Preventing Nursing Student Exposure Incidents: The Role of Personal Protective Equipment and Safety Engineered Devices

1997 ◽  
Vol 36 (9) ◽  
pp. 416-420
Author(s):  
Susan Schaffer
2015 ◽  
Vol 101 (2) ◽  
pp. 107-109
Author(s):  
CR Brisley ◽  
A Duggan

AbstractThe Royal Marines Band Service (RMBS) deploys in support of the Royal Naval Medical Service in a variety of operational roles. This article describes the roles that RMBS personnel performed whilst deployed on board RFA ARGUS during the recent Operation GRITROCK. The article is divided into five main sections, each describing one aspect of the work that RMBS ranks were asked to undertake: casualty handling; working within Primary Casualty Receiving Facility (PCRF) departments; personal protective equipment (PPE) monitoring and drills; temperature monitoring; and last, but not least, musical support. This will provide the reader with an insight into what the RMBS have achieved whilst deployed on board ARGUS and also what skills they are able to bring, both to contingency operations and operations in the medical environment.


Author(s):  
Ian Greaves ◽  
Paul Hunt

Chapter 5 covers the declaration of a major incident and practice of the initial situation report from the scene. A summary is given of the systematic approach and organization of the on-scene medical response including key medical roles and responsibilities at scene, triage, decontamination, personal protective equipment, dealing with the dead and human remains, evacuation, survivor reception, mass fatalities and national emergency mortuary arrangements, management of contaminated fatalities, and the role of the police senior investigation manager.


Recycling ◽  
2020 ◽  
Vol 5 (4) ◽  
pp. 27
Author(s):  
Fabiula Danielli Bastos de Sousa

Since the beginning of the first cases of the new coronavirus, opinions and laws on the use of plastic materials have been questioned around the world. Their importance in the manufacture of hospital devices and personal protective equipment (PPE) is unquestionable, as they contribute largely to the reduction of the virus spread, helping health systems from all edges of the world and, most importantly, saving lives. However, the same material that is a protector, becomes a polluter when inadequately disposed of in the environment, generating or worsening socio-environmental problems, such as pollution of water bodies by plastic. A critical overview of the role of plastic during the COVID-19 pandemic is provided in this paper. A future panorama is attempted to be outlined. The real possibility of the virus spread from the use of plastic is discussed, as well as the recycling of plastic during the pandemic, correlating its use with problems that it may cause.


2020 ◽  
Vol 13 (12) ◽  
pp. 1841-1843
Author(s):  
Adrian T. Fung

The use of personal protective equipment (PPE) for ophthalmologists caring for asymptomatic patients remains controversial. This commentary reviews the latest emerging evidence. This is paramountly important in shaping health policies in countries which is not currently recommended.


2020 ◽  
Author(s):  
Ashley E. Kates ◽  
Mary Jo Knobloch ◽  
Ali Konkel ◽  
Amanda Young ◽  
Andrew Steinberger ◽  
...  

AbstractWe studied farmworker practices potentially contributing to transmission of bacteria and antimicrobial resistant genes (ARGs) among animals and farm workers to identify human behavioral interventions to reduce exposure risk. Ten focus groups were conducted on eight farms to explore potentially high-risk practices and farmworker knowledge and experiences with antimicrobial use and resistance using the Systems Engineering in Patient Safety (SEIPS) framework. Farmworkers were asked to describe common tasks and the policies guiding these practices. We found workers demonstrated knowledge of the role of antibiotic stewardship in preventing the spread of ARGs. Knowledge of various forms of personal protective equipment was higher for workers who commonly reported glove-use. Knowledge regarding the importance of reducing ARG transmission varied but was greater than previously reported. Programs to reduce ARG spread on dairy farms should focus on proper hand hygiene and personal protective equipment use but at the level of knowledge, beliefs, and practices.


2021 ◽  
pp. medethics-2021-107501
Author(s):  
Clifford Shelton ◽  
Kariem El-Boghdadly ◽  
John B Appleby

The COVID-19 pandemic has exacerbated inequalities, including among the healthcare workforce. Based on recent literature and drawing on our experiences of working in operating theatres and critical care in the UK’s National Health Service during the pandemic, we review the role of personal protective equipment and consider the ethical implications of its design, availability and provision at a time of unprecedented demand. Several important inequalities have emerged, driven by factors such as individuals purchasing their own personal protective equipment (either out of choice or to address a lack of provision), inconsistencies between guidelines issued by different agencies and organisations, and the standardised design and procurement of equipment required to protect a diverse healthcare workforce. These, we suggest, have resulted largely because of a lack of appropriate pandemic planning and coordination, as well as insufficient appreciation of the significance of equipment design for the healthcare setting. As with many aspects of the pandemic, personal protective equipment has created and revealed inequalities driven by economics, gender, ethnicity and professional influence, creating a division between the ‘haves’ and ‘have-nots’ of personal protective equipment. As the healthcare workforce continues to cope with ongoing waves of COVID-19, and with the prospect of more pandemics in the future, it is vital that these inequalities are urgently addressed, both through academic analysis and practical action.


Author(s):  
Massimo Costantini ◽  
Katherine E Sleeman ◽  
Carlo Peruselli ◽  
Irene J Higginson

AbstractBackgroundPalliative care is an important component of healthcare in pandemics, contributing to symptom control, psychological support, and supporting triage and complex decision making.AimTo examine preparedness for, and impact of, the COVID-19 pandemic on hospices in Italy to inform the response in other countries.DesignCross-sectional telephone survey, carried out in March 2020.SettingSixteen Italian hospices, purposively sampled according to COVID-19 risk into high (more than 25 COVID-19 cases per 100,000 inhabitants), medium (15-25 cases per 100,000), and low risk (fewer than 15 cases per 100,000) regions. A brief questionnaire was developed to guide the interviews. Descriptive analysis was undertaken.ResultsSeven high risk, five medium risk and four low risk hospices provided data. Two high risk hospices had experienced COVID-19 cases among both patients and staff. All hospices had implemented policy changes, and several had rapidly implemented changes in practice including transfer of staff from inpatient to community settings, change in admission criteria, and daily telephone support for families. Concerns included scarcity of personal protective equipment, a lack of hospice-specific guidance on COVID-19, anxiety about needing to care for children and other relatives, and poor integration of palliative care in the acute setting.ConclusionThe hospice sector is capable of responding flexibly and rapidly to the COVID-19 pandemic. Governments must urgently recognise the essential contribution of hospice and palliative care to the COVID-19 pandemic, and ensure these services are integrated into the health care system response. Availability of personal protective equipment and setting-specific guidance is essential.What is already knownThe Coronavirus disease 2019 (COVID-19) has estimated global mortality of 3.4%, and numbers of cases are rapidly escalating worldwide.Hospice services face unprecedented pressure, with resources rapidly stretched beyond normal bounds.No data exist on the response and role of hospice and palliative care teams to COVID-19.Within Europe, Italy has been most affected by COVID-19.What this paper addsWe surveyed 16 Italian hospices in March 2020, all of which had implemented rapid policy changes in response to COVID-19.Changes to practice included moving to more support in community settings, change in admission criteria, and daily telephone support for families.Personal protective equipment and guidance were lacking.Assessments of risk and potential impact on staff varied greatly.Implications for policy and practiceGovernments must recognise the hospice and palliative care sector as an essential component of the health care system response to COVID-19.The hospice sector is capable of responding rapidly to the COVID-19 pandemic, but the potential of this response will be undermined unless hospices can access personal protective equipment.Considerations for hospice services during the COVID-19 pandemic are changes to visitor policies, interruption of volunteering, shifting roles and responsibilities such as greater community working and telephone support for relatives.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
S. Sian ◽  
Stewart Smyth

PurposeThe aim of this paper is to examine the changed nature of public accountability during a supreme emergency and explore how legal and auditing mechanisms have come to the fore, concluding that misappropriation of public monies is not an inevitable outcome.Design/methodology/approachThe paper explores an illustrative example, the UK government's procurement of personal protective equipment during the early stages of the Covid-19 pandemic.FindingsIn circumstances of a supreme emergency where parliamentary scrutiny and competitive contract tendering are suspended, other forms of public accountability come to the fore, with civil society actors becoming more evident.Research limitations/implicationsThe paper relies on illustrative examples based on the Westminster model of government. The study advanced the notion of deferred accountability and identifies areas for further study, potentially in different jurisdictions.Social implicationsThe paper highlights the need for a variety of active and engaged civil society actors.Originality/valueThe paper contributes an empirical case to how an account of government behaviour is established. The paper also contributes to a deeper understanding of the nature and role of legal and government audit accountability mechanisms.


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