Infection control nursing precaution- hand hygiene
Norovirus is a healthcare associated infection which can cause morbidity and mortality (Weber et al. 2010, pg. 25). Norovirus is spread through ingesting food or liquids that are contaminated with norovirus and also from touching or being in contact with objects and people who are contaminated with pathogens from norovirus (Weber et al. 2010, pg. 25). According to Weber et al. 2010 (pg. 26), approximately 20%-40% of hospital acquired infections are because of cross infections through the healthcare worker’s hands. A simple and effective solution to lowering the risk of spreading Reginald’s infection around the hospital is hand hygiene by healthcare workers and even visitors within the hospital
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Pain relief could be used to help Reginald with the pain, if it is suitable in his situation. If not, a massage or an application of heat or cold could be effective with pain (Berman et al. 2015, p.1324). This can enhance comfort and relaxation (Berman et al. 2015, p.1325). Another way of accommodating him is to adjust the posture of his bed and the way he is laying so that he is comfortable. This could mean lying him on his side with pillows supporting him so he isn’t leaning on the part of his body that is in pain. It could be assumed that Reginald has a sore throat and anus from his sickness. There are different steps which can be taken to soothe anal discomfort. An ointment, ice pack or pain relief can be used to help with the pain (Everyday Health 2015). Ice cubes or throat soothers can be used to help relieve the pain in Reginald’s throat. Distraction can be a way of drawing a person’s attention away from their pain and lessens the perception of their pain (Berman et al. 2015, p.1326). The healthcare workers could make sure he’s comfortable and give him TV to watch, or phone his wife so he can talk to her or give him some crossword puzzles so he is distracted from the pain he is
On reflection I have learned by being with the IPCT the importance of sending samples off when the first episode of diarrhoea and vomiting occurs leasing with team members. The IPCT emphasises prompt screening of suspecting patients for a norovirus as early detection of the signs can prevent an outbreak on the ward. I have become aware that the mode of transmission of norovirus means it is not always possible to avoid becoming infected (Nursing Times 2011). The trust provides mandatory training to inform nursing staff on the most recent infection control measures in practice. Hence, good hygiene and the isolation of infected individuals can limit the spread. Good communication is important with all visitors and staff, including cleaners.
Hospital acquired infections (HAIs) affect over 1.7 million patients each year, causing almost 100,000 deaths annually in the United States alone (Johnson, 2010). According to the World Health Organization, HAIs are the most frequent adverse event in the healthcare industry. Fortunately, most of these infections can be prevented with one single intervention, proper hand hygiene (“The Evidence,” n.d.). Four out of five pathogens that cause illness are spread by direct contact. Proper hand hygiene eliminates these pathogens and helps to prevent cross-contamination and HAIs (Linton, 2015; “Hand Hygiene,” n.d.). Reduction of cross-contamination and HAIs improves patient outcomes, increases employee wellness, and lowers health care costs. Adherence to proper hand hygiene is the single most important safety measure in the health care setting. However, for many years compliance to proper hand hygiene in the healthcare industry has been dismally low. New and inventive measures must be implemented to increase compliance to proper hand hygiene and lower the rate of hospital-acquired infections.
The prototype of norovirus was identified in 1968 by electron microscopy as a cause of Gastroenteritis in Norwalk, Ohio. Human noroviruses are a major cause of Epidemic Gastroenteritis, and Epidemic Gastroenteritis is a major cause of foodborne illness. Outbreaks occur throughout the year, but it is most common in the winter. Causes 19-21 million cases of acute gastroenteritis, and contributes to 56,000-71,000 hospitalizations and 570-800 deaths, mostly among young children and older adults. Responsible for 58% of domestically-acquired foodborne illnesses, and about 50% of foodborne disease outbreaks due to known agents.
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
To prevent and control the infection and the measures that are to be taken by the facility to limit the spread of norovirus is that the organisation should have signs saying that there are some infected patients. Making sure of having a proper hand hygiene and wash the laundry thoroughly and make sure to disinfect the clothes. Usage of proper Personal Protection Equipment and sterilize the suspected
The outbreak started on January 11th when almost 550 people became sick. 542 of the report people who became sick ate from El Toro in Tacoma. The other 22 people were infected from chain restaurants near by. These people have gotten sick from a WA-area norovirus with the Tacoma area. Residents of separate households began to send reports to the health department of possible food poisoning on January 5. All of these residents have recently eaten at the Tacoma restaurant. Everyone who has come forward has been treated. There is no incite if anyone have died.
Taking a cruise can be a fun and amazing experience, but what about the hidden illnesses? Many cruises have had the so called Norovirus onboard, and that has kept many people from sailing. I personally think that if the right measures are taken, such as washing your hands and using the utensils when getting the food from the buffet, everything will be okay.
Many people are affected each year by what is usually misdiagnosed as the “stomach flu”. The official medical term for this illness is Norovirus, but is also known as Norwalk Virus. It was first seen in 1968 at Bronson Elementary School in Norwalk, Ohio. The first outbreak occurred at the elementary school, infecting 116 of the 223 students and teachers. Norovirus is a contagious virus that can lead to an infection called acute gastroenteritis. Gastroenteritis is an inflammation of the stomach and intestines, which results in diarrhea, vomiting, and stomach pain. In the United States alone, 19-21 million cases, 56,000-71,000 hospitalizations, and 570-800 deaths are reported each year (CDC).
The priority nursing diagnosis of hospital acquired infection is risk for any kind of infection. One of the main goals for each patient in the hospital is the patient will remain free of infection as evidence by absence of heat, pain, redness, or swelling in any area of the patient’s body during each nurse’s shift. (care plan book). Frequently hand washing is the best intervention for preventing infection. Hand washing reduces the risk of transmission of pathogens by inhibiting the growth of or killing the microorganisms. (cb)Proper sterile technique during urinary
There is no single intervention for prevention of norovirus; therefore an early intervention and rapid implementation of infection control measures are key to controlling norovirus disease transmission. Hand hygiene is a primary prevention behavior and practical intervention that is effective in controlling the outbreak of the disease, the protocol include the switching to an exclusive use of soap when washing the hands and blend the washing with alcohol-based hand sanitizers (Neha, 2013, p. 63). Other measures include ensuring there is personal protective equipment, isolation of patients that have norovirus disease symptoms, educating the public and disinfection of the environment. Medication cannot reduce the risk of illness and those under antipsychotic drugs are not likely to become symptomatic and the medication can act as a surrogate maker for biologically plausible protective factor.
Education and training about the risks of Norovirus is one of the most important, if not most important, form of precaution. Staff of the aged-care facility must be adept to recognize early signs of outbreak, be prepared and knowledgeable to swiftly manage the outbreak and reduce their susceptibility to the outbreak as well. Having the right knowledge and skill in infection control, the nurses in the aged-care can provide optimum care for the elderly patient.
Healthcare associated infections have an impact on patients - how? Can be prevented greatly with compliance to hand hygiene protocols (REF).
On June 5th, 2015, the Cowfish Sushi Burger Bar in Charlotte, North Carolina was ground zero of a foodborne outbreak. It reopened a few days later but closed once again on June 10th. The restaurant suspected that there was a problem when nine of its employees got sick as well as a few customer reports. In the end, twenty-one employees and up to ninety-six customers got sick after the outbreak.
Recent studies show that at any time, over 1.4 million people worldwide suffer from hospital-acquired infections (Public Health Ontario). In Canada alone, approximately 250 000 patients every year contract infectious micro-organisms from their healthcare providers (Nagel 18). At London Health Sciences Centre (LHSC) we take pride in providing world class care in a safe, comfortable environment for patients. However, between 2008 and 2010 the LHSC still had between 20 and 30 per cent non-compliance to proper hand-washing protocol (Nagel 20). This data is very troubling considering it is following the launch of “Just Clean Your Hands” pilot project. As student nurses and volunteers of the LHSC team we are equally responsible to increase hand-washing compliance.
An invisible organism enters your body. It penetrates into your tissues and then takes over the machinery in your own cells to make more copies of itself. This tiny infiltrator works silently, producing thousands of these clones that fill up the cell and cause it to explode. The clones mercilessly continue the process of invading, taking over and destroying cells. The result might be a minor inconvenience to you as the host, or it could result in a slow or rapid death. It depends only on which variant of this unwanted infiltrator overcomes your body’s defenses. There are cures to wipe out some types of these invisible intruders, but others are so difficult to eradicate or so readily adaptable, that the world’s greatest scientists