Are emergency care nurses prepared for chemical, biological, radiological, nuclear or explosive incidents?
Are emergency care nurses prepared for chemical, biological, radiological, nuclear or explosive incidents?
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DOI：
10.1016/j.ienj.2011.10.001
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发表时间：
2012-07-01
影响因子：
1.8
通讯作者：
Higginson, Ray
中科院分区：
文献类型：
--
作者：
Mitchell, Christina J.;Kernohan, W. George;Higginson, Ray
在紧急护理中，有两个主要领域可以重点关注化学、生物、辐射、核和爆炸物的准备工作：部门准备和工作人员准备。本研究侧重于后者。目的：为了确定护士需要培训，以提高准备CBRNe incidents.Methods：能力问卷调查的文献中开发的，并完成了一个NHS信托在北方爱尔兰的三个急诊科的50名护理人员。对定量数据进行沿着描述性分析，对定性问题进行内容分析。废物管理（包括医疗废物、受污染衣物、受污染食水及受污染死者的管理）、分流、指挥系统、POD、了解个人防护设备的范围及其适当使用，以及人员和设备的去污。有必要为所有紧急医疗保健工作人员制定一个标准化的“蓝图”，规定针对化学、生物、辐射和核事故的特定角色的能力标准。本研究中使用的评估工具可以帮助评估护理人员的准备水平，如果进行相应调整，可以帮助衡量其他关键医疗保健专业人员的准备情况。(C)2011爱思唯尔有限公司保留所有权利。
Two main areas exist within emergency care where chemical, biological, radiological, nuclear and explosive preparedness can be focused: departmental preparedness and staff preparedness. This study focused upon the latter.Aim: To identify areas where nurses require training in order to improve preparedness for a CBRNe incident.Methods: A competency questionnaire was developed from the literature and completed by 50 nursing staff across three Emergency Departments within one NHS Trust in Northern Ireland. Descriptive analysis was used for the quantitative data along with content analysis for the qualitative questions.Results: Six key areas were identified for training; waste management (including clinical waste, contaminated clothing, contaminated water and the management of the contaminated deceased), Triage, Chain of command, PODs, awareness of the range of Personal Protective Equipment and its appropriate use and the decontamination of people and equipment.Conclusion: There is a need for a standardised 'blueprint' of role-specific competency criteria for a CBRNe incident for all emergency healthcare staff. The assessment tool used in this study can help to assess levels of preparedness amongst nursing staff and, if adapted accordingly, help gauge preparedness of other key healthcare professionals. (C) 2011 Elsevier Ltd. All rights reserved.