Compliance with recommendations for universal precautions among prehospital providers.
Society for Academic Emergency Medicine. Annual meeting. Washington DC USA, 1994/05.
To evaluate the compliance of emergency medical responders with local employer and Centers for Disease Control and Prevention recommendations for disposal of sharps and use of personal protective equipment in the prehospital environment.
Prospective, single-blinded observational study of 297 ambulance runs conducted for 3 months.
A metropolitan emergency medical service system.
Sixty-nine emergency medical technicians and paramedics.
Observers recorded the handling of sharps and the use of personal protective equipment in four situations : IV line placement, endotracheal intubation, large-wound management, and body fluid hazard.
Emergency medical workers properly handled sharps in 24 of 65 situations (37%). They were usually compliant with glove use during the observed procedures.
However, compliance with the use of other personal protective equipment was poor.
Sharps were often improperly handled.
Most workers complied with recommendations for the use of gloves but often underused goggles, masks, and gowns.
Although education and restructuring of the environment and equipment may improve compliance, strong consideration should be given to developing standardized and more practical recommendations for the prehospital environment.
Mots-clés Pascal : Personnel sanitaire, SAMU, Période préhospitalière, Protection individuelle, Recommandation, Equipement protection sécurité, Accident travail, Etats Unis, Amérique du Nord, Amérique, Médecine travail
Mots-clés Pascal anglais : Health staff, Emergency medical care unit, Prehospital period, Individual safety equipment, Recommendation, Protection safety equipment, Occupational accident, United States, North America, America, Occupational medicine
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0273119
Code Inist : 002B27B14C. Création : 01/03/1996.