MRDO Compliance Report

These microorganisms are transmitted from poor hand hygiene from health care workers to patients as well as touching of contaminated equipment and environmental surfaces. Microorganisms are most commonly introduced to susceptible sites such as open wounds or other portals of entry by contaminated hands. Infection leads to adverse clinical outcomes and can directly threat patient recovery.

Usage of indwelling urinary catheters in critically ill patients can seem to be a permanent fixture in intensive care units. Most critical care nurse expect their patients to have an indwelling urinary catheter (IUC) in place without much regard to the risk of catheter associated urinary tract infections (CAUTI) or the ability to implement IUC alternatives. Critical care patients may require IUC usage due to diagnosis, need for accurate hourly intake and output measurements, or other specified documented reasons. The risk of acquiring a catheter associated urinary tract infections is a result of IUC usage. The Centers for Disease Control and Prevention’s Guideline for Prevention of Catheter-associated

Germs and many other diseases spread primarily through airborne particles, skin to skin contact, and or touching objects such as door handles, hospital buttons, or by sharing patient possessions. Nurses and other health care clinicians are constantly in physical contact with many different patients, who all have varying illness’ and diseases themselves. Many may also carry a

Health care providers and visitors are required to wear personal protective equipment (PPE) and follow strict hand hygiene procedures. Contaminated rooms, surfaces, and laundry items are properly disinfected to prevent the spread of MRSA. In addition to policy and procedures, patient teaching is also helpful for preventing exposure and spread of MRSA. As aforementioned earlier, hand hygiene is key to prevent exposer or transmission of the bacteria. To properly wash your hand effectively, first scrub hands rapidly for at least 15 seconds. Next, use a disposable towel to dry them and another towel to turn off the faucet. In addition, hand sanitizer that contains 62 percent or more of alcohol may be an adequate substitute when the individual does not have access to soap and water (Mayo Clinic Staff,

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

If there is contamination with blood, soil, or any type of body fluid, it is recommended to wash hands with nonantimicrobial or antimicrobial soap and water. On the contrary, alcohol-based hand rub can be utilized if the hands are not soiled or contaminated with blood.

The ACA team expresses its appreciation to MCSO, its facilities staff, and CCS for the opportunity to conduct this compliance review in assuring that health services delivery was adequate. The team hopes that this report will be of great value to MCSO, CCS, its staff, and benefit the inmate population in MCSO custody. The team believes that this report will lead to the continuous provision of quality health care services for the jail population in MCSO facilities.

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

For instance, there are many different types of infections that occur in the intensive care unit (ICU), as well as various methods of prevention that patients, visitors, providers, and other hospital staff can practice. Of the many different types of infections that occur in these critically ill patients, catheter-associated urinary tract infections (CAUTIs) and central line-associated bloodstream infections (CLABSIs) are two of the most serious infections, and they also happen to be the most

Signs of infection of the central venous catheter (CVC) site include redness, drainage, and the client will exhibit chills, fever, and an elevated white blood cell count (Ignatavicious & Workman, 2016). However, it is important to note that the incidence of CLABSIs in United States ICUs have decreased by 58% from 2001 to 2009, saving 3,000 to 6,000 lives as well as $414 million (Dumont & Nesselrodt, 2012). Some hospitals also report to have zero incidences of CLABSIs in their ICUs (Dumont & Nesselrodt, 2012). The pathogen that showed the greatest decrease was staphylococcus aureus (78% decrease), followed by Enterococcus (55% decrease), Candida (46% decrease) and Gram-negative bacteria (37% decrease) (CDC, n.d.).

One of the commonest modes of transmission for infection is our hands. As care assistants, our hands come into contact with many possible infectious agents such as body excretions and secretions for example blood, urine, faeces, vomit and sputum. If good hand hygiene isn’t practiced, micro-organisms will be passed from one individual to another. General cleanliness, including general, environmental, equipment and materials reduce the sources of infection within the care home.

Action: After making these findings, she collaborated with the infection control staff, her manager, and her team to formulate a plan to solve this problem. At every huddle, she reminded staff the importance of washing their hands. She designed signage to remind staff, patients, and visitors to perform hand hygiene and to empower patients and family members to ask staff members if they have washed their hands. These signs were placed on all 25 patient room entrances and are a visible reminder to everyone who enters. She also educated staff to collaborate with the housekeeping staff to maintain functioning hand hygiene equipment. When performing as charge nurse, she audits all patient charts to confirm that each patient has had their nares swabbed to maintain compliance and assigns patients accordingly to beds based on their multiple drug resistant organism history. Outcome: Through random audits, she found that hand hygiene performance increased to 100%, and the staff is educating patients, family members, and other healthcare professionals in other disciplines about the hand hygiene compliance initiative. The C Diff transmission rate as of December 2015 was 39.45% - the C Diff transmission rate for first quarter FY16 was 18.48%, this shows a 50% reduction in C Diff transmission on her unit. The MRSA transmission rate as of December 2015 was 7.97% - MRSA transmission rate for first quarter FY16 was 3.7% which also shows a 50% reduction in MRSA transmission. Sustainability: She continues this to perform random audits, reinforcing education as needed and continues surveillance while performing duties on 7B. She made it the 7B staff’s responsibility to hold each other accountable for performing hand hygiene in order to maintain the safety of the

Greene (2015) conducted a surveillance study on a 30-bed medical/surgical/neurological intensive care unit at Northwestern Hospital in Minneapolis, MN. A comprehensive approach to decrease catheter associated urinary tract infections (CA-UTIs) and to sustain CA-UTI rates below the National Healthcare Safety Network (NHSN) benchmark was implemented. 29 CA-UTI cases from April 2013 to March 2014 were reviewed in depth to define trends (Greene, 2015). The attitudes of nurses and doctors towards indwelling urinary catheters were assessed per surveys and aseptic technique for foley catheterization was assessed to define gaps. The CA-UTI cases reviewed indicated that 66% were from indwelling urethral catheters placed on the units, 39% occurred

Healthcare associated infections have an impact on patients - how? Can be prevented greatly with compliance to hand hygiene protocols (REF).

Infection control is very important in the health care profession. Health care professionals, who do not practice proper infection control, allow themselves to become susceptible to a number of infections. Among the most dreaded of these infections are: hepatitis B (HBV), hepatitis C (HCV), and human immunodeficiency virus (HIV). Another infection which has more recently increased in prevalence is methicillin-resistant Staphylococcus aureus (MRSA). These infections are all treated differently. Each infection has its own symptoms, classifications, and incubation periods. These infections are transmitted in very similar fashions, but they do not all target the same population.