Am J Infect Control. 2015 Jun;43(6):629-34. doi: 10.1016/j.ajic.2015.02.009. Epub 2015 Mar 25.
This was a feasibility study in a Department of Veterans Affairs Medical Center to develop a standard operating procedure (SOP) to be used by health care workers to disinfect reusable elastomeric respirators under pandemic conditions. Registered and licensed practical nurses, nurse practitioners, aides, clinical technicians, and physicians took part in the study.
Health care worker volunteers were provided with manufacturers' cleaning and disinfection instructions and all necessary supplies. They were observed and filmed. SOPs were developed, based on these observations, and tested on naïve volunteer health care workers. Error rates using manufacturers' instructions and SOPs were compared.
When using respirator manufacturers' cleaning and disinfection instructions, without specific training or supervision, all subjects made multiple errors. When using the SOPs developed in the study, without specific training or guidance, naïve health care workers disinfected respirators with zero errors.
Reusable facial protective equipment may be disinfected by health care workers with minimal training using SOPs.
这是一项在退伍军人事务部医疗中心进行的可行性研究，旨在制定一套标准操作程序（SOP），供医护人员在大流行条件下对可重复使用的弹性体呼吸器进行消毒。参与研究的人员包括注册护士、执业护士、护士助理、临床技术员和医生。
为医护人员志愿者提供了制造商的清洁和消毒说明以及所有必要的用品。对他们进行了观察和拍摄。基于这些观察结果制定了标准操作程序，并在没有经验的志愿者医护人员身上进行了测试。比较了使用制造商说明和标准操作程序时的错误率。
在没有接受特定培训或监督的情况下，当使用呼吸器制造商的清洁和消毒说明时，所有受试者都出现了多次错误。在没有接受特定培训或指导的情况下，当使用研究中制定的标准操作程序时，没有经验的医护人员对呼吸器进行消毒时零错误。
医护人员使用标准操作程序，只需接受最少的培训，就可以对可重复使用的面部防护设备进行消毒。
