提供者在医疗保健中日常使用弹性半面罩呼吸器的经验
Morgan Lane1, Lisa Pompeii2, Janelle Rios3
1Department of Infectious Diseases, School of Medicine, Emory University, Atlanta, GA.
American journal of infection control
|January 26, 2024
概括
在公共卫生紧急情况下,弹性半面罩呼吸器 (EHMRs) 为N95过面部呼吸器 (N95 FFRs) 提供了可重复使用的替代方案. 医疗人员发现EHMR是可行的,报告了高度的信心和对消毒协议的遵守.
科学领域:
- 职业健康和安全 职业健康和安全
- 感染控制的方法是感染控制.
- 呼吸系统保护 呼吸系统保护
背景情况:
- 在公共卫生紧急情况下,N95过面部呼吸器 (N95 FFR) 面临供应短缺.
- 弹性半面罩呼吸器 (EHMR) 是可重复使用的,并提供同等或更高的保护.
- 这项研究研究了EHMR对医疗保健人员 (HCP) 的实际应用.
研究的目的:
- 评估使用EHMR作为N95FFR替代品的可行性和实际方面.
- 评估医疗保健人员对EHMR的经验和信心.
- 确定EHMR使用对患者护理任务和沟通的影响.
主要方法:
- 在两个三级推中心部署了3个月的EHMR,涉及183名医疗保健人员.
- 参与者在有必要使用呼吸道保护时佩戴EHMR,通常是每班1-3小时.
- 进行了调查,以收集有关使用,消毒,信心和干扰工作任务的数据.
主要成果:
- 每班每次佩戴1到3小时的EHMR,其中85%的移除后进行消毒.
- 在研究期间结束后,参与者对使用EHMR表示高度信心.
- 使用EHMR对患者护理的干扰最小,但确实抑制了沟通.
结论:
- 医疗保健人员,包括那些对EHMR新手的人,可以有效地将其作为N95 FFR替代品.
- 观察到对消毒程序的高度遵守.
- 在公共卫生紧急情况下,尽管存在较小的沟通挑战,但EHMR代表了可行的替代呼吸器选择.
相关概念视频
Administering Oxygen by Mask
359
Administering Oxygen by Mask
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
Administering oxygen by mask is a common nursing intervention that provides supplemental oxygen to patients with respiratory distress or chronic lung conditions. This procedure involves delivering oxygen at a specified rate through a face mask connected to an oxygen source.
Equipment
The equipment necessary for this procedure includes:
359
PPE Use in Healthcare Settings I: Donning
969
Donning PPE must be completed before contact with the patient. This process protects from infectious agents. The sequence and action included in each donning are critical, and the steps must be systematic to avoid exposure to pathogens. The institutional policy also needs to be followed while donning PPE. The pre-donning preparations are gathering equipment, inspecting the PPE equipment for tears, holes, or damage, removing jewelry, removing any garments below the elbows, and tying the hair...
969
Oxygen Delivering System I: Nasal Cannula and Face Mask
336
The human body requires oxygen to function, and when the natural process of respiration is hindered, external devices, including the following, are needed to help deliver this vital gas.
Nasal Cannula
A nasal cannula is a lightweight tube split at one end into two prongs and placed in the nostrils. It is typically used to deliver low to medium levels of oxygen.
Suggested flow rate: The suggested flow rate for a nasal cannula typically ranges between 1 and 6 L/min.
Oxygen percentage setting:...
Nasal Cannula
A nasal cannula is a lightweight tube split at one end into two prongs and placed in the nostrils. It is typically used to deliver low to medium levels of oxygen.
Suggested flow rate: The suggested flow rate for a nasal cannula typically ranges between 1 and 6 L/min.
Oxygen percentage setting:...
336
PPE Use in Healthcare Settings II: Doffing
910
The sequence of removing or doffing PPE starts with the gloves, as they are the most contaminated. Next is removal of the face shield or goggles, as they would interfere with removing other PPE. Then remove the gown, followed by the mask or respirator. Perform hand hygiene between steps if hands become contaminated and immediately after removing all PPE. Generally, the outside front and sleeves of the isolation gown, the goggles or the mask, the respirator, and the face shield are contaminated.
910
Personal Protective Equipment
1.5K
Personal protective equipment (PPE) is unique clothing or equipment worn by an employee to minimize or prevent exposure to infectious agents. PPE creates a barrier between the employee and the infectious materials. PPE must be readily available in the patient care area. PPE includes gloves, gowns and aprons, masks and respirators, goggles, face shields, shoes, and headcovers:
1.5K
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
587
Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
587


