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Scope and the limitations of the patient record keeping system
Importance of infection control in healthcare
Evidence base for infection control in hospital
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As part of my study in Admission, Transfer and Discharge I will discuss on my essay regarding Admission of patient with an infectious disease namely tuberculosis. Tuberculosis is an infectious disease caused by various strains of mycobacteria, usually mycobacterium tuberculosis. Tuberculosis typically attacks the lungs, and spreads through the air. An individual who have active tuberculosis transmits the infection through the air by coughing, and sneezing. The most common symptoms of active tuberculosis are persistent cough of more than three weeks that brings blood-tinged sputum, night sweats, lack of appetite and weight loss, breathlessness which is usually mild to begin with and gradually gets worse and an extreme fatigue with unexplained pain. The ratio of tuberculosis is very high among the high risks groups, particularly the elders, smokers and those with compromised immune systems such as people living with HIV, malnutrition and diabetes.
As part of my on-going study and trainingin foundation degree in health and social care I was allocated to work in one of the challenging wards in University college hospital. In admitting patients, manual or paper and electronic records are being used. Electronic recording is used to put the patient’s details in the data base of the hospital and a patient hospital number is created during this process. Manual recording is done on paper and it should be written in black ink and a 24 hour clock should be used in doing an entry on either manual or electronic recording. It is also important that every page within the documentation must include the patient’s details particularly, the name, hospital number and date of birth. A sticker label in some cases is done mainly because it’s much conve...
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...e to organise though the number of side rooms in University college hospital is very limited. The staffs were well trained in following the trust policy regarding infection control and the procedure on isolation of patients. It is also vital that the important details of a patients is checked such as allergies, past medical history, family history, social history in which it can be linked to the present condition of the patient as given on my patient scenario wherein the he had a history of tuberculosis before migrating in United Kingdom in which it can be related to the patients present condition. Furthermore,the patient was also given advice by the doctors and dieticians regarding to make some necessary changes on his lifestyle mainly on his smoking habits. The possible spread of infection was prevented and the patient had a safe journey during the admission.
Bacterial resistance to antibiotics has presented many problems in our society, including an increased chance of fatality due to infections that could have otherwise been treated with success. Antibiotics are used to treat bacterial infections, but overexposure to these drugs give the bacteria more opportunities to mutate, forming resistant strains. Through natural selection, those few mutated bacteria are able to survive treatments of antibiotics and then pass on their genes to other bacterial cells through lateral gene transfer (Zhaxybayeva, 2011). Once resistance builds in one patient, it is possible for the strain to be transmitted to others through improper hygiene and failure to isolate patients in hospitals.
I will compare the Terminal-Digit and Alphabetic filing systems. The Terminal-Digit system requires slightly more training than the Alphabetic system but offers more security. The Alphabetic system compromises security because patient names are displayed on the outside of the record, which makes patient-specific information easier to locate for unauthorized persons; the Terminal-Digit system encrypts the patient’s identification with the use of numbers. Both systems require a significate amount of space but overall, the Terminal-Digit system is a more efficient system.
Signs and Symptoms of Active Tuberculosis Mycobacterium tuberculosis (MT) is a slender, rod-shaped, aerobic bacillus which causes tuberculosis. Tuberculosis (TB) is an airborn infection which is transmitted via inhaling droplet nuclei circulating in the air. These droplets are expelled from the respiratory secretion of people who have active TB through coughing, sneezing, and talking (Porth, 2011). Some bacilli stay in the upper airway and are swept out by mucus-secreting goblet cells and cilia on the surface of the airway.
Drug resistance in mycobacterium tuberculosis (TB) has become a severe global health threat. The fight against TB is now facing major challenges due to the appearance of Multi-Drug Resistant Tuberculosis (MDR-TB) and more recently, the virtually untreatable Extensively Drug Resistant Tuberculosis (XDR-TB). MDR-TB are strains that are resistant to both top first-line drugs, Isoniazid and Rifampin, while XDR-TB are MDR-TB strains that are also resistant to any fluoroquinolone and one or more of 3 injectable drugs. With this new resistance, there emerges a great need to find new drugs that are as effective, yet bypass the problem of resistance. One method of research is to find new vulnerabilities of tuberculosis to use as new target sites of drugs. This method is highly expensive (Scheffler, Colmer, Tynan, Demain, & Gullo, 2013), and requires intense and lengthy research just to implicate the new target site. An alternative is to develop new drugs that work on the same already known target as the first-line drugs, but by a different mechanism, thereby bypassing the resistance of the TB to the drug.
On a daily basis, I will have to engage in charting and documentation writing to ensure patients receive the best possible care. Charting will involve patient identification, legal forms, observation, and progress notes. Documentation must be factual with objective information about the patients’ behaviors. Accuracy and conciseness are crucial characteristics of documentation in the nursing profession so that other medical professionals can quickly read over the information (Sacramento State,
Tuberculosis is an air-borne disease, hence, it can be passed from an infected person to a healthy individual through coughing, sneezing and other salivary secretions. Tuberculosis is caused by the transfer of Mycobacteriun Tuberculosis (M. Tuberculosis) also known as Tubercle Bacillus, a small particle of 1-5 microns in diameter, due to the small size, when an infected person sneezes or coughs, about 3,000 particles are expelled. M. Tuberculosis responsible for tuberculosis is able to stay in the air for a long period of time (about 6hoursAnother way of acquiring Tuberculosis is by drinking unpasteurized milk, milk straight from cow, although this is not a common mode of transmission, it can be found in rural areas. Ingestion of contaminated cow milk transmits Mycobacterium Bovis, the animal form which is still potent enough to cause tuberculosis in humans. ). Tuberculosis transmission is affected by exposure, socioeconomic status of person, proximity, immune status of uninfected individual (%&&%&? CDC).
Every patient's medical records are different some contain more information due to their medical history. If a patient has alot of problems and have been treated then their file would have more information . Certain records also contain history of complaints and procedure, few records have photographs with a short summary of what is present. Medical records can be electronically stored , traditioanlly handwritten and even voice recorded. Medical records that are written on paper and kepted in folders are divivided into informative sections It contains medical terminology terms that any person in the medical field can read It should be written in either black or blue ink. Each provider should always document the evaluation and results of every visit during the visit. It is prohibited to pre-date or backdate an entry. If there is to be a mistake written in a wrong patients file it should be dated and signed by the person that is revising the file; this shows proof that it was corrected..
Hepatitis B is a DNA viral infection that causes damage and inflammation to the liver. It was first discovered in 1965 by Dr. Baruch Blumberg. The HBV virus is very contagious and is even thought to be the most serious form of viral hepatitis and the most common viral infection on Earth. “HBV is 100 times more infectious than HIV.” (Green, 2002, pg. 7) The virus can survive for about one week outside the body on a dry surface. According to Green (2002, pg. 7), “One in twenty Americans has been infected with the virus at some point in their lives.” Between the ages of 15-39 is when 75% of new HBV infections occur, according to Green (2002, pg.8).
Education can be a powerful weapon in fighting tuberculosis in the United States also around the world. Today, it is encouraging how so many people know how TB contracts human and what cause drug resistant effects among those who are under TB treatment.
No matter what, where, or who you are, water is a necessary component to keeping any organism alive. Although water is essential for life, in many places, clean drinking water is hard to find. There are many consequences to drinking contaminated water. Every year, three to five million people are attacked by water-borne diseases and over 100,000 of them die. One fatal disease that can kill within hours is cholera.
this will cause healthcare providers with the training and education needed for clinical documentation improvements to be installed effectively. It is important that having a specialized team who can create solutions towards Clinical Documentation Improvement (CDI) in order to minimize the failures that may occur. In this case, investing in training for the materials/tools necessary for healthcare providers to excel in their work with CDI. Essentially, Clinical Documentation is used throughout the healthcare system for the analysis of care, communication, and medical records. This is important because the information of medical records that healthcare providers are able to access, will help patients track their health conditions. Thus, clinical documentation improvement has a direct impact on patients by providing quality information. On the other hand, the new technological advancements will also be able to address the efficiencies in health care system that differ from paper-based charting. Improving on the quality of information will also have the effect upon the ethical and effectiveness of care that is being provided. This has a significant impact in order to maintain patient care that ensures the documentation is accurate, timely, and reflect within the services provided. Documentation assessments can be utilized so there can be improvements on the education for healthcare providers as they intend implementation standards take effect immediately. In this case, failures must be analyzed so that they will have the ability to comprehend and determine an organization’s strengths and weaknesses
As you exit the bus, another passenger next to you starts to cough, and then you hold the handrail as you exit the bus. Since you’re late getting home, you take a shortcut through a field to get home quicker. These three simple acts just exposed you to bacteria, viruses, and insects that could cause illness or even death. Infectious diseases, also known as communicable disease, are spread by germs. Germs are living things that are found in the air, in the soil, and in water. You can be exposed to germs in many ways, including touching, eating, drinking or breathing something that contains a germ. Animal and insect bites can also spread germs.1
Tuberculosis is transmitted by inhalation of aerosols containing the tubercle bacilli. The required inoculum size for infection is usually high, but easily occurs with exposure to a patient who is currently infected. The products of dried aerosols, droplet nuclei, are particularly infectious because they remain in the air for an extended time, and upon inhalation easily move to the alveoli. The severe damage related to infection is caused by the reaction of the host. The tuberculosis infection has two phases, primary and secondary.
Syphilis is a sexually transmitting infection caused by Treonema pallidum, a gram negative, and anaerobic spirochete bacteria 1. Syphilis is thought to have been brought to Europe by Columbus and his sailors in the 1500’s 1. The disease is characterized by four different stages with varying symptoms depending on the stage that the disease is in1. Often syphilis is presented with another sexually transmitted infection such as chlamydia. Public education regarding safe sex is important for the prevention of this sexually transmitted infection.
Tuberculosis has plagued mankind for a long time. This disease, which was previously believed to be eradicated, has once again shown up and begun attacking the lives of many humans. Tuberculosis infects a third of the population and kills a fraction of them. Many approaches have been used including different varieties of infection control, bodily defenses, and treatments to try to protect humans from tuberculosis. The best way to prevent tuberculosis infections is to contain the source of tuberculosis. The most common source of tuberculosis infection is from infected humans. By diagnosing, containing, and treating people with latent tuberculosis before they get active, contagious tuberculosis, tuberculosis can be quickly contained. Once someone has been diagnosed with TB, they should be placed under isolation.