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Published on: July 13, 2019
Intravenous medication administration by nursing staff: adherence to aseptic measures and touching environmental
Patrícia de Souza Brandão Ramos1, Alan Maique Ribeiro Fernandes da Costa1, Ana Beatriz de Castro Vilalba1
1Universidade Federal de Mato Grosso do Sul. Campo Grande, Mato Grosso do Sul, Brazil.
Objectives:
to analyze adherence to aseptic measures and contact with environmental surfaces by nursing professionals during intravenous medication administration.
Methods:
a cross-sectional study conducted in an adult Intensive Care Unit of a university hospital between February and March 2023. Twenty-seven nursing professionals were observed in a real-world care setting, and the magnitude of the associations was analyzed using the Prevalence Ratio, with a 95% Confidence Interval.
Results:
135 medication administration procedures were observed, and 1,083 touches on surfaces were detected (mean of eight touches per procedure). The most frequently touched surfaces were infusion pumps (29.1%), infusion sets (28.1%), and clothing (9.7%). Of the 11 indicators of compliance with aseptic measures, six were classified as non-compliant.
Conclusions:
low adherence to aseptic measures and a significant frequency of touching clinical surfaces before administering medications were observed, which may represent a risk to patient safety.
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