扎刺伤处理及防护措施应用.pdf

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1、StoryTime扎刺傷處理及防護措施應用
"Duringourtrainingdaysinthe1960s,wedidnotgetgloves…Iftherewereglovesavailableitwouldbegiventothedoctor.Wehadtoconductdeliverieswithourbarehands.“施施施正施正正正蓮蓮蓮蓮醫師醫師
Studentnursesarefarworseoff.Inteachinghospitals,seniorwardsisterswouldscreamiftheyfound高雄榮民總醫院感染科studen

2、tnursesusinggloves.Itwasaluckystudentwhowasgivenapairofgloves-whichtheycoulduseforthewholeshift.IndianJournalofMedicalEthicsOct-Dec2002-10(4)95121119512112Case1:他人不小心Case2自己不小心
Aresidentdoctorcollectedbloodfromachild
ThenursedidabloodtestinanAIDSandleftthesampleinthesyringewithanpatient

3、Aftertheprick,shetriedtorecapuncappedneedleonthebed,whereitgotlostinthebedclothes.theneedleinahurryandsustainedadeep
Thenursetidiedthebedclothestomaketheinjurywiththeneedle.patientcomfortablewhenshewasprickedbythe
Necessarybloodtestsandstartedthesharpneedle.nurseonatwo-drugregimen.Thisn

4、urse
ThechildwasHIVpositive.Shewastreatedwithtwodrugsasprophylaxis.Shedevelopedtoxicwentintoadeepdepressionandhadtobeeffectsoftheliverandalsowentthroughagrantedleaveforoveramonth.phaseofdepression.針頭不回套95121139512114Case3運氣不好Case4
Anursewaswalkingoutofthepatient's
Thenursewasstartingani

5、ntravenouslineroomwithausedsyringeandneedleinanonapatient.Asshewasremovingtheinjectiontray,afterhavinggivenanintra-steelstilettefromthecannula,thepatientmuscularinjectionwhenshebumpedintopulledhishandbackviolently.Thestiletteanothernurseinahurry.wentthroughthenurse'sforearmandshe
Whenth

6、etwobangedintoeachother,thesufferedadeepinjury.syringewiththeneedlefellfromthetray
AyearlatershetestedHIVpositive.onthenurse'shandandshegotaprick.951211595121161醫療人員扎刺傷分佈情況高成本的扎刺傷(NeedlestickInjuriesAmongHealthCareWorkers)
調查暴露後感染原時間及花費(Timeandmoneytoinvestigatedthesource)
暴露後處置措施(Post-

7、exposurecare)
暫停工作損失(Lostworktimeandproductivity)
後續疾病治療(Treatmentofresultingillnesses)
工作人員生命(Workers’lives)Source:EPINetdata,UniversityofSource:EPINetdata,UniversityofVirginiaVirginia暴露於血液感染危險性暴露型態接觸致病菌暴露頻率接種的量暴露於各種血液之危險性暴露途徑微生物致病性、濃度途徑經皮膚感染黏膜或接觸是否使用手套暴露血液量病毒（針刺傷）受傷皮膚個人的清潔習慣暴