NHS临床指南 A training package to protect healthcare staff from harm.ppt

www.daniels.co.uk www.daniels.co.uk The Health Protection Agency (HPA) study 2005: Occupational Exposure to Blood-borne viruses (BBV) 2% of exposures were to porters, security and housekeeping staff Largely from sharps in rubbish bins Medical professions: 37% Injuries sustained during the procedure were dependent on the procedure – many not generally amenable to prevention. Injuries sustained after the procedure and during disposal – much more preventable – usually related to failure to comply with procedures relating to the safe handling and disposal Source: HPA 2005 www.daniels.co.uk Outcome of exposure to BBVs Nine seroconversions following significant occupational exposure over a 7 year period Six involved male injection drug user source patients All seroconversions followed percutatous exposure mostly to fresh blood and involved hollow bore needles Six occurred after the procedure and five were preventable Many were preventable with adherence to standard precautions (38%) Source: HPA 2005 www.daniels.co.uk The importance of surveillance of Occupational Exposure to Blood Borne Viruses in Health Care Workers Data collection To identify risk factors necessary for seroconversion to occur To examine type of exposure, staff involved and circumstances surrounding the exposure To use the data to inform national prevention policies To monitor implementation of national HIV post exposure prophylaxis (HIV PEP) guideline and influence future policy To raise awareness of reports of occupational exposure and encourage all trusts and other health care providers to take part To use data collected on HBV immunisation to monitor adherence to policy Source: HPA 2005 www.daniels.co.uk Case study examples Review the scenarios on the handout. Address the following questions in groups: Based on WHO needlestick case studies 2005 Was the use of a needle essential? Could the use of a needle safety device have prevented the injury, if so what type? Are these devices available on your u