The nursing field should have tighter requirements for poor hygiene practices. Many individuals in the nursing field have requirements that have been set by the facility already. Employers have rules on proper hand hygiene as well as hygiene in general, such as, no strong perfumes, having to wear clean white shoes, having a clean uniform, not too much make-up, and washing hands in between patients with soap and water for 26 seconds and/or to use alcohol base hand sanitizers. Furthermore, many certified nursing assistant’s (CNA’s), licensed practical nurses (LPN’s), and registered nurses (RN’s), are being spotted not practicing good hand hygiene techniques, and are exposing family members, residents, and co-workers to a variety of disease vectors.
One cited sourced at the Centers for Disease Control and Prevention (CDC), on “Hand Hygiene in the Healthcare Settings” stated that, “Health care workers' hands are the most common vehicle for the transmission of health care associated pathogens from patient to patient, and within the health care environment. If hand hygiene practices are poor, microbial colonization and/or direct transmission to patients may easily occur. Hand hygiene saves lives (Allegranzi and Pittet 58)." This is one of the many reasons why there should be tighter guide lines, and rules, set by one’s facility that would help eliminate individuals causing cross-contamination.
According to “Keeping Patients Safe from Infection” the article tells how nurses were infecting residents with hepatitis B and putting themselves at risk by not cleaning the blood glucose reader, not wearing gloves, and/or for reusing needles. This would create a cross-contamination of bacteria and/or viruses for not using proper standard preca...
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... healthy outcome, therefore, tighter guidelines should be implemented in the nursing setting.
Jasmine Jones
English Comp.
22nd Nov. 2013
Works Cited
Boyce, John M., and Didier Pittet. "Guideline for Hand Hygiene in Health-Care Settings." Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 19 May 2011. Web. 22 Nov. 2013.
Thompson, Nicola D., and Joseph F. Perz. "Eliminating the Blood: Ongoing Outbreaks of Hepatitis B Virus Infection and the Need for Innovative Glucose Monitoring Technologies." NCBI. U.S. National Library of Medicine, Mar. 2009. Web. 25 Nov. 2013.
Webb, R., "Transmission Of Hepatitis B Virus Among Persons Undergoing Blood Glucose Monitoring In Long-Term Care Facilities." MMWR: Morbidity & Mortality Weekly Report 54.9 (2005): 220-223. Academic Search Premier. Web. 19 Nov. 2013.
The medical assisting extern needed to wash her hands before preparing the room for a patient to prevent cross contamination.
Health tips. Hand hygiene. (2009). Mayo Clinic Health Letter (English Ed.), 27(12), 3. Retrieved from
Hepatitis B Virus (HBV) is a virus that leads to infection of the liver. Infection of the HBV can be acute or lifelong (chronic). Humans are the only known host for HBV (CSC, 2017). This virus can survive on environmental surfaces for up to seven days (WHO, 2017).
“The CDC is the primary developer of national infection control and prevention guidelines, often in collaboration with its Healthcare Infection Control Practices Advisory Committee, which is responsible for research and dissemination of the latest information for preventing disease transmission” (Griffis, 2013, p. 175). Infection control will continue to be a topic of discussion as long as germ transmission is still happening. Among these studies is the concern the frequent nonadherence to contact precautions is a huge issue that many studies are still very concerned about (Jessee & Mion, 2013, p. 966). The writer is also concerned with the blatant disregard for hand hygiene that appears to be happening in the medical field. What about what is best for the patient. Do the people that do not use proper hand hygiene not understand how important it
Hepatitis B is a DNA viral infection that causes damage and inflammation to the liver. It was first discovered in 1965 by Dr. Baruch Blumberg. The HBV virus is very contagious and is even thought to be the most serious form of viral hepatitis and the most common viral infection on Earth. “HBV is 100 times more infectious than HIV.” (Green, 2002, pg. 7) The virus can survive for about one week outside the body on a dry surface. According to Green (2002, pg. 7), “One in twenty Americans has been infected with the virus at some point in their lives.” Between the ages of 15-39 is when 75% of new HBV infections occur, according to Green (2002, pg.8).
1a - Epidemiology of acute and chronic hepatitis B virus infection in Norway, 1992-2009 - Gražina Rimšelienė1,2*, Øivind Nilsen2, Hilde Kløvstad2, Hans Blystad2 and Preben Aavitsland2
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
“Failure to attend to hand hygiene has serious consequences: it has a negative effect on patient safety and the quality of patients’ lives, as well as on their confidence in healthcare delivery. However, the prevalence of hand hygiene omission is still high” (Canadian Disease Control, 2016 p 1). Washing hands before and after patient contact seems like a simple solution to prevent the spread of bacteria between patients. But it is not as simple as it seems.According to new CDC data, “approximately one in 25 patients acquires a health care-associated infection during their hospital care, adding up to about 722,000 infections a year. Of these, 75,000 patients die from their infections ( CDC, 2016 p 1).” Leaving a finacial burden on Canada’s health care
Hepatitis B, an infectious disease caused by the Hepatitis B virus (HBV, a DNA virus), was formerly called serum hepatitis, inoculation hepatitis and post-transfusion hepatitis. Infection with HBV may result in acute, fulminant or chronic hepatitis, sometimes even resulting in a chronic asymptomatic carrier state, apart from hepatocellular carcinoma and liver cirrhosis (Davis 179). The disease is transmitted when an individual comes in contact with infected blood or objects. It may also be transferred from an infected mother to her infant either during or after birth (Zuckerman et al. 211). Transmission may also occur by accidental inoculation from infected needles and hospital equipment, intravenous drug abuse, body piercing, tattooing, and mouth-mouth kissing (Zuckerman et al. 210). The risk of Hepatitis B is particularly high in individuals with multiple sex partners, and in homosexuals. The HBV virus occurs in morphologically different forms in the serum of infected individuals. HBV infection has an incubation period of about 75 days. Systemic symptoms of the disease include fatigue, fever, dyspepsia, arthralgia, malaise, and rash, while local symptoms include hepatomegaly, jaundice, dark urine, and pale stools (Davis 179; Zuckerman et al. 210).
This essay critically examines the relationship between interventions and the dubious increase in hand hygiene compliance by healthcare professionals by using the framework of evidence-based practice to evaluate previous literature, identify barriers, and note mechanisms used to measure effectiveness of interventions. The systematic review, Interventions to improve hand hygiene compliance in patient care, conducted by the Cochrane Collaboration investigated innovations 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 while 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).
(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.,
“Researchers in London estimate that if everyone routinely washed their hands, a million deaths a year could be prevented” (“Hygiene Fast Facts”, 2013, p. 1). Hands are the number one mode of transmission of pathogens. Hands are also vital in patient interaction, and therefore should be kept clean to protect the safety of patients and the person caring for the patient. Hand hygiene is imperative to professional nursing practice because it prevents the spread of pathogens, decreases chances of hospital-acquired infections, and promotes patient safety. There is a substantial amount of evidence that shows why hand hygiene is important in healthcare
Patient’s personal hygiene is a vital part of the nurse’s role. Young (1991) described cleanliness as a basic human right, not a luxury the need for the patient to physically cleansing and which would include skin, hair and nails.
...s and hoses, control buttons, switches, hand pieces, and X-ray units (Collins). After every patient’s visit, the operatory is to be sterilized and disinfected. All areas that were that were not covered with a barrier, or if the barrier was compromised, must be wiped down with surface disinfectants similarly used in hospitals. OSHA requires disinfectants to be potent enough to fight against HIV and HBV infections (Collins). If there is any blood present on a surface, tuberculocidal type disinfectant should be utilized.