scholarly journals Administração de medicamento endovenoso em pacientes de hospital de doenças infectocontagiosas: atuação da enfermagem

2020 ◽  
Vol 11 (2) ◽  
Author(s):  
Deyse Maria Alves Rocha ◽  
Eva Anny Welly de Sousa Brito ◽  
Thais Lima Vieira de Souza ◽  
Rafaela De Oliveira Mota ◽  
Maira De Ciero Miranda ◽  
...  
Keyword(s):  
Patient Safety ◽  
Observational Study ◽  
Infectious Diseases ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
Medical Prescription ◽  
Contagious Diseases ◽  
Intravenous Drugs ◽  
Nursing Team ◽  
Nursing Professionals

Objetivo: Avaliar a prática da administração de medicamento endovenosa em pacientes adultos internados em hospital de doenças infectocontagiosas. Metodologia: Estudo descritivo, observacional, desenvolvido em hospital de referência em doenças infectocontagiosas de Fortaleza-CE. Foram realizadas 111 observações de profissionais de enfermagem procedendo à administração de medicamentos endovenosos em pacientes com idade > 18 anos. Resultados: As ações mais realizadas foram: lê a prescrição médica (100%), consegue entender a grafia médica (97,2%) e confere o medicamento relacionado à prescrição (90,6%). Entretanto, as menos executadas foram: acalmar o paciente (21,6%), realizar limpeza da bancada (13,5%), usar equipamento de proteção individual (18,9%), desinfetar ampola ou frasco ampola (11,7%). Conclusão: O estudo mostrou diagnóstico situacional da equipe de enfermagem na atuação do preparo e da administração de medicamentos, caracterizando segurança de pacientes no nível sofrível, segundo o índice de positividade. Descritores: Infusões intravenosas; Segurança do Paciente; Enfermagem.Objective: To evaluate the practice of intravenous drug administration in adult patients hospitalized for infectious-contagious diseases. Methodology: Descriptive, observational study, developed at a referral hospital in infectious diseases of Fortaleza-CE. A total of 111 observations were made by nursing professionals on the administration of intravenous drugs in patients> 18 years of age. Results: The most accomplished actions were: read the medical prescription (100%), can understand the medical script (97.2%) and check the medication related to the prescription (90, 6%). However, the least performed were: calming the patient (21.6%), cleaning the workbench (13.5%), using personal protective equipment (18.9%), disinfect ampoule or ampoule vial (11.7%). Conclusion: The study showed a situational diagnosis of the nursing team in the preparation and administration of medications, characterizing patient safety at the level of suffering, according to the positivity index.Descriptors: Infusions; Intravenous; Patient Safety; Nursing.Objetivo: Evaluar la práctica de la administración de medicamentos endovenosa en pacientes adultos internados en el hospital de enfermedades infectocontagiosas. Metodología: Estudio descriptivo, observacional, desarrollado en un hospital de referencia en enfermedades infectocontagiosas de Fortaleza-CE. Fueron realizadas 111 observaciones de profesionales de enfermería procediendo a la administración de medicamentos endovenosos en pacientes con edad> 18 años. Resultados: Las acciones más realizadas fueron: lee la prescripción médica (100%), consigue entender la caligrafía médica (97,2%) y confirma el medicamento relacionado a la prescripción (90,6%). Sin embargo, las menos ejecutadas fueron: calmar al paciente (21,6%), realizar limpieza de la mesa de trabajo (13,5%), usar equipo de protección individual (18,9 %), desinfectar la ampolla o frasco ampolla (11,7%). Conclusión: El estudio mostró diagnóstico situacional del equipo de enfermería en la actuación de la preparación y de la administración de medicamentos, caracterizando seguridad de pacientes en el nivel sufrible, según el índice de positividad.Descriptores: Infusiones Intravenosas; Seguridad del Paciente; Enfermería. 

scholarly journals Nursing professionals’ biosafety in confronting COVID-19

2022 ◽  
Vol 75 (suppl 1) ◽  
Author(s):  
Mônica Alice Santos da Silva ◽  
Morgana Cristina Leôncio de Lima ◽  
Cynthia Angélica Ramos de Oliveira Dourado ◽  
Clarissa Mourão Pinho ◽  
Maria Sandra Andrade
Keyword(s):  
Data Analysis ◽  
Personal Protective Equipment ◽  
Sample Selection ◽  
Internal Flow ◽  
Protective Equipment ◽  
Descriptive Data ◽  
Equipment Availability ◽  
Nursing Team ◽  
Internal Flux ◽  
Nursing Professionals

ABSTRACT Objective: To investigate the nursing professionals’ biosecurity in confronting COVID-19. Methods: This is a Survey type study. Nursing professionals were invited via messaging apps, using self-applied data collection forms. The sample selection (n=693) was non-probabilistic. A descriptive data analysis was conducted. Results: considering the biosafety aspects in facing COVID-19, 79.0% of the participants had not received training or considered it insufficient, 69.3% reported the lack of personal protective equipment during work, and 81.8% did not feel safe with the internal flux adaptations for handling COVID-19 cases. Conclusion: Continuous and effective nursing team training and personal protective equipment availability are necessary, as well as internal flow adjustments for attending suspected or confirmed cases.

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

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.

scholarly journals The Effect of Social Distancing and Personal Protective Equipment on the Outbreak of SARS-COVID-2: An Agent-Based Modeling Approach

2021 ◽  
Author(s):  
Sohrab Effati ◽  
Eman Tavakoli
Keyword(s):  
Personal Protective Equipment ◽  
Disease Outbreaks ◽  
Agent Based Modeling ◽  
Control Measures ◽  
Protective Equipment ◽  
Human Society ◽  
Agent Based ◽  
Social Distancing ◽  
Contagious Diseases ◽  
Biological Phenomena

Abstract Biological phenomena such as disease outbreaks can be modeled as a subset of natural phenomena. Coronaviruses, first identified in the 1960s, are contagious diseases being constantly in the area of research and modeling in human society. The latest version of this group, SARS-COVID-2, has caused the Coronavirus disease one of the greatest pandemics in recent years. Due to the nature of this disease, being aware of the ways of transmission and how to prevent it, including social distancing and the use of personal protective equipment (PPE) to improve the general condition of society is of particular importance. In this study, dynamic systems (Susceptible, Exposed, Infected, Asymptomatic, and Recovered individuals as SEIAR), control systems, and Agent-based modeling (ABM) were used to forecast the behavior of the SARS-COVID-2 virus in the community. The numerical results display the undeniable impact of adhering to hygiene protocols. A significant decline in the number of people with the Coronavirus disease, after applying the control measures, indicates their remarkable impact on reducing the disease peak. Moreover, the result of the Agent-based simulation, which is in four ideal cases, show a significant reduction in the number of death as well.

scholarly journals Personal protective equipment: perception of nursing team how to use / Equipamentos de proteção individual: percepção da equipe de enfermagem quanto ao uso

2014 ◽  
Vol 2 (4) ◽  
pp. 72 ◽  
Author(s):  
Elaine Carininy Lopes da Costa ◽  
Geysa Soares de Sepúlveda
Keyword(s):  
Personal Protective Equipment ◽  
Protective Equipment ◽  
Nursing Team

Objetivos: Investigar a percepção dos profissionais de enfermagem quanto ao uso do equipamento de proteção individual; Identificar o nível de conhecimento da equipe de enfermagem sobre a importância da utilização dos equipamentos e identificar os fatores que interferem no uso, desuso ou uso inadequado dos equipamentos. Metodologia: Estudo descritivo com abordagem qualitativa, realizado com os técnicos e auxiliares de enfermagem de um hospital público em Valença Piauí sendo amostra formada por 12 profissionais. A coleta de dados foi realizada através de uma entrevista semi-estruturada. O projeto de pesquisa foi submetido ao comitê de ética e pesquisa da faculdade UNINOVAFAPI, obtendo parecer favorável. Resultados: Foram agrupados nas seguintes categorias: Conhecimento sobre os equipamentos de proteção individual; Importância do uso desses equipamentos e dificuldades encontradas para o uso desses equipamentos. Conclusão: Foi possível concluir que os profissionais sabem da importância do uso desses equipamentos, no entanto reconhecem que normalmente não adotam essas medidas, expondo-se ao risco, apesar da instituição disponibilizar os equipamentos suficientes para a realização de todos os procedimentos de rotina.  

Safety and Efficacy of DEET and Permethrin in the Prevention of Arthropod Attack

1998 ◽  
Vol 163 (5) ◽  
pp. 324-330 ◽  
Author(s):  
G. David Young ◽  
Sandra Evans
Keyword(s):  
Occupational Health ◽  
Infectious Diseases ◽  
Personal Protective Equipment ◽  
Synthetic Pyrethroid ◽  
Protective Equipment ◽  
Insect Repellent ◽  
First Line ◽  
Protective Measures ◽  
Safety And Efficacy ◽  
Protective Strategy

Abstract Many preventable diseases affecting troop strength are directly attributed to disease-carrying insects. The first line of defense against arthropod vectors is the use of personal protective measures. The concurrent application of DEET (N,N-diethyl-m-toluamide) repellent on the skin and permethrin [(3-phenoxy-phenyl)methyl(±)cis,trans-3-(2,2-dichloroethenyl)-2,2-dimethylcyclopropane-carboxylate] insecticide on the battle dress uniform, while the uniform is worn properly, is a personal protective strategy officially known as the DOD Insect Repellent System. It is important for troop commanders and field leaders to enforce the use of personal protective measures to prevent insect-borne infectious diseases and to ensure troop and soldier readiness. DEET is a safe and effective repellent. Permethrin is a synthetic pyrethroid insecticide and repellent. Used in conjunction with proper clothing and other personal protective equipment, these repellents provide the best known protection available and are critical in minimizing the occupational health threat of arthropod-borne diseases to troops in the field.

scholarly journals Management of used personal protective equipment and wastes related to COVID-19 in South Korea

2020 ◽  
Vol 38 (8) ◽  
pp. 820-824 ◽  
Author(s):  
Seung-Whee Rhee
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Infectious Diseases ◽  
South Korea ◽  
Personal Protective Equipment ◽  
Ebola Virus ◽  
Protective Equipment ◽  
Management Process ◽  
Safe Management ◽  
Rapid Spread ◽  
Management Method

With the rapid spread of coronavirus disease 2019 (COVID-19), the amount of used personal protective equipment (PPE) including face masks and protective clothes has significantly increased. This used PPE in a hospital can lead to the indirect infection by COVID-19. Accordingly, it has been recognized that the management of used PPE is very important to prevent the spread of COVID-19. Through the experience of spreading some infectious diseases such as severe acute respiratory syndrome, Middle East respiratory syndrome and Ebola virus in South Korea (Republic of Korea), a safe management method of waste related to infectious diseases has been developed. In addition, regarding waste related to COVID-19, the Ministry of Environment, SK, proposed special measures to strengthen the management process of waste related to COVID-19 based on principles such as sustainability, transparency and safety.

scholarly journals Biosafety conducts adopted by orthodontists

2018 ◽  
Vol 23 (3) ◽  
pp. 73-79 ◽  
Author(s):  
Camila Gonçalves Jezini Monteiro ◽  
Mariana Martins e Martins ◽  
Adriana de Alcantara Cury-Saramago ◽  
Henry Pinheiro Teixeira
Keyword(s):  
Observational Study ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
Cross Sectional ◽  
Training Time ◽  
Disinfection Methods ◽  
Significant Difference ◽  
High Incidence ◽  
E Mail

ABSTRACT Objective: This cross-sectional observational study was designed to assess the biosafety conducts adopted by orthodontists, and possible differences regarding training time. Methods: Both the application of methods for sterilization/disinfection of instruments and materials, and the use of personal protective equipment (PPE) were collected through questionnaires via e-mail. Results: The questionnaires were answered by 90 orthodontists with a mean age of 37.19 ± 9.08 years and mean training time of 13.52 ± 6.84 years. Regarding orthodontic pliers, 63.23% use an autoclave, except 1 who does not perform any procedure. All participants use autoclave to sterilize instruments, and 95.6% of respondents perform cleaning with chemicals prior to sterilization. Most of them (65.56%) use an autoclave to sterilize orthodontic bands, with some still associating disinfection methods, while few (18.89%) do nothing at all. There was a high incidence of the answer “nothing” for the methods used for elastic, accessories, bandages, metal springs, and arches. All respondents use mask and gloves in attendance, 78.92% use aprons, 58.92% use protective goggles, and 50.01% use cap. Training time significantly influenced (p = 0.003) only the use of glutaraldehyde for sterilization/disinfection of pliers. Conclusions: The sterilization and cleaning of pliers, instruments, and bands, besides the use of PPE, received more uniform and positive responses, while other items suggest disagreements and possible failures. Only orthodontists trained for more than 13 years choose using glutaraldehyde for pliers sterilization/disinfection, the only adopted method with a significant difference in relation to training time.

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