使用安全針具臨床實務探討

An Investigation of the Use of Safety Needles in Clinical Practice

國際上已有多國明定使用安全性的醫材以保障醫療人員的安全，而本國立法院亦於2011年12月5日通過法案，醫療院所應自2012年起五年內每年增加安全針具之使用比率。目前台灣健保局給付的安全針具共有4類，包含安全性靜脈導管、無針式注射用連結頭及延長管、精密輸液套（免針頭加藥）、安全護套空針、均已納入健保特殊醫材的給付項目。運用推動安全針具使用減少針扎事件的發生，除了將完善的操作列入在職教育之外，同時應注意推動過程中臨床人員所面對的困難。本文主要分享台中榮民總醫院於推動安全針具的經驗歷程，並提出尚待改善的問題，希望能在各醫院使用安全針具的推動上提供協助。

Several countries have established laws requiring the use of specific medical equipment to ensure a safer hospital environment. On 5 December 2011, the Legislative Yan of the Republic of China published a statute to encourage hospitals in Taiwan to increase their use of safety needles over the following 5 years. Up to now, 4 kinds of safety needles (safety intravenous catheters, no-needle injection connectors and extension tubes, free-needle intravenous infusion sleeves, and safety sheath empty needles) have been reimbursed under the Bureau of National Health Insurance scheme in Taiwan. However, to best prevent needle-stick injuries, it is also important to determine the difficulties experienced by medical staff in their daily practice after receiving in-service training according to this policy. Here, we present the problems experienced by healthcare workers when using safety needles in Taichung Veteran’s General Hospital, in order to assist other hospitals in implementing this national healthy strategy.