“Hand Hygiene and Hand Care in RDH”
This article overall purpose is to inform the importance of knowledge and practice of effective hand hygiene and hand care to prevent or reduce cross-contamination from healthcare personnel to patients (HCP). As the article’s author expressed at the introduction “ Healthcare-acquired infections are a major source of illness and death in hospitalized patients, and approximately 20%-40% of these infections are a result of cross-infection via the hands of healthcare personnel” (Eve Cuny 1)
Healthcare-acquired infections are by history one of the main causes of death in hospital and healthcare settings, there are many known and investigated causes but the root of them relies on inadequate and ineffective hand
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Hand care with the use of emollients to moisturize and avoid skin irritation to maintain it, as effective barrier are very important as long as are compatible with medical products and are nonallergenic.
In conclusion, my overall impression is that this article is very useful to understand that cross-contaminations can be control by the use of effective hand hygiene. It is not only washing hands between patients or sanitizing only because our hands looks clean, it is a matter of knowing when and why we are risking patients if inappropriate technique is used, in few words: knowledge, commitment and responsibility.
I have learned and will practice that is very critical to know what hand washing technique and disinfection must be used before, during and after performance of every procedures, whether routine or surgical with specific routine and steps. I learned that CDC guidelines are implemented to control infection in medical and dental settings to prevent cross-contamination and are to be followed at any
Hospital-acquired infections (HAI) are preventable and pose a threat to hospitals and patients; increasing the cost, nominally and physically, for both. Pneumonia makes up approximately 15% of all HAI and is the leading cause of nosocomial deaths. Pneumonia is most frequently caused by bacterial microorganisms reaching the lungs by way of aspiration, inhalation or the hematogenous spread of a primary infection. There are two categories of Hospital-Acquired Pneumonia (HAP); Health-Care Associated Pneumonia (HCAP) and Ventilator-associated pneumonia (VAP).
“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
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
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
“Failure to attend to hand hygiene has serious consequences: it has a negative effect on patient safety and the quality of patients’ lives, as well as on their confidence in healthcare delivery. However, the prevalence of hand hygiene omission is still high” (Canadian Disease Control, 2016 p 1). Washing hands before and after patient contact seems like a simple solution to prevent the spread of bacteria between patients. But it is not as simple as it seems.According to new CDC data, “approximately one in 25 patients acquires a health care-associated infection during their hospital care, adding up to about 722,000 infections a year. Of these, 75,000 patients die from their infections ( CDC, 2016 p 1).” Leaving a finacial burden on Canada’s health care
Hospital acquired infections are one of the most common complications of care in the hospital setting. Hospital acquired infections are infections that patients acquired during the stay in the hospital. These infections can cause an increase in the number of days the patients stay in the hospital. Hospital acquired infections make the patients worse or even cause death. “In the USA alone, hospital acquired infections cause about 1.7 million infections and 99,000 deaths per year”(secondary).
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.
Standardizing a two-step, two preoperative showers or baths prior to surgical procedures, whether regular soap or a specially formulated solutions are used during these skin preparation steps, health care providers need to promote and encourage full compliance. Using CHG cloths or solution in lieu of regular soap, based on some studies, can enhance and significantly reduce the incidence of SSIs. Limitations and some level of bias from available research articles notwithstanding, it is a prudent practice recommendation to standardized pre-admission showers or baths with the use CHG-based solutions or cloths for pre-operative skin disinfection and preparation for patients undergoing elective procedures. In addition to respective in-hospital skin preparation protocols, the use of CHG at home prior to procedures can further reduce skin microflora and the risk for developing SSI. Additional practice recommendations for pre-operative nurses is to provide detailed and easy to follow take home instruction packets and arrange for home health visits to assist and ensure preoperative patients complete their skin disinfection process, especially those who have limited support resources at home. Appropriate verbal confirmation between nurses and preoperative patients must occur to establish understanding of all preoperative instructions, including skin
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...
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...
Medical asepsis plays an integral role in infection control within a health care facility. It includes procedures used to decrease and prevent direct contact with blood or bodily fluids and emphasizes keeping the environment clean on a regular basis (Curchoe, Astle, & Hobbs, 2014). In order to achieve optimal health, individuals depend on practices and techniques that control and ultimately prevent the transmission of infection. These practices and techniques can help avoid the transmission of infections by creating an environment that protects both health care workers and patients from communicable diseases. Good hand hygiene has been stressed as the single most important measure to prevent cross-infection to patients in health care facilities
“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
Hand washing is the first line of defense used to prevent or reduce the opportunity for infection. When, bacteria enters through breaks in the skin a patient chances of infection are increased. Therefore, the goal is to ensure the operating room is a pathogen-free environment. Pathogens are bacterium, virus and other microorganisms that cause illness. Doctors have discovered hand washing reduces the rate of infection in patient populations.
...).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).
All practicing dentists, dental associates, and laboratories follow standard precautions and recommendations specified by the Center for Disease Control (CDC). The standard precautions, previously known as the universal standard precautions, focus on the perception that all blood and bodily fluids, regardless if they contain blood, such as saliva, may be contaminated and should be considered infectious. (Bebermeyer). The infection control methods that are practiced in dental offices were established by the CDC in 2003 with Guidelines for Infection Control in Dental Healthcare Settings (Kohn). These guidelines include the use of protective barriers, personal protective w...