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Hand hygiene impact on healthcare
Pediatric Surgery Notes
Hand hygiene impact on healthcare
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Infection Control in Pediatric Dentistry Infection control protocol is an essential component in standard of care in dentistry today. In order to ensure patient and provider safety, operators must remain knowledgeable in reducing the exposure and contamination risks to infectious materials. This is paramount, especially in pediatric patients. Pediatric patients are generally more susceptible to infections due to their limited built-up host resistance compared to adult patients. With that said, some guidelines and recommendations for infection control in dental health care setting must be enforced with more caution and care when handling pediatric patients. A dental office can harbor many pathogens that can easily be transmitted to patients …show more content…
For routine dental examinations and nonsurgical procedures, operators must use water and soap before putting on gloves and after removing gloves, before and after treating each patient, after barehanded touching of contaminated objects such as instruments, and when hands are visibly soiled. Although hand washing is easy and quick, the challenge is being aware of possible recontamination by the operator after hand washing. For example, an operator picking up a napkin off of the ground after handwashing has now re-contaminated their hands and must wash their hands again. Alcohol-based hand rubs may be used in this scenario as long as the operator’s hands are not visibly soiled. Being aware of the status of recontamination is a skill that should be practiced continuously and also incorporated into the operator’s routine in the dental …show more content…
Emphasis for cleaning and disinfection should be placed on surfaces that are most likely to become contaminated with pathogens, including clinical contact surfaces in the patient-care area. When these surfaces are touched, microorganisms can be transferred to other surfaces, instruments or to the nose, mouth, or eyes of the patients. Specifically in the pediatric clinic at the SDM, carts are used to put instruments due to the nature of open lay out of the clinic. The carts are considered the operator’s working field and are wiped with disinfectant wipes, and patient napkins are used as a barrier to put on top. Once the sterile instruments are opened and laid on the cart, non-sterile objects cannot be set down or else the whole field would become contaminated. Therefore, operator must keep in mind what is put down on the cart in order to protect the sterile environment of the
Dental hygiene is amongst many professions that come with an increased risk of injury. In fact, evidence suggests that the incidence of dental professionals acquiring musculoskeletal disorders is reaching 96%. According to the Occupational Safety and Health Administration (OSHA), these complications are a result of “repetitive motion or awkward posture for more than 2 hours at a time, unassisted frequent manual handling (eg, scaling an area using the same strokes), and unassisted forced manual handling (eg, heavy calculus removal using hand-activated instruments)”. These complications not only affect the quality of life for the
Good oral hygiene is an essential part of nursing care and if left undone can lead to larger problems such as increased risk for pneumonia, tooth loss, mucosal lesions, and increased complications of comorbidities (Delgado, 2016). There needs to be a revision to the current oral care policy because oral hygiene is not being performed on the residents. This policy will benefit the patients and the facility. Patients will benefit from better oral hygiene thus reducing the risk of overall infection. The facility will benefit by saving money related unnecessary spending on items such as antibiotics and intravenous (IV) supplies.
Decontamination packing and sterilization of surgical instrumentation. 2. Prosing and reposing of procedures reusable medical devices. 3. Cleaning testing assembly, and distribution of movable patient care equipment.
XCPs are considered semi-critical by these same guidelines, for they do not penetrate tissue, but come in contact with mucosa (American Dental Association, 2009). Items in this category require sterilization (American Dental Association, 2009). Assuming the XCPs, are unable to be sterilized in the office’s autoclave, a high level disinfectant may be used. This leads to a grey area in disinfection. The difference between sterilization and disinfection, with this solution, is the amount of time the item is submerged (American Dental Association, 2009). The required time to sterilize using cold sterilization solutions is often around ten hours (American Dental Association, 2009). The amount of time Karen is submerging the XCPs is inadequate to achieve sterilization.
Health tips. Hand hygiene. (2009). Mayo Clinic Health Letter (English Ed.), 27(12), 3. Retrieved from
In conclusion, it is important for the dental staff to treat all patients as if they are infected. A patient may or may not choose to disclose any information pertaining to their disease or they may not be aware of it. It is also important for the dental staff to have immunizations done at regular intervals. The hygienist needs to make sure he or she protects him or herself as well as the patient during treatment. Discrimination against someone with a disease is illegal. With that in mind it is the clinician’s duty to be aware of diseases he or she may come into contact with and how to treat the patient.
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
Infection control is a central concept to every practice of health care providers. Its main objective is to prevent the transmission of infectious diseases from both patients and health personnel (Martin et al., 2010). In dental clinic, infection control is a continuous concern for its professionals. They have to contact patients routinely and be exposed to their blood, saliva, dental plaque and pus that may contain infectious pathogens. It is important for the dental professionals to treat these fluids as if they are infectious and special precautions must be taken to handle them. In this essay, I will highlight the scope of infection control practices in dental clinics and the ways through which infectious microorganisms are transmitted in the dental clinic. Also, I will talk about some infection control guidelines implemented in dental clinics and how they meet the needs of the patients. Finally, from a personal perspective, I will mention some factors that affect the implantation of infection control guidelines and procedures.
(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.,
...s and hoses, control buttons, switches, hand pieces, and X-ray units (Collins). After every patient’s visit, the operatory is to be sterilized and disinfected. All areas that were that were not covered with a barrier, or if the barrier was compromised, must be wiped down with surface disinfectants similarly used in hospitals. OSHA requires disinfectants to be potent enough to fight against HIV and HBV infections (Collins). If there is any blood present on a surface, tuberculocidal type disinfectant should be utilized.
1. Introduction – the rationale for maintaining infection control and prevention protocols in the dental office and goals of infection control. Maintaining infection control and prevention protocols in the dental office are of the utmost importance for both dental clients and dental professionals alike. The goals of infection control and prevention protocols in the dental office ensures that dental professionals are taking and routinely practicing initiative to prevent the spread of infection and development of diseases to clients as well as dental professionals themselves.
“Researchers in London estimate that if everyone routinely washed their hands, a million deaths a year could be prevented” (“Hygiene Fast Facts”, 2013, p. 1). Hands are the number one mode of transmission of pathogens. Hands are also vital in patient interaction, and therefore should be kept clean to protect the safety of patients and the person caring for the patient. Hand hygiene is imperative to professional nursing practice because it prevents the spread of pathogens, decreases chances of hospital-acquired infections, and promotes patient safety. There is a substantial amount of evidence that shows why hand hygiene is important in healthcare
Children under school age is important that you follow the correct dosage toothpaste and other fluoride used to prevent dental