Bold Voices - July 2013 - (Page 9)

AT THE BEDSIDE Sharps Injuries Continue to Pose Work Hazard I Ill Healthcare Workers Can Spread Respiratory Virus to Patients It’s common for potentially contagious healthcare workers to work instead of taking sick leave. The transmission of respiratory viruses by ill healthcare workers can threaten the safety of patients, especially those who are vulnerable to infection, finds a study by Vanderbilt University School of Medicine. Published in Infection Control & Hospital Epidemiology, “Respiratory Virus Shedding in a Cohort of On-Duty Healthcare Workers Undergoing Prospective Surveillance” finds it was common for potentially contagious ill healthcare workers to work rather than take sick leave. Many report- edly did not want to burden co-workers with their absence. Unfortunately, viral shedding was common among those with symptoms, and to a significantly lesser degree, among asymptomatic workers. As a result, the study recommends that hospitals update their institutional illness policy to accommodate sick workers, who should avoid patient-care duties or take leave until they are no longer contagious. The 20-week cohort study was conducted in a tertiary care children’s hospital during the 2009 to 2010 pandemic influenza season in Nashville, Tenn. The study involved a total of 1,404 biweekly nasal swab specimens from 170 participating healthcare workers. If a subject reported respiratory symptoms, additional swabs were collected. 9 AACN BOLD VOICES JULY 2013 njuries from needles and sharp instruments continue to be a serious occupational health hazard among healthcare workers, notes an article in the Surgical Tribune. “Researchers Review Potential Impact of Instrument-caused Injuries” states that nearly 40,000 sharps injuries occur each year in the United States and, despite regulations aimed to prevent these injuries and new reporting strategies, “the rate of sharps injuries in the operating room had actually increased.” While a study in Plastic and Reconstructive Surgery, “Sharps Injuries: The Risks and Efforts to reduce Relevance to Plastic Surgeons,” focuses on physicians, nurses are at considerable risk for these sharps injuries are injuries as well, particularly in certain scenarios. “Among nurses, shifts greater than 13 hours and those scheduled during weekends or evenings were correlated with a significantly higher not universally risk of sustaining an injury,” the study notes. Efforts to reduce injuries are only partially successful, because these efforts are not being implemented. implemented overall. The study points out that use of a neutral zone to pass instruments rather than hand-to-hand passing is known to reduce the rate of injury by up to 60 percent. “However, these techniques are used by surgeons and operating room nurses only 40 percent of the time.” The costs of sharps injuries are not insignificant. In addition to the financial cost of post-exposure prevention for HIV and hepatitis B, the injuries can have a major psychological impact, particularly during the time to confirm the injured worker is free of infection, which may take several weeks or months. http://www.surgical-tribune.com/articles/news/americas/8329_researchers_review_potential_impact_of_instrument-caused_injuries_.html http://journals.lww.com/plasreconsurg/Fulltext/2013/04000/Sharps_Injuries___The_Risks_and_Relevance_to.22.aspx http://journals.lww.com/plasreconsurg/Fulltext/2013/04000/Sharps_Injuries___The_Risks_and_Relevance_to.22.aspx http://www.ncbi.nlm.nih.gov/pubmed/23466910 http://www.ncbi.nlm.nih.gov/pubmed/23466910

Table of Contents for the Digital Edition of Bold Voices - July 2013

Front/Digital Edition Viewing Guide
Another Angle
We Welcome New, Thank Off-going National Board Members
Managers Note Less Professionalism Among Nurses
Joint Commission: Alarm Fatigue Can Be Deadly
Many Nurses Subject to Workplace Violence
Sharps Injuries Continue to Pose Work Hazard
Medicare Commission Explores Pay Inequality for APRNs
NTI 2013 in Photos
Can iPads Disrupt Function of Implanted Heart Devices?
Copper Surfaces Can Cut in Half the Risk of HAI
In OurJournals
Boston Eds Ready for Emergencies, Some Airlines Unprepared
AACN Scholarships Support Your Future
Visionary Leaders Recognized at NTI
Step Forward

Bold Voices - July 2013

http://www.nxtbook.com/nxtbooks/aacn/boldvoices_202002
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_202001
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201912
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201911
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201910
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201909
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201908
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201907
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201906
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201905
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201904
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201903
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201902
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201901
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201812
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201811
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201810
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201809
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201808
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201807
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201806
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201805
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201804
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201803
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201802
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201801
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201712
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201711
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201710
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201709
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201708
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201707
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201706
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201705
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201704
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201703
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201702
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201701
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201612
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201611
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201610
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201609
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201608
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201607
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201606
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201605
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201604
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201603
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201602
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201601
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201512
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201511
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201510
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201509
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201508
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201507
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201506
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201505
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201504
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201503
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201502
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201501
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201412
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201411
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201410
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201409
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201408
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201407
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201406
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201405
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201404
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201403
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201402
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201401
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201312
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201311
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201310
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201309
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201308
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201307
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201306
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201305
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201304
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201303
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201302
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201301
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201212
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201211
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201210
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201209
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201208
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201207
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201206
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201205
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201204
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201203
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201202
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201201
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201112
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201111
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201110
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201109
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201108
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201107
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201106
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201105
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201104
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201103
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201102
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201101
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201012
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201011
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201010
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201009
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201008
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201007
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201006
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201005
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201004
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201003
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201002
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_201001
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_200912
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_200911
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_200910
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_200909
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_200908
http://www.nxtbook.com/nxtbooks/aacn/boldvoices_200907
http://www.nxtbookMEDIA.com