By installing a pneumatic delivery system, the hospital system could have the licensed caregivers focus more time on providing excellent care to our patients. There are some noted concerns that using a pneumatic tube system for laboratory specimen delivery may increase the risk of hemolysis in a blood sample (Lima-Oliveira et al., 2014). However, this risk of hemolysis does not pose a substantial harm to patients and is clinically insignificant in the vast majority of cases. This is particularly true in the case of the Alvin C. York Medical Center as the units that would utilize the pneumatic tube system are units that do not serve patients with acute medical conditions. The delay that currently exists due to the extended length of time it takes to transport a specimen from one side of the campus to the other is likely more of a detriment to patient care as the risk of hemolysis from rapid
If a sponge or an instrument fell on the floor it was washed and squeezed in a basin of tap water and used as if it were clean. Our silk to tie blood vessels was undisinfected.... The silk with which we sewed up all wounds was undisinfected. If there was any difficulty in threading the needle we moistened it with bacteria laden saliva, and rolled it between bacteria-infected fingers. We dressed the wounds with clean but undisinfected sheets, shirts, tablecloths, or other old soft linen rescued from the family ragbag.
During my clinical preceptorship at New York Presbyterian Hospital, many patients that came into the hospital with urinary retention a catheter was inserted to determine the amount of urine in their bladder or post-void residual (PVR). Many patients later developed pain and a urinary tract infection or Community Acquired Infection secondary to frequent cauterization. Therefore, the gap identified was related to a knowledge deficit of the current practice that inserting a
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
The challenge still lies in the severe under-reporting of urinary incontinence issues. After all, seniors cannot get help if nobody knows there is a problem. If your senior loved one may be having trouble with urinary incontinence, it is important that they have their situation investigated. A full third of overactive bladder issues may be linked to lower urinary tract infections. Not only could the bladder problem be quickly reversed with a UTI treatment, but the pain and discomfort of the UTI would be addressed as well.
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.
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
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?
Staphylococcus epidermidis is the organism that was identified based on the tests that I had conducted. The tests that I used to identify this organism were the coagulase test and the catalase test. My bacterium was beta hemolytic as well. First, a gram stain had to be done to determine whether the organism was a gram positive organism or a gram negative organism. This determined which set of tests that had to be done.
In my facility, the safety of our patients is our top priority. We use a set of interventions using clinical indications to ensure the safety of patients with indwelling catheters. These indications are strict intake and output (I&O), patients monitored for acute renal insufficiency or failure, sedated patients with critical illness, and neurological patients monitored for syndrome of inappropriate antidiuretic hormone (SIADH) or diabetes insipidus. Patients suffering from acute urinary retention, or bladder outlet obstruction with the inability to void, as well as select surgical patients, are also indicated.
INTRODUCTION Infection Prevention and Control (IPC) is one of the most important agents in the prevention of hospital acquired infections or what we termed nosocomial infections. IPC channels every member of the hospital, which includes, healthcare providers (HCP), patients and the hospitals perse. It is important to practice IPC commandment to every hospital as well as community. The Palestinian Ministry of Health (MOH) adopted the national IPC protocol.
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).