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Traumatic Injury

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Running Head:– CASE ASSIGNMENT

Traumatic Injuries

Fall 2011

Question 1:
The National Institute for Occupational Safety and Health and Safety has recommended using epidemiologic techniques to reduce the incidence and severity of traumatic injuries. How can epidemiologic techniques mitigate against traumatic injuries?

|The term “Epidemiologic” is an adverb of the word “Epidemiology”. The etymology of the word “epidemiology” indicates that it is derived from |
|no less than three (3) Greek root words. Specifically, “Epi” meaning on, or upon; “Demos” meaning people; and, “Logy” meaning study. |
|Therefore, “Epidemiology is, thus the study of what is upon the people. In modern terms, it is the science of the distribution of disease and|
|its determinants (causes). Epidemiology is also a process that uses the facts at hand as clues to point to new knowledge and solutions. |
|Epidemiologists have been called “disease detectives” and “medical sleuths” for this reason” (Missouri Department of Health & Senior Services |
|(n.d.). Key Epidemiological Terms. Principles of Infectious Disease Epidemiology. Retrieved November 13, 2011, from |
|http://health.mo.gov/training/epi/EpidemiologyTerms.html). More specifically, epidemiology can be viewed as the study of the health problems, |
|and the “who, what, where, how, and why” they exist. Hence, as state above, epidemiologists are seen, as "disease detectives" comprised of |
|the professions such as laboratory scientists, statisticians, physicians and other health care providers, and public health professionals. |
|In response to growing public concerns about worker safety, the 91st U.S. Congress passed into Law the Occupational Safety and Health Act of |
|1970 (“the OSH Act”). The Preamble of the OSH Act states that the Act was enacted, among other things, “to assure safe and healthful working |
|conditions for working men and women…….by providing for research, information, education, and training in the field of occupational safety and|
|health..” (U. S. Department of Labor. (December 1970) OSH Act of 1970. Occupational Safety & Health Administration. Retrieved November 13, |
|2011, from http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=OSHACT&p_id=2743). In order to carry out the policies as set forth |
|in the OSH Act, the National Institute for Safety and Health (NIOSH) was created. Initially, NIOSH was not able to utilize epidemiologic |
|techniques due to the absence of reliable data on traumatic injuries in the workplace. However, over the past thirty (30) years, NIOSH has |
|been able to develop extensive traumatic injury data upon which epidemiological techniques may be utilized. Epidemiological techniques such |
|as surveillance, causation and research, analytic and evaluation research, protective technology research, and dissemination and transfer of |
|learned information, are the hallmark attributes of NIOSH’s renowned “Research to Practice Epidemiological Model (r2P)”. Ultimately, NIOSH |
|“Using a public health approach as a framework allows TI (NIOSH) to structure research activities systematically and sequentially from |
|data-driven priorities to identifying risk factors, developing prevention strategies, evaluating promising interventions, and facilitating the|
|transfer and adoption of our science into the workplace. This allows the TI (NIOSH) Program to identify, prioritize, and determine the |
|appropriate research stage and activities needed to address new issues as they emerge.” (NIOSH (March 2007). National Academies NIOSH Program |
|Review: Traumatic Injury Research and Prevention. NIOSH. Retrieved November 13, 2011, from http://www.cdc.gov/niosh/nas/traumainj/). |
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Question 2:
Describe risk factors for sharp injuries among health professionals.
|Sharps injuries risk factors for healthcare professionals occur in everyday patient care scenarios. In particular, nurses are at high risk |
|for sharp injury exposure to blood borne pathogens resulting in infections such as HIV, or hepatitis B or C. Although, such injuries are |
|highly preventable, they are often viewed as an acceptable occupational hazard. As for the instruments must likely to cause sharps injuries |
|“The United States National Surveillance System for Health Care workers (NaSH) identified six devices that are responsible for the majority of|
|needle stick and other sharps related injuries. These are hypodermic needles (32%), suture needles (19%), winged steel needles (butterfly) |
|(12%), scalpel blades (7%), IV catheter stylets (6%), and phlebotomy needles (3%) (CDC, 2004).” (Wilburn, S. Q (2004). Needlestick and Sharps |
|Injury Prevention. Online Journal of Issues in Nursing, 9(3)4. Retrieved from |
|http://nursingworld.org/mainmenucategories/ANAPeriodicals/OJIN/Tableof Contents/Volume92004/No3Sept04/InjuryPrevention.aspx). |
|Moreover, “Characteristics of devices that increase the risk of injury include (NIOSH,1999): Devices with hollow-bore needles; Needle devices |
|that need to be taken apart or manipulated by the health care worker such as blood-drawing devices that need to be detached after use; |
|Syringes that retain an exposed needle after use; Needles that are attached to tubing such as butterflies that can be difficult to place in |
|sharps disposal containers.” (Wilburn, S.Q. (2004). |
|Research also indicates that individuals in the surgical setting are at high risk for sharps injuries due to the frequent use of surgical |
|procedure equipment such as scalpels, scissors, needles, and other ancillary sharp items. Other healthcare workers, who work in the homecare |
|setting, are prone to sharps injuries. These injuries frequently occur due to patient’s lack of in-home sharps disposal. Moreover, homecare |
|environmental factors such as confined spaces, poor lighting, poor sanitation practices, and distractions caused by concerned family members, |
|animals, and/or children can dramatically increase sharp injuries risk factors. |
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Question 3:
Discuss strategies for each of these risk factors.
Injuries arising as a result of sharps in the healthcare setting are highly preventable. However, injuries still occur at an alarming rate – yet worldwide prevalence of sharps injuries are decreasing. The decrease is attributable to the growing knowledge base about sharps injuries and their prevention. For instance, in the surgical setting, preventive measures such as protective clothing, safety equipment, and procedures for passing sharps between individuals have considerably contributed to the decrease in sharps injuries. While devices with safety features are readily available, unfortunately many of the devices are limited in their use. Consequently, many healthcare workers would elect to use devices without safety features for share convenience of use. Moreover, safety devices should be ensured to not adversely effect patient care. In order combat sharps healthcare sharps injuries, modern healthcare industry safety standards require that organizations employ a safety representative/team who is responsible to develop, implement, train, and evaluate sharps safe handling protocols. Such representatives, among other things, may train health care professionals in the correct use of a device; implement evaluation measures to ensure that the device comports with safety standards and patient care needs. These safety representatives should also train healthcare workers in personal sharps risk management protocols.
References
|Missouri Department of Health & Senior Services (n.d.). Key Epidemiological Terms. Principles of Infectious Disease Epidemiology. |
|Retrieved November 13, 2011, from http://health.mo.gov/training/epi/EpidemiologyTerms.html) |
| |
|U. S. Department of Labor. (December 1970) OSH Act of 1970. Occupational Safety & Health Administration. Retrieved November 13, 2011, from |
|http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=OSHACT&p_id=2743 |
| |
|NIOSH (March 2007). National Academies NIOSH Program Review: Traumatic Injury Research and Prevention. NIOSH. Retrieved November 13, 2011, |
|from http://www.cdc.gov/niosh/nas/traumainj/ |
| |
|Wilburn, S. Q (2004). Needlestick and Sharps Injury Prevention. Online Journal of Issues in Nursing, 9(3)4. Retrieved from |
|http://nursingworld.org/mainmenucategories/ANAPeriodicals/OJIN/Tableof Contents/Volume92004/No3Sept04/InjuryPrevention.aspx |
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