降低手術室專責護理人員尖銳物扎傷發生率

Reducing Incidence of Sharp Injury among Operation Professional Nurses

10.6692/KJN.202404_41(1).0003

盧信豪(Hsin-Hao Lu)；謝馨儀(Hsin-Yi Hsieh)；王奕雯(Yi-Wen Wang)；李怡珍(Yi-Chen Lee)

尖銳物扎傷 ； 情境模擬教學 ； 稽核制度 ； Sharp injury ； simulation learning practices ； audit mechanism

高雄護理雜誌

41卷1期（2024 / 04 / 01）

33 - 46

繁體中文;英文

尖銳物扎傷是醫療常見的職業傷害。手術室專責護理人員2019年尖銳物扎傷發生7件（18.9%）。分析原因為：人員缺乏尖銳物扎傷危機感、團隊缺乏傳遞尖銳物溝通語言、教育訓練不完善、作業標準不明確、無稽核制度及缺乏適當安全設備－電動剃刀。透過尖銳物防護教育訓練、尖銳物扎傷情境模擬教學及提供作業標準，提升尖銳物防護安全知識與技能；推行手術團隊定期稽核制度，改變醫護合作模式，有效發揮團隊合作；使用電動剃刀設備，增加工作安全性。專案推行後，2021年37位手術室專責護理人員發生2件尖銳物扎傷事件，發生率降至5.4%，達成專案目標，專案小組持續追蹤2022年1月1日至5月31日，發生率為0，顯示專案介入有效降低手術室專責護理人員尖銳物扎傷，確保手術團隊能在全面防護下安心工作。

Sharp injury is a common occupational injury. In 2019.Seven cases of sharp injury (18.9%) occurred among operation professional nurses. An analysis revealed that these cases resulted from personnel lacking a sense of crisis of sharp injury, insufficient awareness of the need for verbally alerting colleagues when passing around pointed objects within the surgical team, insufficient training, unclear work standards, the lack of internal audit mechanism, and the scarcity of an appropriate safety device, namely an electric razor. Knowledge of and skills for protection and safety regarding pointed objects were enhanced through training, simulation learning practices on sharp injury, and implementing relevant work standards. Implementing a regular audit mechanism in the surgical team and remodeling team communication help improve personnel cooperation. Job security was improved through the use of electric razors. After the project was implemented, two cases of sharp injury occurred among 37 operation professional nurses in 2021; the incidence rate decreased to 5.4%, reflecting the success of the project. A follow-up was conducted by the researchers from January 1 to May 31, 2022. The incidence rate was zero during this period, indicating that sharp injury among operation professional nurses were effectively reduced through the project intervention, thereby increasing the safety of the operating room environment.

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