妇产科护理工作中的职业安全与自我防护

The occupation safety and self-protection of obstetrics and gynecology nursing work

目的:探讨妇产科护理人员职业安全的危险因素,分析职业危害的危险因素及发生职业暴露后的处理流程。方法:分析2010年12月-2013年12月妇产科护理工作中,10名护理人员发生职业暴露危险因素、防范措施及效果评价过程。结果:不同职称的护士和助产士均有不同程度的针头、缝合针、刀片等刺伤,发生率76.8%,平均每年有3次锐器损伤情况,损伤后89%的护士立即挤出伤口部位的血液用流动水冲洗伤口,并用2%碘伏消毒伤口,然后登记上报,仍有11%的护士处理伤口不及时,不规范,没及时登记上报。锐器损伤病原菌分析:科室3次锐器伤,其中HBV患者的针头刺伤1例,HCV患者的锐器刺伤1例,不明原因的锐器伤1例。结论:针对职业危害进行职业安全防护知识培训,使护理人员充分认识到职业危害的严重后果,从而增强自我防范意识,保证职业安全。

Objective:To investigate the risk factors of occupation safety nursing in the department of gynaecology and obstetrics,we analyzed the risk factors of occupation hazards and the processing flow of occupation after exposure.Methods:We analyzed the nursing work of the department of gynaecology and obstetrics from December 2010 to December 2013.10 nursing staffs occupation exposure risk factors,prevention measures and effect evaluation process.Results: Different titles of nurses and midwives have varying degrees of needles, suture needle, blade stabbed, and the incidence of 76.8%.There are sharp instrument injury 3 times per year.On average 89% of nurses extruse blood immediately after injury and irrigate with flowing water at the site of the wound, and 2% iodine volts to disinfect wounds, then registration report.11% of nurses do not deal with the wound in time,no registration report in a timely manner.Sharp instrument injury pathogen analysis: three sharp injury, department of needle stick injuries in patients with HBV in 1 case, the elan of HCV patients,1 case of unexplained sharp injury in 1 case.Conclusion:According to the occupation harm of occupation safety knowledge training,the nursing staff fully aware of the serious consequences of occupation hazards,so as to improve the sense of self-protection and ensure the occupation safety.