...they were effective in eliminating bacteria that increase the risk for things such as methicillin resistant Staphylococcus aureus (MRSA). Therefore, it is recommended hospitals use non-medicated wipes to prevent CAUTI. When done properly, the use of non-medicated wipes have decreased the incidents of CAUTI. One thing that was observed in the hospital environment is that it is usually health care provider preference on whether they use medicated or non-medicated wipes to clean a perineal area. I noticed that if the patient was scheduled or needed to receive a full body bath that day, the nurse or certified nurse assistant (CNA) would use soap and water, but if it was just the perineum that needed to be cleaned, they would use medicated wipes. The amount of time they had to focus on one patient was also reflected in what type of cleaning solution they would use. If the patient was able to, the nurses or CNA would have the patient wash their own perineum area. However, there was never instruction given on proper techniques on how to do so. I believe a lot of these issues could be resolved if nurses or CNA were able to spend more time taking care of individual patients and did more education on proper ways for an individual to perform perineum care on themselves. When conducting future studies on the matter, I would explore how much patient teaching about proper hygiene could affect the incidents of CAUTI. I would also research the amount of time each nurse or CNA spent on each patient...
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...As I gained experience in the teaching and medical field, I became acutely aware of the overlap between the field of teaching and the field of medicine – an overlap that is often overlooked. During my sophomore year of college, I was working as a weekend school teacher for my community. I enjoy teaching for the student-teacher interaction and because teaching runs in my family. However, at the same time I was working as a medical assistant at a pediatric office that served the underserved because I wanted to become a physician assistant (PA) and the hours would help me get there. Becoming a physician assistant excites me not only because of my interest in anatomy and medical diagnosis, but also for the experiences in the different...
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...Why Are There So Many Deaths Caused By Medical Errors and What Solutions Can Decrease Them? Health Service Systems – HSM541 June 20 2015 Background Medical errors kill at least 44,000 people and perhaps as many as 98,000 people per year. Or do they kill over 180,000 per year? Maybe even 440,000 people killed by medical errors? Allen (2013) In 1999 the Institute of Medicine (IOM) published a report titled “To Err Is Human: Building A Safer Health System” that leveled the healthcare community. They reported that according to two studies “perhaps as many as 98,000 people die in hospitals each year as a result of medical errors that could have been prevented”. IOM (1999) Then the Office of Inspector General for Health and Human Services followed up with a report in 2010 that stated “bad hospital care contributed to the deaths of 180,000 patients in Medicare alone in a given year”. Allen (2013) And finally in 2013, the numbers were once again raised. Per a report from the Journal of Patient Safety that approximately “440,000 PAEs (preventable/potential adverse events) that contribute to the death of patients each year from care in hospitals. This is roughly one-sixth of all deaths that occur in the United States each year”. They are now the U.S.’s third leading cause of death, behind only heart disease and cancer. All of the numbers mentioned in the first paragraph are medical errors that were “preventable”. Mistakes by the people you put your trust in killed you...
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...Change in Practice: Preventing Hospital Associated Infections April Shannon Walden University NURS 4000 Section 04, Research and Scholarship for Evidence-Based Practice November 18, 2012 Change in Practice: Preventing Hospital Associated Infections Benjamin Franklin was quoted as saying “an ounce of prevention is worth a pound of cure.” With the increasing costs of healthcare and the emergence of multi-drug resistant organisms this truth still resonates today. Hospital associated infections (HAIs), have been a complication in hospitals for many years. The purpose of this assignment is to address this problem in nursing practice, and discuss evidence on practices that will address this issue. The problem Hospital associated infections (HAIs) can be defined as an infection acquired in hospital by a patient who was admitted for a reason other than that infection. An infection occurring in a patient in a hospital or other healthcare facility in whom the infection was not present or incubating at the time of admission. This includes infections acquired in the hospital but appearing after discharge, and also occupational infections among staff of the facility (central line associated bloodstream infections, catheter associated urinary tract infections, surgical site infections, ventilator associated pneumonia, etc.) (World Health Organization, 2002). HAI’s have become one of the leading caused of hospital related deaths in the United States. However, these infections...
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...has often carried out health promotion interventions. Who is ultimately responsible for maintaining and promoting Mrs. Griffin's health?| A)|The medical nurse| B)|The community health nurse who has also worked with Mrs. Griffin| C)|Mrs. Griffin's primary care provider| D)|Mrs. Griffin| Ans:|D| |Feedback:| |American society places a great importance on health and the responsibility that each of us has to maintain and promote our own health. Therefore, the other options are incorrect.| 2.|An elderly female patient has come to the clinic for a scheduled follow-up appointment. The nurse learns from the patient's daughter that the patient is not following the instructions she received upon discharge from the hospital last month. What is the most likely factor causing the patient not to adhere to her therapeutic regimen?| A)|Ethnic background of health care provider| B)|Costs of the prescribed regimen| C)|Presence of a learning disability| D)|Personality of the physician| Ans:|B| |Feedback:| |Variables that appear to influence the degree of adherence to a prescribed therapeutic regimen include gender, race, education, illness, complexity of the regimen, and the cost of treatments. The ethnic background of the health care provider and the personality of the physician are not considered variables that appear to influence the degree of adherence to a prescribed therapeutic regimen. A learning disability could greatly affect adherence, but cost is a more likely barrier.| 3.|A gerontologic...
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...PR ACTICE STAndARd Infection Prevention and Control Table of Contents Introduction Standard Statements Application of evidence-based measures Application of professional judgment Risk reduction Communication Maintaining a Quality Practice Setting Case Scenarios Appendix Glossary of Clinical Terms References 3 4 4 4 5 5 6 8 9 11 12 OuR MISSIOn is to protect the public’s right to quality nursing services by providing leadership to the nursing profession in self-regulation. OuR vISIOn is excellence in nursing practice everywhere in Ontario. Infection Prevention and Control ISBN 1-897074-32-8 Pub. No. 41002 Copyright © College of Nurses of Ontario, 2009. Commercial or for-profit redistribution of this document in part or in whole is prohibited except with the written consent of CNO. This document may be reproduced in part or in whole for personal or educational use without permission, provided that: • Due diligence is exercised in ensuring the accuracy of the materials reproduced; • CNO is identified as the source; and • The reproduction is not represented as an official version of the materials reproduced, nor as having been made in affiliation with, or with the endorsement of, CNO. First published February 1996 as Infection Control Guidelines (ISBN 1-894557-33-6) Reprinted January 2000, October 2000, revised for Web June 2003, reprinted January 2004 as Infection Control (ISBN 1-894557-44-1) Revised June 2004, December 2005. Reprinted May 2008 (ISBN 1-897074-32-8)...
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...Philosophy of Nursing Why I Chose Nursing I chose nursing as my future profession because I believe nursing to be a rewarding and challenging career choice. I believe the desire to help people through nursing is a true calling, and I feel drawn toward helping those in need. I was first drawn to the area of professional nursing when my late sister became ill and was in the hospital for many months prior to her untimely death. This experience is what ultimately led me in the direction of pursuing a nursing education. Another reason I chose nursing is because the field offers a wide variety of career opportunities. A degree in nursing allows one to teach, conduct research, or perform direct patient care. I could elect to become an administrator, work in community or home health, and even travel worldwide. I can choose to work in childbirth centers, community health, emergency departments, geriatric wellness programs, intensive care units, mental health programs, occupational health, operating rooms, nursing research, school health, substance abuse treatment programs, and many more. With the national shortage of nurses, work schedules are flexible, pay is competitive, and openings are numerous. Jobs will be waiting for me the day after graduation anywhere in the world, and I will have a profession without additional training. The Core of Nursing Practice The core of nursing practice involves numerous factors that I believe to be of vital importance to being a great nurse....
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...TITLE PAGE Therapeutic Communication And Nursing Considerations As a nurse, one must expect to be faced with diverse situations. From teaching patients of varied educational backgrounds to explaining a difficult diagnosis, it is the place of the nurse to build a proper relationship and provide therapeutic communication to each person in the most effective manner possible. This paper first describes the fundamental elements of the communication process, and second, reviews the three levels of communication with nursing applications. Third, this paper differentiates between verbal and nonverbal communications, and furthermore describes the nurse’s focus in the nurse-patient relationship. This paper outlines therapeutic and non-therapeutic communication techniques, with regard to cultural diversity and patients with alternative communication needs. The Communication Process “Communication is an interactive process between two or more persons who send and receive messages to one another”(Varcarolis, 2010, p. 175). “Two common elements of every communication exchange are the sender and receiver. The sender initiates the communication. The sender is a person who has a need or desire to convey an idea or concept to others. The receiver is the individual to whom the message is sent. The sender encodes the idea by selecting words, symbols, or gestures with which to compose a message. The message is the outcome of the encoding, which takes the form of verbal...
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...NCSBN ON-LINE REVIEW 1.A client has been hospitalized after an automobile accident. A full leg cast was applied in the emergency room. reason for the nurse to elevate the casted leg is to A) Promote the client's comfort B) Reduce the drying time C) Decrease irritation to the skin D) Improve venous return The most important D: Improve venous return. Elevating the leg both improves venous return and reduces swelling. Client comfort will be improved as well. 2. The nurse is reviewing with a client how to collect a clean catch urine specimen. What is the appropriate sequence to teach the client? A) B) C) D) Clean the meatus, begin voiding, then catch urine stream Void a little, clean the meatus, then collect specimen Clean the meatus, then urinate into container Void continuously and catch some of the urine A: Clean the meatus, begin voiding, then catch urine stream. A clean catch urine is difficult to obtain and requires clear directions. Instructing the client to carefully clean the meatus, then void naturally with a steady stream prevents surface bacteria from contaminating the urine specimen. As starting and stopping flow can be difficult, once the client begins voiding it’s best to just slip the container into the stream. Other responses do not reflect correct technique 3. Following change-of-shift report on an orthopedic unit, which client should the nurse see first? A) B) C) D) 16 year-old who had an open reduction of a fractured wrist 10 hours ago 20 year-old...
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...WHO Guidelines on Hand Hygiene in Health Care: a Summary First Global Patient Safety Challenge Clean Care is Safer Care a WHO Guidelines on Hand Hygiene in Health Care: a Summary © World Health Organization 2009 WHO/IER/PSP/2009.07 All rights reserved. Publications of the World Health Organization can be obtained from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: bookorders@who.int). Requests for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – should be addressed to WHO Press, at the above address (fax: +41 22 791 4806; e-mail: permissions@who.int). The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable...
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...2013 2014 nash-rOCky mOunt PuBliC sChOOls stuDEnt/ParEnt hanDBOOk Superintendent’s Message August 2013 Dear NRMPS Students and Parents, The School Board, faculty, staff and administrators of Nash-Rocky Mount Public Schools are committed to providing a safe, orderly, secure and disruption free environment that will produce globally competitive students, who are prepared for bright and prosperous futures, when they graduate. High quality instruction will offer challenging curriculum based on rigor, relevance and adequate resources for all students. Expectations for student behavior are high in every school. The Code of Student Conduct is revised annually to align with state and federal laws and to address other issues critical to providing a safe and quality educational environment. Included in the Code of Conduct are expectations for behavior on school buses that you should be aware of even if your child does not ride a bus to or from school since these expectations apply for field trips, athletic contest trips and other school approved activities. To ensure consistency with student understanding of school division expectations, the Code of Student Conduct is reviewed at the beginning of each school year. In addition, I urge each parent to read and review this material with your child to ensure that you understand our expectations prior to any potential issues. Being unaware of the rules of conduct and behavior is not a defense if your child actually violates...
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...THE AUSTRALIAN HEALTH CARE SYSTEM: THE POTENTIAL FOR EFFICIENCY GAINS A REVIEW OF THE LITERATURE Background paper prepared for the National Health and Hospitals Reform Commission June 2009 This paper was prepared at the Commission’s request by staff of the secretariat to the Commission. The lead author was Emily Hurley. Ian McRae Ian Bigg Liz Stackhouse Anne-Marie Boxall and Peter Broadhead provided some input and commented on drafts. This is a paper prepared as background for the NHHRC. The views and findings expressed in it should not be taken to be the views of the NHHRC or of the Australian Government. 2 TABLE OF CONTENTS Introduction ....................................................................................................4 International overview of efficiency .............................................................4 Health status – due to more than the health care system ............................7 An Australian focus ......................................................................................8 Summary ......................................................................................................8 A framework for efficiency............................................................................9 Operational Efficiency .................................................................................10 Health sub-sectors .....................................................................................11 Hospitals...........
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...Final Exam Study Guide Important to Know the function of anterior and posterior pituitary gland. Anterior Pituitary Gland: (Adenohypophysis) The anterior pituitary gland regulates several physiological processes including stress, growth, reproduction and lactation (Adrenal, liver, bone, thryroid and gonads). -It is regulated by negative feedback and the hypothalamus. Major hormones: ACTH: Stimulates the adrenal cortex. TSH: Thyroid stimulating hormone, promotes secretion of thyroid hormone. FSH: Follicle-stimulating hormone, promotes growth of reproductive system. LH: Luteinizing hormone. Promotes sex hormone production GH: Growth hormone, promotes growth, lipid and carbohydrate metabolism. PRL: Prolactin, Milk production and progesterone/estrogen. -Hormones are secreted from the hypothalamus to the A. Pituitary so these hormones can be released. Posterior Pituitary Gland: Mainly axons extended from the hypothalamus. These axons contain and release neurohypophysial hormones oxytocin and vasopressin. Oxytocin: Targets the uterus, and mammary glands causing contractions and lactation. Vasopressin (ADH): Antidiuretic hormone, arginine vasopressin, argipressin. Stimulates water retention absorbs it back into blood causing raises blood pressure by contracting arterioles, and inducing male aggression. Very Important to know and understand Diabetic Ketoacidosis Pathophysiology: -In DKA, the lack of insulin prevents glucose from being utilized by the tissues...
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...About APIC APIC’s mission is to improve health and patient safety by reducing risks of infection and other adverse outcomes. The Association’s more than 12,000 members have primary responsibility for infection prevention, control and hospital epidemiology in healthcare settings around the globe. APIC’s members are nurses, epidemiologists, physicians, microbiologists, clinical pathologists, laboratory technologists and public health professionals. APIC advances its mission through education, research, consultation, collaboration, public policy, practice guidance and credentialing. Look for other topics in APIC’s Elimination Guide Series, including: • • • • Catheter-Related Bloodstream Infections Clostridium difficile Mediastinitis MRSA in Long-Term Care Copyright © 2008 by APIC All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission of the publisher. All inquires about this document or other APIC products and services may be addressed to: APIC Headquarters 1275 K Street, NW Suite 1000 Washington, DC 20005 Phone: 202.789.1890 Email: APICinfo@apic.org Web: www.apic.org ISBN: 1-933013-39-7 Guide to the Elimination of Catheter-Associated Urinary Tract Infections (CAUTIs) Table of Contents 1. Acknowledgments ……………………………………………………….………………….….…. 2. Guide Overview………………………………………………………...
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...A Sigma Medical Technologies Offering TABLE OF CONTENTS Executive Summary 3 Problem Statement 4 Introduction 6 Analysis of the Facts 8 Expeditionary Marketing Tools 19 Summary of the Facts 27 Alternatives 30 Recommendations 35 I. EXECUTIVE SUMMARY Founded in 2015, Sigma Medical Technologies (SIGMA) is located in the SE region of Albuquerque, New Mexico, in the Sandia Industrial Park area east of Kirtland Air Force Base on Eubank Blvd. SIGMA, owned by Dr. Remy and Mr. Bob Sachs (of TEAM Technologies), serves as the patent holder and developer of “Ozone”. UNM Anderson has been contracted to provide an expeditionary marketing study. Ozone offers an invasive, defined space; gas based delivery system (generated by the product) to kill all living organisms in a room. It provides an affordable elimination and sterilization system for use by the Medical industry. It provides an additional layer of security against concealed germs, bacteria, and viral threats (pathogens). It may even be the cost effective solution to deliver solution based field units to disease hot spots that are engineered for quick and easy “Ozone” sterilization. The technology offers a “whole room” elimination solution (fills available defined space and kills pathogens) as opposed to standard “surface” based elimination systems (based on chemical wipe down style cleaning). Dr. Remy and his supportive team have a...
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