Hospital-acquired pneumonia

Introduction / Purpose: Ventilator-associated pneumonia (VAP) is the most common nosocomial infection in the intensive care unit (ICU). It caused prolonged hospital stay and increased mortality. In this study, we aimed to investigate the rate of VAP, causative microorganisms and their antibiotic susceptibilities. Materials and Method: This retrospective study included patients that admitted in 12-bed ICU between January 2013 and December 2014. Centers for Disease Control and Prevention criterias…

Introduction With patient safety being at the forefront of hospitals’ priority, it’s imperative for administration to implement infection control protocols. The practice of preventive measures along with staff education is necessary in the reduction of hospital liability, extended inpatient stays and loss in revenue. Although some strategies are standard throughout hospital organizations, data and con-stant monitoring of these procedures will provide insight into compliant areas or those that…

Dexmedetomidine versus Granisetron for the management of post spinal shivering Abstract Background: Shivering is one of the most stressful complications for patient and surgeon during spinal anesthesia. In this prospective, randomized, double blinded study we compared the efficacy of Dexmedetomidine versus Granisetron for control of post spinal shivering. Methods: study was conducted on 120 patients, ASA I-III, of either sex, aged 18–60 years, scheduled for elective lower abdominal and lower…

bacteria into these central lines. “In the United States, from 250,000 to 500,000 CLABSIs are estimated to occur every year, which result in a rate from 10% to 30% of mortality” (Perin, Erdmann, Higashi, & Sasso, 2016). Currently, one third of all hospital acquired…

Diagnosing of pneumonia can be difficult because its symptoms are similar to other conditions such as flu, bronchitis, and asthma.Early detection of pneumonia will help patient to overcome this condition.However,late-diagnosed can lead to progress infection and makes it more difficult to treat. Moreover,late-diagnosed can cause death. Diagnosing the stages of pneumonia can be a challenging task for doctors. The first phase of diagnosing pneumonia is medical history.In this case,the doctors…

The patient is a 55 year old male who presented to the ED after he experienced SI with a plan to walk in front of traffic. Patient reports to hospital staff that he wants to hanging himself and asked could they bring him some rope. During the time of assessment the patient was found in bed asleep. TACT awaken patient for assessment. The patient was calm and cooperative. The patient reports that he has been binge drinking for the past 3 days. The patient reports he usually drinks after he comes…

An 18-year-old male is brought to the emergency department by the emergency medical services (EMS) after suffering severe injuries as a passenger in an automobile accident. The driver apparently lost control of the vehicle and ran off the road into a tree. The driver and passenger were found soon after by a passerby when the car caught on fire. Due to the force and extensive damage to the vehicle, both passengers were trapped until they could be extracted by emergency personnel, 20 minutes…

accountable for both the cost and quality of care they provide. It also attempts to reduce inappropriate care and to identify and reward the best-performing providers. In addition, the Hospital value-based purchasing (VBP) program is a center for Medicare and Medicaid Services (CMS) initiative that rewards acute-care hospitals with incentive payments for the quality care provided to Medicare beneficiaries. Moreover, the original VBP concepts were published as pay for performance (Raso, 2013).…

appropriate actions. They Maintain documents hospital-wide process for investigation and effective implementation of preventative actions to eliminate the cause of potential problems in order to prevent this occurrence; when the quality improvement is an effective the whole process begins over again. One example of quality improvement within our organization is tracking patient satisfaction. Surveys are sent home with patients for them to evaluate the hospital. Using the surveys, we are able to…

Student Name: Elvira Castaneda Patient initials: MY Age: 15 years old PEDIATRIC PREP SHEET 1. Give a brief history of this child’s illness (after reading chart). A 15 year old female patient was admitted to the hospital on 04/07/2016 with a pulmonary exacerbation. About two weeks ago she started with nasal congestion, rhinorrhea and a worsening cough. Her cough was described as wet and productive. Also, the patient presented some episodes of blood in the green sputum. At the time of admission,…