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Infection prevention in hospital setting
Hand hygiene problems
Infection prevention in hospital setting
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Recommended: Infection prevention in hospital setting
Summary: In this journal Deborah Ward speaks about how hand washing is only the first step in infection prevention and that there are many other steps that must be taken such as the use of sterile gloves. Mrs. Ward talks about client home care and how with these clients it is not always easy to keep a sterile environment. Deborah Ward explains how when using alcohol rubs is that they need to be used just as thoroughly as soap and water. While alcohol rubs are handy hand washing should still be taking place every time a nurse enters a patient's room. Mrs. Ward explains how as the nurse you should always be doing risk assessments for what form of personal protective equipment you should be utilizing while working with clients. She also explains
Author Deborah Landry in her article “Teachers' (k-5) perceptions of student behaviors during standardized testing” written for the Curriculum and Teaching Dialogue in 2006 examines the effects of standardized testing on student behavior as perceived by their teachers. Landry works with sixty-three teachers in grades kindergarten through grade five from two northeastern school districts in Oklahoma and found teachers to have had perceived many changes in student behavior during standardized testing. These changes had a wide range of what was described by Landry as distressing results including which included such things as fear and a sense of helplessness by the students observed. Landry also found that not only had standardized testing affected students negatively by raising such things as anxiety levels but also discovered that it is also impacting the teachers themselves who are responsible for
Today was quite a nice experience. There were a lot of volunteers in the office so it's kind of hard to have a lot of one-on-one time with patient. I ended up working closely with the hygienist for most of my time there. She showed me her day to day experiences and some techniques she uses to calm patients. It’s important to experience working with every dental professional. As a future dentist I'll be interacting with the entire dental team including the hygienist, so today I decided to stick with the hygienist.
In the book "The boy who couldn't stop washing" by Judith L. Rapoport, M.D., the narrator, Rapoport, deals with hundreds of mentally disturbed children and adults who suffer of Obsessive-Compulsive Disorder (OCD). Rapoport describes the intricacies of the disease and its treatments as well as the fact that the cause is unknown but there are many probable theories. Victims of this horrible disease are plagued with overwhelming thoughts of insecurity that tear apart their lives and haunt them, increasingly, over their lifetimes. Rapoport while learning about OCD, herself, learned how to treat each one with many different psychological perspectives including: biological, behavioral, and psychodynamic contributions. A story on ABC's 20/20 about OCD brought Rapoport's new study on the disease to the light, resulting in thousands of calls to her office daily from desperate OCD sufferers.
“The CDC is the primary developer of national infection control and prevention guidelines, often in collaboration with its Healthcare Infection Control Practices Advisory Committee, which is responsible for research and dissemination of the latest information for preventing disease transmission” (Griffis, 2013, p. 175). Infection control will continue to be a topic of discussion as long as germ transmission is still happening. Among these studies is the concern the frequent nonadherence to contact precautions is a huge issue that many studies are still very concerned about (Jessee & Mion, 2013, p. 966). The writer is also concerned with the blatant disregard for hand hygiene that appears to be happening in the medical field. What about what is best for the patient. Do the people that do not use proper hand hygiene not understand how important it
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
The systematic review; Interventions to improve hand hygiene compliance in patient care, conducted by the Cochrane Collaboration investigated inventions to improve hand hygiene compliance within patient care. The review included 2 original studies with an additional two new studies (Gould & Moralejo et al., 2010). Throughout the review it was affirmed that among hand hygiene is an indispensable method in the prevention of hospital-acquired infections (HAI), the compliance among nurses’ is inadequate. Nurses are identified within the public as dependable and trustworthy in a time of vulnerability due to their specialised education and skills (Hughes, 2008). Thus, it is imperative that evidence based practice is cond...
... to obtain anti-obsessional effects. Studies done to date suggest that the following dosages may be necessary: Luvox (up to 300 mg/day), Prozac (40-80 mg/day), Zoloft (up to 200 mg/day), Paxil (40-60 mg/day), Celexa (up to 60 mg/day), and Anafranil (up to 250 mg/day), (Jenike, 1999b).
Thus, for the purpose of this paper, I will be describing a scenario that I witnessed where a Registered Care Aide (RCA) provided care in an inappropriate manner by means of hand hygiene and highlight the importance of infection control as a way to minimize nosocomial infections and contamination of the surrounding
...).it is also very important that when treating all patients that we use a new set of gloves for each patient and the use of sterile gloves for wound dressings, open wounds and surgical procedures. If we were to apply a dressing for our client we need to use sterile gloves as the wound is open and we would want to prevent bacteria from entering (Flores, 2008). It is also important that we use as much disposable equipment as possible with our client and that all equipment is properly disinfected for each patient (Capriotti, 2003). We would also need to educate our client on the same principles, the client has to be very diligent as well in terms of their hand hygiene and to avoid touching the treated area as much as possible and if the wound is open to apply some sort of dressing to avoid it from becoming contaminated (Collawn, 2001 & Martin-Madrazo et al., 2009).
It is imperative to explore leadership factors that influence nurse use of foam hand sanitizer or soap and water appropriately when cleaning their hands as they enter and leave each patients room. Those in leadership must determine if a higher level of involvement from leadership equals more frequent hand washing from other nursing staff. Leadership must also ensure that the nursing staff understands that implications of not washing their hands after seeing each patient. When each member of the nursing team understands the importance of hand washing, the unit they work on will function better and their patients will have better outcomes.
Keeping our hands clean is a significant precaution everyone should take to avoid spreading germs and to prevent illness. According to the Centers for Disease Control and Prevention article, Handwashing: Clean Hands Save Lives, (Centers for Disease Control and Prevention , 2013) it states, “Handwashing is like a "do-it-yourself" vaccine.” Nurses are in a perfect position to teach handwashing to anyone; including patients, family, and friends. Improper hand hygiene is responsible for the spread of germs and sickness as well. It is never too late to learn and develop good habits to ensure prevention of illness. Because of this the teaching subject of this paper was an individual with a dehisced abdominal wound. He was responsible for changing the wet and dry dressings on his wound after discontinuation of a negative pressure wound therapy device. The subject is a 22 year old Caucasian male from a middle-class American family, in which he has a strong relationship with. He falls within Erikson’s growth and developmental stage of Intimacy versus Isolation. The young man is involved in a romantic relationship and is a bit self conscious of his incision and the scar that will remain. He is concerned about proper healing of the wound and prevention of infection. The subject shows interest in learning proper techniques and prevention measures to ensure against this possibility. The composer of this paper hopes to teach by demonstrating the proper approach to aid him in his current circumstance, as well as the importance of the subject at hand and have him mirror the technique. To assess the need for learning, he was asked several questions about his hand washing practices. This individual had a basic understanding that...
The story "The Washwoman" was about a elderly woman that did laundry despite her challenges. Even though she was elderly, she still made sure and did her job. The story shows how strong beliefs and hard work plays out. The Washwoman worked so hard and put a lot of pride in her work.
I feel sympathy for Tray and Deborah for Tray his pride was shot and he is broken down
Patient’s personal hygiene is a vital part of the nurse’s role. Young (1991) described cleanliness as a basic human right, not a luxury the need for the patient to physically cleansing and which would include skin, hair and nails.
QSEN is started as an initiative to give future nurses the quality education necessary to provide the quality care and safety for the community (Potter, Perry, Stockert, Hall, & Ostendorf, 2017). This nursing care ties in with the standard of care in competency because QSEN is providing the level of education needed for future nurses to be competent to provide the appropriate care for patients. Nursing process is break down of the care and treatment a patient is given depending on their illness in 5 stages of assessment, nursing diagnosis, planning, implementation and evaluation. The standard of care that can be defined by this nursing care is available information given. Nurses assess patients based on the chief complaint that patients give. The importance of this correlation is the rapport that is builds between nurse and patient. For example, if a patient does not disclose recreational use of opioids and the nurse gives them a sedative, such as propofol, for a procedure, the patient’s respiratory system will decline immediately. This is an example of lack of information given in which the nurse was not able to give the appropriate care and treatment. Last but not least, is the nursing care established on evidence-based practice. An example of this is the use hand sanitizers before and after enter a patient’s room. This practice has become a policy at many facilities to decrease infection. This correlates with the standard of care of following approved