A. (2016), a combination of disinfection protocols are the key to not only decreasing Central Line Associated Bloodstream Infections (CLASBI) but eliminating them. At the Hospital Practice Council the subject of decreasing central line infections throughout the hospital was agreed to be addressed. At present, our hospital wide central lines infection rate is 21%. An analysis of the critical care units central lines and their infection/no infections would be address next meeting. Decreasing central line infections became a unanimous vote during the Hospital Practice council…
The Quality and Safety Education for Nurses (QSEN) competency model is a significant model in nursing. It molds and shapes the values and beliefs that nurses hold true. The nurse needs to maintain patient centered care, team work and collaboration, evidence-based practice, and informatics while being safe, providing quality and improvement. Preventing catheter associated urinary tract infections (CAUTI’s) are a big issue in healthcare, and the QSEN model with the KSA questions outline and demonstrate this issue. Catheter associated urinary tract infections are a big issue in the hospital and can be avoided when the healthcare team all work together.…
Interprofessional Infection Prevention Team was formed to review NICU CLABSI data in an effort to eliminate CLABSI. This team includes nurse leaders, clinical nurses, providers, hospital infection prevention nurse, and a pharmacist. The team reviewed the policy and procedures regarding central line management and provided education focused on best practices to reduce CLABSI. Despite reeducation and reinforcing central line management, evidence based procedure standards for insertion, fluid change, proper technique for obtaining blood cultures, and regularly scheduled dressing changes, CLABSIs still occurred.…
Lake Health, a facility located in Lake County, Ohio, services many Hispanics with their healthcare. At Lake Health, there is no current ongoing cultural competence training, and this needs to change. The ideal action plan for Lake Health is to develop an effective educational or training program to help create an environment that supports ongoing cultural competency (book). According to Health Research & Educational Trust (2013), a educational program that gives a lasting awareness and understanding by hospital staff includes many factors. An ideal educational program includes the components of cultural assessment, multiple training methods, ongoing education, and measurement and tracking (Health Research & Educational Trust, 2013).…
In the meeting, the author observed that the members of this committee consist of the hospital administrator, hospital microbiologist as the chairperson, infection control nurse (ICN), infectious diseases physician, and the Chief Nursing Officer (CNO). Then, there was an occupational health physician, risk management personnel, quality assurance personnel as well as representatives from other major departments such as pharmacy, central sterilization, surgery, and environmental services. This multidisciplinary committee meets monthly to report to the hospital administrator and is responsible for supervising program policies implementation and propose corrective actions. Furthermore, it sets up standards for patient care, analyzes and evaluates infection control (IC) reports, and determines the area of interventions. However, each member of the committee has a particular role.…
163) Several key points were mentioned under this section of the report. They included the committee’s feeling that it is imperative that there is an increase in the percentage of BSN prepared nurses and that by 2020 it should increase from the current fifty percent to eighty percent. (IOM Report, pg. 172-173) The IOM also states that Advanced Practice Registered Nurses (APRNs), especially those with a doctorate degree , currently fewer than 1 percent of nurses, (HRSA, 2010b) needs to double by 2020 to meet the upcoming need to assume faculty and research positions.…
The nurse and other care providers play a key role in the prevention of hospital acquired infection (HAI). Urinary tract infection (UTI) accounts is the commonest accounting for 35% of all infections with 80% of them being associated to indwelling urinary catheter (Schneider, M. A. 2012). In this document, the author discusses the process of implementation evidence based change aimed at reducing the incidence of catheter associated urinary tract infection (CAUTI). Evidence based practice is a problem- solving approach that incorporate best practice arrived at from reliable studies and patient care outcome best available practice and the consideration of patient choice and values, to attain the highest level of quality of care and client needs…
I have a similar view compare to yours, I firmly believe that nurses or advance practice nurses do apply theories, models and principle in daily nursing practice, however, the theories, models and principles are simply gone unnoticed. There is room for improvement to enhance the awareness of theories, models and principles that are being applied, however I believe that does not represent the theory-practice gap. I appreciate your expression on how you have gained deeper understanding of the theories that you have learned, and you are planning on including more theories into future practice. I have adjusted my philosophy after the semester of learning. At beginning of the semester, I simply believe one particular theory will support my advance…
"Nursing's future will be created only as the discipline underlying nursing practices is identified, structured, and continuously updated by systematic inquiry." 1. What does this mean to Schlotfeldt? The nursing future will be created as a discipline underlying the nursing practice (Cody. 2013. P. 15), through the years of the nursing profession, practices have been researched and evidence based practices (EBP) has been used to put the nursing practice into play.…
Evidence for Pressure Injury Prevention Nursing is no longer just about providing care at the bedside. The nurse is challenged to provide the best patient care possible. This elevated level of care can be achieved by implementing the use of evidence-based practice (EBP). EBP can be defined as the use of recent research, combined with nursing experience, and patient standards (LoBiondo-Wood & Haber, 2014). In this paper, I will discuss a change in policy my hospital recently implemented, why the practice change was instituted, the research process for decision making, along with the steps used to implement the new policy.…
They are also working with a committee for Prevention of Health Care Associate Infections to come up with strategies to help accelerate the progress of the nation infection reduction goals. • This health care policy is important because it can change patient's lives as well as save them. Thousands of individuals die each year because the cause of healthcare-associated infections because their treatment may have gone wrong or they may have gotten a bacterial infection from surgery. Any reduction or coming up with better strategies will help the hospitals and clinics know what protocol to use, which will save an individual's life. It also helps keeps the staff from at risk too because they would be following the policy and protocols that will keep them and the patients safe…
Health care-acquired infection (HCAI) is a foremost problem for patient safety and its surveillance. Prevention of HCAI has got to be the first main concern for settings and institutions dedicated to making health care safer. The impact of HCAI implies extended hospital stay, long-term disability, increased antimicrobials resistance of microorganisms, massive extra economic load, high expenses for patients and their families, and excess mortalities ( Boyce J., 2009). In the USA, 10%, or 2 million, patients a year become infected (HCAI), with the annual cost ranging from $4.5 billion to $11 billion. The most frequent type of infection hospital-wide is urinary tract infection (36%), followed by surgical site infection (20%), and bloodstream infection and pneumonia (both 11%)(World Health Organization, 2009).…
As the population shifts to the point that there are more patients than nurses in the workforce it is essential that healthcare becomes more effective, efficient, economical, and safe (Wilson, Whitaker, & Whitford, 2012). As a director of nursing I am responsible for the nursing care, staff and budget. In my discussion I will discuss three business principles that will allow my company to remain finically sound while still providing quality, safe, and effective nursing. The first business principle of great importance is to set goals, without setting goals you do not know where you want to be or if you actually are where you want to be. As nurses we continually write goals in our care plans.…
As a Staff Nurse working in solid organ transplant Unit, the occurrence of central line-associated bloodstream infections seems to be rising. As non-compliance with maintenance bundles is seen to be neglected area in practice. I wish to reflect on the influence of maintenance bundles in addition of consistent and emphasizing a good hand hygiene. The joint commission (2015) emphasized the crucial of hands decontaminated immediately before and after each episodes of patient contact using the correct hand hygiene technique. According to a study that has been done by Hakko et al.…
Hospital acquired infections are particularly challenging because many of these infections have developed antibiotic resistance (Pollack, 2010; Rosenberg, 2015). However, most hospital acquired infections are preventable through a variety of techniques, including the use of hand washing, equipment sterilization, use of gloves, sanitizing surfaces, among other things (Mehta et al., 2014; Monistrol, Calbo, Riera, Nicolas, Font, Freixas, & Garau, 2012; U.S Department of Health and Human Services, 2015). The key here is consistency, and a hospital culture committed to reducing and even eliminating hospital acquired…