Accidental Exposure to Blood: Case Reporting and Management of Healthcare workers in the Biyem-assi District Hospital in 2016

Background. Biomedical waste (BMW) is defined as unwanted materials generated during diagnosis, treatment, operation, immunization, or in research activities including production of biologicals. Healthcare workers are responsible for the proper management of this waste for human safety and for the protection of the environment. Methods. An analytical knowledge, attitude, and practice (KAP) study was carried out at Biyem-Assi District Hospital from June 1st to July 5th, 2018, including 100 health workers from different departments. Variables of interest were knowledge, attitudes, and practices of the respondents. A structured and pretested questionnaire was used for data collection. Data analysis was carried out using software Epi Info version 7.2.2.6. Logistic regression was used to establish the relationship between knowledge, attitudes, and practices. Results. Nurses constituted 32.0% of the participants, and more than half of the participants had 1–4 years of working experience (56.0%). Overall, the level of knowledge was satisfactory at 50.0%, that of attitudes was as unfavorable at 83.0%, and that of practices was as poor at 50.0%. Favorable attitudes were associated to satisfactory level of knowledge (ORa = 5.14 [3.10–8.51] and p=0.005). Good practices were associated to good level of knowledge (ORa = 5.26 [3.17–8.7] and p<0.001) and a favorable attitude (ORa = 7.30 [2.25–23, 71] and p<0.001). Conclusion. The level of knowledge was considered unsatisfactory for half of the staff interviewed. Attitudes were unfavourable at 83.0% and poor practices at 50.0%. Staff with a good level of knowledge were more likely to have favourable attitudes towards BWM. Also, good knowledge and attitude positively influenced the practice with regard to BMW management.

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Knowledge, attitudes and practices of healthcare workers about healthcare waste management at a district hospital in KwaZulu-Natal

South African Family Practice ◽

10.4102/safp.v60i5.4919 ◽

2018 ◽

Vol 60 (5) ◽

pp. 52

Author(s):

Adekunle Olaifa ◽

Romona D. Govender ◽

Andrew J. Ross

Keyword(s):

Healthcare Workers ◽

Management Practices ◽

District Hospital ◽

Health And Safety ◽

Professional Staff ◽

Healthcare Waste ◽

Attitudes And Practices ◽

Kwazulu Natal ◽

Service Training ◽

Knowledge Attitudes And Practices

Background: Healthcare generates a large amount of healthcare waste (HCW), which is complex to manage because of its variety and potential to create health and safety hazards if improperly handled. It is essential that healthcare workers have appropriate knowledge of and adhere to proper disposal methods for each category of HCW.Aim: The aim of this study was to assess the knowledge, attitudes and practices of staff working at a district hospital about HCW management, and measure associations between these variables. Setting: The setting for this study was a district hospital in KwaZulu-Natal province.Methods: This was an observational descriptive study among 241 professional and non-professional staff. Data were collected using a questionnaire and analysed using the Statistical Package for the Social Sciences.Results: Knowledge of HCW management was generally inadequate, with 42.7% of the participants scoring ‘poor’ overall. Just over half of the participants reported a good attitude towards the appropriate disposal of HCW but only 53.9% demonstrated good HCW management practices. There was a significant (p 0.05) relationship between knowledge and practice and between attitudes and practices (p 0.05).Conclusion: Appropriate training and supervision in HCW management as well as relevant and ongoing in-service training is needed to ensure appropriate knowledge, attitudes and safe practice among all members of staff. As poor practices have been reported on a number of occasions from different hospitals in South Africa, relevant training must also be introduced or improved at undergraduate level.

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How we handled COVID crisis? Experience of an Indian tertiary level NICU

Indian Journal of Child Health ◽

10.32677/ijch.v8i10.3064 ◽

2021 ◽

Vol 8 (10) ◽

pp. 377-379

Author(s):

Harkirat Kaur ◽

Anita Singh ◽

Kirti Naranje

Keyword(s):

Healthcare Workers ◽

Neonatal Intensive Care ◽

Clinical Care ◽

Clinical Decision ◽

Respiratory Support ◽

Accidental Exposure ◽

Pediatric Resident ◽

Significant Deterioration ◽

Video Calling ◽

Negative Conclusion

Background: Coronavirus disease (COVID-19) has imposed several challenges in clinical care. With rapid increase in the disease, there has been lot of incidences of COVID-19 positive exposure among the healthcare workers resulting in major crisis. Aim: The aim of the study was to emphasize various methods that can be used to manage COVID-19 crisis due to accidental exposure. Methods: An unprecedented exposure occurred to a COVID-19 positive healthcare worker in the Neonatal Intensive Care Unit (NICU), which led to quarantine of almost 90% of the primary staff. The methods undertaken included communication and continuation of clinical care through teleconsultation (video calling, zoom meetings for clinical decision, telecharting of daily prescription, and facilitating manpower from allied departments [only one pediatric resident each day], and restoration of services with come back). Results: There were total 11 babies at the time of exposure. Two babies were on respiratory support. The parents were counseled through teleconsultation. Nine babies could be discharged during quarantine period and there was no significant deterioration in the clinical condition of the two babies on respiratory support. All the babies were tested for COVID-19 as per post-exposure protocol and remained negative. Conclusion: With the help of teleconsultation and support from allied specialties and other health facilities, the crisis of COVID-19 exposure can be handled well.

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Job satisfaction among healthcare workers at a district hospital in Plateau State, Nigeria

Journal of Medicine in the Tropics ◽

10.4103/jomt.jomt_11_18 ◽

2018 ◽

Vol 20 (2) ◽

pp. 111

Author(s):

MarkD Gyang ◽

Musa Dankyau ◽

Sanusi Gidado ◽

BwatyumA Gyang ◽

AboiJ K Madaki

Keyword(s):

Job Satisfaction ◽

Healthcare Workers ◽

District Hospital ◽

Plateau State

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Accidental exposure to biological material in healthcare workers at a university hospital: Evaluation and follow-up of 404 cases

Scandinavian Journal of Infectious Diseases ◽

10.1080/00365540410026103 ◽

2005 ◽

Vol 37 (4) ◽

pp. 295-300 ◽

Cited By ~ 9

Author(s):

Eliana Battaggia Gutierrez ◽

Marta Heloísa Lopes ◽

Maria Aparecida Shikanai Yasuda

Keyword(s):

Biological Material ◽

Healthcare Workers ◽

University Hospital ◽

Accidental Exposure

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Circumstances and Structure of Occupational Sharp Injuries among Healthcare Workers of a Selected Hospital in Central Poland

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph15081722 ◽

2018 ◽

Vol 15 (8) ◽

pp. 1722 ◽

Cited By ~ 5

Author(s):

Anna Garus-Pakowska ◽

Magdalena Ulrichs ◽

Ewelina Gaszyńska

Keyword(s):

Healthcare Workers ◽

District Hospital ◽

The Body ◽

Medical Documentation ◽

Injury Rates ◽

Work Related ◽

Central Poland ◽

Exposed Part ◽

Needle Sticks ◽

Morning Shift

(1) Background: An analysis of work-related sharp injuries in Healthcare Workers (HCWs) based at a selected hospital in Central Poland by presenting the frequency of accidents, injury rates, and identifying circumstances of Needle Sticks and Sharp Injuries (NSSI) and giving Post-Exposure Procedures (PEP). (2) Methods: A retrospective analysis of medical documentation regarding work-related NSSI at a district hospital located in central Poland; over the period 2010–2017. The study group included HCWs who had an accident while on duty. (3) Results: Most injuries were reported by nurses and staff over 40, on the morning shift. The most common injuries were using a needle. The most exposed part of the body were fingers. The average annual injury rates were: 1.22/100 Nurses; 2.02/100 doctors; 1.34/100 hospital beds; and 8.59/100,000 inpatient days. The rates for 3-year periods, after the implementation of legal regulations were higher than before. Conclusion: Injuries rates are more reliable for comparison than frequency. Legislation on the need to register injuries seems to be necessary. In the supervision of work safety of personnel, reliable reporting of all injuries by the respective HCWs plays a key role.

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