Blood Culture Contamination Rates In The Emergency Department Case Study

Evidence-Base practice (EBP) is defined as: “based on problem identified from the practitioner’s area of practice; a combining of best evidence and professional expertise and an integration of this into current practice; about ensuring patients receive quality care, being part of quality improvement processes; about collaboration and requiring a team approach” (French, 1999). Scott and Mcsherry (2008) supported the French’s assertion, proposing the key elements of EBP are that it is a theory-driven process, which involves the use, evaluation and application of research; identification of best evidence; evaluation of care; problem solving; decision-making; clinical expertise; and requires patient involvement. Evidence-based practice is made of evidence, clinical expertise, patient preference, the context of care (Barker, 2013). In brief, evidence-based practice is the parameter in the nursing practice that it requires that the nurses gather and use clinical evidence to make decision for the patients so that in the nursing process they can deliver the quality of care for the patients (Ellis, 2013). In the other words, in the nursing practice all the nursing procedures performed by the clinical evidence supported.

Many individuals do not like the idea of change, but as health care professionals we know that change is a part of our profession. Evidence-based practice is present and the future of health care practice and needs to be fully supported by every health care team member. The gap between understanding EBP and applying it needs to be a thing of the

The facility my change project has potential impact upon is a teaching hospital which is known for promoting, supporting, and encouraging clinical research and implementing latest evidence-based practice. Erlanger serves as the region's only academic teaching hospital and strives to employ healthcare professionals who are knowledgeable in the latest skill, technique, and evidence based practice (EBP) (Erlanger Health System, 2017). This serves as both a strength and opportunity for the facility. A major strength for the hospital is the support that is has for research and implementation of all change processes. In 2013 the Institute for Clinical Research (EICR), was developed to solidify unity of two objectives, providing patients’ access

Evidenced Based Practice (EBP) is essential to enable all nurses to provide the most current up to date practises for their patients. This process involves research, systematic review of current practises, critical thinking skills, evaluation and application to the clinical setting. In addition to this, the nurse must take into account the patients’ preferences. For nurses to have professional autonomy they must be able to justify their actions and demonstrate an understanding of why they perform the tasks they do. This defines them as unique professionals judged by their knowledge and not simply by their hands on skills.

Catheter related bloodstream infections are not only responsible for prolonged hospital stays and increased hospital costs, it is also responsible for increased mortality of the hospitalized patients. According to Centers for Disease Control and Prevention (2017), an estimate of 30,100 central line-associated bloodstream infections (CLABSI) occur in intensive care units and wards of U.S. acute care facilities each year. CLABSI is a serious hospital-acquired infection that occurs when bacteria enters the bloodstream through central venous catheters. CLABSI is preventable as long as health-care personnel practice aseptic techniques when working with the catheter. A blood culture swabbed from the tip of the catheter is needed to confirm the

The process is an action plan that tends to illuminate on the strategies to be employed with the purpose of reducing the risk of a similar sentinel event such as that of Mr. B’s scenario. It addresses the responsibility for the oversight, implementation, pilot testing, as well as timelines and strategies for the measurement of actions that are effective (Lewis et al, 2014). All the root cause analysis (RCA) findings conducted above should help in the determination of the appropriate action plan. The appropriate improvement plan in this scenario should encompass the reevaluation of the events that led up to the code blue of Mr. B. The plan should look at the staffing mix, if the licensed personnel are trained appropriately, the patient to nurse ratio in the ER and the types of patients that were in the ER at the time. When

Septic shock is the leading cause of death for patients in intensive care units and is the final stage in a continuum of infectious and inflammatory processes. This continuum begins with bacteremia, which is the presence of bacteria in the blood. Normally the body’s immune system can fight off a localized infection caused by a small amount of bacteria in the blood and the person will remain asymptomatic. However, a hospitalized patient could be immunocompromised, have a

Healthcare mistakes can be costly (Kelly & Klim, 2013). One particular mistake that is a common source of costliness and wasteful spending on many levels is the improper collection of blood cultures. Blood culture collection is a necessity in the treatment of many conditions, including pneumonia, cellulitis, and other bacterial infections (). INSERT STUFF FROM PHONE HERE .Blood cultures provide a guide for diagnosing and treating a patient with sepsis (Kelly & Klim). Self et al. (2013) agrees that the unnecessary interventions from contaminated specimens prove to cost the hospital time, effort and thousands of dollars

Experience with EBP: Evidence-based practice plays a crucial role in the quality of patient care. When care is performed based upon evidence opposed to outdated textbooks, instinct, tradition, or colleagues influence (Beyea & Slattery, 2006). The average nurse is currently more than forty years of age, without the frequent education upon new topics, many nurses’ knowledge has become outdated. As new textbooks are not published yearly or often times not kept up to date within facilities, they do not serve as reliable sources of

Evidence-Base practice (EBP) is defined as based on problems identified from nursing practice; using best evidence and professional expertise and merging them into current practice to ensure patients receive quality care (French, 1999). Evidence-based practice is a part of quality improvement process; it is made of evidence, clinical expertise, patient preference and the context of care (Barker, 2013). In brief, evidence-based practice is the guideline in the nursing practice that requires nurses gather and use clinical evidence to help diagnose or assess patients correctly by using their knowledge and experience in order they can deliver the quality of care to the patients (Ellis, 2013). In the other words, in the nursing practice the clinical evidence supports all the nursing procedures performed.

The nurses at the individual nurse level contribute their personal effort to EBP promotion because they usually work different shifts, in different units, as well as have different perspectives toward making EBP changes. For instance, nurses can identify the current problems in their unit, search resources to address the problems, evaluate the successfulness of the resolutions, and make changes based on the EBP to enhance the quality of healthcare service. The changes occurred

I chose the topic of hospital acquired blood stream infections because it raises a serious concern in the health care industry. As a nurse it is important to be educated on how this infection occurs and ways that it can be prevented. Being educated on this topic will affect my overall clinical decision-making and help me grow as a nurse. Educating nurses on this issue can save a great amount of lives and money. I will use this information in my nursing practice by making sure to use the proper techniques so that this issue does not continue and my patients get the care that they deserve. It is my responsibility as a nurse to create a healthy and safe environment for patients. Ways that I can reduce the number of patients affected my blood stream

METHODS: A pilot study on pediatric intensive care unit patients over a 1year period with clinical evidence of sepsis. Forty patients were enrolled in the study within the first 24 h after onset of sepsis; they were classified according to 28 day mortality into survivors and non-survivors. CBC,ESR, CRP and sRAGE were measured . Bacterial cultures from suitable body fluids in septic patients were carried out.

Selecting the most appropriate and cost effective rapid diagnostic testing is somehow challenging given the wide range of commercially available diagnostic tools. Some of these tools require labor intensive clinical laboratories work with high complexity10. For gram-negative bacteremia, two tools have potential clinical benefits, Verigene gram-negative blood culture (BC-GN) and FilmArray blood culture identification (BCID) given their ability to detect resistance patterns in certain microorganisms and have a short turnaround time after a positive blood culture. A study by MacVane S et al. examined the usefulness of antimicrobial stewardship programs (ASP) coupled with BCID versus conventional organism identification coupled with ASP or conventional organism identification (controls) alone20. Although microorganism identification was shorter in the BCID group (17 hours vs 54 to 57 hours; p < 0.001), there was no

Because this change is more in depth, the Kotter model of change would be used. Using this model, first, data must be presented to show a need for this change such as the remarkable data McGoldrick has found. Statistics on the rate of noncompliance with isolation precautions, and the burdens it causes to staff should also be presented. Next, important people must be gathered to help implement the change, such as charge nurses, management and most importantly the infection control department. This group must work together, and look at the data to make a specific plan to implement this change. Then, they will decide how to get the new idea out to the staff,