原名「台灣學術線上」
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1
題名:降低血液透析室尖銳物品扎傷發生率之改善專案     (28點)
Improvement Project to Reduce Sharps Injury Rate in the Hemodialysis Unit
著者:陳秋惠(Chiu-Hui Chen) ;林彥君(Yen-Chun Lin) ;盧尤娟(Yu-Chuan Lu) ;陳意超(Yi-Chao Chen) ;張慧蘭(Huei-Lan Chang) ;陳長江(Chang-Chiang Chen)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:血液透析 ; 尖銳物品扎傷 ; 職業傷害 ; hemodialysis ; sharps injuries ; occupational injuries
刊名:臺灣腎臟護理學會雜誌
卷期:13卷1期(2014.3)
頁碼:30-43
語言:繁體中文
摘要: 中文摘要PDF ; 英文摘要PDF

透析室為與血液接觸頻繁之單位,有鑑於護理人員佔尖銳物品扎傷發生率首位,且本單位2010年1月至12月針扎發生率居護理部之冠16.6%(5/30),因此成立專案小組主要以降低針扎發生率為目標,避免因扎傷感染B、C型肝炎、梅毒等傳染病。運用查檢表實地觀察及特性要因圖,確定發生原因為環境中危險因子多、針扎防治認知不足、作業標準不實用,經由決策矩陣分析表擬訂去除環境中危險因子、提升護理人員對針扎防治之認知、修訂「血液透析動靜脈穿刺及移除穿刺針作業」之具體對策方案,在跨團隊的協助下逐一改善,使針扎發生率降至0.0%。建議在繁忙的工作中,技術標準可採多元化的圖示、口訣等協助護理人員記憶,鼓勵參與安全工作環境的建置,提高警覺性以降低職業傷害。
The complex environment of the hemodialysis unit provides multiple opportunities for health care workers to sustain sharps injuries. Research showed that nurses sustained the highest number of sharps injuries among all health workers. The sharps injury rate in the hemodialysis unit was 16.6% (5/30) in 2010, higher than other units of nursing department at Hsinchu Branch of the National Taiwan University Hospital. An ad hoc group was therefore established with the goal of reducing the rate of sharps injuries and preventing blood-borne diseases related to sharps injury such as Hepatitis B, Hepatitis C and Syphilis. Using the observation checklist and cause-and-effect diagram, the main causes of sharps injuries were determined to be due to the high number of environmental risk factors, lack of awareness on sharps injury prevention, and impractical standard operating procedures for needle puncture and removal. Preventive strategies made by decision matrix analysis included elimination of environmental hazards, improving awareness on sharps injury prevention among nurses, and revising standard operating procedures for arteriovenous shunt puncture and needle removal. After these strategies were implemented, sharps injury rate was decreased to 0.00%. The policies recommended for reducing occupational injuries are illustrations and mnemonics for improving memory of standard techniques, encouraging health care workers to participate in the creation of a safe work environment, and improved awareness.


    

本卷期目次
臺灣腎臟護理學會雜誌 13卷1期 (2014.3)
影響慢性腹膜透析病人生活品質的因素/ 郭麗雀白幸桂黃玉娟王姵穎吳美瑩鄭錦如
以多媒體教學介入透析病人血管通路穿刺異常之改善專案/ 邱梨淑李仙惠張慧貞
降低血液透析室尖銳物品扎傷發生率之改善專案/ 陳秋惠林彥君盧尤娟陳意超張慧蘭陳長江
一位腹膜透析患者併發腹股溝疝氣之照護經驗/ 林惠瑛胡美枝楊麗瓊周利娜
照護一位血液透析病人經歷動靜脈管反覆阻塞之護理經驗/ 趙文利林靖芸孫美華
照顧一位首次血液透析病人心理調適過程之護理經驗/ 陳芳慈
照顧一位鉻酸中毒個案護理經驗/ 羅佩琳周晉伊黃敏瑢厲佩如宋雅雯
 
   
 
   

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