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The presentation is solely meant forAcademic purpose
   Knowledge about blood and body fluid    exposure   Personal protective equipment   Periodic immunization   Safe equ...
   Sharp injuries   Blood and body fluid exposure   Deficiency in PEP   Deficiency in PPE   Care of HCWs dealing with...
   Globally a serious problem   6 to 8 L in US, 6 L in Germany   Indian data ?   3 HCW/ 10,000   3.5 million HCWs   ...
Job categories injured          Others     Doctors           16%        10%Housekeeper   19%                         Nurse...
Data A      Data B     Total dataYes       83 (49.1)   254 (51)   337 (55)No        66 (39)     182 (48)   248 (41)Unknown...
   Accountability towards nurses and    technicians   Budgeting expenses - HIPAC   Change attitude of ‘super’ HCWs    ◦...
   Education of nurses, doctors and technicians   Providing sharp disposal in the bedside   Cheaper sharp disposals   ...
   What’s that?
correct segregation   wrong segregation         20%                            80%
97.48                           100                            90                                                         ...
Surgeon              Anesthetist Technician           Nurse Housekeeping staff           19%                              ...
Data A       Data B    Total dataSafety Design (SEMD)                        34 (20.1)     19 (3.9)       53 (8)Not a Safe...
Only from hospital A and B
   Prevalence of Hep B among the general    population ranges from 2 to 8%,   Among healthcare workers seroprevalence is...
   In the US, 57 HIV sero conversion in 2001    alone   2000/ yr infected Hep C   400 contract hepatitis B.   More tha...
Hep B vaccination•   Nursing 98%•   Doctors: 75%•   Technicians: 98%•   Housekeeping- 60%
A1    A2   B1    B2   C1   C2   D1 D2 E1 E2Yes, partially, 1 or     2 doses         48   24   3     27   5    17   2    16...
•   Masks, caps, gowns, gloves – available mostly•   N95 masks, disposable gowns, goggles – not    common•   Even if provi...
   Uncommon   Reprimanded and location of work changed   Asked to quit   Looked down upon   Avoiding PEP   Approx 15...
Laboratory testing                   CostsHIV(Elisa)                                    Rs.300 x 5 =Immediately after inju...
   Miserable   No statutory requirement   Unknown in many un-accredited hospitals   Under reporting – prevalent   Enc...
   Farrell GA, Shafiei T, Chan SP. Patient and    visitor assault on nurses and midwives: An    exploratory study of empl...
   Nurses are most    compliant!   Housekeeping staff are    next   Doctors are very poor    icons   They think they k...
   Healthcare worker safety is in jeopardy   Every healthcare worker to prioritize issues    regarding safety   Set tar...
Employee Health in Indian Hospitals
Employee Health in Indian Hospitals
Employee Health in Indian Hospitals
Employee Health in Indian Hospitals
Employee Health in Indian Hospitals
Employee Health in Indian Hospitals
Employee Health in Indian Hospitals
Employee Health in Indian Hospitals
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Employee Health in Indian Hospitals

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Transcript of "Employee Health in Indian Hospitals"

  1. 1. The presentation is solely meant forAcademic purpose
  2. 2.  Knowledge about blood and body fluid exposure Personal protective equipment Periodic immunization Safe equipment Reporting of exposure PEP Isolation precaution – MRSA, TB, H1N1, chicken pox
  3. 3.  Sharp injuries Blood and body fluid exposure Deficiency in PEP Deficiency in PPE Care of HCWs dealing with patients under isolation Radiation safety Infrastructural safety
  4. 4.  Globally a serious problem 6 to 8 L in US, 6 L in Germany Indian data ? 3 HCW/ 10,000 3.5 million HCWs 115 L estimated injuries Fortis Jan 2010 5
  5. 5. Job categories injured Others Doctors 16% 10%Housekeeper 19% Nurses 55%
  6. 6. Data A Data B Total dataYes 83 (49.1) 254 (51) 337 (55)No 66 (39) 182 (48) 248 (41)Unknown 14 (8.2) 0 14 (2.3)N-A 6 (3.5) 0 6 (1)
  7. 7.  Accountability towards nurses and technicians Budgeting expenses - HIPAC Change attitude of ‘super’ HCWs ◦ Waste disposal ◦ Appropriate handing over of sharps ◦ Sharp disposal units ◦ Personal protection equipment ◦ Educate and re educate
  8. 8.  Education of nurses, doctors and technicians Providing sharp disposal in the bedside Cheaper sharp disposals Surveillance of waste disposal Interventions Use of safety device Making sharp injury reporting more friendly
  9. 9.  What’s that?
  10. 10. correct segregation wrong segregation 20% 80%
  11. 11. 97.48 100 90 78.66 80Percentage of compliance 70 63.26 60 50 42.3 40 30 24.09 20 10 0 surgeon anesthetist technician nurse House keeping staff Profession
  12. 12. Surgeon Anesthetist Technician Nurse Housekeeping staff 19% 33%7% 26% 15%
  13. 13. Data A Data B Total dataSafety Design (SEMD) 34 (20.1) 19 (3.9) 53 (8)Not a Safety Design 114 (67.5) 467 (95.3) 581 (88.2)Unknown 11(6.5) 4 (0.8) 15 (2.3)N-A 10 (5.9) 0 10 (1.5)
  14. 14. Only from hospital A and B
  15. 15.  Prevalence of Hep B among the general population ranges from 2 to 8%, Among healthcare workers seroprevalence is two to four times higher than that of the general population. NY compensation board “compensable occupational hazard.” 1% HCWs HBsAg – positive
  16. 16.  In the US, 57 HIV sero conversion in 2001 alone 2000/ yr infected Hep C 400 contract hepatitis B. More than 20 infections Exposure to HIV, HBV or HCV also has implications on personal relationships, future employment, and even insurance coverage.
  17. 17. Hep B vaccination• Nursing 98%• Doctors: 75%• Technicians: 98%• Housekeeping- 60%
  18. 18. A1 A2 B1 B2 C1 C2 D1 D2 E1 E2Yes, partially, 1 or 2 doses 48 24 3 27 5 17 2 16 5 28 No 62 31 12 17 1 7 0 5 3 7 N-A 0 1 0 0 0 0 10 Total234 118 48 146 14 63 2 53 24 9 234
  19. 19. • Masks, caps, gowns, gloves – available mostly• N95 masks, disposable gowns, goggles – not common• Even if provided, compliance to use low
  20. 20.  Uncommon Reprimanded and location of work changed Asked to quit Looked down upon Avoiding PEP Approx 15k per HCW
  21. 21. Laboratory testing CostsHIV(Elisa) Rs.300 x 5 =Immediately after injury,6 weeks,3 months,6 1500months & 12 months laterHIV(Western Blot) Rs. 2000HBV(Elisa) Rs. 450HCV(Elisa) Rs. 500PCR test Rs. 2000HBSAg (antibody testing) Rs. 750HCV(antibody testing) Rs. 750 26
  22. 22.  Miserable No statutory requirement Unknown in many un-accredited hospitals Under reporting – prevalent Encouraged by administration No insurance cover for these shots Even decent facilities shun away when it comes to interferons
  23. 23.  Farrell GA, Shafiei T, Chan SP. Patient and visitor assault on nurses and midwives: An exploratory study of employer protective factors. Int J Ment Health Nurs. 2012 Dec 20.
  24. 24.  Nurses are most compliant! Housekeeping staff are next Doctors are very poor icons They think they know, but neither they think nor they know. Too proud to attend sessions run by nurses
  25. 25.  Healthcare worker safety is in jeopardy Every healthcare worker to prioritize issues regarding safety Set targets Strive working ambience safe Fortis Jan 2010 31
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