very valuable information regarding diagnosis, treatment, and surgical options. Parisi, M., Gerovasili, V., Dimopoulos, S., Kampisiouli, E., Goga, C., Perivolioti, E., Argyropoulou, A., Routsi, C., Tsiodras, S., Nanas, S. (2016). Use of ventilator bundle and staff education to decrease ventilator-associated pneumonia in intensive care patients. Critical Care Nurse, 36(5), e1-e7.…
difficult for them to manage the cost of hospital bills and other expenses. In order to overcome from this crisis VAP bundle method helped them as well. Because VAP bundle method reduce the risk of further infections that consequently reduce the hospital stay. After implementation of VAP bundle method the rate of VAP decreased by 40% (Saber et al., 2013,p.32). This suggests that VAP bundle method is very effective action plan which reduce the risk of VAP and thus, reduces the extra expenses and…
The death of Savita Halappanavar in University Hospital Galway in 2012 highlighted sepsis as a patient safety issue in urgent need of addressing. In 2014, Minister for health , Leo Varadkar published 3 sets of clinical guidelines dealing with patient safety issues, one being sepsis (Cullen, P.2014). The sepsis management clinical guidelines provide health care professionals with a diagnosis and treatment framework to be followed. It outlines the diagnostic criteria, a diagnostic tool (EWS),…
(SA node) which is in the top of the chamber, Atrial-Ventricular node (AV node), located on the inter-atrial septum close to the tricuspid valve, the bundle of which is located in the proximal intra-ventricular septum. The bundle of the His branches, branches into the right anterior-superior, left anterior-superior and the left posterior-inferior bundle branches that run along inter ventricular septum. The atria and the ventricles are functionally linked only by the AV node and the conduction…
atria contracts. This happens right before exited to the AV bundle. The delay happens because of a small diameter of fibers that have very little amount of gap junctions (Marieb, Mitchell, Smith, 2013, pg. 458). AV Bundle, Bundle of His The only electrical connection between the atria and the ventricle. It allows the action potential to move from the interatrial septum to the interventricular septum, connecting the AV node to the Bundle Branches (Marieb, Mitchell, Smith, 2013, pg.…
Learning a second language is a complex process that exceeds the acquisition of its structure and vocabulary. One of the major components of mastering a new language requires learners to become familiar and sensitive to the preference in language use by native speakers of certain sequences of words over others (Wray, 2000). It is the mastery of these word sequences that distinguishes novice from proficient L2 learners. Yet, there is still little agreement across studies on the number of words…
tremendous strides in researching best practices to prevent CLABSI from occurring (Furuya et al., 2016). One initiative that was found to be successful in preventing CLABSI was the central line (CL) insertion bundle (Furuya et al., 2016). According to Furuya et al. (2016), the CL insertion bundle includes hand hygiene before inserting the catheter, maximal barrier precautions, chlorhexidine skin preparation, choosing the best site for insertion, and…
According to the National Patient Safety Agency (NPSA) (2010), there are greater than 280,000 patient falls in hospitals and phrenic health units each year in England and Wales, resulting in 80 deaths and larger than 1,000 fractured hips. Falls additionally have a consequential financial impact on the health accommodation, with immediate costs estimated at 15 million. The genuine figure is probably even higher as slips, trips and falls are believed to be widely under-reported. To endeavor to…
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…
δ13C is a comparison between the ratio of carbon 13 and carbon 12 of the object of interest compared to a standard. The cause of the -20‰ of δ13C in the maple syrup is no cause for concern. The reason -20‰ of δ13C may have been a cause for concern is because there are some sugarwoods that will adulterate their maple syrup with corn syrup or cane sugar. Corn syrup, as well as cane sugar, have a higher δ13C content than maple syrup. Typically corn syrup and cane sugar have between -9‰ to -12‰…