1, sharp weapon damage.
2. High temperature injury.
3. Dust.
4. Noise.
5. High temperature and humid working environment.
chemical factor
1. The staff in the supply room are exposed to various chemical disinfectants (such as chlorine-containing preparations, hydrogen peroxide, etc.) every day, and most of these disinfectants are volatile and corrosive to varying degrees. Disinfection supply room has strict requirements on working environment. Indoor air, countertops, walls and floors should be cleaned and disinfected according to regulations every day, and special disinfection methods should be adopted for special items such as prion pollution. These disinfectants are deadly.
2. The harmful gases released by disposable sterile articles (such as disposable infusion sets and syringes) are all sterilized by EO in China. During the storage and distribution of these sterile items, EO will exist in the air, which is toxic to human body, causing discomfort, even headache, nausea, vomiting and other symptoms.
biotic factor
1. Infection caused by bacteria, viruses, fungi or parasites, especially hepatitis B virus (HBV), hepatitis C virus (HCV) and HIV, is harmful to human life and health. Due to the particularity of the staff in the supply room, all instruments that come into contact with patients' blood and body fluids must be recovered, cleaned, packaged and sterilized by the staff in the supply room. Secondly, the recycled items often contain blood, body fluids and other pollutants, and the user department has not properly cleaned them. Moreover, there are many kinds of contaminated articles, and the self-protection measures are not in place, which is easy to cause pathogenic microorganisms to enter the body through injured skin mucosa and cause various infectious diseases.
2, microbial aerosol spread, in the process of equipment cleaning, due to ultrasonic cleaning and precision equipment, cleaning and preliminary treatment of equipment with heavy organic pollution, manual cleaning with a brush and splashing water during cleaning 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 is not strong about the operation routine and work attitude, when recycling contaminated items, they often try their luck without gloves, when sorting and counting items and cleaning equipment, they don't wear protective clothing and masks, they can't effectively use protective equipment to protect themselves, and they don't form good protective awareness and behavior habits, which may cause harm to themselves. In particular, the receiving group is responsible for the recyclable items used by various departments of the hospital. The workload is heavy, gloves are often damaged, and daily contact with these items has a great chance of contracting various infectious diseases, thus forming a high-risk group in the hospital.
Physical and psychological problems
1. Over the years, people have had various prejudices against the staff in the supply room. They think that the supply room has low technical content and poor economic benefits, which makes a few people feel inferior. Moreover, the staff in the supply room should carefully check the quantity and completeness of items and instruments in various surgical kits and treatment kits every day, and be responsible for the cleaning and packaging of dry kits and regular disinfection kits in the ward. In the process of operation, the staff are required to concentrate on proofreading. We can't lack anything, so as not to delay the treatment and affect the patient's operation. Therefore, the staff in the supply room are nervous, tired and single-minded, and being in a state of tension for a long time is easy to cause physical and psychological fatigue. At the same time, the supply room staff face many risks, such as occupational exposure opportunities and safety risks, and also bear heavy psychological pressure, which is more likely to produce job burnout.
2. The staff in the disinfection supply room for motor function injury is responsible for the supply of sterile items in various departments of the hospital. They are physically labor-intensive, and improper handling of items when receiving and passing them will cause muscle and joint injuries. In the process of recycling, washing, packaging and other operations, standing with one's head down continuously will cause chronic diseases such as cervical infantile disease, lumbar infantile disease, varicose veins of lower limbs, bruised joints and other injuries.