In the review of the literature regarding National Patient Safety Goals and the reduction of healthcare associated infections by the implementation of evidence-based practice, one article addressed the education of patients and family to prevent catheter-related bloodstream infections (Dela Cruz et al., 2012). MD Anderson Cancer Center Infusion Therapy Team places 600 central venous catheters (CVC) and PICC’s and 100 implanted ports each month at their facility (Dela Cruz et al., 2012). This volume gave rise to an extensive formal education program to assist the patient and family with care and maintenance of their CVC to reduce the number of catheter-related bloodstream infections (Dela Cruz et al., 2012). The education program consists …show more content…
The article reviews the development of goals as a result of an Institute of Medicine report that highlighted the number of patients harmed each year by inadequate hospital practices (Rajecki, 2009). The NPSGs are a top priority in patient care delivery today and have paved the way in increasing patient safety and decreasing costs associated with inconsistent care by “going back to doing the basics” (Rajecki, 2009). The basics include performing skills like the five rights of medication, a simple task, but very valuable (Rajecki, 2009). Most health care organizations are now addressing care in a transparent manner by encouraging nurses to discuss and question their practice, especially if there is a better, safer way to do something. Organizations continue looking to involve patients and families in their health care goals to achieve better quality outcomes (Rajecki, 2009). The author notes that NPSGs are periodically revised and updated to reflect the changing practice and system requirements, quality initiatives, and patient care needs (Rajecki, …show more content…
The authors wrote the report with podiatrists in mind, but it is relevant and applicable to other accredited healthcare providers and organizations as well. The author summarizes the development of NPSGs and educates about the goals that are most applicable to podiatrists in their scope of practice in addition to providing a practical application example (Chinn, 2014). The goals that are described and explained include: using at least two patient identifiers; eliminating transfusion errors due to patient misidentification; timely reporting of critical results of tests and diagnostic procedures; maintaining and communicating accurate medication information; reducing healthcare acquired infections and protocol for preventing wrong site, wrong procedure events (Chinn, 2014). Most applicable to this paper is the review of reducing healthcare-acquired infections. The healthcare-acquired infections get much attention from the Joint Commission due to their frequent occurrence (Chinn, 2014). The focus is given to hand hygiene and protocols to address specific infections (Chinn, 2014). The infections cited include reducing central line bloodstream infections, surgical site infections, multi-drug resistant organisms, and catheter-associated urinary tract infections (Chinn, 2014). In the article’s discussion
The prevention of infection is a practice that is crucial and paramount for the health and general well-being of society. Infection prevention and control is an integral part of healthcare systems around the world. The practice of Infection prevention and control is based on evidence and procedures that when applied continuously and effectively can inhibit as well as diminish the spread of harmful microorganisms. In healthcare facilities such as hospitals, clinics and long-term care Holmes the spread of infectious nosocomial diseases are a concern for healthcare providers, patients, and visitors of these facilities. Humber River Hospital is one of Canada’s largest regional acute care hospitals.
Better (2007), by Atul Gawande begins with the story of Dr.Gawande as a surgeon in his final year in medical school. The first struck me because of the patient’s story. It was an elderly patient who nearly died from septic shock had it not been for a senior resident who checked on the patient twice each time making a life altering intervention to prevent the patient with pneumonia from going septic shock from resistant, fulminant pneumonia. Dr.Gawande discusses the importance of handwashing. In my own practice, this is something that I can incorporate in my own practice.
The morality of Healthcare acquired infections has increased tremendously whereas; both inpatient and outpatient clients have been infected during a hospital visit. These infections has weaken the sick which may lead to additional medications, or surgery, and extended hospital stay. According to (CDC 2002), healthcare acquired infections are result of unhygienic practices in medical field. This includes ambulatory surgical centers, hospice center, nursing homes and rehabilitation centers.
Policy and Procedure CAUTI Prevention Policy Name: Catheter Associated UTI Prevention Purpose: To identify causes and take measures for the prevention of Catheter Associated Urinary Tract Infections (CAUTI) in the healthcare setting Population: Healthcare members and patients who are caring for a urinary catheter either at home or in the hospital setting Introduction: The mission of this policy is to inform healthcare workers of the proper procedures to follow in regards to the prevention of catheter associated UTI’s in the hospital setting. In order for this mission to be accomplished, all workers must follow this policy in the clinical and work environment. The main goal is to prevent unnecessary catheter associated infections.
Central line associated bloodstream infections (CLABSIs) in 2009 were amongst 23,000 infections in the inpatient population of US hospitals. (Sweet, Cumpston, Briggs, Craig, & Hamadani, 2012) These infections increase morbidity of patients, mortality, and increase cost. Those that are at risk are the population with central venous catheters. This infection is commonly due to improper hub care and consequently provides the direct introduction of the bacteria into the blood stream. A fairly new intervention to prevent this morbid infection is the implementation of alcohol impregnated protective caps, otherwise known as the brand name Curos caps in addition to others.
The first element identified for the safety goal is staff and patient education on surgical site infection. Staff at my facility must undergo mandatory training upon hire and yearly regarding policies, procedures and protocols that need to be strictly adhered to in the prevention of surgical site infection. Patient’s are educated prior to surgery during the preoperative phone call and asked to bathe the morning of the surgery or the night before using antibacterial soap. For total joint procedures there are additional steps in the
Identify current patient safety goals for one health care setting NPSG.07.06.01 Use proven guidelines to prevent infections of the urinary tract that are caused by catheters. Managing indwelling urinary catheters according to established guidelines is crucial for patient safety. It is important that health care providers are securing catheters for unobstructed urine flow and drainage, maintaining a sterile system for urine collection, and replacing the system when required. These things, along with collecting urine samples, are all examples of how to implement the evidence-based guidelines to ensure safety and quality health care to patients (The Joint Commission, 2015).
National Patient Safety Goals (NPSGs) are critical in ensuring that healthcare providers offer quality care to their patients while minimizing potential risks of adverse events or injuries. The Joint Commission has established these goals as a tool to help healthcare providers identify opportunities to improve patient safety and reduce the risk of harm. As a nursing student, I have been learning about the NPSGs, and I have found them to be an essential guide to help me navigate my responsibilities in caring for patients. In this essay, I will discuss the NPSGs and give specific examples of how each goal relates to my experience this semester.
The infections cited include reducing central line bloodstream infections, surgical site infections, multi-drug resistant organisms, and catheter-associated urinary tract infections (Chinn, 2014). In the article’s discussion of how this applies to practical daily application, the author discussed the number one way to
The primary prevention is the best way to eliminate the potential for exposure. Since hand washing is the most effective mean of spread of infection, it would be my primary goal to increase the compliance of hand hygiene among healthcare workers, but also an extensive education of patients and family members on hand washing before and after touching the patient as well as afar any contact with any potentially contaminated materials (surface, body fluids or respiratory secretions). Mandatory education of patients, visitors and healthcare workers, across the system as well as cross department compliance practices are single best mean of preventing the spread of infection. For example, every patient and family member can be educated about hand hygiene, use of PPE-personal protective equipment (face mask, gowns and gloves). Although, the practices are already being utilized, I believe the compliance is poorly monitored.
Department of Health and Human Services established an objective for Healthy People 2020 to prevent HCAIs, this reflects that the U.S. health care system is committed to and serious about solving this issue. These objectives address two extremely important topics, central line-associated bloodstream infections, and methicillin-resistant Staphylococcus aureus (MRSA) infections. Also, there are other major causes of HCAIs that Health and Human Services is working on their prevention such as urinary tract infections (UTIs) associated with catheters, infections of surgical wounds and sites, C. difficile infections, and ventilator-associated Pneumonia. Researches done on HCAIs shown that we can prevent many of these infections by implementing effective strategies to eradicate it, adapting some advanced prevention tools, and following new prevention approaches. There should be a more focus on HCAIs prevention in acute care settings.
Employees working in pediatrics hospital are supposed to take precautions to protect their patients and staff from exposure to potentially infectious materials. A fundamental component of standard infection prevention measures are a system of barrier precautions to be used by all personnel
In the leadership in care delivery course, we were assigned to a hospital to perform clinical hours and provide care to four patients. Additionally, the purpose of this paper is to explain and provide examples on how our patient care included the concepts of Quality and Safety Education for Nursing (QSEN) competencies, delegation, handoff reporting, and a reflection of the clinical experience. Quality and Safety Education for Nursing (QSEN) Competencies QSEN consists of six competencies: patient centered care, quality improvement, teamwork and collaboration, safety, informatics, and evidence based practice. To provide patient-centered care, I had to educate the patient when administering medications on why the patient was taking the medication and side effects. Care had to be individualized with each patient and it included providing respect with his or her decisions in their care.
The facilities enforcing protocols and policies to secure that employees are meeting government regulations. Doctors, nursing staff and support staff I must use their best ethical and moral judge in most case to ensure patients are being retreated. Thus, sometimes causing conflict with health care administration because health care workers sometimes unknowingly break policies or protocol by putting patients first. As well as hospitals and clinics have so many departments that there can be conflict of interest with patient care that can cause inconsistency with patient care (Santilli, J. el al., 2015, Para
Presently, health care practices are mainly based on evidence that is created through research. It is also clear that some sources are not as good as others. Using distinct knowledges and research, evidence-based practices are developed. With the PICOT question already identified, this paper will proceed to the research part. Hand hygiene is said to be the most operative answer to avoiding the development hospital-acquired infections (HAIs).