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4 types of isolation precautions
Importance of hand hygiene in hospitals
Literature review of hand hygiene
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Recommended: 4 types of isolation precautions
Health promotion is very important, especially when individuals are in the hospital. When a person is in the hospital and is ill, they can sometimes become depressed and have no interest or desire to clean themselves up or brush their teeth, in instances such as this offer to assist your patient in cleaning up and if you have time talk with them to get their mind off of their illness. This concept certainly fits the older adult category due to “their cognitive response to being hospitalised; their limited ability to self-care; and lack of nursing engagement with the family caregiver. Registered nurses can offer simultaneous assessment and intervention to prevent or mitigate hospital-acquired complications. However, it is known that when demand …show more content…
Perry and Potter (2011) discuss different precautions that are used within healthcare settings, first and foremost when fighting the spread of infection is standard precautions. Standard precautions should be used by everyone in healthcare, no matter what setting they are working in, this consists of hand hygiene in between patient contact. Different types of “isolation” will be implemented as needed for different viruses or bacterial infections that could be transmitted between patients or staff. Contact precautions will be implemented if the patient has an infection that could be transmitted through either direct or indirect contact such as MRSA; direct contact is when you’re physically in contact with the patient and indirect contact is when you come in contact with inanimate object in which the patient has been in contact. (Potter and Perry, 2011). Education and training of staff on how to use personal protective equipment properly is vital, as it is key to preventing the spread of infection beyond its original …show more content…
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. Staff that are among the care team for the patient will need to properly document the type of infection as well as the precautions being taken to prevent the spread of the
According to the Centers for Disease Control and Prevention (2013), MRSA is easily transmitted from person to person or from touching materials or surfaces that had previous contact with the infection. Using the implementation of infection control along with patient education will help in the decrease of the spread and help in the prevention in MRSA as well as get patients involved in their own care. The purpose of this paper is to present the problem of MRSA as well as include the rationale and history, review the proposed solution, integrate an implementation plan, summarize the literature review, establish an implementation plan, use a nursing theory to support the implementation plan, use a change theory to support the implementation plan, discuss how the project will be evaluated, and create a dissemination
Often in practice, we as nurses deal with a variety of diseases and treatments and often have to react to the illness that the patient presents with upon our interaction. While this is an essential piece of our practice, we also have a duty to our patients to be proactive in preventing specific health-related consequences based on their risk factors and to promote their health and well being. Health promotion as it relates to nursing is about us empowering our patients to increase their control over their lives and well beings and includes: focusing on their health not just illness, empowering our patients, recognizing that health involves many dimensions and is also effected by factors outside of their control (Whitehead et al. 2008)..
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
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
Health care facilities - whether hospitals, nursing homes or outpatient facilities - can be dangerous places for the acquisition of infections (EHA). The most common type of nosocomial infections are surgical wound infections, respiratory infections, genitourinary infections and gastrointestinal infection (EHA). Nosocomial infections are those that originate or occur in health care setting (Abedon). They can also be defined as those that occur within 48 hours of hospital admission, 3 days of discharge or 30 days of an operation (Inweregbu). 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).
There are changes in the demographic as the population grows older, the number of older adult’s increases and thus, there is an increase of proportion of patients that are older adults for nurses to take care of (Wells, Y., Foreman, P., Gething, L., & Petralia, W., 2004). The nurses are there to assist and support the older adults in achieving wellness within their situation through empowering the clients (Touhy, et al (2012). Caring for older adults is important as there is an increase in population with deteriorating health. When caring for a client it is important to incorporate Jean Watson’s caring theories and Carative Factors to help influence and support the care. She encourages nurses to co-participate within the caring process by establishing unity and trust between the nurse and client. First, this paper will explain a situation in where I cared for an older adult and it will then introduce Jean Watson’s lower order needs, specifically the need for activity and how it relates to the older adult I cared for. Lastly, this paper will explain the nursing interventions I implemented to meet the lower order need, with a discussion of Carative Factor #4 relating to the client.
To start off, I am going to explain the Health Promotion definition. Health is one’s ability to function well physically, mentally, and socially in order to function within the environment in which they are living in (World Health Organization, 2016). Encouraging one’s control over their own health in relation to social and environmental interventions defines health promotion which leads to the optimization of health (World Health Organization, 2016). It is essential for older adults to partake in changing their lifestyle in terms of their behavior and applying the knowledge they receive from health care providers in order to promote health (World Health Organization, 2016). Older adults mostly have a hard time taking care of themselves and need the assistance to guide them for their well-being. Therefore, nurses have a vital role in providing information and teaching individuals how to gain healthy ideas to promote healthy behaviors. Health promotion is a crucial element in supporting an older adult living with a health challenge such as Type 2 Diabetes Mellitus.
There is high potential of quick spread of infection as residence live in close territories and share few places like toilets, dining area and activity area. Nearly all the residence in high care wings are unable to maintain their personal hygiene. Also, few residences are on antibiotic due to their disease process and that can lower their immunity and then they are more prone to get infections. Therefore, it is extremely important to strictly follow the infection control standard in these settings, significantly hand
Washing of the hands with antiseptic soap after a contact with saliva, open wounds, blood, urine, vomitus or stools. The washing should last for at least 30 seconds. Because of the risk of infection with HIV, protection of the physiotherapist should also include work wear, plastic medical gloves and mask. The physiotherapist should be able to treat each patient as an individual. Human dignity must be respected. Small details such as the use of the first name of the patient, the complete explanation of the whole treatment details and continuous guidance for the patient’s orientation at the place and time are widely applied. The recovering environment of the intensive care unit should include the presence of windows to make the accommodation of the patient more pleasant and help him orientate in time. Applying all that non clinical aspects during the treatment will give a positive outcome on the treatment and together with the experience will make the work much more
With each passing day, new challenges for nurses are created. As of 2011, the baby boomer generation (those born from 1946 to 1964) turned 65. Between 1946 and 1964, approximately 76 million babies were born. Now that they are rising in age, these older adults are starting to need more hospitalization because of age-related issues. With the growing number of older adults seeking healthcare, there is a shortage in the number of nurses willing to take on the responsibility of caring for them (Hartman-Stein & Potkanowicz, 2009). I want to make sure that these adults never have a sense of loneliness because of their age. I also want to make sure that they have the same standards of living that they did before they got sick. This leads me into another reason of why I want to be a nurse. I think the world needs me. I want to feel that I belong and, in a sea of older adults needing healthcare, I think I will. I want to make a difference to those who feel that no one cares about them. When my grandmother was very sick, she needed all the help that my father and I could give her. She had a voice box so she couldn’t talk, pneumonia so she was very weak, and she could barely walk on her own. I knew ...
In the health care profession, one of the most important things for physicians and nurses is to avoid being infected by bacteria and viruses from sick patients. Proper use of the correct PPE is one of the keys to ensuring the protection of health care workers. Among other PPE including scrubs, respirators, and eye protection, gloves are very important for the control of disease. However, there is much dissention among physicians about the use of single or double gloving. Different studies have examined the pros and cons of single gloving compared with double gloving, and the impact that each has in the field of medicine.
Infection control is very important in the health care profession. Health care professionals, who do not practice proper infection control, allow themselves to become susceptible to a number of infections. Among the most dreaded of these infections are: hepatitis B (HBV), hepatitis C (HCV), and human immunodeficiency virus (HIV). Another infection which has more recently increased in prevalence is methicillin-resistant Staphylococcus aureus (MRSA). These infections are all treated differently. Each infection has its own symptoms, classifications, and incubation periods. These infections are transmitted in very similar fashions, but they do not all target the same population.
MRSA is a major source of healthcare associated diseases, increased hospital mortality, and leading surgical site infection (Jennings, Bennett, Fisher, & Cook, 2014, p. 83). With the implementation of active surveillance screening and contact isolations program, an overall decrease in hospital associated MRSA infections has been observed (Jennings, Bennett, Fisher, & Cook, 2014, p. 83). The author of this paper will identify a theory that can be used to support the proposed intervention i.e., reduce the transmission of MRSA by active screening in patients at high-risk for MRSA on admission. This paper will then describe the selected theory, and rational for the selection, and how this theory will support the proposed solution and how to incorporate this theory in this project.
Avoiding infection or, at least, breaking the chain of transmission is vital in any setting, but more so in healthcare environments where infections and vulnerable hosts are moving under the same roof. What needs to be done, then?