急诊科护士锐器损伤的危险因素与防护措施

Risk Factors and Protective Measures of Sharp Instrument Injury for Emergency Department nurse

目的:探讨急诊科护士发生锐器损伤的危险因素及相应的方法对策。方法:对我院医疗锐器伤登记表上登记的65例发生锐器损伤的相关资料进行分析,探讨危险因素并提出相应的防护措施。结果:65例锐器损伤事件中,锐器种类依次为各种注射器针头(41.5%)、头皮针(27.7%)、玻璃(13.8%)、缝合针(4.6%)和其他(12.4%);发生锐器损伤的操作环节依次为处理锐器(49.2%)、掰安瓿瓶(23.1%)、回套针帽(10.8%)、拔针(6.2%)和其他(10.7%)。结论:急诊科护士面临较大的锐器伤威胁,规范操作行为、提高和加强锐器伤的防护意识是减少锐器伤害的重要措施。

Objective：To discuss the risk factors and protective measures of sharp instrument injury for emergency department nurse. Method：Data of 65 sharp instrument injuries in our hospital were selected and analyzed. The risk factors were analyzed and protective measures were proposed. Results： Of the 65 cases, the types of sharp instrument injuries were syringe needle （41.5%）, scalp acupuncture （27.7%）, glass （13.8%）, suture needles （4.6%） and others （12.4%）. The operation steps were handling sharp objects （49.2%）, breaking the ampoules （23.1%）, recapping the needle cap （10.8%）, withdrawal of needles （6.2%） and others （10.7%）. Conclusion： Emergency department nurses are facing a greater threat of sharp instrument injury. Regulating operation behavior, improve and strengthen the consciousness of sharp injury protection are important measures to reduce injury.