Thursday, December 23, 2010

Sterile supply room staff in the occupational hazards and protection measures

Objective To analyze the sterile supply room staff occupational hazards and protection measures. Methods of work on the supply room staff may encounter in the process of risk factors, the corresponding job protection measures. Results of the supply room staff in educational supervision optimize the protection process, improve the working environment and other measures to effectively reduce occupational hazards.
[Keywords:] protection against occupational hazards sterile supply room measures
Sterile supply room is commitment from various departments within the hospital all the repeated use of medical instruments, equipment and materials for cleaning, disinfection, sterilization, and sterile supplies department. Disinfection of the supply room not only affect the quality of clinical care quality, there is also self-supply room on the threat to the security of staff, especially staff in the contaminated area classification, processing, washing process in direct contact with contaminated items to the patient's blood, body fluids, etc., such as inadequate protection can be directly transmitted diseases such as HBV, HCV, HIV, part of the supply room staff occupational protection consciousness, the operation does not take adequate protective measures, and its serious threat to Health [1]. To this end, the supply room staff Education through supervision, optimize the protection process, such as measures to improve the working environment, occupational protection act to be implemented. are reported below.
An occupational risk factors in the supply room
1.1 Occupational exposure With the establishment of central sterile supply, the hospital all the surgical instruments, medical care products are recycled to the supply room to focus on cleaning, disinfection, packaging, sterilization, supply room staff in the recovery process of exchange of goods points to clear project, these items often with blood, body fluids and other contaminants, which also often have some needles, surgical blades, suture needles, sharp equipment, and other the slightest risk of accidentally stabbed there, especially stable ?? Bru saddle blanket screen da mound cough Bru condyle Paul ?? Information see intestinal worm ?? hemorrhoid back F Puyaochunba prepared ?? fool ?? ?? Mujiuzhizhuang calcium ?? ?? Hsin-huang exhausted Bru Meisoubenglv Juchibenyou lemon paper basket Zheng ?? offend yo ?? ? whine ?? Bru screen da mound cough currency saddle blanket, then catch the yo haggard Huai nightmare hemorrhoid guide ?? Angeles howl greedily pulling Figure Penalty ?? mane Can relentless execution ?? Jing Jing Xing> target age support archery? 1.2 physical factors pre-vacuum steam sterilizer, dry improper operation of boxes and other equipment can easily burn. vacuum pump, ultrasonic cleaning machine is issued by the different levels of noise, ultraviolet light harmful to human health and the risk of explosion pressure sterilizer. The majority of packaging materials supply room cotton Mianxu operation can produce large amounts of harm caused by inhalation of staff.
1.3 Chemical factors are in no mechanical cleaning and disinfection of hospital equipment, all items are used for manual cleaning, chemical disinfectants for the health of the factors, a number of enzyme detergent, herbicides, lubricants, etc., on human skin, respiratory, nervous system and the digestive system have different degrees of damage, and some chemical hazards have not been perceived.
1.4 Movement of factors such as heavy lifting, prolonged standing and so on.
1.5 poor sense of self-protection in our hospital supply room staff in addition to nurses, there are workers, temporary workers, the team of a lower cultural level, the lack of technical expertise, the chances of infection is higher than the professionals [2].
Two protective measures
2.1 to enhance staff awareness of self-protection, to prevent cross-infection.
2.1.1 Organizational learning <>,<< Medical Waste Disposal Ordinance >>,<< >>,<< Clinical Nursing in hospital infection management practices>> and so on, to improve staff career in medical environment awareness of the risk of infection, prevention of occupational infection control knowledge, attention to the prevention of occupational infection. the Development of appropriate protective work area and post occupational infection control process flow chart to further strengthen the protection of staff awareness of occupational infection, so that all staff protective measures can be consciously applied to daily work, in order to reduce the incidence of hidden dangers in the inventory of cleaning contaminated items, should be ready by standard preventive protection, when put under close inventory of clothes, wearing a round hat, mask , rubber gloves, an inventory is completed to take off the gloves and disinfectant towels with quick hands, hand washing increases when wearing goggles, waterproof aprons, sleeves, wear double gloves and protective shoes, etc., and below the water surface cleaning operations, Special items must be sterilized and then infected with cleaning. reposted elsewhere in the paper for free download 2.1.2 Strengthening the prevention of sharp injuries supply room staff in a variety of sharp instruments should be familiar with the operation of technology, do not hand inventory separate needles, blades and sharp instruments to reduce the chance stabbed to correctly handle a variety of materials for medical expenses, emergency master process of sharp injuries. establish and improve the stab wounds to the registration system and reporting procedures, and regular follow-up examinations.
2.1.3 the right hand grasp the Technology in accordance with the <> indication in the implementation of hand washing hands, washing hands correctly grasp the seven-step method posted above the sink and wash steps of the standard poster to give a reminder.
2.2 Chemical hazards preventive measures: (1 to minimize the use of disinfectants. (2 must be used when the concentration of chemical disinfectant dispensers to be accurate, timely stamping, timing windows open for ventilation [3], to minimize the volatile chemical disinfectants the harm caused when the body. (3 cleaning agents (lubricants, multi-enzyme, herbicides overflow processing. Eyes: Immediately flush with water for 15 minutes or more, and then sent to specialist for further treatment. Skin: Immediately remove contaminated clothing to Wash with soap and water.
2.3 The physical hazards of the preventive measures: (1 strengthening equipment maintenance from time to time, all the instruments on the department, survey equipment, maintenance, replacement of old equipment, help eliminate abnormal noise. (2 anti-explosion. Master instrument rules, according to operating pressure sterilization procedures, careful observation of the indoor pressure sterilizer. (3 to prevent burns. outside of the instrument design eye-catching slogans anti-scald prompt and use the anti-hot sets. (4 to be stamped when the noise of ultrasonic cleaning.
2.4 motor function of the hazards preventive measures: the moving objects, should assess the items weight lifting in the correct position items and capabilities, seek assistance if necessary.
2.5 standardizing the process in strict implementation of mandatory processes, logistics, flow, flow and orderly, not upstream. Strict distinction between sterile area, clean area, Wu Ranqu, the region-specific appliances.
2.6 Optimization of the working environment with air-conditioning and air conditioning equipment cleaning, sweeping the wet ground after work, the daily air disinfection with ultraviolet light twice. Set up outside the window, reducing the supply of foreign workers into the room [4]. If the purchase condition cleaned and disinfected as soon as possible equipment, reduce the physical, chemical and other factors on the staff of the hazards.
2.7 strengthen supervision and inspection, to improve the implementation rate of protective behaviors protection of staff regularly conduct on-site supervision, regularly check the supply room staff in the operating process of the implementation of occupational infection prevention, not only in time to correct unsafe operation, and from the formation of ideological pressure on staff, and strengthen their awareness to enable them to consciously take protective measures.
2.8 Other (1 enhance professional ideological education: The higher the status of the hospital supply room, supply room so that staff know the importance of the hospital, on the supply room confidence in the future. (2 abundant leisure activities, and enhance the department cohesion. (3 guarantees the supply of protective equipment. (4 regular medical examinations, to detect potential health problems.
3 Conclusion
Through education, supervision, optimizing the combination of protective processes, improve supply room staff awareness of occupational infection control and protective actions, from prevention to start, take the safe operation and reduce occupational hazards, thereby preventing and reducing the supply room staff occupational infection, to ensure the physical and mental health staff.
[1] Li Yinglan. Career nurses in high-risk security department problems and countermeasures [J]. Journal of Hospital Infection Journal, 2003,12 (2:198-199.
[2] He Sulan, Su-ball, Nie Pinglan. To improve the sterile supply room staff conduct a comprehensive occupational infection control interventions [J]. Journal of Nursing, 2008,15 (2:79-80.
[3] Sun Xueying, Wang Huasheng, Xu Ran. Disinfection of the supply room occupational hazards and preventive measures [J]. Chinese Journal of Hospital Infection 2007,17 (8:988-989.
[4] factors, such as Lu, Lin Tingting, Wu Chunxiao. Epidemiology of self-protection of nurses [J]. Journal of Hospital Infection Journal, 2004,14 (6:716. Links download the free paper

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