Assessment of Injection Safety Practice among nurses at Primary Health Care Centers in Mosul
Mosul Journal of Nursing,
2018, Volume 6, Issue 1, Pages 51-59
AbstractBackground: safe injection practice is the practice that does not harm both health workers and recipient and not produce harmful waste products.
Aim: To determine the injection safety practice among nurses at primary health care centers in Mosul city.
Materials and method: a descriptive study was carried out to include a random sample of 45 nurses selected from 12 primary health care centers of both sides of the city left and right, tool of study depend on observational check list and interview questionnaire.
Results: The study diagnosed both safe and unsafe injection practices which were performed by nurses at their setting of work. Safe practice significantly performed as single use of syringes, using a lot of sizes of syringes, dispose syringes to safety box, close safety box tightly, send safety boxes to buried and incinerated safety boxes, avoid changing safety boxes, specify a team to follow up safety injection measures, continuing education and training on safety injection. Unsafe practice also diagnosed as: don`t washing hands after injection, don`t using gloves when they have skin lesion, filling safety boxes to the top, dispose vials and ampoules to safety box. Poor vaccination coverage with hepatitis (B) vaccine among nurses. The study also found the only significant measures after exposure to needle stick injury were washing hands and notify about the exposure.
Conclusion: The distribution of the nurses in the sample according to age, shows that the majority of them in 40-49 years of age. Presence of male nurses more evident than female, most of them have long work period of twenty-one years and more, the majority of the participant were graduated from nursing school. The study diagnosed both safe and unsafe practices.
Recommendation The study recommends for: improving awareness of both patients and nurses to decrease over use of injection and on achievement of safety, improve vaccination coverage with hepatitis B vaccine and make it obligatory for all health care workers.
Bolarinwa O, Salaudeen S, Aderibigbe S and Akande T. Knowledge and attitude of primary health care workers in North Central state of Nigeria. To ward safe injection , International journal of academic research, vol.3 no.3 may 2011.
Hustin Y. Best infection control practices for intradermal, subcutaneous, and intramuscular needle injections. World Health Organization, 2003, 81(7): 491-500.
Kotwal A. innovation. Diffusion and safety of medical technology: a review of the literature on injection practices. Social science and medicine, 2005, 60: 1133-47.
Mahfouz A, adbelmoneim I, Daffalla A, Diab M and Al Amri H. injection safety at primary health care level in south-western Saudi Arabia. Eastern Mediterranean health journal. Vol 15, No 2. 2009.
Nichol K and Hange M. Vaccination rate among health care professionals, American journal of nursing. 104(10): 24;2004.
Simonsen L. Unsafe injections in developing world and transmission of blood borne pathgens; Review of World Health Organization, 1999, 77(10): 789-800.
Stephen Luby. Injection Safety, Center For Disease Control and Prevention. Atlanta, Georgia, USA. 2001
World Health Organization. Injection practices: rapid assessment and response guide. Geneva. 2000: 1-35.
World Health Organization. Safe health-care waste management: policy paper. Geneva. 2004
World health organization. Single use of injections devices, patient safety solutions, may 2007.
World Health Organization. Tool for the assessment of injection safety and safety of phlebotomy, Lancet procedures, intravenous injection and infusion, 16july 2007.
- Article View: 54
- PDF Download: 66