TY - JOUR
T1 - Home health care registered nurses and the risk of percutaneous injuries
T2 - A pilot study
AU - Gershon, Robyn R.M.
AU - Pogorzelska, Monika
AU - Qureshi, Kristine A.
AU - Sherman, Martin
N1 - Funding Information:
Supported by a grant from the Centers for Disease Control and Prevention/National Institute of Occupational Safety and Health (5UO10H04269-03).
PY - 2008/4
Y1 - 2008/4
N2 - Background: Home health care is the fastest-growing sector in the health care industry, expected to grow 66% over the next 10 years. Yet data on occupational health hazards, including the potential risk of exposure to blood and body fluids, associated with the home care setting remain very limited. As part of a larger study of bloodborne pathogen risk in non-hospital-based registered nurses (RNs), data from 72 home health care nurses were separately analyzed to identify risk of blood/body fluid exposure. Methods: A 152-item self-administered mailed risk assessment questionnaire was completed by RNs employed in home health care agencies in New York State. Results: Nine (13%) of the home health care nurses experienced 10 needlesticks in the 12-month period before the study. Only 4 of the needlesticks were formally reported to the nurse's employer. The devices most frequently associated with needlesticks were hollow-bore and phlebotomy needles, and included 3 needles with safety features. Exposure was most commonly attributed to patient actions, followed by disposal-related activities. Conclusions: These data suggest that home health care nurses may be at potential occupational risk for bloodborne pathogen exposure. Risk management strategies tailored to the home health care setting may be most effective in reducing this risk.
AB - Background: Home health care is the fastest-growing sector in the health care industry, expected to grow 66% over the next 10 years. Yet data on occupational health hazards, including the potential risk of exposure to blood and body fluids, associated with the home care setting remain very limited. As part of a larger study of bloodborne pathogen risk in non-hospital-based registered nurses (RNs), data from 72 home health care nurses were separately analyzed to identify risk of blood/body fluid exposure. Methods: A 152-item self-administered mailed risk assessment questionnaire was completed by RNs employed in home health care agencies in New York State. Results: Nine (13%) of the home health care nurses experienced 10 needlesticks in the 12-month period before the study. Only 4 of the needlesticks were formally reported to the nurse's employer. The devices most frequently associated with needlesticks were hollow-bore and phlebotomy needles, and included 3 needles with safety features. Exposure was most commonly attributed to patient actions, followed by disposal-related activities. Conclusions: These data suggest that home health care nurses may be at potential occupational risk for bloodborne pathogen exposure. Risk management strategies tailored to the home health care setting may be most effective in reducing this risk.
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U2 - 10.1016/j.ajic.2007.04.278
DO - 10.1016/j.ajic.2007.04.278
M3 - Article
C2 - 18371511
AN - SCOPUS:40949097713
SN - 0196-6553
VL - 36
SP - 165
EP - 172
JO - American Journal of Infection Control
JF - American Journal of Infection Control
IS - 3
ER -