Verification of Drug Leakage during Puncture of the Needle into an Infusion Bottle. : An Initial Report from an Experiment with Nursing Students

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  • Nishimura Miho
    Department of Nursing, Faculty of Nursing, Chukyo Gakuin University
  • Shiratori Satsuki
    School of Nursing, Department of Nursing, Nagoya University of Arts and Sciences
  • Taniguchi Junpei
    Aichi Medical University Hospital Present address: Japanese Red Cross Toyota College of Nursing
  • Yamahata Akiko
    School of Nursing, Aichi Medical University
  • Ito Mayumi
    Department of Nursing, College of Nursing, Kinjo Gakuin University

Bibliographic Information

Other Title
  • 輸液ボトルへのびん針の穿刺時に生じる薬液漏出の検証
  • 輸液ボトルへのびん針の穿刺時に生じる薬液漏出の検証(第1報)看護学生を対象とした実験より
  • ユエキ ボトル エ ノビンハリ ノ センシジ ニ ショウジル ヤクエキ ロウシュツ ノ ケンショウ(ダイ1ポウ)カンゴ ガクセイ オ タイショウ ト シタ ジッケン ヨリ
  • ─第一報　看護学生を対象とした実験より─

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Abstract

<p>To prevention of exposures to hazardous drugs, an experiment was conducted to determine the presence and extent of drug leakage from an infusion bottle needle puncture site. The subjects were 18 fourth-year nursing students enrolled in a four-year nursing program at college. All the students have experiences in injecting a drug solution into an infusion bottle and puncturing a bottle needle in an intravenous infusion exercise that is part of basic nursing skills training. Of the 18 students, 4 (22.2%) attended lectures on the prevention of exposures to anticancer drugs. In the experiment, an infusion bottle (plastic vial, soft bag) containing 100 mL of normal saline solution (700 mg of nicotinic acid) with a simulated hazardous drug (700 mg of nicotinic acid) was placed on an infusion treatment table with the rubber stopper facing up, and using the infusion bottle puncture needle, the bottle was punctured “from top to bottom”. The amount of liquid leaking from the punctured site was measured when puncturing from “bottom to top” with the rubber stopper facing downward. The results showed that 2 of 18 (11.1%) subjects given the soft bags and 1 of 18 (5.6%) subjects given the plastic vials performed the puncture from “top to bottom,” while 15 (83.3%) subjects given the soft bags and 4 (22.2%) given the plastic vial performed the puncture from “bottom to top”. The leakage of the drug solution was observed. There was a relatively strong positive correlation (Pearson product-moment correlation coefficient : r＝0.640, p＝0.010) between leakage amount of the drug solution during the “bottom to top” puncture of the soft bags and the length of the dominant arm.</p>

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