Usability and asepticism of a 2-port type half-kit preparation of isotonic saline with double-ended needles during intravenous preparation

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  • SUMOMOZAWA YASUO
    Department of Hospital Administration, Juntendo University Graduate School of Medicine
  • AIDA HIDEKO
    Department of Hospital Administration, Juntendo University Graduate School of Medicine
  • YUKISHITA TAKEHIKO
    Department of Hospital Administration, Juntendo University Graduate School of Medicine
  • YUMOTO YUU
    Department of Hospital Administration, Juntendo University Graduate School of Medicine
  • LEE KEIKO
    Department of Hospital Administration, Juntendo University Graduate School of Medicine
  • SUGITA SHIO
    Department of Hospital Administration, Juntendo University Graduate School of Medicine
  • KOBAYASHI HIROYUKI
    Department of Hospital Administration, Juntendo University Graduate School of Medicine

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Other Title
  • 両頭針付き2ポート型ハーフキット生理食塩液の点滴調製作業時の利便性と無菌性に関する検証
  • リョウトウシン ツキ 2 ポートガタ ハーフキット セイリ ショクエンエキ ノ テンテキ チョウセイ サギョウジ ノ リベンセイ ト ムキンセイ ニ カンスル ケンショウ

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Abstract

Objective : Among the most frequently used isotonic saline for intravenous injections, we selected a saline kit with double-ended needles to determine its usability in comparison to the 2-port type and 1-port type half-kit preparations using a questionnaire as well as aseptic testing. Methods : The questionnaire survey was conducted among 50 ward nurses who routinely prepared intravenous drips of injectable drugs. We also implemented a cultivation-test of these intravenous drip solutions and environments. Results : The results of the questionnaire showed that the 2-port type preparation obtained a significantly higher rating (p<0.01) than the 1-port preparation on five survey items : “ease of confirming drug dissolution”, “use in emergency situations”, “ease of monitoring drug at dosing time”, “likelihood of injuring fingers or other body parts at time of disposal”, “feeling that the procedures were shortened”, “risk of mis-administering infusion”, “ease of confirming contents of the infusion”, “danger of injury at abandonment”, “discretion regarding timing of abandonment” and “comprehensive evaluation”. The results of an aseptic testing showed that in vitro cultures detected microbes derived from the nurses' hands, whereas microbes were not detected in aseptically prepared lysate. Conclusions : Isotonic saline kit with double-ended needles was considered useful, especially the 2-port type preparation, which received a higher overall rating for usability than the 1-port type preparation.

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