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Hospitalists. --- Hospital care. --- Hospitals.

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Hospitalists --- Hospitalists. --- Hospitals --- Medicine --- Medical staff --- Specialties and specialists

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Nos métiers de soignants constituent des professions à risque. Les médecins et les infirmiers sont quotidiennement exposés aux différents agents pathogènes. Quel est le risque réel de contracter une maladie infectieuse dans le cadre de notre activité professionnelle au sein du service des urgences? Ainsi, l'objectif était d'évaluer le risque professionnel lié aux germes suivants : les virus de l'hépatite B et C, 'HIV, le bacille tuberculeux, le méningocoque, le cytomégalovirus, le MRSA, les sarcoptes de la gale, l'Ebola ; et de vérifier les connaissances et les attitudes du personnel soignant face à des agents potentiellement contaminants. L'hypothèse principale étant que ce risque existerait, et ce, d'autant plus que les sujets n'appliqueraient pas systématiquement les mesures de prévention appropriées. L'enquête, comportant 25 questions et portant sur 64 sujets, qui a été réalisée dans le cadre de cette recherche, nous a permis de découvrir que 45 % des soignants aux services d'urgences ont été exposés à un risque professionnel infectieux au cours de leur carrière. Parmi les accidents déclarés par la grande majorité des infirmiers et la moitié des médecins, aucune complication infectieuse n'a été mise en évidence. D'après cette même enquête, les connaissances sur le risque d'infection théorique de l'hépatite C, le facteur principal d'acquisition du HIV, le dernier rappel du vaccin antitétanique, le taux propre des anticorps anti­ hépatite B et l'application des mesures spécifiques d'alerte Ebola sont insuffisantes. Toutefois, les attitudes du personnel lors de la prise en charge d'un patient suspecté de méningoccocémie, de tuberculose pulmonaire, de colonisation MRSA ou de gale nous rassurent. Même si, de façon générale, nos résultats nous orientent vers un risque d'acquisition faible d'une infection par l'un des germes cités ci-dessus, le danger persiste et il importe donc de ne pas le sous-estimer et de continuer à rester vigilant dans l'application rigoureuse des mesures préventives. The purpose of this research was the main preoccupation of the potential risk of contracting an infectious disease by the health-care workers at the Emergency Department and the behavior of the workers towards this occupational infectious risk. In this research, we evaluated the occupational risk of the following pathogens: hepatitis B and C virus, HIV, tubercle bacillus, Neisseria meningitis, cytomegalovirus, MRSA? Sarcoptes scabies, Ebola virus. We also analyzed the knowledge and the attitudes of the caregivers when facing these potentially pathogenic infectious agents. The key assumption was that there is a risk, which is potentially increased by the improper application of the preventive measures. The survey, consisting of 25 questions and answered by 64 persons, showed us that 45% of the health-care workers had been previous victims of an occupational infections accident during their professional career. The accidents, which were declared by almost all the nurses and half of the physicians, presented no infections complications. The survey also highlights the Jack of knowledge of the caregivers regarding the rate of Hepatitis C transmission risk, their own Hepatitis B antibodies Level, the main HIV occupational transmission risk, their own Tetanus vaccination status, the CMV transmission risk and the Ebola virus transmission risk. However, the general attitudes when caring for a patient with meningococcemia, pulmonary tuberculosis, acquired MRSA colonization or scabies reassure us. Finally, the risk persists even if the results are generally leading us to a low infections risk. Nevertheless, it is important to not underestimate this risk and to continue to apply the general preventive measures carefully.

Hospitalists --- Nursing Staff, Hospital --- Disease Transmission, Infectious

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Hospitalists --- Physician and patient --- Veterans Health Care System of the Ozarks (U.S.) --- Fayetteville (Ark.)

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This book makes the case for hospital-based psychiatry, comprehensively describing not only its structure but also the qualities and skills needed to succeed in this setting. The book leverages vignettes and the insights of its contributors to examine the effects of background and training on a hospitalist career, opportunities for teaching and supervising in a hospital setting, diagnostic and treatment modalities, legal and ethical issues, and numerous other topics.

Hospitalists --- Hospitals, Psychiatric --- Psychiatry --- Vocational Guidance --- organization & administration --- organization & administration. --- methods --- Career Counseling --- Counseling, Career --- Guidance, Vocational --- Counseling