Peripheral intravenous catheter (PIVC) is the invasive procedure that most commonly practised clinical procedure. There are over half of patients admitted to the hospital required peripheral intravascular cannula (PIVC) inserted. However, there is no data reported on the use of PIVC in Malaysia. The surveillance of the estimated used of PIVC in developing countries such as Malaysia is still under evaluated due to lack of resources and trained staff. Since, PIVC required penetration of a catheter into the bloodstream, risk of catheter blood stream infection is existed. Hospital acquired infections estimated that the catheter related infections is up to 19 times higher in low and middle income nations compared to North America in both paediatric …show more content…
The information gained from this study will be valuable in directing future policy and budget initiatives in the healthcare sector. The collaborative nature of the study will also assist in building networking opportunities and research capacity among healthcare workers in diverse environments, which will facilitate the development of further research opportunities in the future. Materials and methods An observational study design was used for this study. The study was conducted in medical, surgical, obstetric and orthopedic ward in Hospital Tunku Ampuan Afzan, Kuantan Pahang using convenience sampling method. Data were collected from February to September 2015. The total population sample that obtained from Hospital Tengku Ampuan Afzan in 2013 showed that total admission of patient was 52,806. Therefore by using Raosoft software, the number of sample size calculated was 490 with 5 % margin error, 95 % confidence interval and 50% response distributions. The inclusion criteria for this study were the patients must be an adult male or female who already hospitalized in HTAA. Besides, the patient must has peripheral intravenous catheter intact upon assessment and patients have to agree and signed the written informed consent before the assessment is done. Whereas, the paediatrics patients excluded from this …show more content…
More than half of the PIVC insertion were for IV fluids purposes (62.4%), followed by IV medication purposes (31.8%), blood product transfusion purposes (3.1%), taking blood purposes (2.2%) and only 0.4% for chemotherapy. PIVC insertion were dominated by doctors where, over half of the PIVC insertion were inserted by the doctors (84.5%) and only 15.5% were inserted by nurses. 91.8% out of 490 respondents were placed in the PIVC in the general wards whereas the other 8.2% were recorded to puncture at the emergency
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All around hospitals you see where signs are up that have step by step procedures, hand washing reminders, and the list goes on; although finding studied evidence that these visual aids work was difficult to find. For this review, an article was chosen that analyzed predictors of healthcare provider stethoscope disinfection and its impact on infection control in the pediatric population. An anonymous survey was sent out and a topic that was explored was barriers to disinfections. Most believed that stethoscopes had the ability to spread infections, but nevertheless, very little healthcare providers indicated that they disinfected their stethoscope after every use. (Muniz, Sethi, Zaghi, Ziniel, & Sandora, 2012)
Before the start of this class, the pursuit of the triple aim within the context of a smaller health system has been somewhat elusive for me. However, this semester’s class has provided me with fresh perspectives and practical ideas on incorporating the principles of the triple aim into a smaller organization. The practice I work for has a one hundred year history of providing patient care in a community-based setting and over the course of this one hundred years, our organization has learned to flex and change with the times. The current climate in health care represents another cycle of change for our group.
A variety of devices and techniques are available for IV therapy such as an infusion pump, syringe pump, mini infusion pump and IV piggyback/tandem. Large volumes of fluid require an infusion pump this is so the nursing staff can control both the rate and amount of fluid or medication that is given to a patient. The amount of fluid or medication that needs to be delivered to a patient can be set on an hourly basis over a period of hours in total, or until the bag of fluid has finished and another one hung up (Koutoukidis, Stainton, Hughson, 2013, p 452). An infusion pump could be used for a dehydrated patient that will require more than one bag of fluids. Using an infusion pump to control the amount of fluid/medication the patient is to receive also assists in preventing circulatory overload (Koutoukidis et al, 2013, p 452).
With workforce shortages in many health professions and occupations, educational institutions and policymakers are attempting to meet the challenging demand for additional personnel. Health professional associations, state governments, and higher education bodies all are involved, in one way or another, in trying to address the changing needs of the health care system. Rather than moving ahead in a coordinated and singular direction, however, there are many contradictory forces operating, often in competition with each other. Much public and professional attention has been directed to medicine, the most influential of the health professions, and nursing, the largest health profession; far less attention has been directed to some of the other health professions and occupations, many of which are undergoing rapid change. It is these other health professions and occupations that are the primary focus of this monograph.
Within RCIS, RCES, ST, and perioperative nursing fields, they are all assigned specific tasks for each procedure, so they are only responsible for a limited part of their scope of practice at a time. As a result of the complexity of the procedures undertaken by this group, they must also be able to work well in a team. Due to the risk of infection, these professions are also all highly trained in both sterile and aseptic techniques. The invasive professions, however, do share some similarities with noninvasive professions.
With the advent of the society, the healthcare system has been one of the main beneficiaries as governments embark on improving the healthcare realm so as to ensure better living standards. The modern day healthcare system is one that aims at eliminating any form of healthcare service limitation through the increment of healthcare dispensation outlets. As opposed to the past the medical field has been stratified to accommodate different types of healthcare needs. The diversity in healthcare facilities enables the people to seek the appropriate healthcare treatment in the right places hence making the process faster and more efficient. This in the long run has ensured an efficient dispensation program achieving better results and satisfaction
Introduction The author’s department has cardiac device implantation for about nearly two years. However, cardiac ward nurses are facing problem with the preparation and care of patient about post cardiac devices implantation. The author who is the cardiac nurse clinician was asked to give a lecture to the nurses from the cardiac ward. Teaching plan Item
Introduction In this project, we were asked to find an issue and to try to find a solution using design thinking and empathy skills that we learned in the class. Therefore, created a group to implement this project with group members are Ahmed Alkhmeri, Khalid Askar, Saleh Almahri and Abdullah Alali. We selected Cleveland Hospital for this project, the Stakeholders in this hospital are: - 1) Patient 2) Officer 3) Nurse 4)
Review of literature provides basis for future investigations, justifies the need for replication, throws light up on feasibility of the study, and indicates constraints of data collection and helps to relate findings of one another. The literature review for the present study has been organized under the following:- A cross-sectional survey was conducted at six acute care hospitals in the Kanto and Kinki regions in Japan. The study was conducted in 2011. A total of 1953 participants received self-report questionnaires along with written information about the study.
Methods: An Institution based cross sectional study was conducted from March 1, 2013 to August 30, 2013. During the study systematically selected 806 mothers who visited the maternal health care services at three Amhara Regional State Referral Hospitals were included. The data were collected through face
The study was conducted in Jawaharlal Institute of Post graduate medical Education and Research (JIPMER) a tertiary care hospital, an Institute of National Importance under the Ministry of Health and Family Welfare, Government of India. JIPMER is a tertiary care hospital with a daily average number of out-patient attendance of 6247 and total number of yearly patient admission
Among all the healthcare professionals, nurses play the greatest role in the participation of the care of patients as nurses spend the most time with patients and able to incorporate various processes of care provided by the different expertise (Ballangrud et al, 2013). As can be seen in the government settings in Malaysia and in line with other countries, whereby patients are scattered and numerous, a team comprises of all health care professions involved will have ward rounds to discuss patients’ condition in the present of patients themselves as well as their family members (Burns, 2011). Besides, this integrated care also functions as health promotion to patients, besides determining potential threat linking to patients’ illness to ensure safety care, as proven by a systematic review done by Weaver et al (2013). As this type of care involve the multidisciplinary professions, a patient-centered
McNamara, Harmon, & Saunders (2012) noted the positive effects of educational intervention and training in pain management. A study was conducted among nurses (N=59) in Ireland. The result of the study demonstrated a significant improvement on nurses’ knowledge and attitude towards pain assessment after attending an acute pain educational program. Consistent with the above findings, Ho, S., Ho, C., Pang Yuen, H., Lexshimi, R., & Choy, Y. (2013) conducted a study among nurses (N=86) in Malaysia.
Introduction Quality improvement in healthcare has become a priority in many countries. Resource limited countries in particular have in the in the recent years focussed their attention on human resources required to deliver healthcare in an effort to achieve targets for the United Nations Millennium Development Goals (MDGs). More emphasis is now being placed on health worker performance and motivation (Chen et al., 2004). Quality of care embraces the utilization of essential resources to provide health, including essential drugs and equipment and health workforce, as well as patient involvement. Access to health to services and quality of healthcare is solely dependent on the health workforce and therefore their performance and productivity in healthcare provision is of utmost importance (Dieleman et al., 2006).