1ЭМШУИС, 2ЭМЯ, 3ЭНЭШТ, 4УКТЭ, 5БГЭМН, 6НМХГ, 7ННДГ, 8ЭТХҮТ
The Objective of the study is to determine whether hospital performed procedures meet necessary requirement for practices for equipment supplies and waste management
Methodology: Cross–sectional, observational. Information is collected regarding issues that are relevant to injection safety. The cross-sectional survey covered the three hospitals in Ulaanbaatar and two regional Diagnostic centers. Survey data collection was conducted employing two different but complementary methods. The first method was using a systematic observation of the health facility focusing on matters pertaining to supplies of injection equipment, handling and delivery of injection services, safety precautions and waste disposal procedures. The second method was by interviewing the injection providers and supervisors as primary source of data using a standard questionnaire as instrument.
Results: All hospitals surveyed had syringe stocks and 86,1 % hospitals had needle stocks, but 50% of hospitals had safety box stocks. On the day of the visit, 86,1% of health care providers were using safety boxes, 58,3% injection providers were using wrong practice to recapping needles. 43,2% of nurses had been injured by needlesticks 1-2 times within last 12 month. 97,2% of patients were receiving injections among of those antibiotics (82%), vitamins (56,2%), IV fluids (52,8%) .
It was identified that 35% of injected drugs were administered out of standard protocol.
Conclusion; Use of clean barrier while opening the ampoule and is not practiced universally and recapping of needles by 2 hand is still kept that may lead to the risk of personal injury. The area of safe disposal of sharps and other injection waste is weak and needs further strengthening. All level health care facilities should improve quality assurance system and safe injection practice.
