...A number of studies have shown that establishing infection control guidelines based on scientific evidence results in considerable savings. The SENIC study demonstrated that good infection control programs result in real savings and improved health care for the patients. Clinical care protocols and suitable antibiotic use reduce infection, thus reducing the length of stay in hospitals, the single most costly part of medical care. Infection control programs reduce morbidity and mortality. Infection control teams are particularly helpful for preventing outbreaks caused by multidrug-resistant organisms such as methicillin-resistant Staphylococcus aureus (MRSA) or gram-negative bacilli. A significant contribution has been made in high-risk areas, such as intensive care units (ICUs), where infection rates have been reduced by good infection control practice. These patients are usually sicker, require more invasive therapy, medical involvement, and aggressive therapy, and are at...
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...at a slower pace than others their age, and may have trouble coping with changes in their daily routine. Some of the most common causes of autism can be brain abnormalities, complications at birth, traumatic events both physical and emotional, and serious sickness during early childhood. Different events can determine how severe the disability is, from Aspergers to more severe forms than can change life drastically for those involved. Specific problems that could cause autism are; respiratory complications, creating a lack of oxygen in the brain which doesn't allow it to develop correctly during birth/ infancy, Fragile X Syndrome, genetics that may affect brain development, and research is still being done to determine what sort of environmental factors that could contribute to the symptoms, researchers are leaning towards viral infections and possibly air...
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...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 that up to 19.1% of patients will become sick with a secondary hospital acquired infection. These rates can range from three to nineteen times higher than a developed country depending on the type of infection. When considering the ICU and NICU, where all nosocomial infections are most prevalent, an underdeveloped country will typically have 42.7/1000 patients with an infection at the low end...
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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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...Research Database Assignment Form Describe briefly your topic of interest (15 possible points): The area that was chosen for this assignment is alarm fatigue. Alarm fatigue has been described as the process that occurs when nurses are desensitized due to too many alarms that are sounding constantly. Often times, there is no clinical indication for alarms that are sounding. This leads nurses to make the assumption that certain alarms are not important or the alarms very simply become background noise. Alarm fatigue has become nationally recognized and is the National Patient Safety Goal (NPSG) that was implemented by JCAHO for 2014. Medical alarms that are supposed to make nurses aware that something is wrong with the patient and prevent sentinel events have resulted in sentinel events. Some research has been done to show that alarms that were ignored is what led to the sentinel event occurring. I chose to research this area as I have witnessed this in the workplace over the years. I am reluctant to see what the outcomes of research on this subject will lead to and what protocol implementations will occur to meet the 2016 JCAHO deadline for this problem to be addressed. #1 Database (or collection) (30 possible points): Title of source: Association for the Advancement of Medical Instrumentation (AAMI) Location of source (URL): http://www.aami.org/htsi/alarms/library.html Owner or publisher: Healthcare Technology Safety Institute (HTSI) Describe (in your...
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...Introduction...............................................................................................................................3 The Japanese Telecommunications Industry – an overview......................................................4 The Beginning of Regulatory Reform and the Role of MIC........................................................5 Rapid World-leading Technology and Trends.........................................................................6-7 The Role of Handsets and Devices............................................................................................7 The Economic Effect of a Natural Disaster.................................................................................7 Environmental Policies...............................................................................................................8 Going Forward...........................................................................................................................8 Appendices...........................................................................................................................9-13 Appendix 1 - Shares of cumulative subscribers at the top four Telecommunications companies in Japan....................................................................................................................9 Appendix 2 –Japan telecoms at a glance............................................
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...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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...Changing the System Abstract The Affordable Care Act was signed into law in March of 2010 by President Obama, these set of new laws and regulations is designed to provide ethical changes to a fragmented health care system. Cultural bias and social stigmatism have hampered the acceptance of such sweeping changes to the American health care system. Culturally some Americans feel they are handing over their health care choices to government control, socially some Americans believe that the government it reducing free trade, taking control of health care and limiting capitalism in the health care market. This argument is to disprove those stances hoping to provide an outline of what Americans should accept as reasonable ethical, cultural and social changes to a system that was, and is, still fragmented in many ways. There have been many changes to the health care system thus far, but there are many more that need to take place. It is no longer ethically acceptable to just meet the medical needs of Americans, but to pursue greater levels of standards of care practices for those in need. Ethically it is time for Americans to start to question some of the cultural and social “norms” I believe and start to be more socially responsible for themselves and others regarding the health care system as a whole. By following this outline and looking at the examples I think that many Americans would agree that this would be an easy task to accomplish, it may take us as a society out...
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...Capstone Project Abstract Background Hand washing and hand hygiene are consider to be the number one, cheap essential measure of preventing and controlling spread of hospital acquired infections (HAIs). Hand washing and hygiene can significantly reduce the burden of disease, in particular in hospitalized patient Unfortunately compliance to hand hygiene recommended standard procedures by the health care workers (HCWs) has been unacceptably poor. In order to design education program, identification of several risk factors associated with poor hand hygiene (HH) compliance is of extreme importance. Objective: The purpose of this study is to implement a hand hygiene program for increase compliance with hand hygiene among health care worker in 97 beds hospital. The key target for compliance to HH is not only health-care workers but also policy-makers and organizational leaders and managers. Methods.: Compliance to hand hygiene will be evaluated through direct observation of HCWs ,to helps pinpoint areas of strength or weaknesses in HH behavior, so as to develop training program that will help HCWs to complaint with HH . Evaluation will be based on direct observation and survey audit, observing the HCWs during routine patient care to ensure that hands hygiene are performed before and after getting in contact with patient and patient environment. In addition, survey audit based on the HCWs perception, knowledge and attitude...
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...Courtesy of L E K A R SPECIAL EDITION Authors: Marino, Paul L. Title: ICU Book, The, 3rd Edition Copyright ©2007 Lippincott Williams & Wilkins ISBN: 0-7817-4802-X Authors Dedication Quote Preface to Third Edition Preface to First Edition Acknowledgments Table of Contents Section I - Basic Science Review Basic Science Review Chapter 1 - Circulatory Blood Flow Chapter 2 - Oxygen and Carbon Dioxide Transport Section II - Preventive Practices in the Critically Ill Preventive Practices in the Critically Ill Chapter 3 - Infection Control in the ICU Chapter 4 - Alimentary Prophylaxis Chapter 5 - Venous Thromboembolism Section III - Vascular Access Vascular Access Chapter 6 - Establishing Venous Access Chapter 7 - The Indwelling Vascular Catheter Section IV - Hemodynamic Monitoring Hemodynamic Monitoring Chapter 8 - Arterial Blood Pressure Chapter 9 - The Pulmonary Artery Catheter Chapter 10 - Central Venous Pressure and Wedge Pressure Chapter 11 - Tissue Oxygenation Section V - Disorders of Circulatory Flow Disorders of Circulatory Flow Chapter 12 - Hemorrhage and Hypovolemia Chapter 13 - Colloid and Crystalloid Resuscitation Chapter 14 - Acute Heart Failure Syndromes Chapter 15 - Cardiac Arrest Chapter 16 - Hemodynamic Drug Infusions Section VI - Critical Care Cardiology Critical Care Cardiology Chapter 17 - Early Management of Acute Coronary Syndromes Chapter 18 - Tachyarrhythmias Section VII - Acute Respiratory Failure Acute Respiratory Failure Chapter 19 - Hypoxemia...
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...AN INDEPENDENT VOICE FOR NURSING Work Engagement, Moral Distress, Education Level, and Critical Reflective Practice in Intensive Care Nurses nuf_237 256..268 Lisa A. Lawrence, PhD, RN Lisa A. Lawrence, PhD, RN, Instructional Faculty, Nursing Department, Pima Community College, Tucson, AZ Keywords Critical reflective practice, education level, moral distress, registered nurse, work engagement Correspondence Lisa A. Lawrence, PhD, RN, Nursing Department, Pima Community College, Tucson, AZ E-mail: llawrence@pima.edu AIM. The purpose of this study was to examine how nurses’ moral distress, education level, and critical reflective practice (CRP) related to their work engagement. The study is relevant to nursing, given registered nurse (RN) documented experiences of job-related distress and work dissatisfaction, and the nursing shortage crisis. A better understanding of factors that may enhance RN work engagement is needed. METHODS. A non-experimental, descriptive, correlational design was used to examine the relationships among four variables: moral distress, education level, CRP, and work engagement. The sample included 28 intensive care unit RNs from three separate ICUs in a 355-bed Southwest magnet-designated hospital. RESULTS. There was a positive direct relationship between CRP and work engagement, a negative direct relationship between moral distress and work engagement, and CRP and moral distress, together, explained 47% of the variance in work engagement. Additionally...
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...Task 1 : introduce your business a. Briefly describe the type of business size and number of employees . Bankstown Lidcombe Hospital is a principal referral group A1B hospital with tertiary affiliations to the University of NSW, University of Sydney and University of Western Sydney providing a wide range of general medical and surgical services and sub-specialty services to a local Bankstown/Canterbury community. It is part of South Western Sydney Local Health District.it has 454 beds and over 1400 emloyes between doctors , nurses , radiolgiest , administration , and other services . b. Laws are put into place to protect everyone - the customer, the employee and the company. You are not expected to be a lawyer, but being aware of the relevant legislations will help your organisation run more smoothly and avoid complications in the future, such as getting tied up in lengthy legal battles for unfair staff dismissal etc. Some of the common legislations applicable to traders include the Consumer Protection Act 1987 and the Consumer Protection from Unfair Trading Regulations 2008. These regulations are put into place to protect the consumers' rights and ensure they receive good quality products or services at all times. Duty of care : The responsibility or the legal obligation of a person or organization to avoid acts or omissions (which can be reasonably foreseen) to be likely to cause harm to others. Accessible parking Bankstown-Lidcombe Hospital has a number...
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...[pic]Read without ads and support Scribd by becoming a Scribd Premium Reader. See Premium Plans × Language: English Choose the language in which you want to experience Scribd: • English • 中文 • Español • العربية • Português • 日本語 • Deutsch • Français • Turkce • Русский язык • Tiếng việt • Język polski • Bahasa indonesia Download Go BackAdd Note Link Embed Save [pic]of 8 Readcast [pic] [pic][pic][pic] Dr. Nola J. Pender PhD, RN, FAANa nursing theorist who first presented her Health Promotion Model for nursing in her book HealthPromotion in Nursing Practice (1982). She developed the idea that promoting optimal health supersedespreventing disease. Pender's theory identifies cognitive-perceptual factors in the individual, such asimportance of health, perceived benefits of health-promoting behaviors, and perceived barriers to health-promoting behaviors. These factors are modified by demographic and biologic characteristics andinterpersonal influences, as well as situational and behavioral factors. They help predict participation inhealth-promoting behavior. The individual's definition of health for himself or herself has more importance thana general statement about health. A major assumption in Pender's theory is that health, as a positive high-level state, is assumed to be a goal toward which an individual strives. Pender Nursing Theory The Health Promotion Model of nursingNola Pender, former professor...
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...2009 Malcolm Baldrige National Quality Award Application TABLE OF CONTENTS Glossary of Terms and Abbreviations Organizational Profile i Responses Addressing All Criteria Items Category 1: Leadership 1 Category 2: Strategic Planning 6 Category 3: Customer Focus 10 Category 4: Measurement, Analysis, and Knowledge Management 14 Category 5: Workforce Focus 18 Category 6: Process Management 23 Category 7: Results 7.1: Best Quality (Healthcare Outcomes) 27 7.2: Best Customer Service (Customer Focused Outcomes) 32 7.3: Best Financial Performance & Growth (Financial & Market Outcomes) 35 7.4: Best People and Workplace (Workforce Focused Outcomes) 38 7.5: Best 5 Bs (Process Effectiveness Outcomes) 41 7.6: Best 5 Bs (Leadership Outcomes) 45 GLOSSARY OF TERMS AND ABBREVIATIONS APP: Annual Planning Process 5Bs: AtlantiCare’s five “Bests” or performance excellence commitments – Best People and Workplace, Best Quality, Best Customer Service, Best Financial Performance, Best Growth ARMC : AtlantiCare Regional Medical Center ASC: Ambulatory Surgery Center ASPP: Annual Strategic Planning Process A AAAHC: Accreditation Association for Ambulatory Health Care AAI: AtlantiCare Administrators Incorporated AAP: Annual Action Plan B BFP: Best Financial Performance Big Dots: The system-level measurements or targets for each of the 5 Bs (performance excellence commitments). Business units...
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...Introduction 1.1 Rationale of selecting the Topic There are some reasons behind selecting this topic. Now a day the business world is greatly influenced by their Corporate Social Responsibilities (CSR). It is also a modern marketing concept. Here it is very important to study about Corporate Social Responsibility (CSR) of different company, bank, and financial institution. In this regard as a renowned and large private online bank of Bangladesh the study of Corporate Social Responsibility (CSR) of DBBL is very important. The rationale behind this study is to gain knowledge about Corporate Social Responsibilities of DBBL. 1.2 Background of the Company Dutch-Bangla Bank started operation is Bangladesh's first joint venture bank. The bank was an effort by local shareholders spearheaded by M Sahabuddin Ahmed (founder chairman) and the Dutch company FMO. From the onset, the focus of the bank has been financing high-growth manufacturing industries in Bangladesh. The rationale being that the manufacturing sector exports Bangladeshi products worldwide. Thereby financing and concentrating on this sector allows Bangladesh to achieve the desired growth. DBBL's other focus is Corporate Social Responsibility (CSR). Even though CSR is now a cliché, DBBL is the pioneer in this sector and termed the contribution simply as 'social responsibility'. Due to its investment in this sector, DBBL...
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