AORN J. 2020 Nov;112(5):478-489. doi: 10.1002/aorn.13199.
Perioperative personnel are at risk for sharps injuries when using devices with sharp points and edges and therefore are at risk for infection from exposure to blood and other potentially infectious body fluids. The Occupational Safety and Health Administration bloodborne pathogens standard is the regulatory document that health care employers must follow to protect personnel who are at risk for sharps injuries. The AORN "Guideline for sharps safety" provides guidance to perioperative personnel for identifying sharps hazards and implementing best practices to prevent injuries. This article discusses the guideline recommendations for developing and implementing work practice controls and administrative controls for handling sharps. A scenario describes an interdisciplinary team's efforts to decrease specific sharps injuries and develop policies and procedures based on the identified risks and practice changes. Perioperative RNs should review the entire guideline for additional information when creating and updating policies and procedures for sharps safety.
手术人员在使用带有尖锐点和边缘的器械时存在锐器伤的风险,因此存在因接触血液和其他潜在传染性体液而感染的风险。职业安全与健康管理局的血源性病原体标准是医疗保健雇主必须遵循的法规文件,以保护有锐器伤风险的人员。AORN 的“锐器安全指南”为手术人员提供了识别锐器危害和实施最佳实践以预防伤害的指导。本文讨论了制定和实施处理锐器的工作实践控制和管理控制的指南建议。一个场景描述了跨学科团队为减少特定锐器伤害以及根据确定的风险和实践变化制定政策和程序所做的努力。手术护士在制定和更新锐器安全政策和程序时,应查看整个指南以获取更多信息。