Safety and Health at Work

Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency (산업안전보건연구원)
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Personal Protective Equipment Availability and Utilization Among Interventionalists

  • Received : 2018.07.13
  • Accepted : 2018.10.02
  • Published : 2019.06.30
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Abstract

Objective: This study explored personal protective equipment (PPE) availability and PPE utilization among interventionalists in the catheterization laboratory, which is a highly contextualized workplace. Methods: This is a cross-sectional study using mixed methods. Participants (108) completed a survey. A hyperlink was sent to the participants, or they were asked to complete a paper-based survey. Purposively selected participants (54) were selected for individual (30) or group (six) interviews. The interviews were conducted at conferences, or appointments were made to see the participants. Logistic regression analysis was performed. The qualitative data were analyzed thematically. Results: Lead glasses were consistently used 10.2% and never used 61.1% of the time. All forms of PPE were inconsistently used by 92.6% of participants. Women were 4.3 times more likely to report that PPE was not available. PPE compliance was related to fit and availability. Conclusions: PPE use was inconsistent and not always available. Improving the culture of radiation protection in catheterization laboratories is essential to improve PPE compliance with the aim of protecting patients and operators. This culture of radiation protection must include all those involved including the users of PPE and the administrators and managers who are responsible for supplying sufficient, appropriate, fitting PPE for all workers requiring such protection.

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References

  1. Le Heron J, Padovani R, Smith I, Czarwinski R. Radiation protection of medical staff. Eur J Radiol 2010;76:20-3. https://doi.org/10.1016/j.ejrad.2010.06.034
  2. Bhargavan M. Trends in the utilization of medical procedures that use ionizing radiation. Heal Phys 2008;95:612-27. https://doi.org/10.1097/01.HP.0000327659.42618.c1
  3. Bartal G, Roguin A, Paulo G. Call for implementing a radiation protection culture in fluoroscopically guided interventional procedures. Am J Roentgenol 2016;206:1110-1. https://doi.org/10.2214/AJR.15.15986
  4. Brown KR, Rzucidlo E. Acute and chronic radiation injury. J Vasc Surg 2011;53:15S-21S. https://doi.org/10.1016/j.jvs.2010.06.175
  5. Smilowitz NR, Balter S, Weisz G. Occupational hazards of interventional cardiology. Cardiovasc Revasc Med 2013;14:223-8. https://doi.org/10.1016/j.carrev.2013.05.002
  6. Shore RE. Radiation and cataract risk: impact of recent epidemiologic studies on ICRP judgments. Res Rev Mutat Res 2016.
  7. Seals KF, Lee EW, Cagnon CH, Al-Hakim RA, Kee ST. Radiation-induced cataractogenesis: a critical literature review for the interventional radiologist. Cardiovasc Interv Radiol 2016;39:151-60. https://doi.org/10.1007/s00270-015-1207-z
  8. Little MP. A review of non-cancer effects, especially circulatory and ocular diseases. Radiat Env Biophys 2013;52:435-49. https://doi.org/10.1007/s00411-013-0484-7
  9. Rose A, Uebel KE, Rae WID. Interventionalists ' perceptions on a culture of radiation protection. S Afr J Rad 2018;22:a1285.
  10. Badawy MK, Deb P, Chan R, Farouque O. A review of radiation protection solutions for the staff in the cardiac catheterisation laboratory. Hear Lung Circ 2016;25:961-7. https://doi.org/10.1016/j.hlc.2016.02.021
  11. Chida K, Kato M, Kagaya Y, Zuguchi M, Saito H, Ishibashi T, Takahashi S, Yamada S, Takai Y. Radiation dose and radiation protection for patients and physicians during interventional procedure. J Radiat Res 2010;51:97-105. https://doi.org/10.1269/jrr.09112
  12. Jorgensen G, Palenik CJ. Selection and use of personal protective equipment. Dent Assist 2004;73(16):18-9.
  13. Friedman AA, Ghani KR, Peabody JO, Jackson A, Trinh QD, Elder JS. Radiation safety knowledge and practices among urology residents and fellows: results of a nationwide survey. J Surg Educ 2013;70:224-31. https://doi.org/10.1016/j.jsurg.2012.10.002
  14. Meisinger QC, Stahl CM, Andre MP, Kinney TB, Newton IG. Radiation protection for the fluoroscopy operator and staff. Am J Roentgenol 2016;207:745-54. https://doi.org/10.2214/AJR.16.16556
  15. Sanchez RM, Vano E, Fernandez JM, Rosales F, Sotil J, Carrera F, Garcia MA, Soler MM, Hernandez-Armas J, Martinez LC, Verdu JF. Staff doses in interventional radiology: a national survey. J Vasc Interv Radiol 2012;23:1496-501. https://doi.org/10.1016/j.jvir.2012.05.056
  16. Cremen SA, McNulty JP. The availability of appropriately fitting personal protective aprons and jackets for angiographic and interventional radiology personnel. Radiography 2014;20:126-30. https://doi.org/10.1016/j.radi.2013.12.001
  17. Martin CJ, Magee JS, Sandblom V, Alme A, Lundh C. Eye dosimetry and protective eyewear for interventional clinicians. Radiat .Prot Dosim 2015;165:284-8. https://doi.org/10.1093/rpd/ncv050
  18. Rose A, Rae W, Chikobvu P, Marais W. A multiple methods approach: radiation associated cataracts and occupational radiation safety practices in interventionalists in South Africa. J. Radiol. Prot. 2017;2:329-39.
  19. Braun V, Clarke V. What can 'thematic analysis' offer health and wellbeing researchers? Int J Qual Stud Heal Well-being 2014;9:26152. https://doi.org/10.3402/qhw.v9.26152
  20. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol 2006;3:77-101. https://doi.org/10.1191/1478088706qp063oa
  21. Honda H, Iwata K. Personal protective equipment and improving compliance among healthcare workers in high-risk settings. Curr Opin Infect Dis 2016;29:400-6. https://doi.org/10.1097/QCO.0000000000000280
  22. Ainsbury E, Bouffler S, Cocker M, Gilvin P, Holt E, Peters S, Slack K, Williamson A. Public Health England survey of eye lens doses in the UK medical sector. J Radiol Prot 2014;34:15-29. https://doi.org/10.1088/0952-4746/34/1/15
  23. McVey S, Sandison A, Sutton D. An assessment of lead eyewear in interventional radiology. J Radiol Prot 2013:647-59.
  24. Rivett C, Dixon M, Matthews L, Rowles N. An assessment of the dose reduction of commercially available lead protective glasses for interventional radiology staff. Radiat .Prot Dosim 2016:1-10.
  25. Snipes SA, Smyth JM, Murphy D, Miranda PY, Alejandro F, Ishino M. Provision increases reported PPE use for Mexican an mHealth Pilot study. J Occup Env Med 2015;57:1343-6. https://doi.org/10.1097/JOM.0000000000000563
  26. Kang J, Drph JMOD, Colaianne B, Bircher N, Ren D, Smith KJ. Use of personal protective equipment among health care personnel: results of clinical observations and simulations. Am J Infect Control 2017;45:17-23. https://doi.org/10.1016/j.ajic.2016.08.011
  27. Flynn MA, Keller B, Delaney C. Promotion of alternative-sized personal protective equipment. J Saf Res 2017;63:43-6. https://doi.org/10.1016/j.jsr.2017.08.004
  28. Barnard SG, Ainsbury EA, Quinlan RA, Bouffler SD. Radiation protection of the eye lens in medical workers-basis and impact of the ICRP recommendations. Br J Radiol 2016;89:20151034. https://doi.org/10.1259/bjr.20151034
  29. Sliwa K, Zuhlke L, Kleinloog R, Doubell A, Ebrahim I, Essop M, Kettles D, Jankelow D, Khan S, Klug E, Lecour S, Marais D, Mpe M, Ntsekhe M, Osrin L, Smit F, Snyders A, Theron J, Thornton A, Chin A, van der Merwe N, Dau E, Sarkin A. Cardiology-cardiothoracic subspeciality training in South Africa: a position paper of the South Africa Heart Association. Cardiovasc J Afr 2016;27:188-93. https://doi.org/10.5830/CVJA-2016-063
  30. Picano E, Vano E, Rehani MM, Cuocolo A, Mont L, Bodi V, Bar O, Maccia C, Pierard L, Sicari R, Plein S, Mahrholdt H, Lancellotti P, Knuuti J, Heidbuchel H, Di Mario C, Badano LP. The appropriate and justified use of medical radiation in cardiovascular imaging: a position document of the ESC Associations of Cardiovascular Imaging, Percutaneous Cardiovascular Interventions and Electrophysiology. Eur Heart J 2014;35:665-72. https://doi.org/10.1093/eurheartj/eht394

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