Reflective Account of ....

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Introduction I am a registered and specialized trained Assistant Medical Officer (AMO) at Emergency and Trauma Department (ED). I have been working in the Government Hospital for fourteen years. In addition I am also working together other with twenty AMO’s, ten registered staff nurses and seventeen nursing aid in this department. In Malaysia AMO plays a major role in early diagnosis and treatment of patient whereby they are assign in hospital and clinics. AMO working in the ED are competent in the provision of emergency cares and function as the main front liner care provider that includes provision of emergency treatment, stabilization, definitive care and function as an important component of the Trauma Team (Ministry of Health…show more content…
Steeve & Mallison (1975) stated hand hygiene has often been singled out as the most important procedure in preventing infection. Guidelines from national and international infection prevention and control organizations acknowledged that hand washing is the single most important procedure for preventing infections (Ganner and Favero,1985). Choosing of this dissertation among ED staff especially AMO so that they will be able to perform the procedure correctly, safely and practice according to current research based recommendations, to ensure effectiveness and patient safely. Cases of wound infection from T&S procedure can be reduced and increase patients trust in the provided services. Staff will be able to implement the procedures properly and safe in accordance with the recommendation, based on studies of wound infection from the patients. Hand hygiene practices are important thing to infection prevention and control practice. As health provider especially ED staff or front liner, to follow hand washing protocols is necessary in any situation. According Practice Standard (2009) four major elements to preventing practice; hand washing, protective barriers, care of equipment and health practice of nurse. Cite from Health Promotion Agency for Northern Ireland, scientists has found around 45% of infections can be prevented by washing hands regularly. MOH (2010) increasing in hand-washing compliance by

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