Infection Prevention Practice Summary

Improving the quality of discharge planning in acute care include addressing the lack of appropriate staff and patient education about appropriate planning for discharge (4). This includes implementing proper discharge teaching regarding signs and symptoms to seek medical attention, management and care of medical equipment, and access to community resources (4, 5). Other challenges are patients with complex comorbidities too difficult to discharge as well as lack of community supports and equipment for newly discharge patients and lack of rehabilitation and nursing home beds (4). Consequently, acute care units are pressured to vacate hospital beds in response to the growing elderly population. Hospital professionals tend to focus discharge teaching and preparation on medical areas such as diet, activity, treatments, and medications (5). Community referrals to appropriate services at the time of hospital discharge does not often happen contributing to poorer patient outcomes and re-hospitalizations

1.1 Explain employees’ roles and responsibilities in relation to the prevention and control of infection

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

It is important as employees that we are aware of these so that we can work safely; at work we have information

| UNIT 4222- 264 THE PRINCIPLES OF INFECTION PREVENTION AND CONTROL | | | |

1. Explain employees’ roles and responsibilities in relation to the prevention and control of infection.

To expose to the chance of injury or loss for example using harsh chemicals like bleach in a work in a care home their is always a risk of someone venerable not knowing what substance it is and drinking it or using it for something other than cleaning

Article by Clancy (2009) explained central lines were a result of an estimated 250,000 blood stream infections and accounted for 30,000 to 62,000 patient deaths, then adding that each infection cost upwards of $36,000 and cumulatively add up to at least $9 billion in preventable costs annually. The article also explains how the mindset has changed from the cost of having a central line in place and expecting complications to lowering infection rates by an intentional interventional process/s. The article speaks of 5 basic steps to reduce CLABSI, hand washing, insertion techniques, skin cleansing, avoidance of certain sites and earlier removal of the CVC. Studies showed that these guidelines were only followed 62% of the time. The system was changed to ascertain that all the clinicians were in compliance. This prompted 5 interventions, education, a CVC insertion cart with all necessary equipment, physicians having to validate central line necessity, a concise checklist for bedside clinicians and the empower of nurses to stop procedures if guidelines were not followed. These low cost interventions from 11.3/1000 in catheter days in 1998 to zero in the fourth quarter of 2002.

Studies have found that improvements in hospital discharge planning can dramatically improve the outcome for patients as they move to the next level of care (Alliance, 2016). Moreover, Patients, family caregivers and healthcare providers all play roles in maintaining a patient's health after discharge. And although it's a significant part of the overall care plan, conversely there is a surprising lack of consistency in both the process and quality of discharge planning across the healthcare system (S. Shapperd,

Healthcare-associated infections from invasive medical devices are linked to high morbidity, mortality, and costs worldwide. Especially in central line–associated bloodstream infection (CLABSI) or catheter-related bloodstream infection (CRBSI) and

Put used gloves and gown in to yellow infectious waste bin, which should be either just inside the room or outside the door before leaving the room.

Although infection control is vital in patient care, another important safety measure includes using the best available products to the facility. The use of optimal catheter care products is important when providing the best care to the pediatric population. Antibiotic or ethanol locks provide a decreased risk of infection, as opposed to the traditional locks found in use in some facilities.

taught during residency). In particular, Dr. Chum noted that there was not a specific handbook or guideline that physicians were expected to follow in order to maintain quality of discharge among patients. It became clear that there was a lack of knowledge among various stakeholder parties on how the discharge process was managed for the patient. To address the issue, our project objective was to learn as much as possible about how current actors interacted to ensure a smooth discharge. Our method to meet this organizational goal is to conduct in-depth surveys about the various stakeholder parties associated with discharging patients. By interviewing key contributors to discharging patients, we can help Dr. Chum and Dr. Nieto better understand key actions being accomplished and possible pitfalls being overlooked.

To ensure education on infection control topics through ongoing in-service training and to ensure employees with a high degree of risk for contact with blood and body fluids receive at least annual in-service training.

Infection control within a healthcare facility is the prevention of the spread of many microorganisms from patient to patient, patient to a member of staff and also from the staff member to the patient that are in there care. The World Health Organisation have defined healthcare associated infections as an infection occurring in a patient in a hospital or other healthcare facility in whom the infection was not present or incubating at the time of admission. Every healthcare facility from hospitals to general practitioners office should have a designated member of staff or a team of people who ensure that the infection control procedures are abided by and adhered to at all times in order to protect both staff and patients. More than 300,000 people each year are affected by a healthcare associated infection and the cost of treatment for these patients is over £3,000 and there is also the cost of treatment after discharge.