This is a qualitative, descriptive and exploratory research aimed at analyzing nursing managers' knowledge on adherence to nursing workers monitoring after occupational accidents due to exposure to biological fluids, seeking to recommend strategies to reduce monitoring abandonment. We interviewed twelve nursing managers from health institutions in the city of Curitiba-Paraná, from August to November 2010, and after the transcription of these interviews we carried out a thematic analysis. Results showed that eight out of the twelve interviewed nurses have no worker supervision control with regards to complete post-exposure monitoring. The interaction between the victim's workplace and health institutions was proposed to improve monitoring. Therefore, nurse managers and technical managers should raise awareness and monitor workers seeking to achieve adherence to full accompaniment policies and compliance with the current legislation in order to make this practice more efficient.
The objective was to identify the use of personal protection equipment by nursing workers during procedures which expose them to biological fluids. It was observational, descriptive and transversal research, with a quantitative approach, undertaken in a public hospital in the state of Paraná, in January – May 2014, using nonparticipant and intentional observation of 201 procedures through the use of a checklist. It was ascertained that, in the Surgical Center, procedure gloves (97%) obtained the greatest adherence, but that closed shoes and eye protection were not used on any occasion. In the Central Sterile Services Department, no worker used the procedure gloves, either rubber or heat-resistant, although the surgical mask (44.4%) had the greatest adherence in the cleaning room. In the Intensive Care Units and Emergency Room, the procedure gloves were used (100%), although adherence to the eye protection was low (0.86%). The nursing staff did not use all the equipment stipulated by legislation during their activities. ; El objetivo de la investigación fue identificar la utilización de los equipos de protección individual por los trabajadores de enfermería, durante procedimientos que los expongan a los fluidos biológicos. Investigación observacional, descriptiva, transversal con abordaje cuantitativo, desarrollada en un hospital público del estado de Paraná, en el periodo de enero a mayo de 2014, utilizándose observación no participante e intencional de 201 procedimientos por medio de un checklist. Se verificó en el Centro Quirúgico que los guantes de procedimientos (97%) tuvieron mayor adhesión, sin embargo zapatos cerrados y gafas no fueron utilizados ninguna vez. En la Central de Material y Esterilización, ningún trabajador utilizó guantes de procedimientos, pero la máscara común (44,4%) tuvo mayor adherencia en el salón de limpieza. En las Unidades de Terapia Intensiva y Emergencia, los guantes de procedimiento fueron utilizados (100%), pero la adhesión a las gafas fue baja (0,86%). Los trabajadores de enfermería no utilizaron todos los equipos preconizados por la legislación durante sus actividades. ; O objetivo foi identificar a utilização dos equipamentos de proteção individual pelos trabalhadores de enfermagem, durante procedimentos que os exponham aos fluidos biológicos. Pesquisa observacional, descritiva, transversal com abordagem quantitativa, desenvolvida em um hospital público do estado do Paraná, no período de janeiro a maio de 2014, utilizando-se da obser vação não-par ticipante e intencional de 201 procedimentos por meio de um checklist. Verificou-se no Centro Cirúrgico que as luvas de procedimentos (97%) obtiveram maior adesão, entretanto sapatos fechados e óculos não foram utilizados nenhuma vez. Na Central de Material e Esterilização nenhum trabalhador utilizou as luvas de procedimentos, borracha e térmicas, entretanto a máscara comum (44,4%) teve maior aderência na sala de limpeza. Nas Unidades de Terapia Intensiva e Pronto Socorro as luvas de procedimento foram utilizadas (100%), porém a adesão aos óculos foi baixa (0,86%). Os trabalhadores de enfermagem não utilizaram todos os equipamentos preconizados pela legislação durante suas atividades.
