Percepção do enfermeiro acerca do uso de equipamentos de proteção individual em hospital paraibano

Biossegurança ou segurança biológica é um conjunto de ações voltadas à prevenção e proteção do trabalhador. Uma estratégia utilizada como forma de evitar contaminação no ambiente de trabalho se dar a partir do uso de Equipamentos de Proteção Individual (EPIs). Objetivou-se analisar a percepção do enfermeiro sobre o uso e importância do EPI diante da assistência aos pacientes. O trabalho trata-se de um estudo do tipo exploratório-descritivo, com abordagem quantiqualitativa, foi realizado com enfermeiros plantonistas do setor de urgência e emergência de um Hospital Regional paraibano. Conforme os dados observa-se que a maioria dos enfermeiros é do gênero feminino, com faixa etária entre 20 e 30 anos de idade, são especialistas e atuam há dois anos no serviço de emergência. Todos os enfermeiros mostraram conhecimento sobre a importância do uso do EPI, relatando as principais doenças que podem acometê-los caso ocorram episódios de contaminação durante a execução das suas atividades laborais. Alguns dos profissionais afirmaram já se contaminar, sendo o material perfurocortante o que mais causou acidentes. Afirmaram que a instituição oferece a maioria dos EPIs necessários para proteção individual, porém só em algumas circunstâncias fazem uso desses equipamentos. Portanto, pôde-se concluir que tais contaminações poderiam ser evitadas se todos os profissionais fizerem uso dos EPIs em todas as situações que envolvam riscos, pondo em prática o conhecimento relatado, conferindo proteção não só ao profissional como a clientela que procura o serviço.Nurses perception about the use of personal protective equipment in a hospital in parabianAbstract: Biosafety or security biological is a set of actions aimed at the prevention and protection of the worker. One strategy used in order to avoid contamination in the work environment it's given from the use of Personal Protective Equipment (PPE). The work it is a study of exploratory-descriptive, with a quantiqualitative approach, was conducted with nurses in the sector of urgency and emergency in a Regional Hospital Paraiba, aiming analysis on the use and importance of PPE when providing patient care. According to data was realized that most nurses are female, aged between 20 and 30 years old, are experts and acting for two years in the emergency department. All nurses showed knowledge about the importance of using PPE, reporting major diseases that can affect them in case occur contamination episodes during the execution of their work activities. Some professionals said they already been contaminated, being the material pierce cutter which caused more accidents. They stated that the institution offers the majority of PPEs required for personal protection, but only in some circumstances they make use of such equipment. Therefore, it was concluded that such contamination could be avoided if all professionals make use of PPE in all situations involving risk, putting into practice the knowledge reported, providing protection not only to the professional as customers seeking service.

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An electronic audit tool to track the donning and doffing practices of personal protective equipment in the emergency department

Canadian Journal of Emergency Nursing ◽

10.29173/cjen135 ◽

2021 ◽

Vol 44 (2) ◽

pp. 11-12

Author(s):

Ramya Sridhar ◽

Jennifer Woods ◽

Maya Jusza ◽

Sharon Drury

Keyword(s):

Emergency Department ◽

Data Collection ◽

Patient Care ◽

Personal Protective Equipment ◽

Infection Prevention ◽

Protective Equipment ◽

Audit Tool ◽

University Of Alberta ◽

The University

An electronic audit tool to track the donning and doffing practices of personal protective equipment in the emergency department Maya Jusza, Ramya Sridhar, Jennifer Woods, Sharon Drury Background: Maintaining the safety of patients and healthcare professionals is a priority in all healthcare settings. Infection prevention measures such as donning and doffing practices of personal protective equipment (PPE) have become even more imperative in light of the SARS-CoV-2 pandemic. Potential PPE breaches and the degree of frontline compliance are currently being analyzed through the use of paper PPE audit tools which can be laborious and time-consuming. The development of an electronic alternative would improve frontline safety and enhance the efficiency of data collection, while optimizing the ability to share these observations with the frontline team in real time. Two nursing leadership students from the University of Alberta were tasked with developing an electronic PPE audit tool prototype for the University of Alberta Hospital’s emergency department. Implementation: An electronic PPE audit tool prototype was developed using Google Forms which provided a user-friendly interface. Google applications were used as no confidential or patient data was collected during PPE audits. The prototype auto-populated the data entries into linked spreadsheets and interactive data dashboards that visualized the data using graphs in real time. This enabled users to easily identify trends and direct educational interventions as required. Instructional one pagers and screencast videos were also created to accompany the prototype. The prototype was reviewed by and received extensive support from: Unit Managers, Patient Care Managers, Process Improvement Nurses, Infection Prevention Control (IPC), the Executive Director of the University of Alberta Hospital and Stollery emergency department and Edmonton Zone medicine programs, and the University of Alberta Hospital and Mazankowski Executive Leadership Team. Several changes and improvements were made using the Plan-Do-Study-Act cycle. This prototype has currently been replicated onto an Alberta Health Services (AHS) server and has completed the formal testing phase with a planned application launch date. Evaluation Methods: Plan-Do-Study-Act cycles were used to guide the implementation of this audit tool prototype. After development, the prototype was tested and revised which included six rounds of audit trials at the University of Alberta Hospital’s emergency department and on some inpatient medicine units. This prototype was consistently evaluated at various stages of development and changes were made to include feedback. After approval was received to recreate this prototype onto an AHS compatible server, additional changes were made to ensure functionality. These changes included adding designations and simplifying certain questions. IPC was consulted to ensure the steps outlined for donning and doffing in the prototype were accurate and reflected requirements in the clinical environment. Results: This audit tool prototype has gathered tremendous support through various demonstrations of its ability to streamline data collection in the healthcare setting. This data is relevant to the safety of both frontline workers and patients as it identifies inconsistencies in donning and doffing practices. In addition, the prototype also complements the Edmonton zone-wide PPE coaching initiative by allowing for a quantitative measurement of its efficacy. This has prompted the fast-tracked replication of an AHS compatible version with the assistance of a dedicated team that includes the creators of the prototype tool, IPC, Quality Assurance, Information Technology, and Clinical Services Development. This version has a scheduled launch date on March 22, 2021 and is to be initially rolled out to University of Alberta’s emergency department and medicine units. The objective is to eventually make this the standardized PPE audit tool throughout Alberta. Advice and Lessons Learned: 1) In order to be sustainable and implemented site-wide, an AHS compatible tool isrequired. The use of Google applications is not preferred as data will be stored outside ofthe AHS server. Even though there is no confidential information, wide-spread use mayoverwhelm the Google platform and a Gmail account is required to view data. An in-house AHS alternative has been developed. 2) Several discussions took place regarding discretions on what steps can be auditedaccording to IPC protocols. For example, some clinical nurse educators prefer handhygiene to be completed between donning steps, while this is not mandatory or auditableaccording to IPC. In addition, several discussions took place to identify the operationaland business owners of this tool which are required to support the AHS compatibleversion of the application. 3) PPE audits are vital across all hospital departments to improve the quality of healthcare.The use of PPE during patient care has grown exponentially due to the SARS-CoV2pandemic and has amplified the need for an electronic alternative to the existing paperPPE audit tool. The electronic audit tool offers an innovative way to accurately andefficiently collect and display data which will promote an improved quality of care.

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Rapid implementation of Inpatient eConsult Programme addresses new challenges for patient care during COVID-19 pandemic

BMJ Innovations ◽

10.1136/bmjinnov-2020-000557 ◽

2021 ◽

pp. bmjinnov-2020-000557

Author(s):

Sharon Rikin ◽

Eric J Epstein ◽

Inessa Gendlina

Keyword(s):

Palliative Care ◽

Infectious Diseases ◽

Patient Care ◽

Personal Protective Equipment ◽

Protective Equipment ◽

Qualitative Feedback ◽

The Usa ◽

New Challenges ◽

Science Framework ◽

Context Specific

IntroductionAt the early epicentre of the COVID-19 crisis in the USA, our institution saw a surge in the demand for inpatient consultations for areas impacted by COVID-19 (eg, infectious diseases, nephrology, palliative care) and shortages in personal protective equipment (PPE). We aimed to provide timely specialist input for consult requests during the COVID-19 pandemic by implementing an Inpatient eConsult Programme.MethodsWe used the reach, effectiveness, adoption, implementation and maintenance implementation science framework and run chart analysis to evaluate the reach, adoption and maintenance of the Inpatient eConsult Programme compared with traditional in-person consults. We solicited qualitative feedback from frontline physicians and specialists for programme improvements.ResultsDuring the study period, there were 46 available in-person consult orders and 21 new eConsult orders. At the peak of utilisation, 42% of all consult requests were eConsults, and by the end of the study period, utilisation fell to 20%. Qualitative feedback revealed subspecialties best suited for eConsults (infectious diseases, nephrology, haematology, endocrinology) and influenced improvements to the ordering workflow, documentation, billing and education regarding use.DiscussionWhen offered inpatient eConsult requests as an alternative to in-person consults in the context of a surge in patients with COVID-19, frontline physicians used eConsult requests and decreased use of in-person consults. As the demand for consults decreased and PPE shortages were no longer a major concern, eConsult utilisation decreased, revealing a preference for in-person consultations when possible.ConclusionsLessons learnt can be used to develop and implement inpatient eConsults to meet context-specific challenges at other institutions.

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Organization of personneindividual protection conducting diagnostic and treatment procedures using radionuclide and generating sources of ionizing radiation

Medical Radiology and radiation safety ◽

10.12737/article_59f2f93b8906c4.36666437 ◽

2017 ◽

Vol 62 (5) ◽

pp. 28-30

Author(s):

В. Рубцов ◽

V. Rubcov ◽

В. Клочков ◽

V. Klochkov ◽

А. Нефедов ◽

...

Keyword(s):

Nuclear Medicine ◽

Ionizing Radiation ◽

Personal Protective Equipment ◽

Medical Staff ◽

High Performance ◽

Protective Equipment ◽

Study Guide ◽

Personal Protection ◽

Radiation Sources ◽

Treatment Procedures

Purpose: To improve radiation safety of medical staff and patients during diagnostic and treatment procedures with using of radionuclide radiation sources. Materials and methods: Staff working conditions have been analyzed and the potential for using of various personal protective equipment has been assessed based on the developed framework of personal protection of medical staff and patients at nuclear medicine centers. In accordance with methods described in the current Russian standards, specimens of personal protective equipment manufactured at Russian industrial plants and suitable for use by medical staff and patients at nuclear medicine centers have been tested. Results: Results of laboratory tests of new advanced high-performance personal protective equipment of various purposes for protection of medical staff and patients during diagnostic and treatment procedures with using of radionuclide radiation sources are provided. Training and information documents and guidelines have been developed, including “Study guide on personal protection during diagnostic and treatment procedures with using of radionuclides and ionizing radiation sources” for various departments of the Institute of Continuing Vocational Education, State Research Center – Burnasyan Federal Medical Biophysical Center of the FMBA of Russia, and “Guidelines on personal protection of medical staff and patients during diagnostic and treatment procedures with using of radionuclides and ionizing radiation sources”. Conclusion: Study guide and Guidelines on personal protection of medical staff and patients at nuclear medicine centers during diagnostic and treatment procedures with using of radionuclide radiation sources, as well as the draft of the Standard guidelines on delivery of free personal protective equipment to medical staff have been developed based on the results of work and studies.

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Emergency department staff can effectively resuscitate in level C personal protective equipment

Emergency Medicine Australasia ◽

10.1111/j.1742-6723.2007.00918.x ◽

2007 ◽

Vol 19 (2) ◽

pp. 113-121 ◽

Cited By ~ 8

Author(s):

Ruwangi Udayasiri ◽

Jonathan Knott ◽

David McD Taylor ◽

Jonathan Papson ◽

Fiona Leow ◽

...

Keyword(s):

Emergency Department ◽

Personal Protective Equipment ◽

Protective Equipment ◽

Emergency Department Staff ◽

Department Staff

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Association between personal protective equipment and SARS-CoV-2 infection risk in emergency department healthcare workers

European Journal of Emergency Medicine ◽

10.1097/mej.0000000000000766 ◽

2020 ◽

Vol Publish Ahead of Print ◽

Author(s):

Danique Schmitz ◽

Marieke Vos ◽

Renate Stolmeijer ◽

Heleen Lameijer ◽

Titus Schönberger ◽

...

Keyword(s):

Emergency Department ◽

Personal Protective Equipment ◽

Healthcare Workers ◽

Infection Risk ◽

Protective Equipment

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Atividades Educativas para uso adequado de Equipamentos de Proteção Individual em Hospital Federal de Referência

Enfermagem em Foco ◽

10.21675/2357-707x.2020.v11.n1.esp.3630 ◽

2020 ◽

Vol 11 (1.ESP) ◽

Author(s):

Camila Pureza Guimarães Da Silva ◽

Verônica Caé Da Silva ◽

Patrícia Fernandes Britto ◽

Dejanira De Jesus ◽

Verônica Wermelinger Costa Nonato ◽

...

Keyword(s):

Continuing Education ◽

Personal Protective Equipment ◽

Rio De Janeiro ◽

Descriptive Study ◽

Protective Equipment ◽

Personal Protection ◽

Educational Activities ◽

Personal Protection Equipment ◽

Adult Inpatient ◽

The City

Objetivo: relatar a experiência da realização de atividades educativas sobre Paramentação e Desparamentação de Equipamentos de Proteção Individual (EPI) em um hospital da rede federal situado no município do Rio de Janeiro. Método: estudo descritivo, do tipo relato de experiência, realizado em um hospital a partir de ações educativas. Resultados: foram desenvolvidas ações educativas com 894 colaboradores da instituição onde a maioria era do sexo feminino (80,6%), 70% das categorias de enfermagem e mais de 48% dos serviços de internação de adultos. Houve demonstração de insegurança quanto às técnicas, especialmente a de desparamentação. Conclusão: as atividades possibilitaram um cuidado da instituição com os seus colaboradores, da equipe de enfermagem e multiprofissional, dando-lhes ferramentas no uso correto dos EPI para enfrentamento da COVID-19.Descritores: Enfermagem; Educação Continuada; Equipamento de Proteção Individual; Infecções por Coronavirus; COVID-19.EDUCATIONAL ACTIVITIES FOR PROPER USE OF PERSONAL PROTECTION EQUIPMENT IN A FEDERAL REFERENCE HOSPITALObjective: to report the experience of carrying out educational activities on Personal Protective Equipment (PPE) placement and safe removal in a federal hospital located in the city of Rio de Janeiro. Method: descriptive study, the type of experience report realized in a hospital based on educational actions. Results: educational activities were developed with 894 participants of the institution, most were female (80.6%), 70% from the nursing category and more than 48% from adult inpatient services. There was demonstration of insecurity regarding the techniques, especially on withdrawal of personal protective equipment. Conclusion: the activities made it possible to care for the institution with its collaborators, the nursing and multidisciplinary team, giving them tools for the correct use of PPE to face COVID-19.Descriptors: Nursing; Continuing Education; Personal Protection Equipments; Coronavirus Infections; COVID-19. ACTIVIDADES EDUCATIVAS PARA EL USO ADECUADO DEL EQUIPO DE PROTECCIÓN PERSONAL EN UN HOSPITAL FEDERAL DE REFERENCIAObjetivo: informar sobre la experiencia de llevar a cabo actividades educativas sobre colocación y retiro de equipos de protección personal (EPP) en un hospital federal ubicado en la ciudad de Río de Janeiro. Método: estudio descriptivo, informe de experiencia, realizado en un hospital basado en acciones educativas. Resultados: las acciones educativas se desarrollaron con 894 participantes de la institución, la mayoría eran mujeres (80,6%), 70% de la categoría de enfermería y más del 48% de los servicios de hospitalización de adultos. Hubo demostración de inseguridad con respecto a las técnicas, especialmente la eliminación de equipos Conclusión: las actividades permitieron atender a la institución con sus colaboradores, el equipo de enfermería y multidisciplinario, brindándoles herramientas para el uso correcto del EPP para hacer frente à COVID-19.Descriptores: enfermería; Educación contínua; Equipo de protección personal; Infecciones por coronavirus; COVID-19.

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Abstract P816: Nurse-Driven Rapid Covid-19 Testing in Emergency Department Stroke Patients

Stroke ◽

10.1161/str.52.suppl_1.p816 ◽

2021 ◽

Vol 52 (Suppl_1) ◽

Author(s):

Stacey Aggabao ◽

Tawnae Thorsen ◽

Atul Gupta ◽

Raeesa Dhanji ◽

Denise Gaffney ◽

...

Keyword(s):

Emergency Department ◽

Personal Protective Equipment ◽

Stroke Care ◽

Protective Equipment ◽

Rapid Evaluation ◽

Ct Scanner ◽

Stroke Patients ◽

Specimen Collection ◽

Normal Code

Introduction: The COVID-19 pandemic presents obstacles to time sensitive emergencies, such as stroke care. In acute strokes, knowing the COVID-19 status may help to preserve personal protective equipment (PPE) in patients in whom a thrombectomy may be indicated and helps to decrease unnecessary exposure. This study aims to demonstrate that rapid evaluation of a patient’s COVID-19 status is feasible without delaying treatment times. Methods: An intradisciplinary team was convened to create a workflow for rapid COVID-19 testing. The Abbott Rapid® COVID-19 swab kit and assay were stocked in the ED Pyxis, utilizing the narcotic count feature to ensure all swabs were accounted. Upon activation of Code Stroke, the ED RN donned PPE and swabbed the patient’s naso-oral pharynx. The collected swab was labeled, placed in a bio-hazard bag, sanitized and handed to a second RN outside of the room. The specimen was taken to a pre-alerted lab technician who prepped the assay after hearing the code stroke. After specimen collection, the patient followed the normal code stroke pathway and was taken to the CT scanner. Metrics were analyzed for the pre COVID-19 (January through April) and during active COVID-19 (May through July) periods. Results: There were 136 code strokes from January thru July 2020. 81 were during pre-COVID vs. 55 during active-COVID. 47 of 55 (96%) were swabbed, 2 (4%) of whom were positive. There was no difference between pre-COVID and active-COVID door to CT initiated time (16 mins [IQR 13-24] vs. 22 mins [IQR 13-25] p=0.75), door to CT resulted time (21 mins [IQR 15-26]) vs. 23 mins [IQR 16-29] p=0.63). 18 patients received tPA pre-COVID and 5 during active-COVID with no difference in DTN (pre: 37.5 mins [IQR 30-43] vs. active: 28 mins {IQR 26-41] p=0.37). Door to CT initiated was faster for those who had their COVID swab performed pre-CT (14 mins [IQR 11.5-16.5] p=0.034) vs. post-CT (20 mins [IQR 17-28]). Likewise, door to CT resulted was also faster pre-CT: 24 mins [IQR 19-32] vs. post-CT: 17 mins [IQR 15-23] (p=0.04). Conclusion: The COVID-19 rapid swab code stroke process was feasible and did not delay treatment times.

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SARS-COV-2 SEROPREVALENCE AMONG EMERGENCY PROVIDERS AND THE IMPORTANCE OF PERSONAL PROTECTIVE EQUIPMENT.

10.36106/ijsr/4630815 ◽

2021 ◽

pp. 85-86

Author(s):

Tuong Pham ◽

Michael Doctor ◽

Ryliezl Abby Reyes ◽

Caroline Runco ◽

Alberto Hazan ◽

...

Keyword(s):

Emergency Department ◽

Personal Protective Equipment ◽

Transmission Rate ◽

Working Hours ◽

Protective Equipment ◽

Surgical Masks ◽

Exposure Risks ◽

Testing Site ◽

Elevated Exposure

Background: Healthcare workers (HCWs) have elevated exposure risks to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). However, there is limited published information regarding the transmission rate and the seroconversion among HCWs. The goals of this study are to determine the seroprevalence among emergency providers and the correlation between working hours and utilization of personal protective equipment with the likelihood of seroconversion. Methods: This prospective study evaluated Emergency Department physicians and advanced practice providers, who had been tested for SARSCoV-2 IgG serology, at 10 different hospitals in the location area. An anonymous survey was sent to the Emergency Department providers via email inquiring about the following: results of serology and/or nasopharyngeal testing, the testing site used, the presence or absence of COVID-19 symptoms, utilization of personal protective equipment (PPEs), exposure to potential COVID-19 patients, and average clinical hours since March. Results: 43 participants responded to the survey. 3 had positive SARS-CoV-2 antibody or viral tests indicating exposures to COVID-19 despite utilization of various types of PPE. There was a surprisingly high number of HCWs treating known/suspected COVID-19 patients without proper PPE (18.6%). 21 (48.8%) HCWs routinely wore an N-95 mask, 11 (25.6%) used a powered air-purifying respirator (PAPR), 6 (14%) wore surgical masks, and 5 (11.6%) used elastomeric face respirators. None of the COVID-19 positive HCWs used a PAPR while treating known or suspected COVID-19 patients. Conclusion: Our knowledge regarding the complications related to SARS-CoV-2 infection post-acute phase remains limited. Our data suggest PAPR use may be protective compared to other PPE modalities. There can be unanticipated long-term morbidities that result from an infection with SARS-CoV-2. Therefore, frontline HCWs, who have an inherently elevated exposure to this virus, must use PPE and maintain vigilance while treating patients, regardless of the presence of COVID-19 symptoms.

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A Statewide Voluntary Movement Addressing the Shortage of Medical Supplies During the COVID-19 Pandemic

American Journal of Public Health ◽

10.2105/ajph.2021.306364 ◽

2021 ◽

Vol 111 (9) ◽

pp. 1595-1599

Author(s):

Martin Krause ◽

Andrew Henderson ◽

Daniel Griner ◽

Olivia S. Rissland ◽

Jeremy Beard ◽

...

Keyword(s):

Health Care ◽

Additive Manufacturing ◽

Patient Care ◽

Health Care Workers ◽

Personal Protective Equipment ◽

Laser Cutting ◽

Voluntary Movement ◽

Protective Equipment ◽

Medical Supplies ◽

Care Workers

During the COVID-19 pandemic, a shortage of personal protective equipment compromised efficient patient care and provider safety. Volunteers from many different backgrounds worked to meet these demands. Additive manufacturing, laser cutting, and alternative supply chains were used to produce, test, and deliver essential equipment for health care workers and first responders. Distributed equipment included ear guards, face shields, and masks. Contingent designs were created for powered air-purifying respirator hoods, filtered air pumps, intubation shields, and N95 masks.

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Analisis Risiko Paparan Debu Kapas Terhadap Kejadian Bisinosis di Industri Tekstil PT. Grandtex Bandung

JURNAL KESEHATAN LINGKUNGAN INDONESIA ◽

10.14710/jkli.14.2.57-64 ◽

2016 ◽

Vol 14 (2) ◽

pp. 57

Author(s):

Sri Slamet Mulyati ◽

Onny Setiani ◽

Mursid Raharjo

Keyword(s):

Risk Assessment ◽

Lung Function ◽

Personal Protective Equipment ◽

Significant Relationship ◽

Health Problems ◽

Psychological Disorder ◽

P Value ◽

Protective Equipment ◽

Cotton Dust ◽

Work Activities

Background: Byssinosis is still health problems associated with exposure to cotton dust. High risk of health problems in Environmental Health Risk Assessment is expressed as a Risk Quotenit (RQ) .Work activities, the use of personal protective equipment, and psychological disorder may also affect the incidence of byssinosis. Methods: This was an observational research with cross sectional design. The population in this research are all employees of PT.Grandtex.Eighty workers from morning shifts only were randomly selected. Each worker was examined of the FEV1 and FVC. Questionnaires structured was another tools for collecting data.Total dust measured in the working environments and ambient air.Results: The results by Chi-Square test showed significant relation between the Risk Quotenit (RQ) with byssinosis (p-value 0.043; PR 1,8 (95%CI : 0.95-3.52),have a significant relationship between work activities with byssinosis (p-value 0.035; PR 2.2 (95%CI : 0.86-5.85)have a significant relationship between the use of personal protective equipment with byssinosis (p-value 0.001; PR 2.9 (95%CI : 1.21-6.81) and have a significant relationship between psychological disorders with byssinosis (p-value 0.023; PR 1,7 (95%CI : 1.28-2.14)Conclusion: The number of worker with positive Byssinosis symptoms and abnormal lung function 15 people(18.75%) , positive Byssinosis symptoms and normal lung function 35people(43.75%) Keywords : Byssinosis, cotton dust, risk assessment

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