安全采集成人静脉血标本共识  

Consensus on safe sampling of adult venous blood

作　　者：袁素娥[1] 陈煜 蔡小芳 蔡虻[4] 黄常娟 胡玲利 江梦婷 李映兰[7] 李好[3] 马媚媚[8] 荣英姿 任珍[10] 陶子荣[1] 唐红英[11] 谭海红[12] 王晓燕[13] 张林[14] 曾烂漫[15] 张志云 张燕萍[17] 张英 周瑞红 黄勋[15] 王红红[7] 中华护理学会传染病护理专业委员会 湖南省护理学会传染病护理专业委员会 湖南省医院协会医院感染管理专业委员会 YUAN Su-e;CHEN Yu;CAI Xiao-fang;CAI Meng;HUANG Chang-juan;HU Ling-li;JIANG Meng-ting;LI Ying-lan;LI Hao;MA Mei-mei;RONG Ying-zi;REN Zhen;TAO Zi-rong;TANG Hong-ying;TAN Hai-hong;WANG Xiao-yan;ZHANG Lin;ZENG Lan-man;ZHANG Zhi-yun;ZHANG Yan-ping;ZHANG Ying;ZHOU Rui-hong;HUANG Xun;WANG Hong-hong;Jointly Issued by Infectious Diseases Nursing Branch of Chinese Nursing Association;Infectious Diseases Nursing Branch of Hunan Provincial Nursing Association;Healthcare-associa-ted Infection Management Branch of Hunan Provincial Hospital Association(Teaching and Research Section of Clinical Nursing,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Nursing,The First Hospital of Changsha,Changsha 410007,China;Department of Infectious Diseases,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Infection Administration,Beijing Hospital,Beijing 100730,China;Department of Internal Medicine Infectious Diseases,The Central Hospital of Yongzhou,Yongzhou 425000,China;Department of Internal Medicine Infectious Diseases,Zhuzhou Central Hospital,Zhuzhou 412007,China;Xiangya Nursing School,Central South University,Changsha 410013,China;Department of Infectious Diseases,Hunan Children’s Hospital,Changsha 410007,China;Department of Infectious Diseases,The First Hospital of Yueyang,Yueyang 414000,China;Department of Nursing,Beijing Youan Hospital,Capital Medical University,Beijing 100069,China;Reproduction Center,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Infectious Diseases,The Second Xiangya Hospital of Central South University,Changsha 410011,China;Department of Nursing,The First Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310006,China;Department of Nursing,Shanghai Public Health Clinical Center,Shanghai 201058,China;Center for Healthcare-associated Infection Control,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Nursing,Beijing Ditan Hospital,Capital Medical University,Beijing 100015,China;Tea

机构地区：[1]中南大学湘雅医院临床护理学教研室,湖南长沙410008 [2]长沙市第一医院护理部,湖南长沙410007 [3]中南大学湘雅医院感染病科,湖南长沙410008 [4]北京医院医院感染管理处,北京100730 [5]永州市中心医院感染病科,湖南永州425000 [6]株洲市中心医院感染内科,湖南株洲412007 [7]中南大学湘雅护理学院,湖南长沙410013 [8]湖南省儿童医院感染病科,湖南长沙410007 [9]岳阳市一人民医院感染病科,湖南岳阳414000 [10]首都医科大学附属北京佑安医院护理部,北京100069 [11]中南大学湘雅医院生殖中心,湖南长沙410008 [12]中南大学湘雅二医院感染病科,湖南长沙410011 [13]浙江大学第一附属医院护理部,浙江杭州310006 [14]上海市公共卫生临床中心护理部,上海201058 [15]中南大学湘雅医院医院感染控制中心,湖南长沙410008 [16]首都医科大学附属北京地坛医院护理部,北京100015 [17]怀化市第一人民医院护理教研室,湖南怀化418000 [18]武冈市人民医院护理部,湖南武冈422400 [19]湖南省血吸虫防治所附属湘岳医院护理部,湖南岳阳414000 [20]不详

出　　处：《中国感染控制杂志》2021年第9期775-781,共7页Chinese Journal of Infection Control

摘　　要：为指导临床护理实践,提升静脉血标本采集质量,预防采血操作相关不良事件的发生,促进医疗卫生工作者、患者/献血者和社会安全,中华护理学会传染病护理专业委员会组织国内专家,基于世界卫生组织规范,国家医院感染防控的相关法律、法规、诊疗指南及最佳实践证据,共同制定本共识。本共识主要适用于国内医疗卫生机构,指导安全采集成人静脉血样。本共识通过评估静脉血样采集对医务人员、患者/献血者和社会的风险,根据高风险环节确定规避风险的安全操作流程。本共识主要从个人防护用品、采血细化步骤、意外事件处理、质量指标监控等方面进行阐述,为安全采集成人静脉血标本提供临床指导。In order to guide clinical nursing practice,improve the quality of venous blood sampling,prevent the occurrence of adverse events related to blood sampling,ensure the safety of health care workers(HCWs),patients/blood donors and social security,Infectious Diseases Nursing Branch of Chinese Nursing Association organized domestic experts to jointly formulate this consensus based on the World Health Organization(WHO)specification,relevant national laws,regulations,diagnosis and treatment guidelines,as well as best practices for evidence for healthcare-associated infection prevention and control.This consensus is mainly applicable to domestic medical and health settings to guide the safe sampling of adult venous blood.The consensus evaluates the risk of venous blood sampling to HCWs,patients/blood donors and society,and determines the safe operation process to avoid risks according to the high-risk links.The consensus mainly elaborates personal protective equipment,detailed steps of blood sampling,handling of accident,monitoring of quality index and so on,so as to provide clinical guidance for safe sampling of adult venous blood.

关 键 词：安全操作规程 静脉血标本 职业风险 高风险操作 职业安全 职业暴露 

分 类 号：R427.9[医药卫生—临床医学]