4.1 Study design The study design comprises of both qualitative and quantitative approaches for exploring the current practices of cleaning the resuscitation device among the providers in union level settings (Family Welfare Visitor) and in communities (Community Skilled Birth Attendant) to find out if that practice adequately meets the requirements of standard infection prevention guideline and its associated gaps and challenges. The study involves a direct observation of simulation of the preparatory activities prior to conduction of deliveries and cleaning and disinfection process for the neonatal resuscitation device, pre and post cleaning collection of specimens from parts of the device (bag-mask and sucker) and lab-test of specimens.
All areas that are being used for healthcare activities should be cleaned with either disinfectant wipes each morning and in between patients/procedures. Equipment should be all new out of the packets and clean. For things more major such as vasectomy’s, minor surgery or family planning clinics, areas should be cleaned everywhere with a disinfectant fluid and also with wipes, gloves should always be worn as well as other PPE such as aprons and hats. All equipment should be new from the packet and only touched by the person who is using
Implementation of patient care practices for infection control is the role of the nursing staff. Nurses are responsible for maintaining hygiene, consistent with hospital policies and good nursing practice on the ward and monitoring aseptic techniques, including hand-washing and use of isolation. It is also in their scope of practice to promptly report to the attending physician any evidence of infection in patients under the nurse’s care and initiating patient isolation and ordering culture specimens from any patient showing signs of a communicable disease, when the physician is not immediately available. Limiting patient exposure to infections from visitors, hospital staff, other patients, or equipment used for diagnosis or treatment and maintaining
From the above quotes, it can be seen that participants use positive relationships with the young people to shape future behaviours. It can be deduced that these trusting relationships enable the youth support workers to access more personal and detailed information about the young person. This information can be used to develop interventions that will be meaningful to the young person’s need, increasing the chances of the intervention being successful. Without the relationship building method, it is suggested that the young people would only disclose brief information, leaving the youth support workers to assume the young person’s needs and problems without enough information. The participants also emphasised using this positive relationship to engage the young people in the service and the interventions available. This
Catheter associated bloodstream infection (CRBSI) occurring in the neonatal intensive care unit (NICU) are frequent, complication related to it are potentially fatal and costly (Kim & Sandra, 2009). According to the center of disease control, an approximate of two hundred and fifty thousand cases of CRBSIs have been estimated to occur annually which cause health care to cost approximately twenty five thousand dollars per case, and between 500 to 4,000 patient die due to blood stream infection (CDC, 2002). Approximately 90 percent of blood stream infection occurs from central venous insertion (CVC). Even though CRBSI occurs from different ways, the most common source is contamination of the catheter by skin flora on insertion, skin flora
The hospital is compliant with infection control protocol according to the CDC standard guidelines. “Hand hygiene, contact precautions, as well as cleaning and disinfecting patient care equipment and the patient’s environment are essential strategies for preventing the spread of health care–associated infections. Hand hygiene is addressed in NPSG.07.01.01. Contact precautions for patients with
Hospital acquired infections (HAI) are inflecting a tremendous impact on healthcare safety and medical costs. The purpose of this qualitative analysis is to evaluate current research and evidence based practice on central line acquired blood stream infections (CLABSI) in the neonatal intensive care unit (NICU). Further, this paper will examine how the closed medication line system can help decrease of a CLABSI event. Neonates are a vulnerable population with a low immune suppression where an infection could simply mean life or death. This particular topic is crucial; with the continual rise in pre-term neonates, this topic is crucial to eliminate CLABSI 100% in the NICU environment
Stethoscope is one of the most commonly used medical devices on a clinical setting, the environment of which is often represented a potential vector for hospital acquired infections. Scholars highlights that the sterilization of invasive equipments and the disinfection of any kind of devices before the interventions are generally ignored (Kilic et al., 2011). Among those devices, stethoscope is the widely-used equipment with the most possibility of contamination of transmitted organism. Researchers emphasize that the increasing proliferation of infection required diligent hygiene of both hands and instruments between patients to reduce hospital acquired infections (Shaw and Cooper, 2014). Therefore, a survey is being conducted with a brief nurse-directed questionnaire to review perceived reasons for stethoscope antisepsis non-compliance and stethoscope antisepsis compliance. The purpose of this project is to improve compliance with stethoscope care before and after patient contact on the Acute Medical and Progressive Care Unit (D6/5) at University Hospital in Madison, Wisconsin. The following
This essay will examine and compare the different methods of hand washing in the perioperative environment and how hand washing influences the prevention of healthcare acquired infections (HCAIs). It will show the importance of washing hands thoroughly to remove bacteria to prevent HCAIs. It will include the differences between the surgical hand wash, the social hand wash and the use of alcohol rubs.
Physical safety is especially important for pregnant women, as there is an unborn baby in their womb. One way of keeping clients physically safe is after having blood taken, or injections given, to use sterile needles, and then only use them once and dispose of them straight away. This is so the client does not get infected; throwing the needle away will stop infection spreading and stop it from accidentally piercing someone else’s skin. Another way of keeping clients physically safe is, for example, if the floor is wet and slippery, either dry it up or put up a ‘wet floor’ sign. Otherwise, a pregnant lady could slip and injure herself or her baby. Also, an example is on higher floors, if the antenatal ward is on a high floor, windows should only open slightly. This is so nobody can fall out of the window and seriously injure themselves. Hygiene is also an important physical life quality factor, because if health professionals (or clients) have poor hygiene, diseases could be spread throughout the ward and hospital. Ways for the professionals to keep hygienic is washing and sanitising their hands before coming into contact with the client. This stops spreading diseases around and also stops infections going into the client if they are using needles or syringes. For the clients to keep hygienic there are hand sanitizers in the ward for them to use. Also, on every floor there are
This paper will examine the elements used to perform an article appraisal concerning the decrease of infection in Neonatal Intensive Care Units by performing hand hygiene.
The implementation of maximal sterile barriers to replace the older, more lenient techniques can significantly lower infection rates. The improved infection rates have been consistent for different age groups, just as the rate of CR-BSIs are consistent for the different age groups. For example, the Neonatal intensive care unit at George Washington University Hospital tried to implement more strict sterilization techniques after discovering that their rate of CR-BSIs was nearly twice the national average provided by The National Nosocomial Infection Surveillance
This seemingly small intervention has save lives and millions in health care cost. In addition, these Curos™ caps have helped decrease the rate of CLABSI on all oncology hospital floors that implemented them into routine practice. The current research on this implementation has given it a strong evidence based practice background for any new oncology units want to use the Curos™ caps. This paper compared the use of disinfection caps, and the results of it in routine nursing practice compared to the normal disinfecting techniques. Nursing compliance in hub disinfection increased the rates of CLABSI decreased. Lastly, with all this supporting evidence Curos™ caps should become a standard of practice in
According to the Surviving Sepsis Campaign, careful infection control practices should be reviewed in nursing considerations, should be established during care delivery of septic patients. Infection control measures include: hand washing, urinary and venous catheter care, protective skin barrier, airway management, head of the bed elevated greater than 30°, and subglottic suctioning (Dellinger, et al., 2013, p. 595). [continue with preventative measures, i.e. handwashing
Blanck (2014) explains in preparation of the study nurses and nursing assistance was required to attend a mandatory training class for best practice standards, infection control nurse and clinical manager conducted the class. Also, verbal feedback was utilized to ensure understanding of the educational material. Furthermore, feedback included, CAUTI occurrence rates, frequency of bundle care, and research evidence, in order to increase their knowledge in the need for preventative measures in reducing CAUTI’s. Also, included in the educational text was the standard practice care of three wipes, utilized for perineal/meatal region, and catheter tubing. Also, the bedside checklist contained all the necessary components for the bundle. Nonetheless,
This project evaluated the best practices for pregnant healthcare workers to prevent an infection of CMV, a common infection in patients on the adult bone marrow unit. Pubmed and CINAHL were queried with the search terms “Occupational hazards for pregnant nurses” and “pregnant nurse and CMV”. The CDC's website was also consulted.