Management guidelines for health care workers exposed to blood and body fluids

Go, George W; Baraff, Larry J.; Schriger, David L.

doi:10.1016/s0196-0644(05)81078-9

Cited by 11 publications

(1 citation statement)

References 68 publications

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“…A good foundation is needed for the structure requisite to lessen risk and adverse events, and to deal with them when they happen. Creating this structure involves crafting a beneficent philosophy and assembling a coalition to develop and approve guidelines for handling serious incidents such as needle sticks (68). A straightforward checklist of steps includes (84,95) (61) and conflict resolution skills (58) as well as profound knowledge of occupational health, public health, and individual and organizational behavior are necessary to move ahead.…”

Section: Risk Modificationmentioning

confidence: 99%

Infectious Risks for Health Care Workers

Clever¹,

LeGuyader²

1995

Annu. Rev. Public Health

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Although health care has been practiced for eons and although hundreds of thousands of workers are engaged in it, we know distressingly little about ways to prevent work-related infectious illnesses in this important group. Assumptions may be dangerous and expensive: Are "universal precautions" effective; when are respirators necessary? These kinds of questions have taken on particular urgency in the face of multiple-drug resistant tuberculosis and the spread of human immunodeficiency virus and other blood-borne pathogens. Furthermore, health care has moved from the traditional hospital setting into ambulatory, home, and other noninstitutional settings, thus increasing the complexity of worker protection measures. Steps to ensure the safety and health of health care workers must therefore include research and action that lead to identifying workers at risk; planning; education; providing necessary equipment and assuring adequate staffing; using appropriate techniques and precautions; immunizing workers; appropriately isolating patients; record-keeping; and evaluation. Curricula in schools for health professionals should include material on ways to achieve good health for health care workers. Public health officials and regulators should pay more attention to this arena.

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Section: Risk Modificationmentioning

confidence: 99%

Infectious Risks for Health Care Workers

Clever¹,

LeGuyader²

1995

Annu. Rev. Public Health

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Introduction

Madsen

2011

Occupational Emergency Medicine

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An evaluation of Hospital Emergency Department (HED) adherence to universal precautions

1994

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A longitudinal cross sectional study of Hospital Emergency Department (HED) procedures over a nine month period was conducted. A total of 1,541 procedures were observed on 56 randomly selected 8-h work shifts. Shifts were distributed: 34% day shift; 34% evening shift; and 32% on the night shift. Observations on the evening shift were oversampled to capture an adequate number of trauma patients. Observations were distributed: 33% day shift; 39% evening shift; and 28% on the night shift. Measurements included: type of procedure; adherence to specific barrier technique, i.e., use of gloves, gowns, masks, and eye protection; and occurrence of adverse exposure. Ten types of HED procedures were documented and analyzed. Computerized tracking of study observations established periodic rates of HED health care worker (HCW) adherence to universal precautions. These data are important for internal quality control/assurance programs and rate comparisons within and across institutions over time. The longitudinal evaluation of the database revealed that glove compliance increased over the period of the study and adverse exposure decreased. Conducting ongoing or periodic observational studies of this kind are important and necessary in order to gauge HED response to the epidemiologic challenges of urban society.

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Management guidelines for health care workers exposed to blood and body fluids

Cited by 11 publications

References 68 publications

Infectious Risks for Health Care Workers

Infectious Risks for Health Care Workers

Introduction

An evaluation of Hospital Emergency Department (HED) adherence to universal precautions

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