In recent
times, health care organizations have channeled efforts towards reducing infections
from sharp injuries. Several advances have been developed to improve engineered
safety devices that safeguard clinicians from mucocutaneous exposure and sharp
injuries. Similarly, a number of legislations such as the Needlestick
Safety and Prevention Act (NSPA) have been enacted to also protect nurse
...[Show More]
In recent
times, health care organizations have channeled efforts towards reducing infections
from sharp injuries. Several advances have been developed to improve engineered
safety devices that safeguard clinicians from mucocutaneous exposure and sharp
injuries. Similarly, a number of legislations such as the Needlestick
Safety and Prevention Act (NSPA) have been enacted to also protect nurses from
the infections. These legislations have enabled healthcare workers in the
United States to acquire more occupational rights and protection. Delisio (2012)
points out that the NSPA also gives nurses the power to engage in determining
the type of devices that will keep protect the practitioners from blood borne
infections.
Some of the pathogens that are commonly transmitted from patients to healthcare
workers include Human Immunodeficiency Virus (HIV), Hepatitis B virus (HBV), and the
Hepatitis C virus (HCV). It is also important to note that although sharp injuries are mostly
implicated, mucocutaneous (non-sharp) exposure also pose a significant challenge (Rice,
Tomkins & Ncube, 2015). Mucocutaneous exposure can be due to accidental splashing of blood
into a cut skin or eyes, disposing of body fluids, removal of catheters, or open wound dressing.
According to Delisio, (2012), some of the risk factors that are commonly linked with
these infections include use of hollow-bore needles, inappropriate disposal of sharps either
through overfilling, punctures, or protruding of disposal containers. It has been noted that most
practitioners rarely report the injury incidents due to beliefs that the exposures are not
significant, confidentiality issues as well as concern about the repercussions associated with the
injuries.
However, clinicians should understand that there are a number of benefits resulting from
prompt reporting. For instance, prophylaxis of some infections such as HIV is successful if there
is prompt intervention. It also provides a better opportunity for compliance to be analyzed and
examination of the circumstances and factors that lead to the injury and how they can be avoided
in future.
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