The clinical problem that I chose to talk about and will like to present is about surgical site infection. I wanted to address this issue because in the recent year’s, surgical site infections has become a huge problem that is embedded in our common healthcare practices despite the precautionary improvements that were achieved in the healthcare industry. The Centers for Disease Control and Prevention estimates that “500,000 surgical site infections occur annually and account for 3% of surgical mortality, prolonged lengths of hospital stay, and increased medical cost.” (Diaz, Newman, 2015, P.63). With this being said, nurses have the potential of preventing surgical site infection by following guidelines to meet the patient safety. Identifying …show more content…
According to Diaz and Newman, the ultimate goal to reducing surgical site infection were to follow specific guidelines that could prevent from happening such as the usage of antibiotics, regulating core temperature, and following the standardized method of hand washing. Health and human services (2014) found that surgical site infection specific occurrence were within outpatient care hospitals and there were some major severe infections associated in ambulatory surgery centers. According to the () surgical site infections following ambulatory surgery procedures, “perioperative nurses and managers in ambulatory surgical settings should be prepared to develop and implement quality improvement initiatives to address SSI prevention after ambulatory surgery.” (Owens, Barrett, Raetzman, Gibbons, Steiner, 2014, P. 590). Establishing early interventions and preparing for any potential risk outcome should be a nursing priority. The Center for Disease Control and National Nosocomial Infection System identified SSI by knowing certain clinical criteria in order to rule out the problem. Nurses working with these patients can use the evidence-based practice by knowing the signs and symptoms of infections such as “a purulent exudates draining from a surgical site, a positive culture obtained from a surgical site that was closed initially, a surgeon’s diagnosis of infection, a surgical site that requires reopening due to at least one of the following signs or symptoms: tenderness, swelling, redness, or heat” (Diaz and Newman, 2015, P. 63). Nurses can be diligent to minimizing the risks associated with surgical site infection if they follow the evidence-based guidelines that were provided to them and practice those measure to their best abilities. According to the article, 75% of postoperative deaths were associated to surgical site infection. It
Vegas AA, Jodra VM, García ML (1993) Nosocomial infection in surgery wards: a controlled study of increased duration of hospital stays and directs cost of hospitalization. Eur J Epidemiol. 9:504–510.
Hinkle, J., Cheever, K., & , (2012). Textbook of medical-surgical nursing. (13 ed., pp. 586-588). Philadelphia: Wolters Kluwer Health
Kleinpell RM, Munro CL, Giuliano KK. Targeting Health Care–Associated Infections: Evidence-Based Strategies. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 42. Available from: http://www.ncbi.nlm.nih.gov/books/NBK2632/
We as a nurse should be aware about the causes, risk factors and complications about the nosocomial infections associated to catheterization. As it is found in various surveys and research that the catheter associated UTI is one of the most common and frequently occurring type of hospital acquired infection due to various risk factors and causes, we have to follow the guidelines and strategies for the prevention and management of those infection. Catheter associated UTI is the patient safety indicator by which we can improve the health care and provide patient safety and quality care. There is a vital role of nurses in improving health care system which is possible by following the principles and guidelines of assessment, surveillance and nursing management of the patient.
I work in the Surgery department in the pre-operative and post-operative phase. One of the EBP that we use is intravenous antibiotic prophylaxis prior to surgeries. Studies have shown absolute decrease of infections and length of hospital stay. The timing of preoperative prophylaxis is crucial. “F...
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
Ensured the client had appropriate hygienic care with hand washing, bathing, oral care, and hair, nail, and perineal care are performed correctly. Educate and teach the patient, family, and caregivers the importance of infection prevention to prevent secondary diagnosis/diseases. Teach the client risk factors contributing to surgical wound infection. The patient had met all of my goals and by discharge client was able to use safety measures of wearing non-slip socks, bed in the lowest position, calling for help before getting out of bed (call don’t call) to minimize, client was able to verbalize decrease of distress and anxiety by discharge, and client demonstrated appropriate hygienic measures by using appropriate hand washing technique,
Hospital acquired infections are spread by numerous routes including contact, intravenous routes, air, water, oral routes, and through surgery. The most common types of infections in hospitals include urinary tract infections (32%), surgical site infections (22%), pneumonia (15%), and bloodstream infections (14%). ( book). The most common microorganisms associated with the types of infections are Esherichila coli, Enterococcus species, Staphylococcus auerus, Coagulase-negative staphylococci, or Pseudomonas aeruginosa.(secondary) Urinary tract infections occur when one or more of microorganisms enter the urinary system and affect the bladder and/or the kidneys. These infections are often associated improper catheterization technique. Surgical site infections occur after surgery in the part of the body where the surgery took place. These infections may involve the top of the skin, the tissue under the skin, organs, or blood vessels. Surgical site infections sometimes take days or months after surgery to develop. The infections can be cause by improper hand washing, dressing change technique, or improper surgery procedure. Pneumonia can also become a hospital acquired infection. Ventilator-associated pneumonia is a type of lung in...
Healthcare-associated infections can occur in any type of healthcare facility. It usually begins from cross contamination from healthcare providers to the patient, however, it can come from other patients, hazardous medical procedures, and contaminated surgical tools too. Healthcare workers play the leading role in preventing healthcare-associated infections. Srigley et al. (2013) stated that “Healthcare worker (HCW) hand hygiene is considered to be one of the most important interventions for the prevention of HAIs and AROs. However HCW hand hygiene is typically poor, with a median compliance of 40%, and few interventions have been demonstrated to result in significant and sustained improvement” In order to
The mission of Ventura County Medical Center (VCMC) is to provide quality cost effective healthcare. In order to accomplish this mission HealthCare Associated Infections (HAI) must be reduced. Ventura County Medical Center along with hospitals around the nation is required to report their HAI’s to the National Healthcare Safety Network (NHSN) which in turn reports to the Centers for Disease Control (CDC) which then reports to Centers for Medicare and Medicaid Services (CMS). The CDC states that 1 in 25 patients will get a HAI during their stay in the acute care setting of a hospital. “There were an estimated 722,000 Hospital Associated Infections in acute care hospitals in the US in 2011.” (CDC, 2015). Nine percent of patients
All Nurses are performing invasive procedures with PEIs that are of greatest concern and happens most dangerous because they may transferring bacteria, protozoa, viruses and prions (20), transmit blood-borne diseases such as hepatitis B and C viruses and HIV (13, 21). Long working hours and not having enough sleep during the night shift also put practitioners at risk for needle stick injuries (1). The needle can slip and injure the healthcare worker (1, 3-5). These injuries can lead to significant stress and anxiety for HCWs and their families (6). Unfortunately, it is evaluated that half of all NSIs go unreported (12, 21). NSIs cure in any environment where sharps are encountered poses a risk (2, 22). Based on report published by The World Health Organization (WHO) in 2000, NSIs was responsibility Incidence 66,000 hepatitis B, 16,000 hepatitis C, and 1,000 HIV infections (12, 13, 23). The important of factors affected on needle stick Injuries including hollow-bore needle, deep penetration and visible blood on the needle (24,
...s and measurement to decrease healthcare- associated infections. American Journal Of Infection Control, pp. S19-S25. doi:10.1016/j.ajic.2012.02.008.
(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.,
Patient safety must be the first priority in the health care system, and it is widely accepta-ble that unnecessary harm to a patient must be controlled.Two million babies and mother die due to preventable medical errors annually worldwide due to pregnancy related complications and there is worldwide increase in nosocomial infections, which is almost equal to 5-10% of total admissions occurring in the hospitals. (WHO Patient Safety Research, 2009). Total 1.4 million patients are victims of hospital-acquired infection. (WHO Patient Safety Research, 2009). Unsafe infection practice leads to 1.3 million death word wide and loss of 26 millions of life while ad-verse drug events are increasing in health care and 10% of total admitted patients are facing ad-verse drug events. (WHO Patient Safety Re...
The Infection Prevention and Control (IPC) Program is an essential force maximizing quality, patient centered care, and safety throughout the Veterans Affairs North Texas Health Care System (VANTHCS). The VANTHCS “... is a progressive health care provider in the heart of Texas ... we serve more than 117,000 Veterans and deliver 1.4 million outpatient episodes of care each year to Veterans in 38 Texas counties and two counties in southern Oklahoma” (“VA North Texas,” 2016, para. 1). The purpose of the IPC Program is to guide a facility-wide approach toward identifying, preventing, controlling, and eliminating healthcare-associated infections (HAIs). This approach is facilitated through infection control (IC) practitioner’s role-modeling behaviors of assessing, supporting, guiding, and/or directing healthcare providers (HCPs) in the application of evidence-based practices (EBPs) to prevent HAIs. According to the Centers for Disease Control and Prevention (CDC), HAIs are often preventable adverse events that pose a major threat to patient safety (“Centers for Disease,” 2016). As a result, IC practitioners recognize the importance of preparing nurse faculty to engage clinical staff in the application of EBPs to prevent infections.