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PubMedDate not supplied

Hemolysis in needleless connectors for phlebotomy.

Needleless connectors have been developed recently as a means of reducing transmission of AIDS and other blood-borne diseases by accidental needle sticks. However, the potential for hemolysis induced by fluid stresses within the connector remained to be determined. The influence of needleless connectors on hemolysis was evaluated in simulated clinical blood draws. Blood from five volunteers was drawn with vacuum tubes and syringes through 16, 18, and 22 gauge needles and PosiFlow (Becton Dickinson, Franklin Lakes, NJ) and Clave (ICU Medical, San Clemente, CA) needleless connectors. Hemolysis was measured in the samples by a spectrophotometric technique. Results showed that hemolysis increased when needleless connectors were used. The PosiFlow connector produced more hemolysis than the Clave device. Curiously, erythrocyte damage was greatest for connectors used with 18 gauge needles. Hemolysis was larger for samples drawn with vacuum tubes than with syringes. However, no combinations of connector, needle size, or blood draw device resulted in mean hemolysis values large enough to interfere with clinical assays.

Erythrocytes↗
PubMed2001

Needlesticks.

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Blood-Borne Pathogens↗
PubMedDate not supplied

Predictors of nurses' acceptance of an intravenous catheter safety device.

BACKGROUND: It is important to determine the factors that predict whether nurses accept and use a new intravenous (IV) safety device because there are approximately 800,000 needlesticks per year with the risk of contracting a life-threatening bloodborne disease such as HIV or hepatitis C. OBJECTIVES: To determine the predictors of nurses' acceptance of the Protectiv Plus IV catheter safety needle device at a teaching hospital in Texas. METHOD: A one-time cross-sectional survey of nurses (N = 742) was conducted using a 34-item questionnaire. A framework was developed identifying organizational and individual predictors of acceptance. The three principal dimensions of acceptance were (a) satisfaction with the device, (b) extent to which the device is always used, and (c) nurse recommendations over other safety devices. Measurements included developing summary subscales for the variables of safety climate and acceptance. Descriptive statistics and multiple linear and logistic regression models were computed. RESULTS: The findings showed widespread acceptance of the device. Nurses who had adequate training and a positive institutional safety climate were more accepting (p <or=.001). Also, nurses who worked at the hospital a shorter period were more likely to be accepting of the device (p <or=.001). Nurses who felt that the safety climate was positive and who had used the device for at least 6 months were more likely to use the device (p <or=.001). DISCUSSION: To achieve maximum success in implementing IV safety programs, high quality training and an atmosphere of caring about nurse safety are required.

Attitude of Health Personnel↗
PubMedDate not supplied

Milking the wound.

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HIV Infections↗
PubMed2001

Select new, safer i.v. therapy equipment.

Learn how to select i.v. therapy safety equipment that complies with the Needlestick Safety and Prevention Act, which mandates the use of needlestick-prevention devices.

Accidents, Occupational↗