Surgical Site Oppression Paper

Also another serious complication of CAUTI is BSI (Blood stream infections) that can be fatal if not caught and treated promptly. “The Clinical Performance of Quality Health Care, along with Joint Commission” offers standards and objectives for facilities to assess measure and improve their standards at the lowest cost possible. The database covers nursing care and education, along with guidelines on prevention. Moreover the JCAHO regulatory standards for catheterized patients are explained and the documentation that is expected when JCAHO inspections are rendered in a facility. The source “Stop orders to reduce inappropriate urinary catheterization in hospitalized patients” states that by following standard precautions with every patient these infections can be prevented. . Also the source explored whether catheters should be used at all in an effort to decrease the incidence of CAUTI’s. Intermittent catheterizations along with supra-pubic were explored with a decreased incidence of bacteria being present in the bladder afterwards. The source “Strategies to prevent catheter-associated urinary tract infections in acute care hospitals” offered ways of cleansing and disinfecting the skin before insertion to reduce the risk of infection. Many CAUTI’s are linked to bacteria harboring in or around the site at insertion. By using not only aseptic technique but also cleansing the skin with chlorhexadine can decrease he incidence of infection

Hospital acquired infections are a big problem today, but the use of disinfectants by the medical staff can help to avoid or limit such exposures to pathogens. The authors’ main purpose of this research article was to educate and teach the importance of hand hygiene and test the reason why certain virucidal hand-rubs result in poor compliance due to the poor tolerability of the products. The overall goal with the study would to show the reason certain hand rubs are not being used and how to improve their formula to increase compliance. The article written by the author was very well written with a thorough abstract. The study was very easy to follow and read, due to the well thought out structure of the article. The authors introduction starts out by stating the approximate amount of hospital acquired infections in the European Union and why hand sanitizers play an important role to avoid such infections. The introductions statement showed the importance of the topic. Although some of the results were complicated and confusing, the discussion laid out the results in layman

The preoperative procedure of using with chlorhexidine-alcohol (CHG) before surgery has been proven to be more effective to reduce the number of surgical site infections (SSI) than the use of povidone iodine. By reducing the number of infections post surgery, it can lower patient morbidity and can reduce hospital stay time and eliminate further unnecessary costs.

This study was intended to prove that hand hygiene practiced according to the CDC guidelines will decrease the incidence of hospital acquired infections. This could not really be proved in this study since the hospitals were not able to maintain improvement in hand hygiene. Health care workers were familiar with guidelines but significant practice changes were not maintained. Some of the infection rates did improve during this time but the correlation with hand hygiene is not consistent. There were other practice changes occurring during this same time and those changes may be responsible for the decreased infection rates.

Central line associated blood stream infection, better known as CLABSI, are on a continual rise in critical patients. CLABSI are implemented to help improve vascular access in patients where venous access is minimal or reduced. They help to maintain intraveneous access to deliver medications to the body and in case of emergency. Central lines are not given to every patient admitted into the hospital, only those who are critical. The purpose of this paper is to provide reasoning and evidence behind my research strategy for this particular topic. In the critical populations, how does not using chlorhexidine containing dressing compare to using the dressings influence the central line associated blood stream infection rates over two years.

Central lines are a common device used world wide in acute care settings for eligible patient populations such as those receiving chemotherapy, patients with poor venous access, or for those that require prolonged treatment of intravenous medications. Although central lines provide many advantages, they place patients at high risk for acquiring central line associated blood stream infections (CLABSI). CLABSI's are a serious complication associated with central lines and in some cases can be life threatening. There are many evidence based approaches that are used in acute care settings to reduce the incidence of CLABSI's such as meticulous skin care, daily bathing with chlorehexadine surgical scrub, and strict sterile technique when changing central line dressings. These prevention measures are a standard of care nationwide for patients with central lines since they are cost effective and evidence based. Unfortunately, even with proper implementation and compliance with these interventions, CLABSI's are still prevalent amongst vulnerable patient populations.

This article does not provide the search strategy including a number of databases and other resources which identify key published and unpublished research. In this article, both the primary sources and the theoretical literatures are collected and appraised in order to generate the research question and to conduct knowledge-based research. In the section of the literature review, nineteen professional articles are appraised in order to provide the significance and background of the study. Saint develops the research question based on these analyses. “Catheter-associated urinary tract infections in surgical patients: A controlled study on the excess morbidity and costs” is one of the primary sources written by Givens and Wenzel who conduct and analyze this study. In addition, “Clinical and economic consequences of nosocomial catheter-related bacteriuria” is a review of a literature article which is the secondary source. Although many studies state that patient safety is a top priority and CAUTI can be controlled by the caution of health care providers, the infection rate is relatively high among other nosocomial infections. One of the reasons Saint and colleagues uncovered is unawareness and negligence by health care

Stephanie Ardito, after learning about three MRSA infections in her neighbor, decides to research on hospital infections. She found alarming high numbers of HAIs spread. For example, in 2009, of 1.8 million people that acquired HAIs, 100,000 of them died. HAIs also place an additional burden on hospitals. A research in 2010 estimated a $4.4 billion of additional hospital care resulting from treating HAIs. Quoting from an article titled “Staying Safe in the Hospital,” Ardito lists actions that patients can take in order to prevent HAIs. Patients should monitor their medication intake, medical test results, follow-up treatment plans; look for coordinated care from multiple caregivers; follow methods to prevent infections, specially washing hand; speak up to physician when there is a concern about HAIs; and to insist on discharging to prevent hospital readmission. This article is a great combination of many statistics from many researches, providing evidences for a growing issue of HAIs. Lastly, the author also compiles

ICUs have complex patient populaces, which can act as vessels for breeding and disseminating MRSA throughout the rest of the hospital. Daily chlorhexidine bathing has been proven through multiple studies as an effective method to prevent or reduce the prevalence of MRSA and other hospital acquired infections in ICUs; however, there is not consistent buy-in by nursing staff in some ICUs. In an effort to better utilize the evidence-based research and increase patient health-outcomes hospitals should educated and train staff on proper bathing protocols to optimized

There are multiple reasons that play into patients acquiring these infections. One of those reasons being the characteristics of the patients. For example infants, the elderly, people with compromised immune systems, and patients that have devices inserted for therapeutic purposes are all at greater risk to contract an infection (Feasey & Molyneux, 2011). The devices that are inserted for therapeutic purposes are a huge factor related to hospital acquired infections. Urinary catheters are the top device to cause an infection; in fact 97% of urinary tract infections are due to catheterization. 87% of people that obtain a bloodstream infection receive the infection from a central line. Lastly 83% of pneumonia acquired in the hospital is linked to the use of mechanical ventilation (Chang et al., 2011). Then there is the health care worker side that plays into effect. One of the number one reasons an infection is created or spread is because a health care worker did not properly wash his or her hands or their patient’s hands. This seems like an obvious way to prevent an infection but yet it still remains one of the top factors that leads to a hospital acquired infection. Hand hygiene is not the only hygienic issue. Health care workers do not always follow proper personal protective equipment guidelines. They may not always don gloves when

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

Controlling infections in the hospital setting has been a major issue for hundreds of years. Patients have largely been effected by pathogens transferred from those appointed to care for them. Florence Nightingale became famous for changing the way we practice patient care. Her idea was simple yet powerful and it is still considered the standard worldwide. She promoted hand washing in order to reduce healthcare infections. Flash-forward a hundred years and we are now seeing infections increase through a different route. The CDC estimated about 31,100 central line associated blood stream infections occur each year (Control, 2015). According to the Centers for Disease Control and Prevention, the most commonly reported pathogens include coagulase-negative staphylococci, Staphylococcus aureus, enterococci, and Candida. (Tavianini, Deacon, Negrete, & Salapka, 2014). Although central lines was not yet a technology created in healthcare, implementing the fundamental skills as emphasized by Nightingale

Research shows that Surgical site infections are preventable. According to the CDC, hand hygiene is the simplest approach to preventing the spread of infections and needs to be incorporated into the culture of the organization. Ensuring the use of infection control prevention is an important component of nursing care. Infection control prevention policies must be communicated undoubtedly to all employees. Staffers who do not comply must be re-educated to ensure that all are complying. Speaking up and pointing out that a nurse forgot to wash his or her hands, or notifying the surgical team that surgical instruments were not adequately cleaned may seem like small issues; but at the same time, not acknowledging a break in a sterile technique could mean the difference between life and death for a patient. One hospital that was struggling with high levels of infection related to surgical procedures, implemented a pre-procedure huddle as a team. This innovate way decreased the spread of infection and was a great way to improve the quality of care for patients. As mandated by the Joint commission, infection prevention personnel should provide multidisciplinary education on SSI prevention, to all team members, including

* Hand washing is the most important method of preventing the spread of infection by contact (Ayliffe et al 1999). The Nottingham University Trust Policy on Hand Hygiene (2009) states that there are three types of hand hygiene, the first is ‘routine hand hygiene’ which involves the use of soap and water for 15 – 20 seconds or the application of alcohol hand rub until the hand are dry. The second is ‘hand disinfection’ which should be used prior to an aseptic procedure by washing with soap and water and applying alcohol hand rub afterwards. The third is ‘surgical hand washing’ which is the application of a microbial agent to the hands and wrists for two minutes. In addition to which a sterile, disposable brush may be used for the first surgical hand wash of the day although continued use will encourage colonisation of microbes. The third example is the most appropriate to any O.D.P undertaking the surgical role as it is the best way for the surgical team to eliminate transient flora and reduce resident skin flora (World Health Organization 2010). The first and second are important to any O.D.P undertaking any other role within the Operating Department as this is the best way to reduce the transient microbial flora without necessarily affecting the resident skin flora

Surgical site infections (SSIs) are the leading type of infections among hospitalized patients. There are so many reasons why people go for surgery; it can be an emergency reasons or elective. According to Beaver, (2008) a primary concern in healthcare today is the prevention of infections. Careful handling of the surgical equipment reduces the chances of surgical site infections, for instance equipment sterilization and careful hand hygiene of surgical equipment.