Ragsdale J A
Gastroenterol Nurs. 1994 Sep-Oct;17(2):68-70. doi: 10.1097/00001610-199409000-00005.
Personnel in GI Endoscopy units are at higher risk than health care workers in general for exposure to Hepatitis B and Human Immunodeficiency Virus. Occupational Safety and Health Administration Standards require personal protective equipment including gloves, goggles, masks, water-impervious gowns, shoe covers, sharps containers, and biohazardous waste containers to be readily available. Special hazards in endoscopy make staff compliance both essential and challenging. Contaminated needle sticks are a common occupational injury in this setting, and one GI unit has developed several safeguards to increase staff's protection. These safeguards include inserting all intravenous lines in the safest, most accessible site: the right forearm; hanging IV fluids on all patients whose procedures are done in the radiology suite; and employing the needle recapping system that is cost-effective and easy to use in the endoscopy setting.
与普通医护人员相比，胃肠内镜检查科室的工作人员感染乙型肝炎和人类免疫缺陷病毒的风险更高。职业安全与健康管理局的标准要求随时提供个人防护设备，包括手套、护目镜、口罩、防水手术衣、鞋套、锐器盒和生物危害废物容器。内镜检查中的特殊风险使得工作人员遵守规定既至关重要又具有挑战性。在这种情况下，被污染的针刺伤是常见的职业伤害，一个胃肠内镜检查科室已经制定了多项安全措施来加强对工作人员的保护。这些安全措施包括：在最安全、最容易操作的部位——右前臂插入所有静脉输液管；为所有在放射科进行检查的患者悬挂静脉输液；采用在胃肠内镜检查环境中经济高效且易于使用的针头回套系统。
