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Short discussion about proper handwashing techniques
Hand hygiene impact on healthcare
Hand hygiene impact on healthcare
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Recommended: Short discussion about proper handwashing techniques
What is the number one thing a good nurse should know how to do? A good nurse should know how to correctly wash their hands. Hand washing is a basic foundation skill that will carry with you throughout your entire nursing career. Washing hands helps prevent the spread of microorganisms and as a nurse we want to provide a safe environment for our patients. It was a busy Friday at the hospital, a lot of patients were needing to go under procedures in the GI lab that day. Before the procedure, you as a nurse need to do a full assessment on the patient prior to undergoing anesthesia. As I was observing one of the nurses testing the patients’ blood glucose level, he was not wearing gloves. As he was testing the blood glucose level, blood had spilled …show more content…
The patient seemed not to understand nor really mind the nurse not wearing gloves when the nurse took the blood glucose level. I asked the nurse if he was going to wash his hands before he continued on with the head to toe assessment. The nurse paused, stared at me, and then proceeded to the sink to wash his hands. I was observing his hand washing technique and noticed he only washed his hands for less than 10 seconds. The nurse quickly scrubbed his hands together without thoroughly cleaning in between the webs of his fingers or under his nail beds. I proceeded to ask the nurse how long you are supposed to wash your hands at the hospital. The nurse told me roughly 10 seconds and seemed not to really know how long. Unfortunately, no other nurses or health care providers witnessed him washing his hands. If I had to estimate how others would feel, I’m sure they would be disappointed and take the initiative to show the nurse the correct way to wash hands. As I asked the nurse why he didn’t wear gloves in the first place when testing the blood glucose level, the nurse said to me, “I made a mistake and forgot to put gloves on… don’t do what I did in that situation.” The nurse seemed to be aware of his
I agree with you that the nurses violated provision 9 of the nursing code of ethics. Nurses have an obligation to themselves, their whole team and to the patients to express their values. Communication is key in a hospital, so everyone knows what is correct and what isn’t within the workplace. In order to have a productive, ethical, positive environment. These values that should be promoted affect everyone in the hospital, especially the patients, and can have a negative outcome if those values are not lived out. Nurses have to frequently communicate and reaffirm the values they are supposed follow frequently so when a difficult situation comes along that may challenge their beliefs they will remain strong and their values will not falter.
The nurse, a traveling nurse, was working on a unit and received orders for infusion of normal saline in a 7 month old. He saw a small bag of what appeared to be saline on the desk in the nurse’s station, with the manufacturer’s pre-printed labeling indicating that it was filled with normal saline. One key aspect, as described by the traveling nurse, was that he had encountered in other health systems that pediatric infusions were specified in small bags. Based upon these two perceptions, the nurse administered the infusion – despite the pharmacy applied label being on the other side of the bag. Needless to say, the child died shortly after receiving the infusion, despite resuscitation attempts. The infusion was actually prepared for his adult patient
Nurse A seemed confident and calm while nurse B appeared tired. With the first patients, I noticed that both nurses were asking for first and last name and confirmed the information with the picture in the computer and the medication cup. After a few minutes, I turned my attention to nurse B because I noticed she did not ask a particular patient for his name. Instead, she relied on the name provided by a patient care technician. When she was about to give the medication to the patient, nurse A noticed that the patient on the computer screen was not the patient on the counter. She immediately told nurse B “ That is not Mr… girl ” and nurse B responded while laughing “ He looks exactly like …, I need to get some coffee ASAP”. The patient immediately realized what happened and told nurse B his name. After that, nurse B reached for the right cup and administered the medication to the patient. Even though a medication error was not committed and no harm was inflicted to the patient, by violating important QSEN competencies this incident could have caused a negative patient outcome.
The extern washing her hands before setting up the examination room is important because she will be touching sterilized equipment, and in order to prevent cross contamination, gloves and hand hygiene is not only important but necessary.
In this discussion, we will have three main topics. First What are allergies, second how are they started and third why the number of people with allergies has increased in the last 20 years? This is what myself and Hamjreet are prepared to discuss.
The patient is a female in her early twenties who came in the hospital due to sickle cell crisis. She was in grave pain especially in the joints. Her hemoglobin level was low so the Physician ordered 2 bags of packed red blood cells and pain meds Q4hrs. The patient explained many times that the dose the physician ordered was not sufficient and that she needed more help. The nurse promised to contact the physician and to inform her of the response. The fact is she never did and was called urgently hours after to calm her patient who was crying in agony and wanted to go home to be in pain. She screamed out that no one cared. Some nurses were even callus enough to say if she wanted to leave then hand her the relevant document and allow her to go.
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
Safety is focused on reducing the chance of harm to staff and patients. The 2016 National Patient Safety Goals for Hospitals includes criteria such as using two forms of identification when caring for a patient to ensure the right patient is being treated, proper hand washing techniques to prevent nosocomial infections and reporting critical information promptly (Joint Commission, 2015). It is important that nurses follow standards and protocols intending to patients to decrease adverse
It is evident throughout these research studies that the topic of hand hygiene is particularly relevant to nursing. Nursing has the most face-to-face, hands on interactions with patients. Since nurses come in contact with multiple patients numerous times a day it is crucial that nurses have competent knowledge regarding hand hygiene in order to prevent the spread of infections and diseases.
There can never be enough emphasis on its teaching in school, communities, colleges, hospitals, clinics etc. There are a lot of journal articles, books and research material available to support this easy prevention technique. Rachel Barrett and Jacqueline Randle (2008) in their journal, Hand hygiene practices: nursing students perceptions, state that “Hands of healthcare workers and patients are therefore a primary cause for the transmission of infections by both endogenous and exogenous spread” (Para. 1). This is a relevant point which must be highlighted in every study material and teaching plans by the tutors in healthcare settings. Without proper hand hygiene it not possible to decrease the ill effects of infections spread through contact. The authors further discuss that other standard precautions should be kept in mind as those are important too. For example, while doing dressing change or assessing the pressure ulcer it is crucial to wear gloves as hand washing alone would not be enough to protect from contamination. However, the main point to remember is that gloves should not be used as a substitute for hand
The issue was a very serious one because it is clearly stipulated in the nursing code of ethics that the nurse must always make the patient feel safe and ensure the patient’s safety by doing things like lowering and raising the bed height as is required. In my case, the bed height had been temporarily raised by the nurse and I was expected to lower it back to its original height. I therefore potentially and unconsciously compromised the safety and comfort of the patient by leaving the bed high.
I escorted her to a room, and helped her change into a gown. I understand that a 22-year old is capable of changing her own clothes, but I wanted to spend more time with her for further investigation. Auscultation of the lungs revealed bilateral clear and equal breath sounds, and heart tones were audible and regular. No peripheral edema was noted upon examination of her lower extremities, and she denied a history of similar symptoms or any medical issues in the past. Again, my nursing experience was challenged. Everything looked great, except this feeling remained that something was wrong. ER was busy that day, so I put in on order for a chest x-ray, and then told the doctor why she wanted to be seen. I told him that I ordered an x-ray, but something was not right about her skin color, not jaundiced, swallow, or cyanotic just not right, and I asked for basic lab work. The doctor felt lab work was not needed at that time, and I did not push the issue. I just thought to myself, “maybe he is right, and I have worked too many days in a row”. When the patient returned from the x-ray department, I met her at the room. I asked how
As a result, she breached the standard 6 which states that “registered nurse should provide a safe, appropriate and responsive quality nursing practice” (NMBA, 2016). In line with this standard, nurses should use applicable procedures to identify and act efficiently to potential and actual risk such as unexpected changing patient’s condition (NMBA, 2016). Through early identification and response by the nurse, this will ensure that the patient’s condition is recognised and appropriate action is provided and escalated (Australian Commission on Safety and Quality in Health Care, 2011). Moreover, the nurse did not immediately escalate the patient’s deteriorating condition to the members of the health care team. Therefore, she also disregards the standard 4.3 stating that nurses should have work with the interdisciplinary health care team and to collaborate, communicate and discuss the patient’s status (NMBA,2016). The purpose of collaborating and communicating with the team is to provide a comprehensive plan of care for the patient and to facilitate early treatments needed by the patient (Cropley,
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)
In addition, healthcare workers’ handwashing technique differs from the one you use at home. It is “important that all surfaces of the hands are cleaned thoroughly to dislodge and wash away pathogens” (Burton & Ludwig, 2015, pg. 261). The spread of pathogens in a healthcare setting happens with high likelihood. Therefore, it is imperative to wash one’s hands in the following situations. First, upon entering the patient’s room, secondly, anytime your hands are visibly dirty, third, between caring for two patients in the same room, forth, immediately after removing your gloves, and finally after touching body fluids, secretions, excretions, or contaminated