Medical sharps injury is a common phenomenon in the medical system, in clinical work, there are two major categories of work behaviors that lead to nurses’ sharp injuries, one is closely related to the daily treatment and care of patients, accounting for 40% of the causes of sharp injuries, of which blood drawing, intravenous injection, intramuscular injection, injecting the patient’s blood or body fluid samples from the syringe into the specimen container accounts for 19%. The other category is behaviors associated with handling and cleaning needles, in which separating or connecting venous lines accounts for 16% and cleaning of sharps results in 12% of sharps injuries. 40.5% of sharps injuries occur in the ward, and most sharps injuries are not random and unavoidable. There are several causes of medical sharps injuries:
1. Non-cooperation of nursing objects
Incooperation of nursing clients is one of the risk factors for sharp injuries, and studies have reported that sudden movement can cause 29% of sharp injuries.
2. Lack of knowledge of standard prevention
Standard prevention is a guideline issued by the CDC to prevent blood-borne diseases, which is an important means of preventing blood-borne and humoral diseases, under this concept, the patient’s blood and body fluids are considered contagious, and the lack of compliance with the standard prevention content is a risk factor for acupuncture. It also showed that 39.7% of nurses were not very familiar with standard prevention or had never heard of it. Up to 69.9% of nurses never wear gloves during injection and infusion operations, believing that the operation is inconvenient and unnecessary.
3. Incorrect personal operating habits
Personal habits are the determining factor in the occurrence of needlestick injuries, and breaking ampoules with bare hands is the most common condition that leads to sharp injuries other than needlestick injuries. When nurses perform injection and blood drawing operations, habitually removing needles or putting on needle caps can lead to needlestick injuries, especially in busy work, hasty needle cap back cover, easy to occur needlestick injuries, is also an important cause of puncture injuries. As early as 1987, the CDC proposed in comprehensive protective measures: it is forbidden to use both hands to back the needle cap.
Although medical sharps injuries are common and frequent occurrences, they are not inevitable injuries, and reasonable means can effectively reduce risks and protect personal safety.
1. Strengthen education on sharps injuries
Improve nurses’ awareness of sharp injuries, organize the learning of their own protection technology and bloodborne disease knowledge to correct nurses’ fluke mentality after injury, make them pay attention to and cooperate with the treatment of sharp injuries, and improve nurses’ consciousness of preventing sharp injuries. At the same time, combined with the situation of hospitals and departments, the risk factors of sharp injuries were evaluated to enhance nurses’ awareness of protection.
2. Strengthen the management and screening of patients
When treating agitated and uncooperative patients, special vigilance should be paid to the occurrence of sharp injuries, and medical staff should fully understand the infection status of the patients they are exposed to, and test each patient hospitalized for bloodborne pathogenic factors such as HIV.
3. Strengthen the management of syringe waste
Studies have reported that the use of anti-penetration, anti-puncture sharps collection boxes is recognized as the most ideal method of reducing needlestick injuries, reducing the incidence of needlestick injuries by 50%. To avoid sharps injuries, hospitals should provide adequate sharps collection boxes. In addition, hospital personnel should follow the safe operation principles when using sharps: as much as possible, reduce unnecessary use of sharps: do not wear bare needle equipment around: used needles should not be bent or broken: as far as possible, immediately throw used needles into the sharps collection box should be placed in a reliable area, and stop using when 3/4 full.
In terms of sharps collection boxes, the sharps boxes produced by Boyue are a priority for many hospitals. Boyue sharps box is very successful in anti-leakage and puncture-proof, there will be no damage to the sharps box, the quality is trustworthy, the service life of these products is long enough, and it can be reused after cleaning, which is green and environmentally friendly. In addition, Boyue can also customize related products according to the needs of customers to meet the diverse needs of customers. If you buy in large quantities, the price is more favorable.
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