提昇門診病人注射胰島素後針器處理正確率

Improving the Correctness of Disposal of Insulin Injectors by Outpatient

呂姍薇(Shan-Wei Lu) ； 陳金琳(Chin-Lin Chen) ； 劉文玲(Wen-Lin Liu) ； 陳克仁(Ke-Jen Chen) ； 林淑娟(Shu-Chuan Lin) ； 劉智如(Chih-Ju Liu)

《馬偕護理雜誌》 7卷2期 (2013/07) Pp. 37-47

https://doi.org/10.29415/JMKN.201307_7(2).0004

摘要

本專案旨在提高護理人員正確處理廢棄胰島素針器護理指導的完整性與執行率，進而提昇門診病人居家注射胰島素後針器處理之正確率。經資料收集發現病人不知道如何正確處理用過的注射針器，使得用過的胰島素注射針頭及注射器被隨意丟棄，造成環境污染及針扎感染的危險。成立專案小組進行改善，建立處理廢棄胰島素的作業標準、製訂衛教單張、舉辦護理人員在職教育、製作實體衛教工具、製作宣導海報、設計回收警語貼紙、增設回收點，提高門診病人對注射胰島素後針器處理正確率自49.3%提升至93.0%。此專案之改善措施可平行推廣至其他科別的門診及病房中，不論是何種藥劑，護理人員在教導病人居家自我注射技巧的同時，能提供正確處理廢棄針器的護理指導，使所有的病人居家注射針劑後都能正確處理廢棄的針器。若能正確處理醫療廢棄物，不僅可以減少廢棄物的產量及處理費用，降低對他人健康及環境的危害，能使病人安全更有保障。

關鍵字

門診病人 ； 胰島素針器 ； 醫療廢棄物

並列摘要

This project aims to facilitate nursing personnel to ensure thoroughness and high execution rate of providing guidance of appropriate disposal of insulin injectors; thereby, increasing outpatient awareness on the correct way of disposing insulin injectors at home. According to the gathered data, we found that patients do not know how to properly discard used needles. As a result, insulin injection needles and syringes were arbitrarily discarded. It caused environmental pollution and the risk of infection to other. Hence, we set up a project team to improve the situation by establishing a standard disposal procedure, printing educational leaflets, organizing on-job training for nurses, producing virtual tools, designing propaganda advocacy posters, placing warning stickers and setting up addition recycle points for Insulin Injectors. All of the above actions have led to a substantial increase on the percentage of outpatients in correctly deposing the insulin needle from 49.3% to 93%. In addition, this project can also be extended to other divisions and wards in the hospital, regardless of any type of medical treatments. Furthermore, nursing staff can enforce the proper way of disposing the Insulin needle to the patients when teaching self-injection methods so that all patients will dispose the needle properly at home. Consequently, it will not only cut down the amount of medical waste and processing cost but also minimize the potential risks to public and environment. Henceforth, it can create a much safer and secure environment.

並列關鍵字

outpatients ； Insulin Injectors ； medical waste