Compliance with universal precautions and needle handling and disposal practices among emergency department staff at two community hospitals.
Henry K; Campbell S; Collier P; Williams C
Am J Infect Control 1994 Jun; 22(3):129-137
Direct observation and a self administered survey were used to investigate compliance of emergency department health care workers in two community hospitals with universal precautions. The two privately owned hospitals were located in suburbs of Minneapolis, Minnesota, an area of low human immunodeficiency virus seroprevalence. The study was focused on needle handling and disposal. A total of 1,822 procedures were recorded. Registered nurses observed emergency department personnel for a total of 400 hours. The observers documented the use of gowns, goggles, masks and gloves. The needle disposal and frequency of needle recapping were also noted. Gloves were used when appropriate 67.2% of the time, followed by goggles at 50.7%, masks at 16.0%, and gowns at 15.3%. In all cases self reported barrier rates were slightly higher except for goggle use. About one third of all needles were recapped and 78.1% of these were recapped two handed. The authors conclude that the compliance with universal precautions is low at community hospitals. They also note that the workers are not fully aware of their level of compliance.
NIOSH-Publication; NIOSH-Cooperative-Agreement; Health-care-personnel; Risk-factors; Infection-control; Infectious-diseases; Work-practices; Viral-infections; AIDS-virus; Protective-clothing; Personal-protective-equipment
Keith Henry, MD, HIV/AIDS Programs, Section of Infectious Diseases, Department of Medicine, St. Paul-Ramsey Medical Center, 640 Jackson St, St Paul, MN 55101
American Journal of Infection Control