Use Of PPE Research Articles

Occupational skin diseases among bricklayers and brick masons in a resource poor setting, Southwest Nigeria: prevalence and correlates – a case–control study

ObjectivesCement and most other materials used by bricklayers and brick masons for construction purposes could heighten the risk for occupational skin diseases (OSDs) which mostly include occupational contact dermatitis (OCD)...

P-361. Outcome of Candida auris Point Prevalence Survey in a Tertiary Care Hospital in Southeast Michigan

Abstract Background C. auris, an emerging multi-drug resistant organism associated with nosocomial outbreaks, is becoming more prevalent in Southeast Michigan due to interfacility healthcare transfer. The CDC recommends contact isolation and screening of epi-linked healthcare contacts of newly identified C. auris patients to prevent spread and assess potential transmission. We describe our institution’s experience with C. auris point prevalence surveys (PPS). Methods PPS was conducted at an 877-bed academic, tertiary care center consisting of private and semi-private rooms in Detroit. In collaboration with Michigan Department of Health and Human Services, we performed PPS by swabbing the axilla and groin of all patients on the implicated unit when a C. auris index case was incidentally identified from June-Dec 2023. In addition, potentially exposed roommates were flagged in the electronic health record for future screening. When additional cases were identified, 2 negative PPS conducted biweekly were required to stop PPS. Results Six C. auris index cases were identified during the 6-month period. We performed 18 PPS on 9 units and screened 430 patients (Table); 5 refused and 14 were discharged prior to screening. Four (22%) of the PPS resulted in identification of new cases; 2 PPS yielded 1 case each, 1 PPS yielded 3 cases, and the final PPS yielded 2 cases. Of those screened, 7 (1.6%) tested positive on 4 units. Nosocomial transmission was implicated in 4 patients across 2 units after an epidemiologic investigation. Terminal cleaning was performed on units implicated in nosocomial transmission, in addition to ancillary areas visited by the affected patients. Infection Prevention emphasized the importance of adhering to hand hygiene, appropriate PPE use, and cleaning and disinfection of the environment and shared equipment. Conclusion Controlling the spread of C. auris is a public health priority. However, only 1.6% of cases were detected with intense PPS. Despite considerable effort and healthcare resources being utilized to identify additional cases and mitigate possible nosocomial transmission, C. auris continues to spread in our region. Alternatively, healthcare facilities should consider active surveillance of high-risk patients at the point of hospitalization to mitigate the need for PPS. Disclosures All Authors: No reported disclosures

Knowledge and attitude of nosocomial infection prevention and control precautions among healthcare personnel at Kiruddu Referral Hospital in Kampala, Uganda

BackgroundA key concern for global public health is nosocomial infections. Essential to the fight against nosocomial infection, is healthcare professionals’ knowledge and attitudes. Therefore, this study investigated healthcare professionals’ knowledge and attitudes toward nosocomial infection at the Kiruddu Referral Hospital, Kampala, Uganda.MethodsA facility-based cross-sectional study was carried out at Kiruddu Referral Hospital in Kampala, Uganda. We selected the participants using simple random sampling. Data were collected from a total of 78 healthcare personnel using pretested, structured, self-administered questionnaires. We used SPSS version 20.0 for data analysis and applied descriptive statistics to present the frequencies and percentages. Pearson’s Chi-square test was used to evaluate the association between independent factors and knowledge and attitude (KA) ratings on hospital-acquired infection (HAI) prevention. P-values less than 0.05 were regarded as statistically significant.ResultsAmong the different categories of health workers, doctors exhibited the highest level of knowledge. There was a significant association between knowledge scores and occupation (χ2LR = 25.610; P = 0.000). The mean knowledge scores across different infection prevention aspects were as follows: hand hygiene (82.2 ± 18.9), PPE use (71.8 ± 23.1), sharp disposal and sharp injuries (59.2 ± 25.7), and waste management (57.4 ± 29.9). Notably, 20.5% of participants did not change PPE between patients, and 44.9% indicated that their workload negatively impacted their ability to follow infection prevention standards.ConclusionThe study highlighted gaps in healthcare personnel’s knowledge and attitudes toward infection prevention. It is therefore important to provide regular targeted training programs emphasizing underrepresented areas, PPE availability, strengthen policy enforcement, and integrate infection prevention education into medical and nursing curricula.

Relationship Between Working Periode and Using PPE with Hb Levels of Gas station Officers with Benzene Exposure in Cimahi City

Gas stations have risks of benzene exposure. Benzene can cause anemia or decreased hemoglobin levels, due to the length of exposure, period of work, and use of Personal Protective Equipment. The purpose of this study to determine relationship between length of service and use of PPE on hemoglobin levels at gas station workers in Cimahi City. The study was conducted with a cross-sectional design on 100 participants from 10 gas stations. The working period was collected using a questionnaire, the use of PPE is measured by observation, and the measurement of hemoglobin levels is measured using an Hb meter instrument. The univariate statistical test uses frequency distribution and the bivariate uses the Spearman Rank Correlation. The results showed that 22% use PPE in the less category, 42% have worked for more than 5 years, and 35% of gas station workers in Cimahi City had low hemoglobin levels. The results of statistical analysis of the relationship between length of service and hemoglobin levels of gas station attendants in Cimahi City showed a value of p=0.001, and the relationship between the use of PPE and hemoglobin levels of gas station workers showed a value of p=0.390. The results showed that there was a significant relationship between length of service and Hb levels of gas station attendants, and there was no relationship between the use of PPE.

DOMINANT FACTORS INFLUENCING THE LEVEL OF COMPLIANCE WITH THE USE OF PPE (AMONG CONSTRUCTION WORKERS IN REHABILITATION AND MAINTENANCE OF COMMUNITY HEALTH CENTER IN TUBAN DISTRICT)

Compliance to always wear personal protective equipment is one of the important factors in reducing the number of work accidents. Factors that become the basis for compliance behavior in wearing personal protective equipment are very diverse, one of which is company regulations, supervision, worker knowledge, availability of personal protective equipment, rewards and punishments, and worker attitudes. Research at the Tuban Regency Health Center aims to analyze the dominant factors that influence the level of compliance with the use of PPE in rehabilitation and maintenance construction workers. Quantitative research using observational methods and cross-sectional design. The study population involved rehabilitation and maintenance construction workers of Puskesmas in Tuban Regency, with a sample of 53 workers selected using probability sampling technique with simple random sampling. The level of compliance with the use of PPE as the dependent variable while knowledge, attitude, peer encouragement, HSE inspection, reward, and punishment as independent variables. The instrument used a questionnaire. Data analysis using Multiple Logistic Regression statistical test with SPSS. The test results obtained ap value <0.05, with the attitude variable having the highest Exp(B) value (14.423) compared to other variables, meaning that there is an influence of knowledge, attitude, peer encouragement, reward and punishment on the level of compliance with the use of PPE, and attitude is the most dominant factor. The suggestion for improvement is for the workforce to be more open to the concept of safety culture in the workplace.

Education and Training on Infection Prevention and Control Provided by Long-Term Care Homes to Visitors: A Scoping Review.

Objective: The objective of this study is to identify, examine, and map the literature on infection prevention and control (IPAC) education and training for visitors to long-term care (LTC) homes. Introduction: Visitor restrictions during infectious outbreaks in LTC homes aim to reduce virus transmission to vulnerable residents. The COVID-19 pandemic highlighted the negative impacts of such restrictions, prompting the need for IPAC education for visitors. Inclusion Criteria: This review includes research, narrative papers, and grey literature on IPAC education and training for LTC visitors. It focuses on intentional education aimed at preventing infection transmission. Studies not involving visitors or offered in other settings were excluded. Methods: Following the JBI methodology for scoping reviews, bibliographic databases (CINAHL, Embase, AgeLine, Medline, and ERIC) were searched from 1990 to present in English or French. Data were extracted by two reviewers, focusing on the educational content, delivery mode, frequency, timing, and qualifications of educators. A narrative summary and descriptive statistics were produced. Results: The 26 included documents contained guidelines, policies, educational resources, and opinion papers. Pre-2020, healthcare workers were responsible for educating visitors. Post-2020, more detailed recommendations emerged on the frequency, content, and delivery methods. Key topics included hand hygiene (92.3%), respiratory hygiene (80.8%), and PPE use (73.1%). Conclusions: IPAC education and training for LTC visitors is essential for safe visitation. Future research should evaluate the effectiveness of these educational interventions.

COVID-19: Training activities, adherence, and use of personal protective equipment in Primary Health Care.

to analyze the association between participation in training activities and the adherence to and use of personal protective equipment by workers and professionals involved in Health Residency Programs in Primary Health Care during the COVID-19 pandemic. a cross-sectional study in Brazil between August/2020 and March/2021. We utilized the EPI-APS COVID-19 instrument and its adapted version for resident professionals. 455 PHC workers and 102 residents participated in the study. Among them, 54.5% and 55.9%, respectively, engaged in training activities. We observed an association between participation in training activities and the proper use of gloves (p<0.001), gowns (p=0.009), goggles/face shields (p=0.002), and overall adherence (p<0.001) among PHC workers, and the proper use of surgical masks (p=0.028) among residents. Adherence rates of ≥75% were identified in 6.9% of PHC workers and none among the residents. training activities are associated with increased adherence to and proper use of PPE.

Evaluating Nursing and other Medical Staff Members' Knowledge of Occupational Safety and Health Risks in A Teaching Hospital

Background: Healthcare workers, particularly nurses, are exposed to various occupational health and safety risks due to the nature of their work. These risks include physical, chemical, biological, and psychological hazards, which can affect both their well-being and the quality of patient care. Despite the importance of occupational health and safety (OHS) in healthcare settings, there remains a significant gap in the level of awareness among healthcare professionals, especially nurses, regarding these risks. This study aims to assess the level of awareness of OHS hazards among nursing professionals in a teaching hospital and identify areas requiring further education and intervention. Methods: This study was conducted over a three-month period and involved 200 nursing staff from various departments of a teaching hospital. A structured questionnaire consisting of demographic questions and 27 items assessing awareness of different occupational health and safety hazards was distributed. The questionnaire covered general awareness and specific knowledge of physical, chemical, electrical, mechanical, biological hazards, and safety practices. The awareness level was measured on a scale from 1 (Not Aware) to 5 (Fully Aware), with a maximum score of 135. Data were analyzed using descriptive statistics, and the relationship between demographic factors and awareness scores was evaluated. Results: The majority of participants (93.3%) were female, with a mean age of 30.2 years and an average work experience of 7.6 years. The study revealed that 44% of participants had full awareness of general OHS risks, while specific awareness varied across different hazards. Full awareness of physical hazards was demonstrated by 24%–27% of respondents, with 59.4% fully aware of workplace infections and 52.7% recognizing respiratory risks from chemical exposures. A moderate level of awareness was observed in 28%–36% of participants for various hazards, while a small percentage (1%–5%) showed no awareness in these areas. Awareness of occupational safety practices such as PPE use, hand hygiene, and incident reporting was also evaluated, with 55.4% fully aware of PPE's role in injury prevention and 77.4% knowledgeable about proper hand hygiene practices. Conclusion: The study highlights significant variations in the level of awareness of occupational health and safety risks among nursing professionals in a teaching hospital. While general awareness is relatively high, there are notable gaps in knowledge regarding specific hazards, particularly in relation to chemical, electrical, and mechanical risks. The findings underscore the need for targeted educational programs and interventions to improve awareness and adherence to OHS practices, ultimately enhancing workplace safety and the quality of care delivered to patients

ANALYSIS OF POTENTIAL HAZARDS FOR GADUNG CHIPS WORKERS USING THE HIRARC METHOD IN RINGINSARI VILLAGE KEDIRI REGENCY

Background: One of the industrial sectors that has a high risk of danger is the informal sector, one of which is the home industry of making chips. Knowledge about occupational health and safety is one of the factors that cause health problems and incidents in the workplace. Therefore, it is necessary to handle the problem of danger by identifying risks and controlling in minimizing the occurrence of accidents and occupational health disorders. Objectives: The purpose of this research was to determine the risk of work accidents, determine the level of work accident risk and provide suggestions for controlling the risk of work accidents that can occur in the cassava chips manufacturing industry. Methods: This study is a descriptive observational study, which is a research method that provides an in-depth description of the process of making gadung chips in a home industry which is then analyzed and compared based on existing reality. Observations are made directly to ensure that the process reflects daily practices in the home industry. The study was conducted with a cross-sectional approach, data will be collected at one time to understand the conditions at that time. The data analysis technique used in this study is descriptive analysis and risk identification with the HIRARC method, namely: 1) Hazard identification, 2) Risk Assessment (Risk Analysis), 3) Determining Controls, 4) Documentation Socialization and Implementing Controls Results: 33 work accident risks were found that could occur in the process of making combined chips. The level of work accident risk from 33 risks obtained 42% low risk hazards, 21% medium risk hazards, 30% high risk hazards and 7% very high risk hazards Conclusion: Based on the research results, it can be concluded that: 1) 33 work accident risks were found that could occur in the process of making combined chips. 2) the level of work accident risk from 33 risks obtained 42% low risk hazards, 21% medium risk hazards, 30% high risk hazards and 7% very high risk hazards. 3) there are 33 risk control studies consisting of substitution control, administration, and use of PPE

STRENGTHENING THE FOUNDATION - ESCALATES THE COMPLIANCE: ON PATH OF CONTINUAL IMPROVEMENT -AN OBSERVATIONAL STUDY AMONG HEALTH CARE WORKERS IN TERTIARY CARE HOSPITAL, CENTRAL INDIA

Introduction: Healthcare-associated infections (HCAIs) are more likely to occur in healthcare settings, driven by factors involving host, pathogen and environmental elements, including healthcare personnel. Infection prevention and control (IPC) practices are crucial to mitigate pathogen transmission, with hand hygiene being especially effective. Despite knowledge of guidelines, adherence remains inconsistent, necessitating structured IPC education Aim: To evaluate the impact of a structured, multifaceted educational intervention on the knowledge and compliance of healthcare workers regarding IPC practices at a tertiary care centre. Methodology:A tertiary care facility in central India served as the site of this observational study for over eight months (Feb–Sept 2024), involved 394 participants, including nursing staff, interns, postgraduate students and hygiene warriors.The intervention includedinteractive CMEs, hands-on training, educational videos, and participatory activities like role plays and competitions. Pre-and post-intervention assessments measured knowledge improvement, while post-intervention door-to-door evaluations identified practical compliance. Results:The intervention significantly enhanced participants knowledge, with mean pre-test scores of 7.85 ± 1.47 increasing to 9.25 ± 1.19 post-intervention (p &lt; 0.0001). Improvements were notable in hand hygiene practices, PPE use, and biomedical waste management. Interactive modules and multimedia tools effectively reinforced IPC measures. Conclusion: The educational intervention significantly improved IPC knowledge and compliance among healthcare workers, highlighting the need for ongoing training. Sustained education in IPC practices is essential to foster a safety culture, reduce HCAI rates, and improve patient outcomes.

Dose-, stage- and sex- difference of prenatal prednisone exposure on placental morphological and functional development

Prednisone, a synthetic glucocorticoid, is commonly used to treat autoimmune diseases in pregnant women. However, some studies suggest that the use of prednisone during pregnancy may lead to adverse pregnancy outcomes. In this study, we established PPE mouse models at different doses (0.25, 0.5, 1.0 mg/kg·d) and different stages (whole pregnancy, early pregnancy and middle-late pregnancy) and determined outcomes on the placenta and fetus. The results of our study indicated that at the highest dose of 1 mg/kg PPE using a GD 0–18 dosing regime, PPE caused placental morphological changes measured as a decrease in placental weight relative to controls and a decrease in the placenta junctional zone (JZ)/labyrinth zone (LZ) ratio. No changes were observed on the fetuses for number of live, stillborn, and absorbed fetuses between the experimental groups and the control group. In the placentas at some doses, there were decreases in cell proliferation markers measured at the RNA and protein level by Western blot and increased apoptosis. Measures of gene expression at the mRNA level showed altered nutrients (including glucose, amino acid, and cholesterol) transport gene expressions with the most significant change associated with the male placentas at high-dose and whole pregnancy PPE group. It was further found that PPE led to the inhibition of the insulin-like growth factor 2 (IGF2)/insulin-like growth factor 1 receptor (IGF1R) signaling pathway, which was well correlated with the indicators of cell proliferation, syncytialization and nutrient (glucose and amino acid) transport indices. In conclusion, PPE can alter placental morphology and nutrient transport function, with differences in effect related to dose, stage and gender. Differential gene expressions measured for genes of the IGF2/IGF1R signaling pathway suggested this pathway may be involved in the effects seen with PPE. This study provides a theoretical and experimental basis for enhancing the understanding of the effects of prednisone use on placenta during human pregnancy but does not currently raise concerns for human use as effects were not seen on the fetuses and while the effects on cell proliferation are informative they were inconsistent and the differential effects on female and male placentas unexplained suggesting that further work is required to elucidate if these findings have relevance for human use of PPE during pregnancy.

Impact of Personal Protective Equipment Use on Stress and Psychological Well-Being Among Firefighters: Systematic Review and Meta-Analysis

This study evaluated the individual and psychosocial impacts of personal protective equipment on firefighters by conducting a systematic review and meta-analysis. While PPE is necessary for the protection of firefighters, it can also lead to a number of challenges, which may be both physical and psychological. This assessment incorporates insights from several studies that discuss the factors of stress related to the use of PPE by firefighters. The key aspects of the assessment include the adverse effects of overheating, the restriction of free movements, the inability to speak normally, and various other factors that increase stress. Studies have revealed that the use of PPE increases physical and mental stress levels by 10–25%, which increases overall anxiety by 35% and stress levels by 20–30%. The results suggest that the use of PPE is correlated with heightened levels of both physical and mental stress, leading to a 35% increase in anxiety and a 20–30% increase in stress. This study highlights the need to adopt a multidisciplinary approach to address and reduce the effects of PPE use on stress. Policy directions are aimed at improving PPE design, applying stress prevention programs, and controlling organizational strategies to protect firefighters’ safety and well-being.

Analysis of the Implementation of Standard Precautions in Preventing Healthcare Associated Infections (HAI's) at Wampu Norita General Hospital

Standard precautions are needed to implement the IPC program in hospitals. Implementation of Standard Precautions can be carried out because it is driven by the PPI Committee or Team. The PPI Committee or Team is formed based on needs, workload, and type of health service facilities. The eleven components of standard precautions can be implemented in every health service, especially in Indonesia which is trying to reduce HAIs. HAIs are known as nosocomial infections that occur in hospital patients, where infection has not occurred while the patient has been hospitalized for more than 48 hours. The large risk of infection in hospitals encourages the need to reduce the risk of infection through the PPI Program. A descriptive qualitative research method was chosen to obtain meaning from a number of individuals and social groups. The qualitative research process includes asking questions, collecting data, analyzing data, and interpreting the meaning of the data. The sample in this study was 8 informants, including Hospital Leaders, heads of Hospital Quality, Nurses in charge of the field, Daily Executive Officers, and Executive Nurses in service units. The results show that the PPI policy has been implemented well which includes the PPI Structure and Team, Infection Surveillance Manual, Standard Precautions and implementation of Hand Hygiene and PPE, as well as the budget. Meanwhile, the condition of facilities and infrastructure is not optimal, such as hand hygiene facilities and use of PPE, collection of HAI infection surveillance data, and training. Conclusion: The Standard Precautions Implementation Policy already exists and is based on Minister of Health Regulation No. 27 of 2017. The results of the Hand Hygiene and PPE compliance audit do not match the Quality Profile, facilities, and infrastructure are not optimal, namely below 100%, and stock in the premises is still limited

KNOWLEDGE AND BEHAVIOR OF HATTA HOSPITAL HEALTH CARE PROFESSIONALS REGARDING COVID-19 INFECTION PREVENTION AND CONTROL

Healthcare-associated infection represents a public health problem in all countries. COVID-19 patients can rapidly overwhelm the capacities of healthcare systems. As more patients are hospitalized, healthcare workers (HCW) at the frontline of care are at the greatest risk of infection. This study aimed to assess the knowledge and self-reported behavior of healthcare professionals in Hatta Hospital regarding COVID-19 infection prevention and control (IPC) during this emerging infectious disease pandemic. A descriptive cross-sectional study was conducted in Hatta hospital, United Arab Emirates (UAE) among one hundred HCWs using a self-administered questionnaire based on UAE National and World Health Organization (WHO) IPC guidelines. Of the study participants, 66% received COVID-19 IPC training inside Hatta hospital. The mean knowledge and behavior scores were 75.7% ± 9.4 and 87.6% ± 5.9, respectively. Knowledge score and behavior score were not related to gender (p= 0.232, 0.091, respectively ) and to work position (p= 0.882, 0.994, respectively), however, they were related to the previous contact with COVID -19 patients (p= 001, 0.011, respectively ). Nonetheless, gaps in IPC knowledge and behavior have been identified and need improvement. This includes donning and doffing of PPE and optimal use of protective measures especially respirators (N95 or FFP2).

Compliance with the Use of PPE Among UD Nusa Workers in Sukorejo Village, Loceret District

Background: Attitude is a learned predisposition to respond to an object positively or negatively. Knowledge is the result of "knowing" and this occurs after someone senses a particular object. Compliance with the use of PPE is influenced by several factors, such as knowledge, attitude, length of service, comfort, suitability of PPE and type of work and availability. Purpose: The aim of this research is to determine the influence of attitudes and knowledge on compliance with the use of PPE for UD Nusa workers in Sukorejo Village, Loceret District. Method: This research uses a quantitative approach with a research design cross-sectional with a total sample of 44 respondents. This research using probability sampling with simple random sampling technique. The measuring instruments used in this study were questionnaires and observations. Results: The results of this study show the influence of attitude on compliance with PPE use, p value = 0.031 and p value = 0.032 for the influence of knowledge level on compliance with PPE use with α 0,05. Conclusion: Based on the research that has been conducted, most of the respondents have a positive attitude and a sufficient level of knowledge. It can be concluded that there is an influence between workers' attitudes and compliance with the use of PPE, with a significance level of 0.031 and there is an influence between the level of knowledge of workers and compliance with the use of PPE, with a significance level of 0.032, with an alpha value of 0.05. It can be concluded that there is a significant influence between attitude and knowledge on compliance with the use of PPE in UD Nusa workers.

Analysis of Apron Movement Control (AMC) Personnel Availability Towards Airside Supervision Operational Activities of PT Angkasa Pura I Pattimura Ambon International Airport

Apron Movement Control (AMC) is a unit that is responsible for flight operations, aircraft movement supervision, vehicle traffic, passengers and cleanliness supervision in the airside area and recording flight data on the apron. AMC officers are one of the factors that also determine the achievement of organizational goals in the airport sector, because the human resources of AMC officers are the subject of every activity in the organization, the assessment for subjects is carried out through their performance assessment. Through a combination of human resources, facilities/equipment and procedures in a series of elements that work together in carrying out the functions and tasks of supervision and service on the airside so that the goals are achieved. This study aims to determine the supervision of the AMC unit at Pattimura Ambon International Airport in terms of human resources and supporting facilities as well as obstacles in carrying out supervision in the airside area and efforts to overcome obstacles. This study uses a descriptive qualitative approach. The data used are primary and secondary data. Primary data is obtained from observation and interviews, while secondary data comes from literature studies and photographs related to the problems studied. The data analysis techniques used are data reduction, data presentation and drawing conclusions. To test the validity of the data, the triangulation technique is used. The research time was in March 2024. The results of the study showed that the supervision of the AMC unit at Pattimura Ambon International Airport was carried out in accordance with PM-IK (Quality Procedures and Work Instructions), starting from supervision of FOD (foreign object debris), fuel spills, vehicle speed according to SKEP/140/VI/1999, supervision of aircraft movements, supervision of the use of PPE according to procedures and supervision of wind running up / idle. The number of AMC unit human resources currently has 7 personnel consisting of 6 implementing personnel and 1 leader. The AMC unit has equipment that is suitable for use including Handy Talky (HT), Telescope (Binoculars), Computer, Ear Muff, Bad Marshaller, Sunglasses, Light Stick, Raincoat, Follow Me Car, Speed Trap and CCTV. The obstacle in AMC supervision is the lack of personnel so that the workload increases and there are still service users / workers who violate the rules on the airside. The AMC unit has attempted to submit additional personnel and the AMC unit strictly enforces service user discipline according to procedure.

A survey of healthcare workers on the acceptance and value of personal protective equipment for patient care.

Assess healthcare workers' (HCW) attitudes toward universal masking, and gowns and gloves used as part of transmission-based precautions. Cross-sectional survey. Academic, tertiary care medical center in Baltimore, Maryland. HCW who work in patient care areas and have contact with patients. In May 2023, a 15-question web-based survey was distributed by the hospital's communications team via email. The survey contained questions to assess HCW perceptions of universal masking policies prior to the availability of COVID-19 vaccines and at the time of the survey, and the use of gowns and gloves for transmission-based precautions. Descriptive statistics were used to summarize data. Differences in agreement with universal masking over time, level of agreement with gown and glove policies, and with all PPE types across respondent characteristics were assessed. 257 eligible respondents completed the survey. Nurses and patient care technicians (43%) and providers (17%) were the most commonly reported roles. Agreement with universal mask use decreased from 84% early in the pandemic to 55% at the time of the survey. 70% and 72% of HCW agreed masks protect themselves and others, respectively. 63% expressed any level of annoyance with mask wearing, the most often due to communication challenges or physical discomfort. 75% agreed with gown use for antibiotic-resistant bacteria compared with 90% for glove use. The majority of HCW agree with the use of PPE to prevent pathogen transmission in the healthcare setting. Agreement with universal mask use for patient care shifted during the COVID-19 pandemic.

Analisis Keselamatan dan Kesehatan Kerja (K3) dengan menggunakan metode HAZOPS pada pekerjaaan duckting di PT. Surya Marga Luhur

PT Surya Marga Luhur, providing services in mechanical and Electrical works, produces various services such as Mechanical Works, Electrical works, and HVAC Maintenance to find out what types of work accidents most often occur in mechanical works services. HAZOP is to systematically review a process or operation on a system to determine whether process deviations can lead to unwanted events or accidents. The number of work accidents during 2023 occurred 7 impacts of work accidents. The seven impacts of accidents are eye splashes, stab wounds, lacerations, fractures, bone fractures, lacerations and fractures, and bruises to the legs. The most frequent defects are lacerations and fractures with a risk assessment of 12 which is an extreme risk level. To reduce these accidents, there is discipline for the use of PPE, following the SOPs set by the K3 team and the HSE team.

Determinan Pajanan Pestisida Terhadap Kadar Haemoglobin Wanita Usia Subur (WUS) di Kecamatan Dempo Selatan Pagar Alam

Women of childbearing age are a group that plays an important role in the agricultural sector not only in Indonesia but also in other agricultural countries around the world. The types of agricultural activities undertaken by WUS are sometimes the same as those of men, even those that allow contact with pesticides. Women of childbearing age in Pagaralam are at risk of experiencing health effects such as anemia, due to their exposure to Organophosphates. It is necessary to conduct research aimed at analyzing the determinants of pesticide exposure to the haemoglobin level in WUS as a basis for recommendations for efforts to prevent and overcome the effects of pesticide exposure. The design of this study was observational with a cross sectional study approach. The study population was women of childbearing age who were exposed to pesticides in the South Dempo District of Pagaralam, with a sample size of 120 WUS. Sampling using cluster sampling technique. Data collection was carried out through interviews using a questionnaire, observation using a checklist, measurement of body weight using a weight scale, height using a microtoise, and Hb levels using the Easy Touch GCHB tool. Data analysis of the results of the study was carried out univariately, and bivariate using the Chi- Square.The results of bivariate analysis of variables show that were significant with the haemoglobin level in women of childbearing age in South Dempo District were tenure, long time laundry spraying and length of time preparing pesticide. While variables that are not associated with haemoglobin levels are length of spraying, length of time mixed, frequency of spraying, and use of PPE. It is recommended that women of childbearing age reduce the length of time washing clothes spraying and the length of time preparing pesticides through good time management. Keywords : Haemoglobin level, pesticide exposure, woman of childbearing age

ANALISIS PENERAPAN KESELAMATAN DAN KESEHATAN KERJA: STUDI KASUS DI BENGKEL KENDARAAN RINGAN DI SMK KARSA MULYA PALANGKA RAYA

This study aims to analyze whether the use and feasibility of facilities and PPE applied in the light vehicle practical workshop in implementing K3 implementation is good and correct and to analyze whether the Standard Operating Procedure for K3 implementation carried out in the workshop of SMK Karsa Mulya Palangka Raya is good and appropriate. The type of research used is qualitative with a case study approach method. Data collection techniques using observation, interview methods, and documentation methods. The data analysis technique used in this research is qualitative data analysis technique. The results of this study indicate that the use of PPE and the feasibility of facilities in the light vehicle practical workshop at SMK Karsa Mulya in implementing K3 show that the facilities and completeness of PPE used are still incomplete. The application of the K3 SOP is still not implemented according to K3 guidelines and the legal basis regulations are still unclear