Hand Hygiene

1976 Words8 Pages
Hand Hygiene Change Project
Capstone NU296 September 18, 2013


The lack of hand washing and/or hand sanitizing is a leading cause of nosocomial infections in healthcare facilities not only here in Nevada, but across the United States. Hand washing is one of the biggest contributing factors in stopping the spread of infections throughout the healthcare environment. Nosocomial infections could be dramatically reduced by monitoring and enforcing hand washing and/or “gel in, gel out” policies of each facility. This could also lower the length of stay per patient, and greatly reduce the medical care cost per patient.

Analyze the current situation and provide
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A surgical wound infection is associated with the bacterial contamination of the wound at the time of surgery. Nosocomial pneumonia occurs most commonly in the ICU units with patients that are intubated because the endotracheal tube bypasses the normal defenses of the upper airway. Blood stream Nosocomial infections can almost always be attributed to peripherally inserted central catheters. According to the Centers for Disease Control; about two million people suffer annually from healthcare related infections, Nosocomial infections kill more people than AIDS, breast cancer, and auto accidents combined this year. Research shows that nearly three quarters of patient’s rooms are contaminated with Methicillin-resistant staphylococcus aureus (MRSA) and Vancomycin-resistant enterococci (VRE). These bacteria are on cabinets, countertops, bedrails, bedside tables, call lights, faucets, and even the light switches! Once patients and caregivers touch these surfaces, their hands become the vectors for the spread of disease. One study showed that when a nurse walks into a patient’s room occupied with a patient with MRSA and has no contact with the patient, but touches objects in the room, the nurse’s gloves are contaminated 42%of the time when leaving the room (www.hospitalinfection.org/mrsascreening.shml). Proposed

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