Preventive
Preventive
-Knowledge of ways to reduce or eliminate microorganisms reduces numbers of microorganisms present & likelihood of transmission…
In HCA facility, the infectious disease nurse (ID), wound care nurse and the operating room (OR) manager have collaborated to find an effort to reduce the rate of surgical site infections.…
When a patient is getting ready for surgery, one of the last things on their mind is infection. As medical personnel though, it is a thought that definitely does not leave the mind. Getting an infection after surgery not only increases a patients hospital stay and recovery time, but also increases expenses for the hospital. When thinking of ways to decrease infection, it most often starts with preparation of the surgical site and insertion of invasive catheters. When cleaning the site, many institutions continue to use beta dine though research shows that Chlorhexidine has better results. Though Beta dine and Chlorhexidine both reduce bacterial count, Chlorhexidine is found to be more profound and longer lasting (Jarral, McCormack, Ibrahim & Shipolini, 2011).…
This writer believes that the findings are valid for several reasons. One, this study cites other previous studies that had similar outcomes in related topics such as: using tap water for cleaning/irrigating wounds, or the absence of gloves, caps or masks did not affect wound infection outcomes. Secondly, this has already become practice for many physicians in the United States. This is supported in the article by researchers when a preliminary survey of 18 ER physicians and 24 PCP showed 70% often used nonsterile technique in their repairs. Lastly, the study showed comparative infection rates of 6.1% for sterile glove use and 4.4% nonsterile glove use with a level of significance of 0.05. Limitations were defined above as variables. Implications for nursing are two-fold. One, nurses can help support this nonsterile technique and continue to ensure good wound cleansing and irrigation of wounds. Using this techniques can save hospitals up to $2000/year in ER’s that see an average of 10 suture repairs/day. Secondly, as previously mentioned, this study cites others that address wound care (ex: irrigating with tap water vs. sterile saline), so this research can be used in the future to study methods of successful wound management for…
A primary concern is post-operative infection. This is one of the most common complications of surgery and can have serious implications. Since post-operative infections account for one third of all nosocomial infections nationwide, this is an important issue to address. I believe that focusing on better ways to prevent possible post-operative infection would greatly improve surgical patients’ outcomes and experiences. As the procedure states now, the patient is required to take a shower/bath with normal bath soap excluding any lotions or powders prior to surgery and then once in the surgical site, is cleansed with Hibiclens and an intravenous antibiotic is initiated. This has been standard practice because past research suggested that as long as the patient bathed with normal soap and the site was scrubbed in surgery, post-operative infection has a decreased incidence. While this has proven to drastically reduce infection rate, there are more recent studies that have proven that bathing with normal soap alone is not sufficient enough to prevent a notable amount of nosocomial infections. Hibiclens is a prescription antimicrobial antiseptic skin cleanser used to cleanse a surgical site. It is an effective product; however, I have found that there are still post-operative infections occurring. For this reason, I decided to analyze the pre-operative procedure of surgical site…
Prevention and controlling infections are very important in so many areas of life. There are so many measures that are taken to control the spread of infections. As health care professionals we have to have the knowledge of nosocomial infection also known as hospital acquired infections so that we can have proper precaution equipment and ways of preventing them.…
In reviewing the article “What is your facility doing to combat MRSA?” patients were screen for MRSA prior to surgery, with the intervention of increased hand washing. This is very cost effect for the patient as well as facilities. Loyola University Medical Center in Illinois was in support of the guidelines of the Association for Professional in Infection Control and Epidemiology (APIC) and the CDC for preventing the mushroom effect of MRSA. This hospital piloted a quantitative program for pre-admission testing of all surgical patients and encourages MRSA screening for all patients. With the increase in MRSA infections, the hospital increases the screening to all pre-admission patients. The Association of per Operative Registered Nurse (AORN) encourages all facilities to manage the spread of MRSA, by following guidelines set by the APIC and the CDC. This includes enforcing contact-isolation precautions; hand hygiene policy, and performing screening for MRSA on all surgical…
“It also means being aware of antibiotic resistance patterns in your facilities, following recommendations for preventing infections that can occur after surgery or from central lines and catheters placed in the body, and prescribing antibiotics correctly.” The CDC has produced a new safety atlas that helps show how to prevent getting these infections. Hospitals have been doing a better job at preventing them. Between 2008-2014 there has been a 50 percent decrease in people who have developed bloodstream infections. There was also a 17 percent decrease in surgical site infections. Over the years there has been many new developed solutions to get rid of some of these bacterial infections. Thus causing not as much panic as to worry about getting one of…
Citations: Carmis BC, MD, MSCR,. Richmond M, RN, MHS, CIC,. Dyer KL, MPH. Zimmerman HN, MPH,. Coyne DW, MD. Rothstein M, MD. Fraser VJ, MD. ; Infection Control and Hospital Epidemiology, Vol. 31, No 11 (November 2010), pp. 1118-1123.…
Effective hand washing is the first step in preventing cross infection and the maintaining of hand hygiene is paramount to its control (Gould et al 2008). However, hands are the preeminent route by which HCAI’s will occur (Elliot 1992). In the perioperative environment there are two types of hand washing techniques.…
Warren, D.K., Yokoe, D.S., Climo, M.W., et all, Preventing Catheter Related Bloodstream Infections: Infection Control Hospital Epidemiology, Jan2006, 8(13).…
Healthcare associated infections measures the transmission of diseases and/or bacteria between healthcare professionals and their patients. The measurement of transmissible infection diseases does not eliminate the chances in a hospital setting; rather, the day to day interaction with all healthcare workers. Hand hygiene contributes significantly to keeping patients safe regardless if the patients are humans and animals. Washing hands is a simple, inexpensive, and an effective action to prevent the spread of microbes that cause healthcare associated infection. The most common transmissible disease in any hospital, dental, or veterinary cleaning is Staphylococcus aureus. The task of proper hygiene in-between patients’ care enhances patient safety…
In order to carry out a sterile wound dressing you must be constantly thinking about staying clean. First, always greet and identify the patient in order to make sure…
1.1 Explain employees’ roles and responsibilities in relation to the prevention and control of infection…
Patient safety is defined by as the avoidance, prevention, and improvement of adverse outcomes stemming from the healthcare process (Cole, 2011). “Healthcare-associated infection (HCAI), is defined as an infection that is acquired as a consequence of a person’s treatment by a healthcare provider, is an example of an adverse incident” (Cole, 2011, p. 1122). In the surgical area, the…