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repúbica del ecuador universidad estatal de milagro diploma ...

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SUMMARY<br />

In the Department of Surgery Clinic Ur<strong>de</strong>nor city of Guayaquil, elective and<br />

emergency surgery are permanently realized with a plant staff of fourteen<br />

practitioners, which are exposed to different occupational hazards such as<br />

biological ones, so it was <strong>de</strong>emed necessary to <strong>de</strong>termine the biological hazards<br />

to which this personnel are exposed. The objectives of this research were: register<br />

the affiliation of staff, <strong>de</strong>termine the knowledge on Biological Hazards of the<br />

staff, list the service infrastructure, and i<strong>de</strong>ntify biological hazards <strong>de</strong>pending<br />

on the type of surgery performed in the period of investigation in the Surgery<br />

Service. The universe of this study was composed of staff of the Department of<br />

Surgery and Clinical Ur<strong>de</strong>nor surgeries performed from July to September 2011.<br />

The sample is the universe, since it is small. It was a retrospective, research,<br />

correlational, and <strong>de</strong>scriptive research. Most of the staff is male aged between<br />

39 and 58; whit bachelor and post gra<strong>de</strong> instruction and work permanence of 3 years<br />

or longer. About biosafety knowledge, 71% surveyed people know about<br />

biohazard, 50 % are already trained on risks labor, rules and protocols to minimize<br />

the risk, 100% are acquired the knowledge to manage hospital garbage. The most<br />

common acci<strong>de</strong>nt is contamination with blood and body fluids, punctures and<br />

cuts, on a monthly frequency from 1 to 3 in the 35,7% of the staff; hospital waste<br />

management is known by 86%, occupational diseases in 14%, <strong>de</strong>sire of biohazard<br />

training in 79%, clean surgery 86%, contaminated 7%, and infected 7%. At<br />

conducting an assessment of the surgery area, it was noticed there is an a<strong>de</strong>quate<br />

monitoring of the surgical environment. Environment conditions as humidity,<br />

ventilation, air flow in the surgery <strong>de</strong>partment are in correspon<strong>de</strong>nce to the<br />

characteristics recommen<strong>de</strong>d by WHO. In terms of clothing is completely<br />

fulfilled, the use of protecting glasses is fulfilled only 50% of the personal,<br />

hand washing is done when there is contamination with blood or body fluids in 100%,<br />

in other activities it is occasionally performed, surgical antisepsis in the<br />

patient surgical zone are met in 80%. The treatment of hospital waste is done by a<br />

specialized company to do that duty. There is a lack of trained personnel for this<br />

specific activity, the knowledge and application of biosecurity holds an average<br />

of 60% of staff. The infrastructure facilities were rated as excellent in terms of<br />

technical specifications and building <strong>de</strong>sign. An improvement plan was proposed<br />

to minimize the risks by a schedule for prevention training, rules and procedures,<br />

preparation of a datasheet for individual worker of the surgery service, with the<br />

corresponding controls.

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