Comparing Personal Protective Equipment Practice among Health Worker's Job Role and Hospital Unit
DOI:
https://doi.org/10.21776/ub.jkb.2022.032.01.8sKeywords:
Covid-19, healthcare workers, job role, personal protective equipment, unitAbstract
Health workers have the highest risk exposure that can increase the pathogen infection risk during the Covid-19 pandemic. The use of Personal Protective Equipment (PPE) is the most significant prevention, but mistakes while using PPE may occur in the donning (putting on) and doffing (taking off) process. This study compares the practice of using PPE among groups of health providers and hospital service units. The study design was a cross-sectional study conducted on non-infectious hospital employees in one specific hospital in Surabaya, totaling 102 employees. The Infection Prevention and Control Link Nurse (IPCLN) of the hospital conducted observations and analyses of health personnel in inpatient and triage units, treatment units, and support units. Based on the job roles, the employees were divided into health providers, healthcare support workers, and other health workers. Work units were categorized into inpatient units, outpatient and triage units, treatment units, and support units (cashier and registration areas). The results of the assessment were measured using One-Way ANOVA. Based on the job role, significant errors occurred when removing masks (p=0.048) made by health workers (38%). Meanwhile, in the hospital unit category, significant errors occurred in removing masks (p=0.000) and the use of gloves (p=0.002). Most mistakes were made in the outpatient and triage units, 92% and 42%, respectively. The complexity of wearing and removing PPE requires increased awareness and updated training on the correct use of PPE for all health workers who work in hospitals based on WHO recommendations during the Covid-19 pandemic.
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World Health Organization. Advice on the Use of Masks in the Context of COVID-19. (Online) 2020. https://reliefweb.int/report/world/advice-use-masks-community-during-home-care-and-healthcare-settings-context-novel-0?gad_source=1&gclid=Cj0KCQiApOyqBhDlARIsAGfnyMp9FcW6VI23t8lsK150a29LbgqJ3NtSzeWwYo32DyqsYRVXhqxSeWAaAinNEALw_wcB
Phan LT, Maita D, Mortiz DC, et al. Personal Protective Equipment Doffing Practices of Healthcare Workers. Journal of Occupational and Environmental Hygiene. 2019; 16(8): 575–581.
Baloh J, Reisinger HS, Dukes K, et al. Healthcare Workers’ Strategies for Doffing Personal Protective Equipment. Clinical Infectious Diseases. 2019; 69(3): 192–198.
Park SH. Personal Protective Equipment for Healthcare Workers during the COVID-19 Pandemic. Infection & Chemotherapy. 2020; 52(2): 165–182.
Yuan L, Chen S, and Xu Y. Donning and Doffing of Personal Protective Equipment Protocol and Key Points of Nursing Care for Patients with COVID-19 in ICU. Stroke and Vascular Neurology. 2020; 5(3): 302–307.
Sharma N, Hasan Z, Velayudhan A, MA E, Mangal DK, and Gupta SD. Personal Protective Equipment: Challenges and Strategies to Combat COVID-19 in India: A Narrative Review. Journal of Health Management. 2020; 22(2): 157–168.
Beam EL, Gibbs SG, Boulter KC, Beckerdite ME, and PW Smith. A Method for Evaluating Health Care Workers’ Personal Protective Equipment Technique. American Journal of Infection Control. 2011; 39(5): 415–420.
Diana EM, Widayanti AW, and Satibi. Compliance with Personal Protective Equipment Use among Non-Medical Healthcare Professionals during Covid-19 Pandemic. Indonesian Journal Pharmacy. 2021; 32(2): 258–266.
Creswell J. Research Design: Qualitative, Quantitative and Mixed Methods Approaches. Fifth edition. California: SAGE; 2018.
Siegel JD, Rhinehart E, Jackson M, and Chiarello L. 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. (Online) July 2019 https://www.cdc.gov/infectioncontrol/guidelines/isolation/index.html
Alao MA, Durodola AO, Ibrahim OR, and Asinobi OA. Assessment of Health Workers’ Knowledge, Beliefs, Attitudes, and Use of Personal Protective Equipment for Prevention of COVID-19 Infection in Low-Resource Settings. Advanced in Public Health. 2020; 2020: 1–10.
Center for Disease Control and Prevention. PPE Sequence. (Online) 2018. https://www.cdc.gov/hai/pdfs/ppe/ppe-sequence.pdf.
Chia SE, Koh D, Fones C, et al. Appropriate Use of Personal Protective Equipment among Healthcare Workers in Public Sector Hospitals and Primary Healthcare Polyclinics during the SARS Outbreak in Singapore. Occupational and Environment Medicine. 2005; 62(7): 473–477.
Tomas ME, Kundrapu S, Thota P, et al. Contamination of Health Care Personnel during Removal of Personal Protective Equipment. JAMA Internal Medicine. 2015; 175(12): 1904–1910.
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