废弃输液袋在临床护士针刺伤预防中的应用

The Application of Abandoned Infusion Bag in the Prevention of Needle Stick Injury in Clinical Nurses

目的:探讨一种更加环保、经济有效的在非计划拔针中预防针刺伤发生的方法。方法通过科室不良事件上报的数据,对2014年3月~8月未实施废弃输液袋在非计划拔针中的应用时针刺伤的发生率进行统计,对2014年9月~2015年2月对已实施废弃输液袋在非计划拔针中应用时针刺伤的发生率进行统计,对比前后的差异性。活动前只是进行防针刺伤的相关培训及管理,建立不良事件上报制度并鼓励不良事件上报,活动后加用了废弃输液袋前端口在非计划拔针中防针刺伤的应用。使用废弃输液袋自制'防针塞'预防非计划拔针中针刺伤的发生。统计使用前后科室针刺伤发生的数据,对比差异性。结果使用前针刺伤发生率为27.8%,使用后针刺伤发生率为8.3%,<0.05。结论使用废弃输液袋自制'防针塞'能够降低在非计划拔针中针刺伤的发生率,而且取材方便、经济环保,值得推广。

Objective To explore a more environmentally friendly,economical and effective method of preventing needle injury in non planned needle stick.Methods From the bad data reported by the admistrative office,to analisis the data of implementation of waste infusion bag stabbed in the application of non planned pulling the needle stick in the operation from march to august,2014.and compared the difference to the same data from feb to sep of 2015.the trainning and management of preventing needle stick injuries is practised before activity,establishing report system of rejective effects and encorage to report it.the application of head of abandoned infusion bag in preventing non planned needle stick operation.Results The injury occurence rate is 27.8%in non planned neele stick beofre activity,and 8.3%after trainning activity.Conclusion The occurence ratio of needle injury is cutting down,although work load is increased after activity,hence,using abandoned infusion bag is helpful to reduce occurence ration of injury in non planned needle stick,meanwhile it is economical and environmental friendly.