某醫學中心護理人員尖銳物品扎傷事件分析

Investigation of Sharp Injury Incidences in Nurses at a Medical Center

方嬋娟(Chan-Chuan Fang)

《中華職業醫學雜誌》 24卷1期 (2017/01) Pp. 1-7

摘要

本研究採回溯性調查北部某醫學中心2010年1月至2013年12月，通報員工意外事件報告中與護理人員相關的尖銳物品扎傷事件，共110件。針對扎傷人員之基本屬性、扎傷時機、扎傷用物等進行描述性統計。結果發現被扎傷者以25歲以下(45.5%)，年資1年以下者(32.7%)為最多，扎傷情境在使用階段與整理階段皆分別占50.9%及49.%，扎傷時機則以與抽血相關步驟(17.3%)居多，而臨床仍存有回套針頭習慣(17.3%)。結果顯示，該院因導入血糖安全採血針後，因血糖採血作業而扎傷事件減少，顯見安全針具可有效降低針扎事件，故建議可依尖銳物品扎傷事件分析結果，計劃性導入各項安全針具使用，而另一值得注意的現象是目前臨床需讓病人採自我注射治療所使用之筆針劑型藥物漸多，成為針扎另一隱憂，建議應創新針頭收集盒卸針設計或研發安全筆針針頭。希望藉此調查發現，提供政府及醫療相關單位立法及規劃參考，期讓職場針扎發生及傷害降至最低，提供友善及安全執業環境，增加護理人員留任。

並列摘要

This retrospective study investigated sharp injuries reported with nurses from January 2010 to December 2013 at a medical center in northern Taiwan. Analyzed the 110 cases of personnel attributes, injury timing and devices with descriptive statistics. The results were found the highest incidence of injuries occurred in less 25 years old (45.5%) and seniority 1 year (32.7%), taking place during the use and sort out phase are 50.9% and 49%, respectively, the timing of injuries are during blood sampling (17.3%), but there is still a habit of needle recap in the clinical (17.3%). The results revealed that after the center imported the safety lancets, effectively reduced the needle stick events occurred during blood sugar sampling, it is suggested that can plan to import a variety of safety needle. There are more and more pen injection type of drug for patient self-injection need is the another worries of needle stick, suggested to innovative of needle collection boxes to remove pin easily or research and development safety pen needle. We hope the findings can provide information for improving hospital safety policies to prevent health-care workers from sharp injuries, especially of nurse, to minimize the needle stick and provide a friendly and safe practice environment to increase nurses retention.

並列關鍵字

sharp injuries ； safety needles ； nurse