This is why it’s important to have separate bathroom facilities for patients who are receiving chemotherapy and for visitors/staff members. How is the problem handled by the institution, unit, and staff? I am currently doing my clinical at UMH 12 South which is a bariatric floor. I have had patient’s with skin cancer, bladder cancer, kidney cancer... ... middle of paper ... ...ocedure UMHC/Sylvester Page 1-2 OSHA targets high-risk workplaces for possible inspections. (2013).
(2010) to investigate potential sources of contamination caused by healthcare workers. The study monitored medical doctors within various fields of their hospital. Stethoscopes, pens, cell phones, and white coats were all swabbed to identify what tools significantly harbor bacteria. 436 swabs in total were taken and applied to MacConkey’s and Sabauraud dextrose agar plates and incubated for 24-48 hours. Staphylococcus and E. coli were the predominant gram positive and negative cultures.
This article summaries clinical aspects, causes, symptoms, diagnosis and prevention of nosocomial infection. KEY WORDS: Nosocomial infection, disease, treatment, hospital. Introduction Nosocomial infection is otherwise called as ‘hospital acquired infection’. It is an infection acquired in hospital by patient who was admitted for a reason other than that infection. The infection occurring in patient in a hospital or other health care faculty in whom the infection was not present or incubating at the time of admission.
It can be classified as community acquired or health care acquired infection where the latter is becoming the important cause of infection. It is transmitted directly from person to person by direct contact with the skin, clothing or the surrounding area that had recent physical contact with the infected person. In the hospital, it can be found in catheter like urinary as well as feeding tube, or surgical wounds. MRSA can be diagnosed by culture and antibiotic sensitivity by taking a sample of swab from the infected area. If the bacteria grows, different antibiotic swill be used to treat the bacteria to see if the bacteria develop any resistance or sensitivity to antibiotic.
The Environmental Protection agency has estimated that roughly 53 percent of all dioxin is cause by medical waste being burned in the hospital incinerators, and most of this is unnecessary (55). Through much research and investigation, it has been discovered that much of this dioxin is coming from the improper disposal of ALL hospital waste. Pam Jenkins, a previous advocate to stop the amount of dioxin being released into the air by Cortland Hospital, shared some of her information with us about the disposal of the waste after it is generated by the hospital. She informed us that materials and products, which can be sent to the landfill, are in actuality, being burned right in the hospital incinerator. The fact that materials such as hospital bedding, IV bags, food waste, metals, plastics, and other hazardous materials are being burned in the incinerator is affecting the neighborhoods surrounding the hospital because the smoke carries the toxins and deposits them all over.
It is spread in the hospital by the hands of healthcare workers from patient to patient or by the improper or misuse of equipment. Prevention in the hospital setting includes the use of standard and contact precautions. Another strategy in the prevention of MRSA is the practice of decolonization in staphylococcus aureus carriers. A study called the REDUCE MRSA study showed that MRSA clinical infections could be reduced significantly in the ICU setting with the practice of universal decolonization. Universal decolonization consists of daily bathing of all ICU patients with chlorhexidine gluconate and the use of intranasal mupirocin two times a day.
This writer’s leadership vision is to provide specific understanding about MRSA to colonized staff and patients upon admission to the hospital, thereby diminishing the re-occurrence of the bacteria at discharge. Key concepts of MRSA Methicillin-resistant Staphylococcus auerus (MRSA) is a growing concern for health the care system. At this time it is the most prevalent nosocomial pathogen in the United States (Chen & Pass, 2013). In most, if not all, inpatient settings a patient is commonly tested with a MRSA nares swab upon admission and discharge. This is frequently done because MRSA infections are associated with a significant increase in mortality, hospital readmission rates, and health care cost (Forster, Oake, Roth, Suh, Majewski, Leeder, Walraven, 2013).
These infections are often caused by breaches of infection control practices and procedures, unclean and non-sterile environmental surfaces, and ill employees (EHA). Immunocompromised patients, the elderly and young children are usually more susceptible to these types of infections. Nosocomial infections are transmitted through direct contact from the hospital staff, inadequately sterilized instruments, aerosol droplets from other ill patients or even the food and water provided at the hospital (EHA). The symptoms of nosocomial infections vary by type but may include inflammation, discharge, fever, abscesses, and pain and irritation at the infection site (Stubblefield). The principle sites of nosocomial infections in patients, in order from most common to least common are: urinary tract, surgical wounds, respiratory tract, skin, blood, gastrointestinal tract, and central nervous system (Abedon).
Also, if PPE is used correctly but hand hygiene is not performed properly upon leaving the patient’s room, the infection can be spread between patients and staff. Secondary health promotion focuses on screening, for MRSA infections the type of screening that would be done is a skin swab or swab of the nares that is sent to the lab to be tested for growth of the MRSA bacteria. Oftentimes, this screening is performed while in the emergency department to determine whether or not the patient has MRSA upon admission to the hospital, so that they can be placed into a private room on contact precautions. (Upshaw-Owens & Bailey, 2012). In order to prevent the spread of infection from one patient to another or to staff, it is crucial that the infection be properly identified as quickly as possible so that the patient may begin to be treated for the specific infection, as well as allowing the proper isolation precautions to be implemented.
Diseases that are often diagnosed and managed on this unit include the following: pneumonia, respiratory failure, chronic obstructive pulmonary disease, shock, congestive heart failure, major pulmonary embolism, acute and chronic renal failure, upper and lower gastrointestinal hemorrhage, acute cerebral infarction, and life-threatening infections. Method of Patient Care Delivery Total pati... ... middle of paper ... ...zoll, G. J., & Gerland, A. M. (2006). Hospitals' responses to nurse staffing shortages. Health Affairs, 25, W316-W323. doi:10.1377/hlthaff.25.w316 Schmalenberg, C., & Kramer, M. (2009).