Journal article
Compliance with universal precautions in a university hospital emergency department
Annals of emergency medicine, Vol.18(6), pp.654-657
1989
DOI: 10.1016/S0196-0644(89)80522-0
PMID: 2729690
Abstract
We investigated the compliance of emergency department health care workers with barrier precaution policies adapted from the Centers for Disease Control's “Recommendations for Prevention of HIV Transmission in Health-Care Settings.” One hundred sixty-nine health care worker encounters with 97 patients were observed. One hundred one observations were of noncritical ED patients undergoing IV catheter placement (35) or phlebotomy (66). Sixty-eight observations involved cardiac arrest or critical trauma patients. Observations in this latter group were of the use of needles, 22; physical examination, 18; patient handling, 17; endotracheal intubation, eight; and Foley catheter placement, three. For noncritical patients, only 52.5% of providers wore gloves for phlebotomy or IV catheter placement. For critical patients, gloves were worn by health care workers as follows: needle use, 64%; physical examination, 72%; intubation, 88%; physical handling of patients, 76%; and Foley catheter placement, 100%. Gowns, masks, and protective eyewear were used in encounters with critical patients by 28%, 1%, and 18% of workers, respectively. We conclude that there currently is a low rate of compliance with universal precaution policies by ED personnel.
Details
- Title: Subtitle
- Compliance with universal precautions in a university hospital emergency department
- Creators
- Larry J Baraff - UCLA Medical CenterDavid A Talan - Ronald Reagan UCLA Medical Center
- Resource Type
- Journal article
- Publication Details
- Annals of emergency medicine, Vol.18(6), pp.654-657
- Publisher
- Mosby, Inc
- DOI
- 10.1016/S0196-0644(89)80522-0
- PMID
- 2729690
- ISSN
- 0196-0644
- eISSN
- 1097-6760
- Language
- English
- Date published
- 1989
- Academic Unit
- Emergency Medicine; Internal Medicine
- Record Identifier
- 9984297147302771
Metrics
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