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Hand hygiene problems
Hand hygiene problems
Effects of hand hygiene
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1.0 Introduction
It has come to our attention that three of your hospitals located in South Africa have failed the annual healthcare facility inspection, examined by our organization inspectors last week. The inspection involved three health inspectors, where they were assigned in three different hospitals; each inspector observed the healthcare workers for 24 hours. All three hospitals have failed to comply with the proper needle handling method, demonstrating potential hazard can occur to both staff and patients in South Africa. Throughout this analytical report, it would bring out an awareness on how needlestick injuries are a huge threat towards healthcare workers due to high rate of blood-borne diseases present in South Africa. This will also prove that a huge issue, like needlestick injury, can be easily prevented with the cooperation of all staff in the hospital.
1.1 Problem
Needlestick injury is the piercing of the skin caused by a needle, which was in contact with blood or other body fluids, before the exposure. It is very important that appropriate precautions are taken to prevent needlestick injuries, to avoid any untreatable blood-borne diseases. The common blood-borne diseases that have infected healthcare workers are Human Immunodeficiency Virus (HIV), Hepatitis B, Hepatitis C, or Viral Hemorrhagic Fevers. During the inspection, nurses who were assigned to draw blood were seen handling the needlestick carelessly, leaving our organization concerned about their safety. This organization’s goal is to provide equipment and support for all countries, especially developing countries with any healthcare issues. Staff in hospitals should view needlestick injuries as a serious concern towards their employees and should tak...
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...ous experiments completed at hospitals around the world, researchers have verified that engineered safety needle are 80% effective compared to other needles (Kakizaki, 2014). Countries like Canada, have regulations where it is mandatory that engineered safety needles are being used in all healthcare settings. With the help of the World Health Organization and Universal Fund Coverage, the funds can be received for hospitals with a high rate of needlestick injuries, or can purchase enough for all beginner staff in hospitals. The drawback of this device is the pricing of the needles, which can range from 45 to 75 million dollars for certain quantities. (Kakizaki, 2014) The needle required takes one month to be implemented into hospitals, which can be used for long-term use. South Africa would soon notice the decrease in needlestick injury rates after the implementation.
The main purpose of needle exchange programs is based on the idea that access to sterile needles will significantly reduce needle sharing and will in turn reduce HIV transmission. It is also believed that implementing needle exchange programs will allow more opportunities for other forms of HIV prevention education to come about and increase people’s access to HIV treatment services. These exchange programs have opened up plenty of things that work to help reduce the spread of HIV, such as the use of condoms, bleach kits, and giving people referrals. These programs came about because there is the growing knowledge that people who are not ready for drug treatment and who use many different types of drugs through the use of needles, is causing more and more people to get infected with HIV and is not helping the programs that are used to reduce the spread of HIV. Needle Exchange programs offer free new sterile needles in exchange for old, used ones that are collected from injection drug users (Health News).
The lack of information, other the endangering other patients that sought for medial care, also put at risk the heath of doctors, nurses and other medical assistants. Used to treating infectious diseases without the proper protection equipment, such as gloves, goggles, gown and masks, the medical staff treated Tse, and other patients infected with SARS, without any precaution. The mentioned careless procedure contributed for the infection of many medical professionals, and the consequent spread of the disease in Toronto.
Popp, W., Rasslan, O., Unahalekhaka, A., Brenner, P., Fischnaller, E., Fathy, M., . . . Gillespie, E. (2010). What is the use? An international look at reuse of single-use medical devices. International journal of hygiene and environmental health, 213(4), 302-307.
In our organization we have had many revisions to our safety process. Originally, it was at our hospital that the 1996 well known “Willy King” incident, about the amputation of the “wrong” leg occurred. As a response to the incident, we were required to develop a root-cause-analysis and develop a plan to avoid similar situations in the future. We were one of the first hospitals to establish a “safety process” in the surgical environment. Through inter-disciplinary collaborati...
Healthcare workers working in close proximity with infected patients are required to take various standard precautions. These standard precautions include hand hygiene, wearing personal protective equipment, appropriate management of sharps and waste and appropriate decontamination of the working environment. For their own protection, a healthcare worker must assume that all blood, body fluids and secretions from patients are potentially hazardous and my cause infection. If the appropriate precautions are taken, healthcare workers can prevent becoming infected with TB themselves (HSE/HSPC, 2010).
The topic chosen is blood transfusion. Blood transfusion is one of the most common procedures that are performed in the hospital setting to save lives and help improve one’s health. People who have serious injuries may need blood transfusions to replace the lost of blood. Some of the injuries are more critical than others and require an enormous amount of blood. In addition, many people have illnesses that prevent their body from making blood properly. Blood circulates in the body providing oxygen and nutrients and collects waste so it can be eliminated by the body; therefore, it is an important factor for everyone’s lives (Lewis Medical surgical nursing). Blood should be carefully transfused. Although it is a lifesaver, nurses should follow the proper procedure and strict guidelines to safely transfuse the blood. One sample error during transfusion can cause someone life.These situations can lead to death, especially in serious cases. So nurses must have knowledge and understand the purpose of blood transfusion.
Policies and procedures are guidelines that are instituted and followed by organizational staff to perform skills or interventions safely and proficiently. Examined below is the policy and procedure for nursing staff to obtain blood cultures via central catheters. Also mentioned below is the survey of five unit nurses performing this procedure and possible deviations taken from the current Salem Hospital policy. Possible reasons of not following an institution’s policy and procedure guidelines, consequences of not following evidence-based practice, and proper response when discovering unsafe practice are also researched.
The focus of health care is and has always been, practicing good hygiene, living a healthy lifestyle, and having a positive attitude reduces the chance of getting ill. Although there is not much prevention we can take for some of the diseases but we can certainly practice good hand hygiene to prevent infection and its ill effects. Research proves that hand washing is surely the most easy and effective way to prevent infection in health care. The question for this research: Is Hand washing an effective way to prevent infection in health care? It led to the conclusion that due to the high acuity, high patient: staff ratio, and lack of re evaluation certain units in the health care facilities cannot adhere to correct hand washing guidelines. Hand
This literature review will analyze and critically explore four studies that have been conducted on hand hygiene compliance rates by Healthcare workers (HCWs). Firstly, it will look at compliance rates for HCWs in the intensive care units (ICU) and then explore the different factors that contribute to low hand hygiene compliance. Hospital Acquired infections (HAI) or Nosocomial Infections appear worldwide, affecting both developed and poor countries. HAIs represent a major source of morbidity and mortality, especially for patients in the ICU (Hugonnet, Perneger, & Pittet, 2002). Hand hygiene can be defined as any method that destroys or removes microorganisms on hands (Centers for Disease Control and Prevention, 2009). According to the World Health Organization (2002), a HAI can be defined as an infection occurring in a patient in a hospital or other health care facility in whom the infection was not present or incubating at the time of admission. The hands of HCWs transmit majority of the endemic infections. As
(2014) shed light on two key components for infection control, which includes protecting patients from acquiring infections and protecting health care workers from becoming infected (Curchoe et al., 2014). The techniques that are used to protect patients also provide protection for nurses and other health care workers alike. In order to prevent the spread of infections, it is important for health care workers to be meticulous and attentive when providing care to already vulnerable patients (Curchoe et al., 2014). If a health care worker is aware they may contaminate the surroundings of a patient, they must properly clean, disinfect, and sterilize any contaminated objects in order to reduce or eliminate microorganisms (Curchoe et al., 2014). It is also ideal to change gloves after contact with contaminated secretions and before leaving a patient’s room (Curchoe, 2014). Research suggests that due to standard precaution, gloves must be worn as a single-use item for each invasive procedure, contact with sterile sites, and non-intact skin or mucous membranes (Curchoe et al., 2014). Hence, it is critical that health care workers change gloves during any activity that has been assessed as carrying a risk of exposure to body substances, secretions, excretions, and blood (Curchoe et al.,
Patient safety must be the first priority in the health care system, and it is widely accepta-ble that unnecessary harm to a patient must be controlled.Two million babies and mother die due to preventable medical errors annually worldwide due to pregnancy related complications and there is worldwide increase in nosocomial infections, which is almost equal to 5-10% of total admissions occurring in the hospitals. (WHO Patient Safety Research, 2009). Total 1.4 million patients are victims of hospital-acquired infection. (WHO Patient Safety Research, 2009). Unsafe infection practice leads to 1.3 million death word wide and loss of 26 millions of life while ad-verse drug events are increasing in health care and 10% of total admitted patients are facing ad-verse drug events. (WHO Patient Safety Re...
Washing of the hands with antiseptic soap after a contact with saliva, open wounds, blood, urine, vomitus or stools. The washing should last for at least 30 seconds. Because of the risk of infection with HIV, protection of the physiotherapist should also include work wear, plastic medical gloves and mask. The physiotherapist should be able to treat each patient as an individual. Human dignity must be respected. Small details such as the use of the first name of the patient, the complete explanation of the whole treatment details and continuous guidance for the patient’s orientation at the place and time are widely applied. The recovering environment of the intensive care unit should include the presence of windows to make the accommodation of the patient more pleasant and help him orientate in time. Applying all that non clinical aspects during the treatment will give a positive outcome on the treatment and together with the experience will make the work much more
Many studies are done on the causes of the spread of infectious disease, and their conclusion has been due to the transfer of germs, bacteria or viruses from one person to another. All the studies come down to the fact that proper hand washing technique can prevent the spread of those diseases. “Every year, lives are lost because of the spread of infections in hospitals. Health care workers can take steps to prevent the spread of infectious diseases. These steps are part of infection control” (Medline Plus). People feel sick or even lose their life because of infectious diseases that are passed by germs from one to another. When it comes to health care providers they have to be really careful because they can become the transferring agent of diseases. When they go from one ill patient to another, they can bring one patient’s germs to another. They need to take the simple precaution of hand washing in between patients to stop diseases from spreading. Health care providers have to be cautious about germs not just for their patients, but also for their own families. Because they can ta...
The purpose of his article was to find a better way to prevent healthcare-associated infections (HCAI) and explain what could be done to make healthcare facilities safer. The main problem that Cole presented was a combination of crowded hospitals that are understaffed with bed management problems and inadequate isolation facilities, which should not be happening in this day and age (Cole, 2011). He explained the “safety culture properties” (Cole, 2011) that are associated with preventing infection in healthcare; these include justness, leadership, teamwork, evidence based practice, communication, patient centeredness, and learning. If a healthcare facility is not honest about their work and does not work together, the patient is much more likely to get injured or sick while in the
The Centers for Disease Control and Prevention (CDC) estimates that each year 385,000 needle sticks and other sharps related injuries are sustained by hospital-based healthcare personnel. Similar injuries occur in other healthcare settings, such as nursing homes, clinics, emergency care services, and private homes....