Two, the reasons for occupational exposure analysis
1, medical staff is a high-risk group of occupational exposure, the vast majority of medical operations are inseparable from the hands, the hands are the main parts of the occurrence of occupational exposure.
2, daily did not develop good working habits, operation is not standardized: such as both hands back to the set of needle cap, used sharps, needles are not put into the sharps box in a timely manner, the second sorting of needles and so on.
3, self-prevention awareness is not strong, resulting in avoidable occupational exposure failed to avoid.
4. Insufficient risk awareness, lack of foresight of high-risk factors in the workplace, inability to take preventive measures proactively in advance, and failure to implement the standard concept of prevention: such as failure to anticipate the possibility of being splashed by patients' bodily fluids in the course of the operation, and failure to wear protective measures such as goggles.
Three, occupational exposure typical cases
1, 3 cases of medical staff back to the set of needle cap caused by needlestick injuries
Problems: violation of the operating norms,
2, 1 case of finishing postoperative organization of medical waste, inadvertently stabbed by the needles in the medical waste bag.
Problems: lack of precautionary awareness, direct contact with medical waste with hands!
3, 2 cases of patients to a bed after removing the needle, back to the dirt disposal room to deal with the needle, inadvertently stabbed fingers.
Problems: failure to dispose of needles in a timely manner, the existence of secondary sorting;
4, 1 case of nurses pulling needles from a patient in a bed, due to entanglement in the infusion stand, inadvertently stabbed fingers when removing the open.
6. 1 case of inadvertent stabbing by a doctor when removing a needle with his bare hands after giving an injection to a patient at an acupuncture point.
Problems: insufficient anticipation of the risk of needlestick injuries; lack of caution and care when touching the needle with bare hands.
7. 3 cases of nurses (including 2 trainee nurses) were stabbed during the process of removing needles from patients.
Problems: unskilled operating procedures, leading to psychological tension.
8. In one case, the physician exerted too much force when removing the guidewire for the patient, causing the patient's blood to splash into the assistant physician's eyes.
Problems: insufficient risk awareness, lack of anticipation of high-risk factors in the workplace, inability to take preventive measures in advance, and failure to implement the standard concept of prevention: such as failure to anticipate the possibility of splashing the patient's bodily fluids during the operation process, and failure to wear protective measures such as goggles.
Remedial measures:
1. The department should continue to strengthen the "medical staff occupational exposure prevention and emergency response" training and drills to improve the awareness of prevention. Everyone is required to familiarize themselves with occupational exposure protection measures and emergency response methods.
2. Strengthen the standardized training of new recruits and junior nurses to improve their operation skills.
3. Strengthen the training of standard prevention to achieve safe injection and standardized operation.