Evaluation and Control of Professional Risks in Intensive Care Units

Author(s):  
Ana Ferreira ◽  
João Paulo Figueiredo ◽  
Mariana Girão ◽  
Ana Lança
2021 ◽  
Vol 39 (2) ◽  
Author(s):  
Amirhossein Yousefinya ◽  
Camellia Torabizadeh ◽  
Farid Zand ◽  
Mahnaz Rakhshan ◽  
Mohammad Fararooei

Objective. To evaluate the effects of application of a manual on the improvement of alarms management in Intensive Care Units (ICU). Methods. This quasi-experimental study evaluated the effectiveness of the introduction into of a manual for alarm management and control in the ICU of a hospital in southeastern Iran. The intervention was a 4-hour workshop was on topics related to the adverse effects of alarms, standardization of ECG, oxygen saturation and blood pressure monitoring systems, and the use of ventilators and infusion pumps. Data were collected thorough 200 hours of observation of 60 ICU nurses (100 hours’ pre-intervention and 100 hours’ post-intervention). Response time, type of response, customization of alarm settings for each patient, the person responding to an alarm, and the cause of the alarm were analyzed. Alarms were classified into three types: false, true and technical. Results. The results showed a statistically significant difference between the pre- and post-intervention frequency of alarm types, frequency of monitoring parameters, customized monitoring settings for patients, and individuals who responded to alarms. The percentage of effective interventions was significantly higher for all parameters after the intervention (46.9%) than before the intervention (38.9%). Conclusion. The employment of a manual for management of alarms from electronic equipment in ICUs can increase the frequency of appropriate responses to alarms in these units.


Rev Rene ◽  
2020 ◽  
Vol 21 ◽  
pp. e42053
Author(s):  
Ítalo Lennon Sales de Almeida ◽  
Thiago Santos Garces ◽  
Glória Yanne Martins de Oliveira ◽  
Thereza Maria Magalhães Moreira

Objetivo: descrever os elementos constitutivos do cuidado de enfermagem presentes nas escalas de avaliação do risco de lesão por pressão usadas em unidades de terapia intensiva. Métodos: trata-se de uma revisão integrativa da literatura a partir do LILACS, MEDLINE, SCIELO e BDENF. Os descritores utilizados para a busca foram Pressure Ulcer; Decubitus Ulcer; Prevention and Control; Prevention; Intensive Care Units. A amostra final foi constituída por 13 artigos científicos. Resultados: a escala mais utilizada entre os estudos analisados foi Braden. Os elementos constitutivos evidenciados foram avaliação estruturada do risco, avaliação da pele e tecidos, cuidados preventivos com a pele, nutrição, reposicionamento no leito, superfícies de apoio e cuidados com dispositivos médicos. Conclusão: a prevenção de lesões relacionadas às incontinências, avaliação nutricional, intervenções nutricionais com o objetivo de prevenir lesões e os cuidados relacionados a dispositivos médicos são elementos constitutivos do cuidado de enfermagem pouco explorados ou ausentes nas escalas avaliadas.


2019 ◽  
Vol 132 (1) ◽  
pp. 115-119
Author(s):  
Long-Xiang Su ◽  
Xiao-Ting Wang ◽  
Pan Pan ◽  
Wen-Zhao Chai ◽  
Da-Wei Liu

Author(s):  
Soumya Singh ◽  
Rohit Kumar ◽  
Mrinmoy Sarma

Background: Harbouring of potential pathogens in operation theatres (OTs) and intensive care units (ICUs) of hospital is a major cause of patient’s morbidity and mortality. Environmental monitoring by the microbiological testing of surfaces and equipments is useful to detect changing trends of types and counts of microbial flora. High level of microbial contamination indicates the needs for periodic surveillance aimed at early detection of bacterial contamination levels and prevention of hospital acquired infections.Methods: During a period of 6 months from January 2019 to June 2019, Air sampling from Operation theaters and Intensive care units were done by settle plate method. Swabs were taken from different sites and equipments and bacterial species were isolated and identified from them.Results: A total of 1410 samples were collected from various sites of Operation theaters and Intensive care units over a period of 6 months in which 960 were surface samples and 450 were air samples. Out of 960 surface samples, 95(9.89%) and out of 450 air samples, 90 (20%) were bacterial positive. Isolated organism was divided into normal flora (CONS, Micrococci), contaminant (bacillus species) and pathogenic organism e.g. Staphylococcus aureus, Acinetobacter spp., Pseudomonas spp etc. Out of those 30 (16.20%) CONS, 50 (27.02%) Micrococci, 75 (40.50%) Bacillus spp, 16 (8.6%) Staphylococcus aureus, 1(0.54%) Acinetobacter spp, 2 (1.08%) Pseudomonas spp, 4 (2.16%) Klebsiella, 7 (3.78%) Escherichia coli were isolated.Conclusions: Strengthening surveillance and laboratory capacity will surely enhance infection prevention and control. Routine sampling is strongly recommended for increasing awareness to identify and control all possible sources and types of infections.


2018 ◽  
Vol 12 (3) ◽  
pp. 206
Author(s):  
Ayshe Hajiesmaeilpoor ◽  
Abbas Abbaszadeh ◽  
Hamid Soori ◽  
Shirin Afhami ◽  
Esmaeil Mohammadnejad

2009 ◽  
Vol 50 (5) ◽  
pp. 637 ◽  
Author(s):  
Young Kyung Yoon ◽  
Hee Sun Sim ◽  
Jeong Yeon Kim ◽  
Dae Won Park ◽  
Jang Wook Sohn ◽  
...  

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