• 제목/요약/키워드: Patient Waiting Areas

검색결과 12건 처리시간 0.02초

코로나 바이러스 대유행에 따른 치과 의료 관리 가이드라인 (Guidelines for dental clinic infection prevention during COVID-19 pandemic)

  • 김진
    • 대한치과의료관리학회지
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    • 제8권1호
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    • pp.1-7
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    • 2020
  • Dental settings have unique characteristics that warrant specific infection control considerations, including (1) prioritizing the most critical dental services and provide care in a way that minimizes harm to patients due to delayed care, or harm to personnel from potential exposure to persons infected with the COVID-19 disease, and (2) proactively communicate to both personnel and patients the need for them to stay at home if sick. For health care, an interim infection prevention and control recommendation (COVID-19) is recommended for patients suspected of having coronavirus or those whose status has been confirmed. SARS-CoV-2, which is the virus that causes COVID-19, is thought to be spread primarily between people who are in close contact with one another (within 6 feet) through respiratory droplets that are produced when an infected person coughs, sneezes, or talks. Airborne transmission from person-to-person over long distances is unlikely. However, COVID-19 is a new disease, and there remain uncertainties about its mode of spreads and the severity of illness it causes. The virus has been shown to persist in aerosols for several hours, and on some surfaces for days under laboratory conditions. COVID-19 may also be spread by people who are asymptomatic. The practice of dentistry involves the use of rotary dental and surgical instruments, such as handpieces or ultrasonic scalers, and air-water syringes. These instruments create a visible spray that can contain particle droplets of water, saliva, blood, microorganisms, and other debris. While KF 94 masks protect the mucous membranes of the mouth and nose from droplet spatter, they do not provide complete protection against the inhalation of airborne infectious agents. If the patient is afebrile (temperature <100.4°F)* and otherwise without symptoms consistent with COVID-19, then dental care may be provided using appropriate engineering and administrative controls, work practices, and infection control considerations. It is necessary to provide supplies for respiratory hygiene and cough etiquette, including alcohol-based hand rub (ABHR) with 60%~95% alcohol, tissues, and no-touch receptacles for disposal, at healthcare facility entrances, waiting rooms, and patient check-ins. There is also the need to install physical barriers (e.g., glass or plastic windows) in reception areas to limit close contact between triage personnel and potentially infectious patients. Ideally, dental treatment should be provided in individual rooms whenever possible, with a spacing of at least 6 feet between the patient chairs. Further, the use of easy-to-clean floor-to-ceiling barriers will enhance the effectiveness of portable HEPA air filtration systems. Before and after all patient contact, contact with potentially infectious material, and before putting on and after removing personal protective equipment, including gloves, hand hygiene after removal is particularly important to remove any pathogens that may have been transferred to the bare hands during the removal process. ABHR with 60~95% alcohol is to be used, or hands should be washed with soap and water for at least 20 s.

급진사회운동가들의 사회복지실천현장 경험에 대한 현상학적 연구 (A Phenomenological Study on Field Experiences of Radical Social Workers)

  • 김성천;김은재
    • 한국사회복지학
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    • 제68권2호
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    • pp.53-77
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    • 2016
  • 본 연구의 목적은 한국의 제도권 사회복지실천의 한계점을 극복하기 위해 급진사회운동가들의 실천 경험을 통해 균형 잡힌 실천에 대한 통찰과 함의를 얻고자 한다. 급진사회운동가들의 사회복지실천 경험에 대한 구체적인 경험과 의미 그리고 본질을 살펴보기 위해 Giorgi(2004)의 기술적 현상학으로 접근했다. 본 연구에서는 주로 비제도권 사회복지 관련 분야에서 거시적 실천을 하고 있는 급진사회운동가 9명이 참여했다. 자료는 심층면담을 통해 84개의 의미단위와 24개의 드러난 주제, 7개의 본질적 주제가 구성되었다. 연구 참여자들의 경험을 아우르는 본질적 주제는 '준비된 변화의 빗장열기', '숙명처럼 다가온 일', '아래로부터의 개혁모색', '소수자들의 결집된 힘', '소수자들을 억압하는 법과 제도를 우호적으로 바꾸기', '새가 알을 깨고 나오기 위해서는 고통과 기다림이 필요함', '사회복지실천의 주체적 재구성'으로 나타났다. 이러한 연구결과에 근거하여 한국 사회복지실천의 시사점을 논의했다.

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