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). Notwithstanding this, a slow hand washing compliance rate among medical practitioners still exists. Fewer than 40 percent of health care workers are stated to exercise regular hand washing. Another factor is the lack of lack of sinks, in easily reachable areas dryness and irritation, or shortage of supplies all gives rise to the low compliance rates …show more content…
Can an increased hand washing practices by health care provides reduce the rate of catheter associated urinary tract infection (CAUTI)?
3. Between hand washing and the use of alcohol which is a more potent way to prevent hospital acquired infections.
4. Which is better? Hand washing or isolation of the sick persons with infections in the prevention of hospital acquired infections.
5. Does the use of hand washing, and antisepsis lower the rate of hospital acquired infections?
The fifth PICOT question is selected because of the reported low compliance percentage among medical caregivers. The results might gain more meaning if they could be strengthened more by increased actions to establish the importance of hand hygiene among care givers (Fox, et al., 2015). This condition is made extra appealing because the existence of the untoward events such as HAIs decreases the reimbursement by health care facilities based on the rules by CMS to decrease the frequency of adverse incident in care delivery.
My PICOT Question
For this project portfolio, the PICOT question of interest will be, if the use of hand washing, and antisepsis lower the rate of hospital acquired
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PICOT question- In an adult inpatient psychiatric unit with patients with one or more active DSM-V diagnoses (P), how does staff engagement following TIC and the tidal model guidelines (I) compared to our current standard of care of maintaining therapeutic milieu and de-escalation as needed (C) affect incidences seclusion, restraints and harm of other patients and staff (O) over 12 month period (T)? A systematic review is usually conducted by experts to answer a clear clinical question by reviewing studies (Melnyk & Fineout-Overholt, 2015).
Researchers used nursing theories to help guide research on complicated phenomena(Connelly, 2014). After reviewing evidences collected on the topic "Antibiotic therapy and Clostridium difficile infection (CDI)", the most common theories that have been cited are, exposure to antibiotic, especiallyin patients that have been previously diagnosed with bacterial infections(respiratory, urinary and osteoarticular infections) are significanly at risk for acquiring CDI and theory for prevention cited was implementation of an Antibiotic stewardship program. Inaddition,hand hygiene, contact precaution and environmental cleaning protocols where other interventions listed. Concept Definitions Exposure to antibiotic- is operationally defined as the last time within 30 days a hospitalized patients received antibiotic therapy before the current hospital
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.
7 / D.P7: Explain how different procedures maintain health and safety in a selected health or social care setting Maintaining health and safety in health and social care is extremely important to ensure the health, safety and wellbeing of all their service users as well as other individuals service providers may come in contact with in the setting. There are several procedures that help to maintain this health and safety however they can all vary between settings for example, health and safety procedures will be slightly different and more focused on certain areas in hospitals and especially in paediatric ward compared to in drop-in centres where the needs and risk to service users are slightly different. Some of the procedures used in health and social care to maintain health and safety include; infection control and prevention, safe moving and handling of equipment and individuals, food preparation and storage, storage and administration of medication and storage and disposal of hazardous substances.
Lots of health care services, including certain procedures, are now performed in an outpatient setting, such as ambulatory surgical centers, which increases the risk of acquiring an infection, as the outpatient setting usually have a much less oversight and infection control compared to a hospital
I am employed at Borgess Hospital and in our office bathroom there is a sign to remind employees to wash their hands properly. This topic gets brought up frequently during staff meetings and we even have a few posters around the office. The instructions include 1. Wet hands with warm water 2. Apply soap 3.
A work environment requires more consideration for those around you and how your actions impact their health and wellbeing. It is astonishing to realise how quickly germs can spread through basic hygiene neglect. Poor hygiene can contribute towards many health-related problems. We have already explored how infection control can reduce these risks but it is always worth reminding yourself of these.
It was a satisfying moment as a nursing student to not be afraid and know how to provide safe and preventative care to reduce the risks for falls, such as having my clinical instructor, a colleague and myself to help a client that has fragile bones and was confused because of their medical diagnosis. As well, we can provide proper prevention and infection control by applying correct hygiene care after assisting a client with an infection such as clostridium difficile. What did not go well after this experience is I found out that this client had clostridium difficile and at first, I was scared that now I am at risk and will acquire this infection. Instead, I looked at it as I am overcoming my fear of the different infections and diseases I will be exposed to as a nurse and that is why learning how to perform proper hygiene is very important. This bad thought turned into a learning curve and that nothing will make me not provide safe and effective care to any client.
Through the learning from week 1 and week 2, I have learnt that the most frequent adverse event in health-care delivery is health care-associated infections. It is essential for us to follow the infection control practices that both patients and us are at a risk of being infected. Standard Precautions involve the use of safe work practices and protective barriers, for example, the use of personal protective equipment(PPE). At first, I think Standard Precautions are very easy. Everyone knows PPE can protect us from infections and hand hygiene is important throughout the process.
A vital part of the nursing profession is nursing research. Clinical questions for specific patient problems are identified so that healthcare providers can find clinically relevant information using Internet search engines and databases (Higgins & Green, 2009). The main principle of nursing research is to produce new knowledge. The primary function of evidence based practice is to make evaluations about patient care built around the most current and best evidence that was collected by a systematic problem solving method. This paper will discuss hypothyroidism in pregnant women, and the risk fact of miscarriage during the first trimester of pregnancy.
In all areas of healthcare, particularly in acute care settings, patients may be unable to care for their nutritional and/or hygienic needs properly. One area that is especially important to address is the perineal care of patients who are incapacitated, or otherwise unable to care for their hygienic needs independently. Normal bacterial flora can develop into an opportunistic infection if the bacteria reaches certain areas of the body. For example, a common cause of urinary tract infections (UTI) is due to Escherichia coli from the colon coming into contact with the urethra (Copstead & Banasik, 2013). If the patient is immunocompromised, elderly, sedentary, or otherwise compromised in their abilities to void, this can predispose the patient
1. A study by the university of Pennsylvania State found that, “using public restrooms on a university campus indicated that 61% of women observed washed their hands with soap” (Johnson) (expert) 2. Don’t was their hands before making a meal infecting the food with any bacteria present on their hands. TRANSITION: Now that we have looked in to some of the groups of people that don’t wash their hands you might still be think okay they don’t wash their hands big deal.
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
• Washing hands – All services should have policies and procedures implemented within their program to encourage good hygiene such as washing hands, educators should role model these practises and teach the children when it’s appropriate to wash their hands, such as after they have been to the toilet, before and after meal times, and if they are sick to prevent the spread of infection through droplets in the air. Also educators need to be washing their hands before and after administering medication and changing children’s nappies, wiping snotty noses, dealing with bodily fluids and also wearing gloves as a barrier to prevent infection spreading. (Canberra, 2012) • Cleaning – All toys, surfaces and equipment in the service should be regularly cleaned and disinfected with warm soapy water, this helps prevent the spread of germs as depending on the age of the children they often go through stages of putting things in their mouths, and by cleaning floors and surfaces will help to keep dust and general dirt and grime to a minimum and also prevent the spread of infections. •
The main reasons for developing a HCAI are poor hand hygiene by healthcare staff, medical device related infections such as intravenous lines and urinary catheters and the overuse or improper use antimicrobials. Hand hygiene is the cornerstone measure to prevent healthcare associated infection (HCAI) and it has been shown that MRSA is primarily transmitted from patient to patient via the hands of healthcare professionals (Donskey, 2009). Although hand hygiene is the simplest, most effective and most cost effective way to prevent the spread of HCAIs (Pratt et al. 2007) (Kilpatrick et al. 2013), adherence to hand hygiene among health care professionals remains low worldwide (WHO, 2009).