Blood Contamination Risks during Nursing Care in the Dialysis Center

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  • 透析室の看護ケアにおける血液汚染リスク
  • トウセキシツ ノ カンゴ ケア ニ オケル ケツエキ オセン リスク

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  The present study investigated the risk of blood contamination during nursing care related to hemodialysis. The care-related actions of nurses were observed at the dialysis centers of five facilities in the Chubu region of Japan between June 2006 and February 2007. Screening for blood on used gloves and in the environment was also conducted. The nursing care was observed for infection control equipment usage and hand hygiene of 17 nurses during all aspects of treatment from puncture at the start of dialysis to needle removal and hemostasis at the end of dialysis. Used gloves were collected and the presence or absence of blood on the gloves was investigated using the luminol reaction. The presence or absence of blood in the environment and on objects touched by used gloves was investigated using leucomalachite green. Blood was detected on 61 of 274 used gloves (22.7%; puncture, 26; needle removal, 31; hemostasis, 4). Furthermore, blood was detected on five surfaces touched by gloves that had tested positive for blood. With regard to needle removal, the number of times environmental surfaces were touched by used gloves was significantly higher when care was performed by one nurse rather than two (p<0.001). These findings suggest that contact with used gloves may contaminate the environment. Needle removal should be performed by two nurses to reduce the risk of environmental contamination.<br>

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