MRSA Detection Paper

The evaluation will include a regression model to measure the central line associated bloodstream infections (CLABS) using evidence – based practice norms to identify variations which allows the unit to improve and reduce CLABS. The plan also includes training the oncology pediatric nurses in safe administration of chemotherapeutic agents and passing the Oncology Nursing Society (ONS), Oncology Nursing Certification Corporation (ONCC) to meet national standards. To further improve the implementation of the indicator measurement process in treatment guidelines, it is recommended that the quality improvement and infection control teams will improve assessments using the QAPI worksheet to meet the CMS requirements for safe and quality outcomes, and reimbursement (Legal Information Institute, Cornell Law School,

Sepsis impacts the U.S. healthcare based on its high incidence, mortality rates, financial costs and long-term adverse effects on sepsis survivors. To reduce this impact, the rapid initiation of bundled care based on the SSC can reduce the severity of severe sepsis and septic shock thereby, reducing patient mortality and long term adverse effects. The objective of this paper is to discuss the benefits of implementing a sepsis bundle focusing on the SSC recommendations and the improved effects realized on patient outcomes and morality rates. The clinical question is as follows:

Dissemination Plan Internal. To best disseminate Braden screening internally, it is important to include all acute care staff nurses, charge nurses, nurse administrators, case managers, unlicensed assistive personnel and involved hospital administrators. It is also important to include the acute care physicians, so that they are aware of the problem and intervention on a collaborative basis. A series of lunch and learn sessions, where staff members from each acute care shift can be exposed to the problem (including the prevalence of HAPUs in the acute care setting), the Braden Scale Screening solution, as well as an overview of benefits, costs and savings. This would be an opportunity to gain rapport with staff, and gain traction with early-adopters who will be key to ensuring a culture of taking the intervention seriously, as well as following the protocols and reporting procedures.

The people that are most susceptible to get Staphylococcus epidermidis are newborns, the elderly, immunocompromised patients, and patient’s who are using a catheter. This is because newborns and the elderly do not have as strong of immune systems as children and middle-age adults

The antimicrobial stewardship team not allow to focus on patients who would benefit most from the interventions. Detroit Medical Center’s replaces this labor intensive and inexact method by using an official clinical decision support system(CDSS) which called the TheraDoc. TheraDoc have many features play an important role in improving outcomes for patients with an infectious diseases process. With the implementation of TheraDoc, patients who are not on first-line therapies can be easily located because it gives alerts and helped to choose the more appropriate antibiotic for each disease.

It is defined as а standard group of criteria to recognize if the person has а disease or not. Standardized case definitions information will be used to compare the University of Chicago Medicine with other facilities (benchmarking), to monitor the infection rate over time, and to evaluate the effectiveness of the Clostridium difficile prevention strategies. There are two national Clostridium difficile surveillance that is used in acute care setting, the National Health Safety Network (NHSN), а division from the Center for Disease Control and Prevention (CDC), and the Clinical Practice Guidelines from the Infectious Disease Society of America (IDSA) and the Society for Healthcare Epidemiology of America (SHEA). The University of Chicago Medicine will use the NHSN for national comparison (benchmarking). In case of plan failure, the University of Chicago Medicine will repeat the same steps of plan objectives as а plan B and auditing each step to make sure that plan is applied

7 / D.P7: Explain how different procedures maintain health and safety in a selected health or social care setting Maintaining health and safety in health and social care is extremely important to ensure the health, safety and wellbeing of all their service users as well as other individuals service providers may come in contact with in the setting. There are several procedures that help to maintain this health and safety however they can all vary between settings for example, health and safety procedures will be slightly different and more focused on certain areas in hospitals and especially in paediatric ward compared to in drop-in centres where the needs and risk to service users are slightly different. Some of the procedures used in health and social care to maintain health and safety include; infection control and prevention, safe moving and handling of equipment and individuals, food preparation and storage, storage and administration of medication and storage and disposal of hazardous substances.

The incidence of pacemaker infection in our institution has increased from 4.92% in 2012 to 17.86% in second quarter of 2013. This number is comparable to the data retrieved from National Inpatient Sample reported that there was a 224% increase in the pacemaker infection rate from 1193 to 2008 while the Implantable Cardioverter Defibrillator (ICD) remained constant.5 According to Patel J, incident of infection increases among patients with diabetes, heart failure, renal failure and respiratory failure. However, our study found that patients’ presenting illness prior to pacemaker implantation

Nurses are advocates for their patients and like to have their concerns and ideas heard. Magnet hospitals are said to have fewer incident reports. They provide a safe environment with the use of a lift and patient transfer equipment that saves on the nurse 's backs, the use of needleless IV needles, they are a latex-free facility and have a lower number of hospital-acquired infections such as MRSA (methicillin-resistant Staphylococcus aureus). They have a zero tolerance for harassment and abuse. They also have a bullying hotline that the staff can address any issues they feel are not getting resolved.

SAFETY IN THE NURSING PROFESSION It is the belief of many medical professionals that proper safety protocols in the medical environment is paramount. There is nothing more important in a hospital setting than overall safety. This goes for both patient safety as well as the safety of the hospital staff. Both patient and staff have their own precautions that must be taken and steps that must be followed to ensure there are no mishaps.

However, the physicians did not reveal the actual purpose of the study. Consequently, penicillin was the most effective medication, but the doctors decided to withhold treatment (Bozeman, Hirsch, & Slade ,

It was a satisfying moment as a nursing student to not be afraid and know how to provide safe and preventative care to reduce the risks for falls, such as having my clinical instructor, a colleague and myself to help a client that has fragile bones and was confused because of their medical diagnosis. As well, we can provide proper prevention and infection control by applying correct hygiene care after assisting a client with an infection such as clostridium difficile. What did not go well after this experience is I found out that this client had clostridium difficile and at first, I was scared that now I am at risk and will acquire this infection. Instead, I looked at it as I am overcoming my fear of the different infections and diseases I will be exposed to as a nurse and that is why learning how to perform proper hygiene is very important. This bad thought turned into a learning curve and that nothing will make me not provide safe and effective care to any client.

In my first clinical placement day as 2nd year St Clair College collaborative nursing student in Metropolitan Hospital, I was assigned to assess the patient (SS) who was recently done 2 surgical procedures , and as I did the routine checkup of the patient’s data from the medical file and chart, it was mentioned that MRSA test was done 3 days ago as the patient was susceptible to it because of lengthy stay in the hospital but the results were not ready yet. At the door of the room there were notice that to use PPE precaution with the other patient sharing the same room of my patient, so I attempted to wash my hands and wear the gloves to get in the room, but my instructor advised me to wear gown too as the MRSA status was not known yet and the other patient is a known case and a nurse came to add the bed number of my patient to the note of using the PPE.

Nguyen Nguyen Professor Microbiology 1 May 18th, 2016 01MW – Staphylococcus Epidermidis The Staphylococcus Epidermidis is classified as bacteria. Scientists reckon it to Firmicutes phylum and adjust it in Bacillales order of Bacilli class. This bacteria belongs to Staphylococcaceae family.

Expanding the number of HIV- infected persons who know their status is a foremost objective of the US. Centers for Disease Control and Prevention. “ The 2006 guidelines for HIV testing of adults, adolescents, and pregnant women recommend a universal routine HIV screen in all public and private health care settings” (Pinkerton, S., Bogart, L., Howerton, D., Snyder, S., Becker, K., & Asch, S. 2010). These settings include hospitals, emergency departments, urgent care settings, inpatient services, and health departments. By including all medical care settings throughout the country in rapid HIV- testing research has suggested that rapid testing was more desirable for people getting tested for the virus.