...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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...You have been asked to research legislations and guidelines relevant to the prevention and control of infection in riverbank Home. An outbreak of an infection is when it affects more than one person. Infections can be spread between people very fast and in many cases they have not been stopped in spreading. It has caused unlimited outbreaks throughout the times. When the infections begin to spread there are many ways to break and control the outbreak. During the years there have affected more than a one deaths. The outbreaks are agreement scene within the world but all setting need to be aware of the control measure that they need to put in to place to stop them becoming international. An outbreak may be controlled by removing the source of infection, disturbing transmission and protecting persons at risk. When the measures to control an outbreak are put in place they need to follow the legal requirements and guidelines. The food safety act states that...
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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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...RAFT Task 1 Accreditation Case Study Name: Marissa D. Jose Instructor: Dr. Linda Joyce Gunn, CPHRM Course title: AFT2 Accreditation Audit Name of institution: Western Governor University Current Compliance Status for Infection Prevention and Control 1. Commission Standard: Infection Investigation/Identification Recently the hospital implements preventing spread of Infection. The hospital has a successful framework for controlling the spread of infection and/or outbreaks among patients/clients, employees, physician, volunteers, students, and visitors. Identification and managing infections at the time of a client’s admission to the hospital and throughout their stay are the critical aspects of the infection prevention and control program, in addition to subsequent renowned infection control practices while providing care. In the hospital’s admission process, there are numerous ways to investigate, control, and prevent infections in the hospital setting, decides what procedures, such as isolation, should be applied to an individual client; and maintains a record of incidents and corrective actions related to infections. This process includes taking the patient’s history of infection, previous hospitalization, current diagnosis, and presence of draining wound, among others. During the health screening process, the hospital also ensures that the patient gets help from the right staff. Immediately the patient...
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...How to Prevent Infection with Safe Injection and Medication Practices? Infection transmission risks are present in all hospital settings (Siegel, Rhinehart, Jackson, Chiarello, & the Healthcare Infection Control Practices Advisory Committee, 2007, p. 31). A recent online survey of more than 5,000 healthcare practitioners revealed an alarming lapse in basic infection control practices associated with the use of syringes, needles, multi-dose vials, single-use vials, and flush solutions (Paparella, 2011, p. 564). According to the Centers for Disease Control and Prevention (CDC) there has been at least 49 infection outbreaks occurring because of contaminated injectable medical products since 2001 particularly at the time of administration. Out of the 49 outbreaks occurring, 26 of those took place in the past five years (Jayanthi, 2014). The transmission of bloodborne viruses and other microbial pathogens to patients during routine healthcare procedures continues to occur because of the use of unsafe and improper injection, infusion, and medication vial practices by health care professionals in various clinical settings throughout the United States. Breaches in safe injection, infusion, and medication vial practices continue to result in unacceptable and devastating events for patients (Dolan et al., 2010, p. 167). With this in mind it is necessary to understand the causes of and how to effectively prevent infection and injury with safe injection and medication vial practices...
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...Literature Review According to Wenzel et al. (1998), historically, infection control practices, in one form or another, have existed since surgeons such as Lister recognized the significance of bacteria in producing postoperative wound infection. In the early 1970s, the first infection control nurse was appointed in the U. K. This created the start of an era, the acknowledgment of infection control as a specialty in its own merit. In some countries, medical insurance companies pressured health services to decrease infection rates, and that led to an increase in infection control systems and programs. Countries with developed health care systems have taken action to the need to control hospital infections, reflected in escalating charges of hospitalization and increased length of stay in patients with illnesses, by establishing infection control procedures that span the gamut of hospital practice and clinical...
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...Clostridium Difficlie, also known as C diff, is a bacterium infection that has symptoms of diarrhea but can also have life threatening inflammation of the colon (staff, 2012). C. diff most commonly affects older adults primarily those that are hospitalized or in a long term care setting (staff, 2012). “An epidemic of Clostridium difficle in the United States is now killing some 12,000 patients annually, in part because neither alcohol rubs nor soap and water used in the vast majority of hospitals can effectively remove the spore-forming bacillus from the hands of health care workers, researchers are finding” (Hand hygiene woes impact C.diff response, 2010,pg 76).Let’s explore Clostridium difficle a little, how it is transmitted, the environmental factors, standard treatments and ways to help prevent the spread of Clostridium Difficlie. Clostridium Difficlie bacteria are passed in feces and thru food, they are also on surfaces or objects where people fail to wash their hands when they are infected. These bacteria spores can last in a room for weeks or even months so if you touch an infected surface you can unknowingly ingest the bacteria (staff, 2012). Normally healthy people don’t get sick from the bacteria because your body contains many types of bacteria that will fight off the infection. However, many people get C. diff following a treatment with antibiotics. “The antibiotics that most often lead to C. difficle infections include fluoroquinolones, cephalosporins, clindamycin and...
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...Reducing the risk of surgical site infection Joy Ibeh Walden University NURS 4001, Section 7, Research & Scholarship for Evidence-base practice September 7, 2014 Reducing the risk of surgical site infection A surgical site infection is a preventable event and also a national concern. There are numerous publication on national awareness and guidelines for infection prevention in different surgical settings. The benefit of providing information and acquiring knowledgeis to prevent patient mortality rate by following the national clinical guideline. Therefore the purpose of this paper is to discuss information from the the clinical practice guideline for preventing and reducing the risk of surgical site infection. Practice Setting Problem The Practice seting problem chosen for this assignment is reducing the risk of surgical site infection by using clinical practice guideline. Surgical site infections (SSI)is an infection patient acquired from hospital after surgery, It has a significant representation of healthcare associated infections. According to Center for Dieases Control and Prevention (CDC) SSI is defines as “ an infection that occurs after surgery in the part of the body where the surgery took place.” (Spruce, 2014). The author, Spruce (2014) addressed the mortality rate of surgical site infection and further noted that SSI is the second most prevalent healthcare associated infection that are estimated to be 40% to 60% preventable. Spruce reported that $28.4...
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...The statistics of healthcare-associated infections (HCAIs) in United Kingdom is just about 50,000 cases every year, in that, during 2008–2009, there were 36,097 reported cases of Clostridium difficile (Health Protection Agency, 2009). Almost the same rate is listed for Germany, highlighting a clear need for decisive action. This research examines the main causes if HCAIs, and discusses the relationship between compliance with hand hygiene guidelines and stress among nursing professionals in one German hospital (Knoll, Lautenschlaeger, & Borneff-Lipp, 2010). This paper explores the factors associated with hand hygiene compliance of nurses during routine clinical practice. The purpose of this research was to clarify whether external factors such as ward capacity, or level of nursing intensity had an influence on nursing staff compliance with hand hygiene guidelines. The research questions in this study are; does hand hygiene between healthcare workers decrease healthcare associated infections (HCAIs)? Does exterior factors influence on nurses compliance with hand hygiene guidelines? The hypothesis of this study is; workload factors like maximum ward capacity, severity of patient cases, have an influence on nurse’s compliance with proper hand hygiene guidelines. Study Variables A total of nine variants were used in this paper. Records from the descriptive interviews were used as dependent variables. The ward-specific workloads considered on one side as the rate of...
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...The Importance of Occupational Safety Health Administration Mindy Merceri CS102-Academic skills January 28, 2013 What is OSHA, what is its mission and how does it protect you? OSHA stands for Occupational Safety and Health Administration. The Mission of OSHA is “to assure safe and healthful working conditions for working men and women by setting and enforcing standards and by providing training, outreach, education and assistance ” (OSHA). This agency administered the OSHA Act of 1970 which comprises of standards or rules for workers and employers and penalties for those who do not follow the established guidelines. This Act sets many standards across a multitude of industries; more importantly there are sets of established designed specifically for the medical field. The guidelines cover standard precautions, personal protective equipment (PPE) and handling contaminated waste to name a few. The standard precautions are “a set of procedures recognized by the CDC to reduce the chance of transmitting infectious microorganisms in any health care setting” (Goucher, 193). The universal rule of these procedures is to assume everybody has some kind of microorganism. There are a multitude of safeguards in place to keep medical employees and patients from coming into contact from blood or other bodily fluids. Some of these precautions include the following: Proper hand washing and use of alcohol based hand rubs. Proper hand washing with soap and water should be used...
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...Assignment 1: Issues in Public Health- Nosocomial Infections Nosocomial infections are defined simply as hospital-acquired infections. These infections are not present initially and typically occur within 48 hours of a patient’s admission, within 3 days of discharge or approximately 30 days after an operation. (Inweregbu, Dave & Pittard, 2005) Not just in the United States, but also globally, such infections are rising significantly with no solutions available currently. And, though it is exceedingly difficult to gather reliable information, especially within smaller countries, it has been shown that hundreds of millions of individuals are impacted by such infections each year. Nosocomial infections are an endemic globally with high incidence in both developed and undeveloped countries. Such infections are particularly pertinent in both ICU and NICU patients. In America, it is typical to find that 4.5% of patients will fall ill to such infections when taking the entire population into consideration. European countries see a prevalence rate of approximately 7.1% when considering the population as a whole. These rates will become higher when looking at a sample such as the ICU or NICU where rate of infection can range from 30%-51%, taking into consideration, the longer the stay the greater the risk. (World Health Organization) However, when considering the low and middle-income populations of underdeveloped countries, these rates are considerably higher. It is estimated...
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...Health care today is becoming more complex with the aging population, multiple comorbidities, and rising health care costs. There are many issues that health care providers face while caring for patients on a daily basis. The two health care problems that will be discussed are hospital acquired infections and how it affects patient outcomes as well as antibiotic resistance related to overuse and misuse. This paper will discuss those two health care problems and how they affect health care delivery as well as costs, access to care, quality of care, and nursing qualities that influence evidence-based practice. Problems That Affect Health Care Delivery and Health Care Policies Hospital acquired infections The first health care problem to be discussed...
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...URINARY TRACT INFECTION Elizabeth Quartey Abstract According to the CDC estimates in 2002 there were 1.7 million Healthcare-Associated Infections (HAI), and 99,000 HAI- associated deaths in the hospital. The report stated that the four largest categories of HAI, responsible for more than 80% of all reported HAI, are central line-associated bloodstream infections (CLABSI, 14%), ventilator-associated pneumonia (VAP, 15%), surgical site infections (SSI, 22%), and catheter-associated urinary tract infections (CAUTI, 32%). HAI are a great financial costs to health care facilities. The Centers for disease Control and Prevention (CDC) estimates the medical cost of HAI in the U.S. hospitals as $6.65 billion in 2007, and that number has increased to almost $10 billion a year currently. Statement and Significance of the Problem One in 20 patients who are admitted to a hospital will be a victim to an infectious agent they are exposed to during their hospitalization according to the Centers for Disease Control (CDC) (Goodman, Brenda, 201, Hospital-Acquired Infections cost $10 Billion a year). The five most common infections are surgical site infections, infections associated with the use of devices like central lines, catheters, ventilators and clostridium dificile are costing the health care System in the USA almost $10 billion a year to treat. In the article Vitamin D has the potential to reduce the risk of Hospital-Acquired Infections, the writer...
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...Inquiry into health care Assignment 1 This essay aims to thoroughly examine the importance of evidence-based practice within the health care setting. The use of evidence-based practice as a practical framework to locate, appraise and apply the best research will further discussed throughout this essay. In addition this essay will explore how health care professionals can use the five steps of evidence based practice (EBP) as a practical framework to overcoming barriers to locating, appraising and applying the best research evidence in relation to Occupational Health and Safety (OHS). The use of hand washing in relation to infection control will be the OHS area explored. Evidence based practice is a framework that involves an expert finding experimental evidence concerning the value of or effectiveness of altered treatment options, the significance of this evidence is then established in relation to the patients situation (Liamputtong, 2010).Evidence Based Practice generates the need for clinically vital information regarding clinical and health care issues (Liamputtong, 2010). This clinically vital information is gathered by altering evidence into answerable questions, once this information is gathered the appraised information will be put into clinical practice and evaluated based on performance (Liamputtong, 2010). The importance of the five steps of Evidence Based Practice is consistent and conclusive. Before EBP, clinical knowledge was primarily relied on in areas...
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...SHARON ROACH CHCECE002 – ENSURE THE HEALTH AND SAFETY OF CHILDREN Assessment Two Assessment 2 – Summation Part A – Inducting a work experience student CLEANING: Attend to incidental cleaning and housekeeping associated with the individual and group activities, experiences and routines (this almost seems as what you spend most of the day doing, although it is a big part of occupational, health and safety) Cleaning systems are implemented to prevent contamination and cross infection. Cleaning buckets, cloths, mops etc. will be clearly labelled, coded to indicate their specific use and stored in a location inaccessible to children. Be responsible for routine cleaning of the education and care service. This will include sweeping and mopping floors after meal and activity times, wiping tables with soapy water before and after meals, sanitizing toys and equipment after use; and particularly after children have mouthed toys. The sandpits will be raked daily, covered each night and the sand cleaned frequently. USE APPROPIATE CLEANING AGENTS: Use a particular disinfectant. Even though disinfectant works effectively there Still needs to be thorough cleaning using a detergent beforehand. There is no ideal disinfectant. Disinfectants cannot kill germs if the surface isn’t clean. Ensure that in the event of an infectious disease being identified within the children, families or educators in the service, steps are taken to prevent the spread of the infectious...
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