Routes of occupational blood exposure relevant |
Needlesticks, blood on non-intact skin, and blood |
During the last 12 months, how many times...
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to home care/hospice nurses |
in eyes, nose, or mouth. Other routes of expo- |
... did you get patients’ blood or body fluid
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What are the ways in which home care nurses
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sure (which are relevant for some health care |
containing visible blood in your eyes, nose,
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become exposed to patient’s blood?
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workers) are not relevant for this population. |
or mouth? (Q35) |
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... were you stuck by a needle or lancet after it
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had been used on a patient? (Q36) |
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... did you get patient’s blood or body fluid
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containing visible blood on your non-intact
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skin? (Q44) |
Denominator for incidence rates |
Nurses make 20-35 visits per week, 3-6 visits per |
Number of visits was selected as the denominator. |
How many hours did you work last week?
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day. One patient is seen at each visit. Nurses |
Items to gather information for calculating the |
How many patients do you generally visit per
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could not recall the number of patients they |
average number of visits in the past year were: |
week, per day?
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visited last week. |
Currently, how many home visits do you make
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How many home visits do you make each
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To calculate the number of patients visited last |
in a typical week? (Q9) |
day?
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week, nurses would have to review their clinical |
Last summer, how many home visits did you
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How many patients do you see during a home
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notes. They would not be willing to do this for |
make in a typical week? (Q10) |
visit?
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the survey. |
Last winter, how many home visits did you
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Does the number of patients you visit per
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Nurses could not remember the amount of time |
make in a typical week? (Q11) |
week fluctuate?
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they spent with each patient last week. |
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If so, what causes this fluctuation?
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There is seasonal variation in number of visits |
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How would you calculate the number of
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made. |
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patients you visited last week?
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Nurses suggested asking about a typical week |
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Could you tell me the amount of time you
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instead of the previous week. |
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spent (in minutes) with each patient last
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week?
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Types of skilled nursing procedures performed |
Skilled medical procedures routinely performed |
Approximately how many times per week do you
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What types of skilled nursing procedures do
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include wound care, IV therapy injections, |
perform the following procedures in the home?
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you routinely perform during home visits?
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phlebotomy, ostomy care, and catheter care. |
(Q13) |
Could you tell me the speciffc number and
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Nurses could report the specific number and |
Procedures listed were those identified during |
type of procedures you performed yester-
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types of procedures they performed yesterday |
the key informant interviews and direct |
day? How about last week?
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and last week. |
observations. |
Would this information be difficult to obtain?
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It would be easier for nurses to report on the |
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specific number and types of procedures they |
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performed yesterday compared to last week. |
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Availability and use of personal protective equip- |
Personal protective equipment used by home |
How often does your agency provide you with the
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ment and safety-engineered medical devices |
care/hospice nurses includes gloves, different |
following equipment? (Q15) |
Can you list the different types of personal
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' Π WWW >types of masks, and fluid impermeable gowns. |
For the following scenarios involving use of PPE,
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protective equipment that home care
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please indicate why each event occurred:
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nurses use during a visit?
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(Q26-Q30) |
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Types of PPE listed in the questionnaire were |
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those identified during the key informant |
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interviews and observations. |
Can you list the different safety-engineered
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Safety devices used are shielded winged steel |
How often does your agency provide you with the
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medical devices that you use?
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needle, retracting lancet, safety syringe, hinged |
following safety-devices? (Q16) |
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cap or shielded straight needle, and hinged cap |
Questions based on five scenarios related to use |
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blood tube holder. |
of safety devices. (Q17-Q22) |
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Devices listed in the questionnaire were those |
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identified during the key informant interviews |
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and direct observations. |