Reassessment: Healthcare Associated Infections

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Healthcare associated infections (HAIs) are a source of financial problems and preventable complications including death, for hospitals throughout the United States of America. According to an article found in The Journal of Infection Control, the focus of research has been on hand sanitization of healthcare workers, and there has been a lack of research regarding patients’ hand hygiene practices (Istenes, Bingham, Hazelett, Fleming, & Kirk, 2013, p. 794). This becomes problematic because as Barker et al. (2014) suggest, “patients are a common source of their own infections” (p. 585). Ardizzone, Smolowitz, Kline, Thorn, and Larson (2013) support this statement by suggesting that many infections are due to patients’ “own native
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Reassessment should include confirmation of the appropriate level of understanding as evidence by returned demonstration and verbally stating the proper time for hand hygiene. Reassessment should also include whether or not the patient still prefers their currently accessible hand-sanitizing agent or has developed aversions to the product. If an aversion develops, the nurse is running the risk of the patient not being compliant. This simple check decreases one barrier in hand hygiene compliance. It is also important for the nurse to reassess whether or not the patient is being reminded regularly to cleanse their hands. This includes confirming that the UAP is reinforcing the nurse’s teachings to the patient, if the responsibility was delegated. Finally, it is important for the nurse to confirm that the signs are in a location that is visible to the patient. If the patient is not able to see them, they will not be prompted to cleanse their hands as needed.

Once the nurse has reassessed whether or not the interventions have been implemented correctly, they also need to assess whether or not they are successful in achieving the desired outcome of compliant hand hygiene. If they have not been successful, the nurse must then modify the interventions in order to fit the patient’s needs and attempt to achieve higher compliance in a patient centered

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