Fear of AIDS in nursing staff

Despite educational programs, health care providers often have fears of contracting acquired immune deficiency syndrome (AIDS). Fear of contraction may be accompanied by feelings of incompetency, problems in handling the workload, a lack of optimism, and the loss of valued employees. The realization that coworkers are not following universal precautions or are careless is threatening. A program to minimize fear will increase the competency level of caretakers and allow for verbal expression of feelings and a sense of control over the situation. Hospitals should begin by developing an educational program that covers the modes of transmission and Occupational Safety and Health Administration recommendations. A mechanism to provide counseling on a group and/or individual basis is essential. The most likely mode of AIDS transmission in a clinical setting is an accidental needle stick. Until self-capping needles are used to replace regular needles, needle-proof disposal containers must be used in 2 places - the point of preparation and the point of administration.