Personal protective equipment (PPE) in the health care setting is a crucial factor in keeping a safe environment for patients to receive care. Not only does PPE affect the health of the patients being treated, but it jeopardizes health care providers, visitors, and other patients throughout the unit. During my clinical experience at Emory University Hospital on floor 9E, I often observed patients, visitors, and health care providers failing to comply with the PPE hanging outside patient rooms. According to a study conducted in the United States, “researchers directly observed 104 doctors and nurses in performance of 12 trauma resuscitations. The results of the study indicated that full compliance was implemented in 3% of workers” (Powers, 16). …show more content…
Gloves are considered the most compliant out of all PPE, but when full mask, gown, gloves, and other forms of PPE are used at once, I was often asked by the patient and visitors, “why are you putting on all that stuff?” It is important that the patients and visitors understand the purpose of PPE implementation to increase the chances of their compliance. There are often negative views and attitudes about PPE. To the patient and their visitors, it can psychologically take a toll on them because they believe their condition is getting worse and they are perceived as contagious. I have also observed that patient visitors are not complying with PPE and may think they are exempt because they are not the health care providers. I feel that they do not understand that they, too, should be complying with PPE. Health care providers often have a negative view on PPE because it can often impair the ability to work, for example palpating a vein for an IV insertion. Despite the negativity revolving around proper PPE, there are also positive attitudes about complying. When wearing the proper PPE, it allows health care providers to do their jobs while protecting themselves and the patient. Since health care providers go to different rooms throughout their shifts, it ultimately prevents exposing others to infectious diseases, which can prevent future infection and save lives. It is important to remember that PPE is there for a reason, if it was not proven to be effective, it would not be
One study evaluates the gloving procedure in the health care field in relation to virus transfer (Casanova, 2012). After the worldwide SARS outbreak, the CDC proposed a re-evaluation of PPE protocols to minimize patient exposure to infections. Casanova’s group states that CDC’s proposed protocol was “not empirically validated.” They suggest using model systems to develop this data. A previous study using a model system is cited and Casanova suggests alternatives to CDC’s protocol derived from the cited study. “One such alternative is double-gloving… When removing PPE, the outer pair of gloves is removed first, followed by the rest of the PPE items, and the inner pair of gloves is removed last” (Casanova, 2012). Casanova’s group used the model system to evaluate the viability of this double-gloving procedure. This study concluded that double-gloving does decrease the risk of disease transmission and suggests incorporating this into PPE procedures for health care workers.
Certified Nurse Assistants (CNAs) are caregivers that work close to the elderly patients, also called residents. The CNAs are responsible for taking viral signs and helping the residents with activities of the daily living, such as: bathing, walking, eating, toileting, dressing and transferring. Taking care of patients that are not able to perform common tasks, like using the bathroom, can be difficult. For that reason, a great number of CNAs get injured in their work setting every year. In order to minimize the risk of work-related injured inside long-term care facilities, the facility should impose a non-lift policy and increase the use of lift machines, such as hoyers.
If patient safety is the most important issue in Health Care facilities then how come hospital inpatient falls continue to be the most reported of all accidental falls (Tzeng & Yin, 2009)? Throughout the years, hospitals continue to make changes to decrease the risk of accidents and increase the quality of patient safety. With research studies and improvements made, patient falls still hold the largest portion of reported incidents in hospitals (Tzeng, & Yin, 2008). According to Tzeng & Yin (2008), “fall prevention programs apparently do not effectively reduce inpatient fall rates because of human factors and ergonomics in a hospital environment (p.179, para. 2). The two studies reviewed in this paper were performed with the hopes of decreasing the high fall rate among inpatients.
Safety is a primary concern in the health care environment, but there are still many preventable errors that occur. In fact, a study from ProPublica in 2013 found that between 210,000 and 440,000 patients each year suffer preventable harm in the hospital (Allen, 2013). Safety in the healthcare environment is not only keeping the patient safe, but also the employee. If a nurse does not follow procedure, they could bring harm to themselves, the patient, or both. Although it seems like such a simple topic with a simple solution, there are several components to what safety really entails. Health care professionals must always be cautious to prevent any mishaps to their patients, especially when using machines or lifting objects, as it has a higher
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
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
Each year this panel of experts put a microscope on patient safety across the board. They decide where upmost attention needs to be paid. Sometimes items leave the list because there are been strides take to improve in that area and sometimes it continues to stay on the list because they believe the relevance and importance is growing. Healthcare is evolving b...
Patient safety is a major issue in health care, especially in the public sector. Studies show that as many as 10 patients get harmed daily as they receive care in stroke rehabilitation wards in hospitals in the United States alone. Patient safety refers to mechanisms for preventing patients from getting harmed as they receive health care services in hospitals. The issue of patient safety is usually associated with factors such as medication errors, wrong-site surgery, health care-acquired infections, falls, diagnostic errors, and readmissions. Patient safety can be improved through strategies such as improving communication within hospitals, increasing patient involvement, reporting adverse events, developing protocols and guidelines, proper management of human resources, educating health-care providers on the need for patient protection, and commitment of the leadership to the task. This paper talks about patient safety and how it can be improved in stroke rehabilitation wards of both public and private hospitals.
With patient safety always being the number one priority FTR is the worst case scenario for the hospitalized patient. In an article titled “Failure to Rescue: The Nurse’s Impact” from the Medsurg Nursing Journal author Garvey explains ways FTR can occur “including organizational failure, provider lack of knowledge and failure to realize clinical injury, lack of supervision, and failure to get advice.” Nurses are problem solvers by nature, they heal the sick and help save lives. FTR is a tragic experience for everyone involved. The recent surge in this happening across the country has given FTR cases widespread media coverage. Hospitals are trying to figure out what the root cause is and how they can be prevented. Fortunately, with the advancement of technology and extensive research many hospitals have developed action plans and procedures to help prevent the early warning signs from being
In October of 1998, the Courant’s survey of the 50 states identified that 142 individuals died in physical restraints or seclusion. Another study was done in four Turkish hospitals from July to September of 2005. The study’s findings were, “Nurses used either wrist, ankle, or whole body restraints at various levels. Those nurses who worked in surgical intensive care units and emergency departments and had in-service training used more physical restraint than did others. Only a third of nurses decided on physical restraint together with physicians and three-fourths tried alternative methods. Nurses reported edema and cyanosis on the wrist and arm regions, pressure ulcers on various regions, and aspiration and breathing difficulties in relation to physical restraint.
The rate of errors and situations are seen as chances for improvement. A great degree of preventable adversative events and medical faults happen. They cause injury to patients and their loved ones. Events are possibly able to occur in all types of settings. Innovations and strategies have been created to identify hazards to progress patient and staff safety. Nurses are dominant to providing an atmosphere and values of safety. As an outcome, nurses are becoming safety leaders in the healthcare environment(Utrich&Kear,
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...
(2014) shed light on two key components for infection control, which includes protecting patients from acquiring infections and protecting health care workers from becoming infected (Curchoe et al., 2014). The techniques that are used to protect patients also provide protection for nurses and other health care workers alike. In order to prevent the spread of infections, it is important for health care workers to be meticulous and attentive when providing care to already vulnerable patients (Curchoe et al., 2014). If a health care worker is aware they may contaminate the surroundings of a patient, they must properly clean, disinfect, and sterilize any contaminated objects in order to reduce or eliminate microorganisms (Curchoe et al., 2014). It is also ideal to change gloves after contact with contaminated secretions and before leaving a patient’s room (Curchoe, 2014). Research suggests that due to standard precaution, gloves must be worn as a single-use item for each invasive procedure, contact with sterile sites, and non-intact skin or mucous membranes (Curchoe et al., 2014). Hence, it is critical that health care workers change gloves during any activity that has been assessed as carrying a risk of exposure to body substances, secretions, excretions, and blood (Curchoe et al.,
As medical assistants, we are required to wear scrubs as our uniform. Our such uniform should not be wrinkled instead it must be in clean and neat condition. In addition, facilities require employees to wear their identification card or badges within the premises at all times. It helps the patient and other staff members, if working in a bigger facility, to identify that you are an employee. It also reassures patients that they are given proper care by a reliable and professional employee. Moreover, in a healthcare facility it is best to wear long sleeves shirt under you scrubs instead of wear...
Due to the fact that during a surgery you will be using your hands you must be very careful even if you are wearing safety equipment. Protective wear can help tremendously by eliminating any easy route of transmission of any viruses, or diseases etc. Through medical school it will be required that surgeons wear gear that will protect them. Always wear protective gear no matter how little the operation could be, surgeons will always be exposed to some kinds of bacteria which can be foreign to your own. According to Paul A. Ruggieri M.D.’s novel, “I love being a surgeon. I love being able to make a clear, tangible difference in the quality of a person’s life. Sometimes I even save a life. I am honored every time a patient comes to me, and I’m humbled at the trust that’s given.” Surgeons should have the same mindset as Dr. Ruggieri because making a difference in someone else 's life should be a huge priority. They should want to help someone with their problems. Surgeons leave a mark on other people’s life, and it should always be a positive one. The satisfaction knowing a surgery was performed on someone and treated their problems would feel