Physical factors
1. Sharp instrument injury.
2. High temperature damage.
3. Dust.
4. Noise.
5. High temperature and humid working environment.
Chemical factors
1. Staff in the supply room are exposed to various chemical disinfectants (such as chlorine-containing preparations) such as various enzyme detergents, cleaning agents, lubricants, and rust removers every day. , hydrogen peroxide), most of which have varying degrees of volatility and corrosiveness. The disinfection supply room has very strict requirements for the working environment. The indoor air, work surfaces, walls and floors must be cleaned and disinfected according to regulations every day. Special items such as quilts must be cleaned and disinfected every day. Prion-contaminated items require special disinfection methods. While these disinfectants kill microorganisms, they also have certain toxic side effects on the human body.
2. The harmful gases released by disposable sterile items (such as disposable infusion sets and syringes) are sterilized by EO in China. During the storage and distribution process of these sterile items, there will be harmful gases in the air. EO is present, and EO is somewhat toxic to the human body. Regular exposure may cause discomfort, and may even cause symptoms such as headache, nausea, and vomiting.
Biological factors
1. Infections caused by bacteria, viruses, fungi or parasites, especially hepatitis B virus (HBV), hepatitis C (HCV), and HIV ), etc. endanger human life and health. Due to the special nature of the work of supply room staff, all equipment that has come into contact with patient blood and body fluids must be recycled, cleaned, packaged, sterilized, etc. by supply room staff. A variety of harmful substances can invade the human body through the respiratory system, digestive system, skin and mucous membranes, and endanger health. Secondly, the recovered items often contain blood, body fluids and other dirt, and the department of use does not wash them properly at the beginning. Moreover, the number and type of contaminated items are large and complex, and the self-protection measures are not in place, which can easily lead to pathogenic microorganisms entering the body through injured skin and mucous membranes, causing Various infectious diseases.
2. Microbial aerosol transmission. During the cleaning process of instruments, due to ultrasonic cleaning and precision complex instruments, cleaning and initial treatment of instruments with heavy organic contamination require manual cleaning with brushes and during the cleaning process. Splashing of water will produce a large number of microbial aerosols.
3. The staff's own factors The staff's own factors play a key role. Because the staff do not have a strong concept of operating routines and work attitudes, they often take chances and do not wear gloves when recycling contaminated items. If you do not wear protective clothing or protective masks when classifying and counting items and washing equipment, you cannot effectively use protective equipment to protect yourself, and you do not form good protective awareness and behavioral habits, you may cause harm to yourself. In particular, the collection team is responsible for the recyclable items used by various departments in the hospital. The workload is heavy, and gloves are often damaged. There is a high chance of contracting various infectious diseases from contact with these items every day, thus forming a high-risk group in the hospital.
Physiological and psychological issues
1. Over the years, people have had various prejudices against supply room workers. They believe that supply room work has low technical content and poor economic benefits, which makes a few people feel inferior. Psychologically, the staff in the supply room must be very careful and check the quantity and integrity of the items and instruments in various surgical kits and treatment kits every day when recycling items. They are also responsible for the cleaning, packaging and operation of the drying kits and periodic disinfection kits in the ward. The staff are required to concentrate on proofreading at all times and cannot lack any items to avoid delaying treatment and affecting the progress of the patient's surgery. Therefore, the staff in the supply room work nervously, are easily fatigued, and have a single job. Being in a state of stress for a long time can easily cause physical and psychological problems. Fatigue. At the same time, supply room staff are faced with risks such as multiple occupational exposure opportunities and safety hazards. They are also under heavy psychological pressure and are more likely to suffer from occupational burnout.
2. The staff of the disinfection and supply room for motor function impairment are responsible for the supply of sterile items for all departments in the hospital. They have strong physical labor and improper handling of items when collecting and delivering items can cause muscle and joint injuries. , Continuously lowering your head or bending over to stand during recycling, washing, packaging and other operations can cause chronic diseases such as neck disease, lumbar disease, varicose veins of the lower limbs, and joint injuries.