Hand Hygiene in Healthcare This assignment explains the concerns in the healthcare regarding to National Patient Safety Goals established by The Joint Commission. Hand washing is very important in a long-term care facility. Insisting that everyone does it properly it greatly diminishes the risk for nosocomial infections and passing bacteria and pathogens amongst people. Hand Hygiene: NPSG Goal 7- 07.01.01 Goal seven of the National Patient Safety goals addresses the issue of reducing the risk of health care associated infections. This goal targets the prevention of mortality from health care-associated infections caused by several different drug resistant organisms, surgical related infections, and infections of the bloodstream related to catheter insertion.
In 2006 1/3 (about 29%) of claims paid by Medicare for “durable medical equipment” was incorrect for fiscal year 2006. Medicare and private health insurance companies pay nearly $16 billion a year for unnecessary tests doctors tell their patients they need. An estimated $23.7 billion in incorrect payments were made in 2007 including $10.8 billion in Medicare and $12.9 billion for Medicaid. From 2000 – 2007 478,500 claims were made and paid to dead physicians, this totaled $92 million. Improper payments to individuals, organizations, and contractors in 2009 totaled $98 billion, of that $54 billion were due to Medicare and Medicaid.
I have chosen the priority focus area of Infection Control to discuss regarding current compliance standards of our hospital. The focus will be on the standards which failed to meet 100% compliance with the Joint Commission Accreditation. With a proper infection control plan, the hospital will experience harm reduction, resulting in an increase in patient satisfaction. Areas to Monitor One area of focus will be to reduce the risk of health care associated infections through proper hand hygiene. Over the last 3 years, hand hygiene compliance has increased from 46% to 92%.
C) It is a fatal disorder unless renal replacement therapy is received. CORRECT CKD is fatal unless some form of renal replacement therapy (dialysis or organ transplant) is done, whereas acute renal failure has a good prognosis for the return of kidney function if appropriate supportive care is provided during the acute period. D) There are frequent exacerbations since half of all nephrons are damaged. INCORRECT Half of all nephrons are often damaged in acute renal failure. In CKD, about 90% of nephrons are typically involved.
Identify priority nursing care to prevent potential complications following this type of surgery. * Maintain respiratory function * Maintain circulatory function * Promote elimination and adequate nutrition * Promote urinary elimination * Promote wound healing * Achieve rest and comfort 3. Discuss treatment modalities for potential complications as identified above * Push fluids to promote elimination * Hemorrhages may need surgical correction * Apply O₂ 4. Discuss the standard of nursing care when transfusing any blood product. * Verify that an order for the transfusion exists.
A series of education training of documentation was implemented to help reduce episodes of Medicare payment denials and self-protection through adequate documentation. Thus, I will discuss the impact of inadequate nursing documentation that leads to malpractice lawsuits. Purpose of Medical Record Documentation Understanding the purpose of medical documentation was the first step in teaching how to prevent inadequate documentations that leads to liability and malpractice lawsuits. Monarch (2007) supports the purpose of Medical Record Documentation as the following: • Substantiating the health condition or illness or presented concern for the patient. • Effective communication among health care staff.
Abstract Central lines also known as central venous catheters are an integrated role in today’s health care. They provide the means of delivering the necessary lifesaving fluids, nutrition, blood products, medications, and means for hemodialysis access. But for this convenience comes great risks of bloodstream infections that are caused by the colonization of microorganisms from the external surface on and around the devices providing a pathway while inserted or in use. These types’ central line or catheter related associated bloodstream infections are often preventable. Yet thousands of people die each year or escalates billions of debt to the health care system in the U.S. annually to fight them.
1) Blood safety and quality Regulations 2005: These regulations impose safety and quality requirements on human blood collection and storage. Group Mangagement of infection prevention policy: Policy to ensure adequate resources for infection prevention management inline wit activities. NPSA Right Blood Right Patient: This Safer Practice Notice (SPN) sets out measures to improve the safety of blood transfusions, including photo identification cards for regular patients and electronic tracking systems for patients and blood. Clinical policy for Venepuncture: Provides guidelines for all staff undertaking venepuncture procedures within Nuffield Health. It ensures that staff follow the policy to ensure that the sample is collected safely from the correct patient, is labelled correctly and transported safely.
Blood samples were taken one month before their final examinations, and during their examinations. Immune functioning was assessed by measuring NK cell activity in the blood samples. Results showed that the blood samples taken before the exam contained more NK cells compared to the blood samples taken during the exam. This suggests that stress leads to a weaker immune system, which results in vulnerability to illnesses. Immune changes have also seen to have shown a dramatic effect on the rate at which wounds heal.
ASEPTIC, ASEPTIC NON-TOUCH AND CLEAN TECHNIQUE POLICY INTRODUCTION Healthcare Associated Infections (HCAI) has been classified as a major patient safety issue in the United Kingdom (UK) hospitals as well as the National Health Services (NHS) as a whole (Health Infection Society 2007). The impact of HCAIs has become a priority for all NHS organisations because with an annual prevalence of 8.2% which equates to approximately 300000 patient incidences, HCAIs are inevitably associated with increased morbidity and mortality as well as increased healthcare costs (National Audit Office (NAO) 2009).This assignment aims to critically evaluate the impact of the NHS Trust (2010) Aseptic Non-Touch Technique (ANTT) policy and its role in the fight against HCAIs. The reason and aim of the development of this policy will be discussed as well as a critical analysis of the purpose of the implementation of related policies. The target population, impact of launching the policy and the leadership and management styles required for the implementation will be discussed in this assignment. Critical analysis will be maintained throughout the essay including the effectiveness of the monitoring, quality assurance or audit mechanisms in place.