...Hand Hygiene Change Project Capstone NU296 September 18, 2013 Introduction The lack of hand washing and/or hand sanitizing is a leading cause of nosocomial infections in healthcare facilities not only here in Nevada, but across the United States. Hand washing is one of the biggest contributing factors in stopping the spread of infections throughout the healthcare environment. Nosocomial infections could be dramatically reduced by monitoring and enforcing hand washing and/or “gel in, gel out” policies of each facility. This could also lower the length of stay per patient, and greatly reduce the medical care cost per patient. Analyze the current situation and provide evidence based resources to support the need for change and your proposed plan. Include ethical, legal, or standards of care implications. Washing hands as promptly and thoroughly as possible between patient contact and after contact with blood, bodily fluids, secretions, excretions, and medical equiptment contaminated by patients is a huge element in infection control. Hand hygiene is recognized by infection prevention and control experts as the single most important intervention in decreasing the spread of infection in healthcare facilities. Unclean hands are the main transporters for germs between people and inanimate objects (i.e. blood pressure cuffs, bed rails, call lights, etc…). It is imperative to practice...
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...The Effects of Hand Hygiene Interventions Hand hygiene has been proven to decrease the spread of organisms in all settings community wide. There are many forms of hand hygiene such as: antibacterial hand soap, nonantimicrobial soaps, and antiseptic hand sanitizers. Various techniques and methods can be used when performing hand hygiene. Generally, hand hygiene is the most important procedure in eliminating infections to the body. The studies shown will discuss the effectiveness of hand washing in every setting throughout a community. In my first article that I read, “Effect of Hand Hygiene on Infectious Disease Risk in the Community Setting: A Meta-Analysis”, the authors did a meta-analysis to show the results of the benefits of hand hygiene as for preventing respiratory and gastrointestinal infection related illnesses. The article took a total of thirty intervention studies and created the meta-analysis. The results showed that certain hand hygiene interventions were less effective in respiratory infections such as: hand sanitizers and the teaching of hand hygiene. Hand sanitizers and hand washing education were not directly linked to decreasing the spread of organisms in gastrointestinal or respiratory illnesses, but antibacterial hand soap was. Hand hygiene was proven to be much more effective in the studies to decrease likelihood of the occurrence of illnesses in gastrointestinal infections rather than respiratory infections. In my second article read, “Inexpensive...
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...simple procedure such as hand washing and show why it is an EBP protocol. Why Is Hand Washing So Important? Everyone in the world is responsible for good hand hygiene. As healthcare providers, it is important to teach our patience the importance of good hand hygiene to prevent spread of infection and or disease. By doing this, you are involving patients in their care and helping the greater cause of disease prevention. All healthcare facilities include hand hygiene protocols. Where I work, the hospital policy is that we wash our hands upon entering a patient’s room, put on gloves, remove gloves, wash hands upon leaving that patient’s room, then wash hand again upon entering the next patient’s room…and continue that routine with each patient. We were allowed to us hand sanitizer up to three times, in place of washing with soap and water, providing the patient is not on contact or any other special precautions. For the most part, most of do this, but I did not see everyone following this protocol, especially doctors. Most of the staff only use the sanitizer all of the time. The only time hand washing protocol seems to be followed fully is when I witness sterile procedures. This is a problem and causes increased occurrence of healthcare associated infections (HAIs), but it is difficult to ensure healthcare staff practice proper hand hygiene. From my previous work experiences, protocols were not in place and patients were not encouraged to wash their hands before and after meals...
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...Improving Hand Hygiene Practices 1.0 Introduction Health-related infections account for about 100,000 deaths per annum in the United States. A world-wide systematic review revealed that the occurrence of health-related infections range from between 1.7 to 23.6% per 100 patients. Hospital costs inherently associated with the healthcare-related infections range between 30 to 34 billion US dollars; yet these infections can be prevented through hand hygiene. Critical epidemiologic evidence supports the claims that hand hygiene reduces the transmission of healthcare-related infections. Although it is hard to link hand hygiene and the improvement of healthcare-related infections, organizations such as the Joint Commission, World Health Organization among others, acknowledge the essence of hand hygiene as a universal guideline to reduce healthcare-acquired infections. As such, this proposal focuses on interventions to improve compliance with hand hygiene as a pathway to reduce healthcare-associated infections, rather than the efficacy of hand hygiene to reduce healthcare-associated infections. 1.1 Statement of Purpose Compliance with hand hygiene practices among healthcare workers, nurses, physicians and patients has been low, averaging at approximately 39%. A study conducted in the year 2001 that was aimed at improving hand hygiene compliance and interventions found that there was poor compliance across hospital unit types and other settings. In particular, workers, nurses, physicians...
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...The Importance of Hand Hygiene in the work place Rosamma Mathew American Sentinel University The Importance of Hand Hygiene in the work place The University of Illinois hospital has its policy and procedures located on the hospital’s web page. It is simple and easy to access. It is available twenty for hours a day, every day, and any employee of the hospital can access it from any computer as long as they have valid identification. Each hospital employee was told where to find certain policies and procedures, and they are notified through e-mail of any policy changes and updates. Most importantly all policy and procedures are based on evidence that has been collected and recorded. According to the Center for Disease Control and Prevention [CDC], around two million patients get infected while in a hospital settings in the United States each year, ("Hand Hygiene Basics," 2011) . The infection attained can be either simple or life threatening. One can prevent the spread of infection by simply washing their hands. In fact, hand washing is the single most important way to prevent or reduce the spread of infection. As a nurse I follow all of the policies and procedures of my hospital. I work in the Neonatal Intensive Care Unit, so it is essential that policies and procedures are held to the utmost standard. Premature babies are very susceptible to infection since their immune system is still in the stages of development. Premature infants...
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...Auditing with the 5 Moments for Hand Hygiene tool HHC auditing is the established outcome measure for assessing the effectiveness of a hand hygiene program within the National Hand Hygiene Initiative. HHC is a valid and reliable measure within the acute care sector, in both public and private hospitals throughout Australia. | Generally, the 5 Moments for Hand Hygiene audit tool is ideally suited to facilities that have the greatest staff/patient activity and interaction. This results in higher numbers of ‘Moments’ being audited in shorter time periods. | Auditing facilities where there is little staff/patient activity and interaction will result in a small number of moments being observed (i.e. non-acute, primary care, mental health settings) and resources required to undertake auditing may be better utilised measuring other aspects of a hand hygiene program (e.g product placement and availability surveys, education etc). | Currently HHA do not recommend routine HHC auditing with the 5 Moments for Hand Hygiene audit tool as an outcome measure in the non-acute, primary care or mental health setting. | All facilities should be aware of their jurisdictional requirements when planning measurements of their hand hygiene program. A number of assessment tools are available below which can be used or modified as desired. | HHC audits should only be undertaken by HHA trained and validated HHC auditors. | Annual Auditor Validation The National Hand Hygiene Initiative (NHHI) is based...
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...Hand-hygiene and its importance in health care practice Presented by Ynotte Boatswain 10/28/2012 NRS-433V Grand Canyon University Professor: Jesy Chua The problems as seen in many hospitals today in the United States of America are the amount of hospital acquired infections (HAI’s) among patients and it cost to health care system and patients as a result of improper or poor hand hygiene. Many studies conducted by various researches such as the World Health Organization (WHO), Center of Disease Control (CDC), National Nosocomial Infection Surveillance (NNIS) between 1989 to present day by various authors who shows that hand hygiene plays a major role in controlling HAI’s and the cost of treatment with the amount of patients affected yearly. “ Knowing is not enough, we must apply. Willing is not enough, we must do.” The goal is that the field of infection control can and should be the leader in understanding how research findings can be efficiency and effectively translated into clinical practice, Goethe. How can hand-hygiene improve patient’s outcomes, improved patient’s satisfaction and how does poor hand-hygiene impacted the health care system, patient’s family life and many institutions. Many researchers used mixed...
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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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...be able to use problem solving, observation, prediction, creative thinking and fine motor skills. * The student will be able to understand the five senses and the associated body parts. * The student will be able to recognize how the five senses help them learn about the world around them. * The student will be able to describe different parts of their bodies. * The student will be able to understand how each body part function. * The student will be able to express their feelings. * The student will be able to write, recognize, and spell their first and last name. * The student will be able to understand what they need to keep their bodies healthy. * The student will be able to learn how to use personal hygiene. * The student will be able to learn the difference between healthy and unhealthy foods. * The student will be able to learn new ways to keep themselves healthy. Procedures 1. The student will create a mirror painting of themselves by...
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...TEACHING PLAN FOR POOR PERSONAL HYGIENE ] SUBMITTED BY: Bugtong, Marielle Denise T. SLU III – C3 SUBMITTED TO: Ma’am Florence Pulido Clinical Instructor November 14, 2012 Description of the Learner: Learning Need: Learning Diagnosis: Goal: LEARNING OBJECTIVES | LEARNING CONTENT | LEARNING STRATEGIES/ ACTIVITIES | TIME ALLOTMENT AND RESOURCES NEEDED | EVALUATION | After 30 minutes of health teaching, the patient will be able to:1. | * | * Small group Lecture Discussion | 5 minutes * Pamphlet | Instant Feedback: The client will be able to answer the questions about the definition of personal hygiene and hygiene. | 2. | * | * Small group Lecture Discussion | 5 minutes * Pamphlet | Instant Feedback: The client will be able to answer the questions about the effects of Poor hygiene. | 3. | | * Small group Lecture Discussion | 10 minutes * Pamphlet | Instant Feedback: Letting the patient or significant others state the importance of hand washing. | 4. Explain how Proper Hand washing is done | Procedure: * Wet your hands with warm, running water and apply liquid soap or use clean bar soap. Lather well. * Rub your hands vigorously together for at least 15 to 20 seconds. * Scrub all surfaces, including the backs of your hands, wrists, between your fingers and under your fingernails. * Rinse well. * Dry your hands with a clean or disposable towel. * Use a towel to turn off the faucet...
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...Dental hygiene has become one of the fastest growing profession in healthcare. Some people might ask a dental hygiene degree worth the stress that comes with getting the degree? stress is due to the effort and time students put into becoming a dental hygienist. Although some people say dental hygiene very hard, being a dental hygienist as a career can get you good benefit, education and social interaction. Firstly, the good benefit of having a dental hygiene career includes schedule flexibility and high salary that comes with the degree. The typical working hours for most workers in other profession are 9am to 5pm weekdays. Meanwhile, dental hygiene is known to work a more flexible hour. Dental hygiene working hour varies from...
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...THE IMPACT OF DIET ON HEALTH SAFE PRACTICE WHEN PREPARING, COOKING AND SERVING M3: DISCUSS THE EFFECTS OF UNSAFE PRACTICES WHEN PREPARING, COOKING AND SERVING FOOD IN A HEALTH OR SOCIAL CARE SETTING D2: ASSESS THE EFFECTIVENESS OF SAFE PRACTICES WHEN PREPARING, COOKING AND SERVING FOOD IN A HEALTH OR SOCIAL CARE SETTING In a health and social care sector , any health care worker who is in charge of preparing service users meal or whose job entails providing food for other people must ensure they know about the importance of food safety and hygiene so as to guide against food poisoning that are caused by bacteria and poor hygiene practices. It is also very important that safe practices are followed when preparing food for service users because of the effects unsafe practices may have on their health and wellbeing and also on the health care worker and can lead to complaints if basic hygiene rules are not followed. The effects of unsafe practices when preparing, cooking and serving food in a health or social care setting can cause food contamination in a variety of ways which could lead to food poisoning and can cause illness . Food poisoning are caused by Micro-organisms which includes bacteria, viruses and moulds found in food and can lead to stomach pains, diarrhoea and vomiting. Food contamination can occur in many different ways, such as: Physical, chemical and biological contamination. Physical contamination is caused by foreign or physical objects that come...
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...effective infection control in the care home setting. This means observing infection control procedures and protecting your own health, as well as that of your residents. If you’re caring for sick or vulnerable residents and you come to work unwell, you could potentially pass on your illness to those you’re caring for. If you are unwell, it is best to stay away from work until well after your symptoms have cleared. You may still be able to infect others even if you no longer feel unwell. Hand Hygiene Infections are easily transmitted between people if poor hand hygiene is observed. Even if your hands look clean, they could still be covered in bacteria and other microorganisms that could potentially infect residents and other staff. The importance of hand hygiene in healthcare settings is obvious, but good hand washing practice is essential for preventing the spread of infection among care home staff and residents. Quickly running your hands under the tap is not enough, you need to wash your hands thoroughly, using warm water and soap, and ensuring...
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...Five factors of the patient’s history that demonstrate nursing needs 1) Client states continued post-operative pain. 2) Client has the inability to completely empty her bladder. 3) Client’s past health history shows infrequent physical examinations and had not performed breast self-examination. 4) Client currently weighs 89 lbs compared to her usual weight of 110 lbs. 5) Client expresses great concern over her future and the future of her two children. Nursing Diagnosis 1: Acute pain R/T post-op surgery M/B verbalization of continued postoperative pain. Desired Outcome 1: Patient will use self-report pain scale to identify current pain level and report comfort-function goal in the next 12 hours. Desired Outcome 2: Patient will perform ADLs and activities of recovery easily in the next 24 hours. Nursing Intervention 1 Check the patient’s vital signs and use a valid self-report pain tool to assess pain level intensity. Administer non-opioid analgesic for mild to moderate pain, and an opioid analgesic for moderate to severe pain before painful procedures or increasing physical activity (Ackley & Ladwig, 2011). Nursing Intervention 2 Assess the location of pain, intensity, characteristics, onset, duration, aggravating, and alleviating factors. Identify activities that cause or aggravate pain and offer pain medication prior to performing these activities. Evaluation method Patient understands how to use the pain tool to report pain level intensity...
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...PROBLEM: Nutrition Cues/Clues | Community Diagnosis | Goals/ Objectives of Care | Community Health Nursing Interventions | Rationale | Resources | Evaluation | | | | | | Manpower | Materials | Money | | - Severely underweight for children 14 months old. Actual Weight: 5 kg Child growth standard weight for a severely underweight child is 7.2 kg.-Evidence of lack of food | - Inadequate food intake both in quantity and quality related to | -Improve the weight of the severely underweight child toward the normal child growth standard levels-Raise the food quality and ensure adequate intake- Establish a diet plan that fits the child’s need | - Assess the chidl’s initial weight and monthly weight thereafter- Discuss with the parents some of the possible healthy food options that is within their budget- Coordinate with the Barangay Nutrition Scholar to include them in feeding programs | - To have a baseline data of the child’s weight and to see the improvement of the intervention- This ensures that the children are eating nutritious food that is good for their growth and development- Supplememntal feedings help in increasing the child’s weight | -BHW, BNS, Midwife, Nurses | - Leaflets, Pamphlets, Growth charts, pencil, papers | - Financial aid to be requested at the Barangay hall or Rural Health Unit | - The Goals are partially met because gaining weight takes time and continuous evaluations and modifications must be done before achieving this goal | or partitionurtian...
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