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https://www.readbyqxmd.com/read/28059635/naloxone-administration-for-suspected-opioid-overdose-an-expanded-scope-of-practice-by-a-basic-life-support-collegiate-based-emergency-medical-services-agency
#1
Ryan M Jeffery, Laura Dickinson, Nicholas D Ng, Lindsey M DeGeorge, Jose V Nable
Opioid abuse is a growing and significant public health concern in the United States. Naloxone is an opioid antagonist that can rapidly reverse the respiratory depression associated with opioid toxicity. Georgetown University's collegiate-based emergency medical services (EMS) agency recently adopted a protocol allowing providers to administer intranasal naloxone for patients with suspected opioid overdose. While normally not within the scope of practice of basic life support prehospital agencies, the recognition of an increasing epidemic of opioid abuse has led many states, including the District of Columbia, to expand access to naloxone for prehospital providers of all levels of training...
January 6, 2017: Journal of American College Health: J of ACH
https://www.readbyqxmd.com/read/28042212/occurrence-of-needlestick-and-injuries-among-health-care-workers-of-a-tertiary-care-teaching-hospital-in-north-india
#2
Varun Goel, Dinesh Kumar, Raghavendra Lingaiah, Sarman Singh
INTRODUCTION: Occupational hazards such as accidental exposure to sharp, cuts, and splashes are common among health-care workers (HCWs). AIMS AND OBJECTIVES: To determine the occurrence of self-reported occupational exposures to these hazards and to know the prevalent practices following the exposure. The second aim was to know the baseline antibody levels against hepatitis B virus (HBV), hepatitis C virus (HCV), and human immunodeficiency virus (HIV) immediately after these accidents...
January 2017: Journal of Laboratory Physicians
https://www.readbyqxmd.com/read/28034473/causes-of-needlestick-injuries-in-three-healthcare-settings-analysis-of-accident-notifications-registered-six-months-after-the-implementation-of-eu-directive-2010-32-eu-in-germany
#3
M Dulon, B Lisiak, D Wendeler, A Nienhaus
BACKGROUND: Needlestick injuries (NSIs) are the most common cause of sharps injuries and pose a serious risk to healthcare workers (HCWs). In 2014, 'Technical rule for biological agents in healthcare and welfare facilities' (TRBA 250) was modified in Germany in order to promote the prevention of sharps injuries. AIMS: To examine the epidemiology of NSIs among HCWs in hospitals, doctor's offices and in- and outpatient care; to collect information on the causes of the accidents when safety-engineered devices (SEDs) are used; and to compare the results with the main principles of TRBA 250...
November 29, 2016: Journal of Hospital Infection
https://www.readbyqxmd.com/read/27973940/preliminary-evidence-supports-modification-of-retraction-technique-to-prevent-needlestick-injuries
#4
Bernadette Alvear Fa, Eve Cuny
A modified retraction technique was introduced into the DDS degree preclinical anesthesia course in 2011 with the goal of reducing needlestick exposure incidents. In numerous studies of dental exposures, injuries from dental anesthetic needles account for the highest proportion of all exposures. The purpose of this study was to assess the preliminary impact of a modified retraction technique on the incidence of blood and body fluids (BBF) exposure incidents associated with needles during injection. Data from evaluations of students from 2014 and 2015 were obtained and tracked to determine whether the modified retraction technique was "excellent," "clinically acceptable," or "clinically unacceptable...
2016: Anesthesia Progress
https://www.readbyqxmd.com/read/27972362/systematic-review-of-the-value-of-safety-engineered-devices-in-reducing-needlestick-and-sharps-injuries
#5
Y Shang, X Ren
No abstract text is available yet for this article.
November 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/27971018/a-systematic-review-economic-burden-of-needlestick-injuries-on-healthcare-workers
#6
H L Huang, J Lim, A Ma, H Li
No abstract text is available yet for this article.
November 2016: Value in Health: the Journal of the International Society for Pharmacoeconomics and Outcomes Research
https://www.readbyqxmd.com/read/27936348/current-prospects-and-future-challenges-for-nasal-vaccine-delivery
#7
Helmy Yusuf, Vicky Kett
Nasal delivery offers many benefits over traditional approaches to vaccine administration. These include ease of administration without needles that reduces issues associated with needlestick injuries and disposal. Additionally, this route offers easy access to a key part of the immune system that can stimulate other mucosal sites throughout the body. Increased acceptance of nasal vaccine products in both adults and children has led to a burgeoning pipeline of nasal delivery technology. Key challenges and opportunities for the future will include translating in vivo data to clinical outcomes...
December 9, 2016: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/27917449/study-of-blood-exposure-related-mental-health-illness-among-clinical-nurses
#8
Xiaojia Xiong, Min Li, Yongliang Jiang, Xindeng Tong, Yanzhong Peng
Nurses are subjected to high amount of stress in the medical setting, and work-related stress often leads to mental problems. This study aims to investigate the mental health status of nurses exposed to blood through needlestick injuries. A total of 302 nurses working in the hospital of Guangdong, China, participated in this study. Out of the 302 nurses, 140 did not experience any needlestick injuries during the previous week, whereas 162 nurses experienced needlestick injuries. The General Health Questionnaire (GHQ)-28 Standardized Questionnaire, which uses physical, anxiety, social function, and depression subscales, was used in this study...
December 5, 2016: Frontiers of Medicine
https://www.readbyqxmd.com/read/27887756/needlestick-injuries-among-healthcare-professionals-in-training-using-the-surgical-time-out-and-hand-off-protocols-to-deter-high-risk-needlesticks
#9
EDITORIAL
G A Katsevman, J A Braca, C L Sedney, L Hatchett
No abstract text is available yet for this article.
January 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/27885240/incidence-and-characteristics-of-needlestick-injuries-among-medical-trainees-at-a-community-teaching-hospital-a-cross-sectional-study
#10
Ben Ouyang, Lucy Dx Li, Joanne Mount, Alainna J Jamal, Lauren Berry, Carmine Simone, Marcus Law, R W Melissa Tai
ObjectivesThis field study aimed to determine the incidence and distribution of needlestick injuries among medical trainees at a community teaching hospital in Toronto, Canada.MethodsThe study was performed during the 2013-2015 academic years at Toronto East General Hospital (TEGH), a University of Toronto-affiliated community-teaching hospital during the 2013-2015 academic years. Eight-hundred and forty trainees, including medical students, residents, and post-graduate fellows, were identified and invited via email to participate in an anonymous online fluidsurveys...
November 22, 2016: Journal of Occupational Health
https://www.readbyqxmd.com/read/27847548/needlestick-and-sharps-injuries-in-dermatologic-surgery-a-review-of-preventative-techniques-and-post-exposure-protocols
#11
REVIEW
Christopher Rizk, Holly Monroe, Ida Orengo, Theodore Rosen
Background: Needlestickand sharps injuries are the leading causes of morbidity in the dermatologicfield. Among medical specialties, surgeons and dermatologists have the highest rates of needlestickand sharps injuries.The high rates of needlestickand sharps injuries in dermatology not only apply to physicians, but also to nurses, physician assistants, and technicians in the demnatologic field. Needlestickand sharps injuries are of great concern due to the monetary, opportunity, social, and emotional costs associated with their occurrence...
October 2016: Journal of Clinical and Aesthetic Dermatology
https://www.readbyqxmd.com/read/27830104/prevalence-of-needlestick-injury-and-its-potential-risk-among-veterinarians-in-nigeria
#12
Philip Paul Mshelbwala, J Scott Weese, Jibrin Manu Idris
A cross sectional study using multistage sampling method by means of structured interviewer administered questionnaire was designed to estimate the rate of occurrence of needlestick injuries among veterinarians involved in clinical practice and to evaluate needle handling practices and risk factors. The study was carried out during the months of August-November 2015. Out of the 215 veterinarians that participated in the survey, 171 (79.5%) reported to have suffered needlestick injuries (NSIs). In the multivariable model, only male sex (OR 2...
2016: Veterinary Medicine International
https://www.readbyqxmd.com/read/27794224/long-work-hours-and-chronic-insomnia-are-associated-with-needlestick-and-sharps-injuries-among-hospital-nurses-in-taiwan-a-national-survey
#13
Wen-Yen Lo, Shu-Ti Chiou, Nicole Huang, Li-Yin Chien
BACKGROUND: Needlestick and sharps injuries are prevalent work-related injuries among nurses. Safety devices prevent only one-quarter of related injuries. More studies of modifiable risk factors are needed. OBJECTIVES: To examine whether long work hours and chronic insomnia are associated with needlestick and sharps injuries among hospital nurses in Taiwan. DESIGN: Cross-sectional survey. SETTINGS/PARTICIPANTS: This analysis included 19,386 full-time bedside nurses working in 104 hospitals across Taiwan...
December 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27680535/safety-and-pain-in-electrodiagnostic-studies
#14
REVIEW
Zachary N London
Discomfort is an unavoidable part of electrodiagnostic (EDX) studies. The most readily modifiable mediator of electromyography (EMG)-associated pain is muscle selection. Interventions that may reduce pain include vapocoolant spray, ibuprofen, and techniques such as slapping or stretching the skin. Needlestick injuries to health care workers carry the risk of transmitting bloodborne illnesses, but other infectious complications of EDX studies are very rare. EMG probably contributes to asymptomatic hemorrhage in approximately 1% of patients, but clinically significant bleeding has only been reported a few times...
September 28, 2016: Muscle & Nerve
https://www.readbyqxmd.com/read/27642580/central-venous-cannulation-of-the-internal-jugular-vein-using-ultrasound-guided-and-anatomical-landmark-techniques
#15
Mehdi Fathi, Azra Izanloo, Saeed Jahanbakhsh, Mehryar Taghavi Gilani, Ali Majidzadeh, Azam Sabri Benhangi, Naser Paravi
BACKGROUND: Central venous cannulation is a current and important procedure used in the operating room and intensive care unit. Some studies have shown that the application of ultrasound-guided cannulation can improve the success rate of surgery, save time, reduce the number of required needlesticks, and mitigate many complications compared to anatomical landmark-guided cannulation. OBJECTIVES: The aim of the present study was to draw a comparison between central venous cannulation of the internal jugular vein using ultrasound-guided and anatomical landmark-guided techniques...
June 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27617486/-viral-infections-among-the-nursing-personnel-a-survey
#16
S Wicker, H F Rabenau, A Schachtrupp, R Schalk
Background and Aim: Healthcare workers (HCW) are at risk of occupational infections and can also transmit diseases to patients. The acceptance of measures to improve safety is linked to knowledge and risk awareness of HCW.The purpose of our study was to ascertain the knowledge and risk awareness of nursing staff regarding occupational infections and vaccinations as well as the frequency of needlestick injuries (NSI) in relation to the level of education. Methods: In the context of a conference on nursing, an anonymous questionnaire was distributed to the participants...
September 12, 2016: Das Gesundheitswesen
https://www.readbyqxmd.com/read/27594185/worldwide-injection-technique-questionnaire-study-population-parameters-and-injection-practices
#17
REVIEW
Anders H Frid, Laurence J Hirsch, Astrid R Menchior, Didier R Morel, Kenneth W Strauss
From February 1, 2014, through June 30, 2015, 13,289 insulin-injecting patients from 423 centers in 42 countries took part in one of the largest surveys ever performed in diabetes. The goal was to assess patient characteristics, as well as historical and practical aspects of their injection technique. Results show that 4- and 8-mm needle lengths are each used by nearly 30% of patients and 5- and 6-mm needles each by approximately 20%. Higher consumption of insulin (as measured by total daily dose) is associated with having lipohypertrophy (LH), injecting into LH, leakage from the injection site, and failing to reconstitute cloudy insulin...
September 2016: Mayo Clinic Proceedings
https://www.readbyqxmd.com/read/27582628/efficacy-of-safety-catheter-devices-in-the-prevention-of-occupational-needlestick-injuries-applied-research-in-the-liguria-region-italy
#18
REVIEW
D Sossai, M Di Guardo, R Foscoli, R Pezzi, A Polimeni, L Ruzza, M Miele, L Ottaggio, V Fontana, F Copello, P DellacĂ , M Doria, A Onesti, G Montecucco, F Risso, M Nelli, I Benvenuti, M Santacroce, L Giribaldi, G Picelli, S Simonini, P Venturini
Healthcare workers who use or may be exposed to needles are at risk of needlestick injuries, which can lead to serious infections by bloodborne pathogens. These injuries can be avoided by eliminating the unnecessary use of needles and using safety devices. The present study was aimed at evaluating the impact of a safety-engineered device, with passive fully automatic needlestick protection, on the rate of needlestick injuries among healthcare workers. The setting of the study was a network of five public healthcare institutions situated in a Northern Italian Region...
2016: Journal of Preventive Medicine and Hygiene
https://www.readbyqxmd.com/read/27562987/management-of-health-care-workers-following-occupational-exposure-to-hepatitis-b-hepatitis-c-and-human-immunodeficiency-virus
#19
W Wy Sin, A Wc Lin, K Cw Chan, K H Wong
INTRODUCTION: Needlestick injury or mucosal contact with blood or body fluids is well recognised in the health care setting. This study aimed to describe the post-exposure management and outcome in health care workers following exposure to hepatitis B, hepatitis C, or human immunodeficiency virus (HIV) during needlestick injury or mucosal contact. METHODS: This case series study was conducted in a public clinic in Hong Kong. All health care workers with a needlestick injury or mucosal contact with blood or body fluids who were referred to the Therapeutic Prevention Clinic of Department of Health from 1999 to 2013 were included...
October 2016: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/27533333/randomized-clinical-trial-of-24-oral-sucrose-to-decrease-pain-associated-with-peripheral-intravenous-catheter-insertion-in-preterm-and-term-newborns
#20
Linda M Cook, Jacinth Nichols-Dada, Samina Damani, Vickie Lawrence, Sandra Layson, Diane Mitchell, Shaqunna Muhammad, Lourdes Samaniego-Yamin, Jacquelyn Walters Talley, Barbara VanNatta, Melinda Higgins, Kim Cooley
PURPOSE: To determine whether 24% sucrose solution given orally before insertion of a peripheral intravenous (PIV) catheter decreases neonatal pain. BACKGROUND: Prior studies of pain caused by heel and arterial needlesticks found oral administration of 24% sucrose to significantly blunt pain during these painful procedures. No studies have evaluated this treatment with needlestick pain associated with PIV catheter insertion. METHODS: Oral 24% sucrose or placebo solution was administered 2 minutes prior to PIV catheter insertion...
August 16, 2016: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
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