规范化疗职业防护保障护士自身安全-中国护理管理.PDFVIP

特别策划 静脉治疗标准与实践 Special Planning 规范化疗职业防护 保障护士自身安全 徐波 黎贵 张淑香 [ 摘 要] 抗肿瘤药物在配置、转运和使用的各个环节中，工作人员都存在职业暴露的风险，而长期接触抗肿瘤药物可能会 导致潜在的健康问题。本文对《静脉治疗护理技术操作规范》中抗肿瘤药物职业防护的相关条款进行解读，以期护理人员严格 遵循此标准中提出的要求，接触抗肿瘤药物时实施安全的处理措施，从而减少职业暴露，保障自身安全。 [ 关键词 ] 抗肿瘤药物；职业防护 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2014.06.004 Standardized chemotherapy occupational protection, guarantee nurses own safety / XU Bo, LI Gui, ZHANG Shuxiang // Nursing Department, Cancer Institute and Hospital, Chinese Academy of Medical Sciences, Beijing, 100021 China /// Chinese Nursing Management-2014,14(6): 569-572 [Abstract] There are risks of occupation exposure in antineoplastic drug disposition, transportation and application process and long-term contact with antineoplastic drug may cause potential adverse health effects to health care staffs. This article explained the 6 related items about antineoplastic drugs occupation protection in Nursing Practice Standards for Intravenous Therapy in order for health care staffs to follow the specified request strictly, to take safe measures when contacting with antineoplastic drug, to reduce occupation exposure, and to ensure their own safety. [Key words] antineoplastic drugs; occupational protection 大量研究证实，抗肿瘤药物可通过 和个人防护装备（Personal Protection 皮肤吸收、呼吸道吸入、消化道摄入以 Equipment, PPE）就被应用到临床工 及意外注射等途径进入工作人员体内危 作中 [4-5]。尽管如此，抗肿瘤药物的环 害其健康 [1] ，皮肤接触和呼吸道吸入是 境污染还是能被检测到，医护人员依然 暴露的主要途径 [2] 。如果没有做好职业 面临着职业暴露的危险 [6-8] 。2013 年11 防护，就会出现血象改变、生殖毒性（流 月14日，我国国家卫生和计划生育委员 产、致畸和不孕）、肝损伤、接触性皮炎、