Abstract
BackgroundThe emergency department (ED) is one of the high-risk places for blood-borne disease (BBD) transmission.ObjectivesThis study aimed to assess the rate of adherence to preventive measures (PM) against the blood-borne diseases via emergency medicine (EM) residents.Materials and MethodsIn this descriptive cross-sectional study, 80 emergency residents of an educational public hospital were observed with regard to abiding by the preventive measures from March to May 2010.ResultsCleaning blood tainted skin before phlebotomy or IV line preparation and hand washing before donning latex gloves achieved the maximum (88/150) and minimum (0/150) scores. The most observed barriers of PM were frequent attendance of patients (85%), work load (80%), and need to work rapidly (68%).ConclusionsIt seems that, the preventive instructions are not optimally respected by ERs possibly due to the crowded wards, high work load and the need to work rapidly.
Highlights
The emergency department (ED) is one of the high-risk places for blood-borne disease (BBD) transmission
This study showed that the most common barriers for respecting preventive instructions for BBD were the large number of patients and crowded wards, high work load, and need to perform duties rapidly
A study by Bagheri et al [5] assessed 65 nurses working at emergency wards showed that the majority of these nurses moderately respected the preventive strategies, but our study showed a better performance among emergency medicine residents
Summary
The emergency department (ED) is one of the high-risk places for blood-borne disease (BBD) transmission. Objectives: This study aimed to assess the rate of adherence to preventive measures (PM) against the blood-borne diseases via emergency medicine (EM) residents. The most observed barriers of PM were frequent attendance of patients (85%), work load (80%), and need to work rapidly (68%). Conclusions: It seems that, the preventive instructions are not optimally respected by ERs possibly due to the crowded wards, high work load and the need to work rapidly. It is not possible to determine the high-risk patients in the ED preventive measures such as using gloves, eye shield, mask, gowns and prohibition of reused instru-. Implication for health policy/practice/research/medical education: This study aimed to assess the rate of adherence to preventive measures against blood-borne diseases by emergency residents.
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