什么时候"装备"是关键的医疗用品?
Adriane M Dela Cruz1, Donald Egan2, Sarah E Baker1
1Assistant professor in the Department of Psychiatry at UT Southwestern Medical Center in Dallas, Texas.
AMA journal of ethics
|July 3, 2024
概括
减少伤害的物资,如针和芬太尼试剂条可以挽救生命. 然而,不一致的州法律给带着这些必需品穿越州界的患者带来了法律风险.
科学领域:
- 公共卫生 公共卫生
- 卫生法 法律 卫生法
- 药物使用障碍 药物使用障碍
背景情况:
- 减少伤害的干预措施,包括无菌针,注射器和芬太尼试验条,在减少发病率和死亡率方面显示出显著的好处.
- 尽管有确立的证据,但围绕这些减伤用品的法律环境在不同州之间存在很大差异.
研究的目的:
- 为临床医生提供指导,教导患者在携带处方或推的减伤用品时,与州际旅行相关的法律风险.
- 探索这些干预措施在法律上被禁止的国家中医生的道德义务.
主要方法:
- 这是一个案例评论.
- 对临床医生和患者的法律风险和伦理考虑的分析.
主要成果:
- 不一致的州法律构成了减少伤害和患者安全的重大障碍.
- 临床医生在治疗可能面临法律风险的患者时面临道德挑战,原因是州级禁止减少危害的工具.
结论:
- 有关减少危害供应的法律一致性至关重要,以保护患者的健康和福祉.
- 医生必须在复杂的法律和伦理领域进行导航,以支持患者利用降低伤害策略.
相关概念视频
Standard Precaution
1.9K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
1.9K
Cleaning, Sterilization, and Disinfection
6.7K
Cleaning, disinfection, and sterilization are the methods that help to break the infection chain and prevent disease.
Cleaning
The cleaning process usually involves using water with detergents or enzymatic cleaner and removing foreign material from objects and surfaces, including organic material such as body fluids or inorganic material like soil. Cleaning is performed before high-level disinfection and sterilization because foreign materials on the cover of the devices interfere with process...
Cleaning
The cleaning process usually involves using water with detergents or enzymatic cleaner and removing foreign material from objects and surfaces, including organic material such as body fluids or inorganic material like soil. Cleaning is performed before high-level disinfection and sterilization because foreign materials on the cover of the devices interfere with process...
6.7K
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
PPE Use in Healthcare Settings II: Doffing
894
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.
894
PPE Use in Healthcare Settings I: Donning
946
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...
946
Guidelines for Nursing Documentation I
1.0K
Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
Factual:
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
1.0K


