Teamwork- All participant's in this scenario failed to adequately communicate their concerns not only to one another, but they didn't use their critical thinking, they doubted their gut. Worst of all they didn't speak up! What need's to be known is that questioning certain things is a must when it comes to doing what's best for each patient. Proper critical thinking includes the ability to question care and follow the right paths to ensure that wellness/health remains intact.
Communication- As mentioned above, the communication between health care professionals is what can stop tragedy in its tracks. The symptoms would have been brought up and dealt with instead of letting the patient get septic. The unit director was busy in this scenario,
…show more content…
Any infection, HAI (hospital acquired infections) or ones brought in from the outside world, can be transmitted from patient to patient if proper hand-washing is neglected. Patient's such as the father-daughter pair, when given the correct information, can make good choices about hand-washing. The daughter asked good questions, and the nurse reinforced the hand-washing procedures, which is an appropriate exchange to gain patient and their families trust.
Vaccination against the flu- Talking with patient's about the flu vaccine is important. It prevent's a lot of issues with the ones that receive it and the ones around them who will get this vaccine. Information/education must be given to plant the seed that will expand to a broader knowledge of how to stay prevent preventable communicable diseases.
Appropriate use of antibiotics- Overuse of antibiotics is a huge problem. Being that I have worked in a lab, I have seen the importance of doing confirmation cultures and sensitivities. This is the only way to be certain that the correct antibiotic is being used for correct infection/bacteria. Super resistant bacteria can become a major problem if the correct antibiotic is
His story of how they thought he had a heart problem, but it really was just a communication problem is baffling, however, it is not uncommon. “About 80% of all serious medical errors involve miscommunication during care transitions (to different care settings)” (Govette, 2016). Health care facilities always talk about how working as a team and communication is important to the facilities success, but it is often overlooked. I believe the reason for this, is that most facilities use text as a way to communicate and often don’t use any other methods. However, the miscommunication problem could be solved if they met with other health care professionals, or even talked to them over the phone to discuss the problems with a particular patient. Even just double checking with someone to make sure they read the patients file would help the situation
The other problems are the modalities that the hospital should employ so as to resolve the issue. While experts are in agreement over the need to find a lasting solution to the problem, they are, however, far from getting a standard stand on how to approach the matter. The implication is that even if the management is to find a ground, it is likely to be a partially binding since some people will oppose it while others will support it. That is a variable that serves to complicate an already complicated
own actions against each other have consequences negative to the other patients on the ward.
Healthcare-associates Infections (HAIs) are infections that patients acquire during the course of receiving healthcare treatment for other conditions and can be devastating or even deadly ("CDC - HAIs the Burden - HAI", 2013). An HAI was defined as a localized or systemic condition that (1) results from an adverse reaction to the pres¬ence of an infectious agent(s) or its toxin(s), (2) that occurs during a hospital admission, (3) for which there is no evidence the infection was present or incubating at admission, and (4) meets body site-specific criteria (Klevens et al., 2007, p.2).
As a result, she breached the standard 6 which states that “registered nurse should provide a safe, appropriate and responsive quality nursing practice” (NMBA, 2016). In line with this standard, nurses should use applicable procedures to identify and act efficiently to potential and actual risk such as unexpected changing patient’s condition (NMBA, 2016). Through early identification and response by the nurse, this will ensure that the patient’s condition is recognised and appropriate action is provided and escalated (Australian Commission on Safety and Quality in Health Care, 2011). Moreover, the nurse did not immediately escalate the patient’s deteriorating condition to the members of the health care team. Therefore, she also disregards the standard 4.3 stating that nurses should have work with the interdisciplinary health care team and to collaborate, communicate and discuss the patient’s status (NMBA,2016). The purpose of collaborating and communicating with the team is to provide a comprehensive plan of care for the patient and to facilitate early treatments needed by the patient (Cropley,
The lack of communication between patient and physician is a difficulty that this group experiences. The patient may be in denial, angry, and or frustrated and may not be able to communicate their feelings to the physician. It is important that the physician and team be aware of the body language. The physician needs to take the time to listen, and ask open-ended questions so the patient can reveal what is going on with them. Being supportive, sensitive, and nice will go a long way with this
Later in the article it goes on to say that in some circumstances, nurses, social workers, and pharmacists were too intimidated by the physicians to say anything about anything that they were questioning. I believe this plays a role in the systematical hierarchy that may be set forth in the health care professional environment. Another large factor in the ineffective communication between disciplines is that all of the disciplines have varying viewpoints of what the patients need first and last and because of this, other disciplines are unaware of what the group task may be instead of what their personal diagnoses of the problem are. Other factors that were listed in the article are limited opportunities for regular synchronous interaction throughout their busy daily schedules and unpredictable environment as well as differences in
The Center for Disease Control and Prevention (CDC) defines hand hygiene as, “a general term that applies to routine hand washing, antiseptic hand wash, antiseptic hand rub, or surgical hand antisepsis.” (Center for Disease Control and Prevention [CDC], 2013) The idea of hand washing has been around for centuries. In the mid-1800’s Ignaz Semmelweis established that hospital-acquired diseases were transmitted via the hands of health care workers. After Semmelweis observed physicians and health care workers in the obstetric setting and studied mortality rates he recommended that hands be scrubbed in a chlorinated lime solution before coming in contact with every patient. Following the implementation of Semmelweis’s recommendation mortality rates associated with childbirth fell from seven percent to three percent. Although Semmelweis observation and recommendations were significant fellow physicians and colleagues did not adopt them. The 1980’s posed as a crucial time for health care in the sense of hand hygiene. This was when the first national hand hygiene guidelines were published in the 1980s. In 1995 and 1996, the CDC/Healthcare Infection Control Practices Advisory Committee (HICPAC) in the USA suggested that either antimicrobial soap or a waterless antiseptic agent be use...
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
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...
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
As an UConn graduate, I strive to practice UConn School of Nursing PRAXIS – professionalism, respect, accountability, excellence, integrity and service. Two weeks following the orientation on postpartum unit, I knew taking care of four mother-baby couplets overnight was not going to be an easy job at a level I trauma center, where we care for the sickest of the sick. After a thorough plan of care for each patient and tailoring it to their needs for the night, I felt more confident in my skills and time management. It wasn’t until I got a call from a 14 hour post-op c-section patient at 0455 complaining of dizziness, lightheaded, blurry vision and “feeling hot”, who an hour ago was walking to the bathroom, breastfeeding baby and eating with no complains of pain. I left my workstation behind to discover a pale, diaphoretic patient with low blood pressure. I froze. Screamed for resident down the hall. Rapid response team and more professionals were there in no time while I stood by my patient holding her hand, echoing the story to residents and attending MD I’ve told previously. After twenty minutes of stabilizing the patient and diagnosing at bedside with ultrasound and abdominal x-ray, the patient suffered internal hemorrhage from tubal ligation site. She was rushed to operating room. Speaking to her husband was even harder. I froze again. I sat on my knee, held his hand and cried with him. In
Using good hand hygiene is a start to making sure the patient environment is safe. “Handwashing is a fundamental principle and practice in the prevention, control, and reduction of healthcare-acquired infections” (Bjerke, 2004, p. 1). Hand hygiene aids in infection control, being as most hospital acquired infections are due to improper or absence of hand hygiene. Fox, Wavra, Drake, Mulligan, Jones, Bennett, and Bader (2015) suggest that 2.5 million deaths occur from hospital-acquired infections and of those deaths, 90,000 were preventable if the workers in healthcare would have used proper hand hygiene. Piece of mind is a mutual benefit of using hand hygiene in the healthcare setting. A nurse benefits from using hand hygiene because it would reduce the risk of that nurse contaminating other patients when going from patient room to patient room. A patient benefits from using hand hygiene because it reduces the risk of that patient spreading infection from one part of the body to another. Piece of mind is the benefit for knowing that patients and nurses are protected in healthcare facilities by using hand hygiene. Patients and nurses will benefit from using hand hygiene because it is a simple way to aid in keeping the individual healthy. The hands carry many germs and constant adherence to good hand hygiene will decrease the risk of people catching illnesses and contaminating shared surfaces (door handles, tables, and
Due to the advancement of technology, many people have traded in their responsibilities for machines that complete their chores in a quicker and easier manner. Hand-washing dishes is one of the many household chores that has been replaced by machines. Instead of doing the task themselves many people rely on dishwashers to complete the task for them. Even though this may cut their work time in half, it is always good to have a backup option to fall on when dishwashers break. Hand-washing dishes only takes up 20-30 minutes of your time depending on the extremity. Although the act of hand-washing dishes is disliked by many, it is relatively easy owing to the fact that it can be completed in four easy steps: arranging, filling, washing, and rinsing/drying.