Nurses needs to be trained avoid injuries during treatment: Study

Nearly one-third nurses at King George's Medical University (KGMU) had suffered sharp injuries in the last one year, a year-long study by the community medicine department which was published in the International Journal of Advanced Research (IJAR), has found.

The injuries took place as universal precautions before and after exposure were not being followed.

Headed by Prof Reema Kumari, faculty at the community medicine department, the study recommended hospital administrators train and retrain nurses on safe injection practices, and educate them about occupational hazards.

As many as 85 staff nurses were selected from different departments on a random basis. They were interviewed about getting injured from sharp objects during treatment of a patient.

It was found that 32. 9 per cent (28) had an incident of sharp injury on the hand. In 70 per cent (20) cases, they suffered injury from needle followed by ampule/vial, 21. 4 per cent (5) and IV cannula.

It was also found that in 43 per cent (12) of cases, the sharp item causing the injury was contaminated from body fluid of a patient.

Of all 28 cases of sharp injury, 39 per cent (11) applied antiseptic and 21 per cent (6) washed the injury site with soap and applied antiseptic while the rest just washed with plain water.

It was also revealed that 71 per cent (61) and 86 per cent (73) had received vaccination or administration for TT and hepatitis B vaccination respectively. Prof Reema said that healthcare workers are at constant risk of exposure to injury with sharp items and thereby transmission of infections like HBV, HCV and HIV.

The finding suggests the need of training and retraining on safe injection practices, universal precautions and education on safety. “Also, the administration should check pre-employment immunization status of tetanus and hepatitis B,” she said.