...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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...Hepatitis B – Hepatitis B (HBV) Is a blood borne illness that affects the liver and hominoidea. Transmissions for getting HBV can be working in a health care clinic, tattooing, and transfusions, along with kissing, hugging, holding hands, and coughing. Transmission is spread through infectious blood, or bodily fluids such as semen or vaginal fluids. There are 350 million carriers or more of Hepatitis B. There is vaccination for Hepatitis B. Hepatitis C – Hepatitis C (HCV) is a blood borne illness, which affects the liver. You can develop cirrhosis from Hepatitis C resulting in a liver transfer. Transmissions of HCV include drug injection, sexual activities, body piercings or tattoos, along with toothbrushes or razors and etc. There is no current vaccine for Hepatitis C. Human immunodeficiency Virus – Human immunodeficiency Virus Blood Borne Illness or (HIV) is an illness that leads to (AIDS), a condition in humans that lead to the destruction of the immune system. The majority of the (AIDS) virus is spreaded through unprotected sex, open wounds or blood that gets somehow into your body, mother to child during pregnancy through the uterus, and drug injection. Meningitis – Meningitis is a airborne bacterial infection of the membranes covering the brain and spinal cord. Mainly in babies and is caused by bacteria, an infection of some type, along with cancer that spreads to the meninges or spinal cord of the body. Influenza/ Pneumonia – Is air born condition where the lung is...
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...CDC Centers for Disease Control and Prevention Weam Khadim PBHE501-American Public University May 21, 2013 Dr. Shalah Watkins-Bailey Centers for Disease Control and Prevention Center for Disease Control and Prevention is a national public health federal agency under Department of Health and Human Services headquartered in Atlanta, Georgia. It is division of Department of Health and Human Services responsible for managing national programs for control and prevention of communicable diseases and Vector born pathogen. CDC also is in charge of implementing strategies and plans to deal with environmental health problems. It also controls quarantine activities and performs epidemiological research, and it provides consultation on an international basis for the control of preventable diseases. The subdivisions of the agency include: * The center for chronic disease prevention and health promotion * Environmental health * Health statistics * Infectious diseases * Injury prevention and control * Immunizations * Occupational safety and health (Centers for Disease Control and Prevention, 2013). The Federal Center for Disease Control (CDC) was first created on July 1946 known as Communicable Disease Center. Originally the main mission is to control malaria and other vector-borne diseases during World War II. In the beginning CDC occupied one floor of small building in Atlanta, GA with a budget of only $10 million and fewer than 400 employees. As...
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...Communicable Diseases - Dermatophytes HCS 457 February 11, 2013 University of Phoenix Communicable Diseases - Dermatophytes Communicable diseases remain a frequent cause of illness in human population due to many reasons. Communicable diseases are diseases that can be passed from one person to another just by everyday communication. Communicable diseases are the easiest to spread amongst our population. Dermatophytes are a type of communicable disease that could be spread to anyone. Dematophytes are fungi that cause skin, hair, and nail infections and are often known as ringworms. One example of a very common dermatophyte infection is athlete's foot, which is also called tinea pedis. Another common dermatophyte infection affecting the groin area is jock itch, also known as tinea cruris. There are many different species of dermatophytes that can cause infection in humans. Two of the most common types are Trichophyton tonsurans, and Trichophyton rubrum and these are usually transmitted from person to person. Another common dermatophyte is Microsporum canis, and that is transmitted from animals such as cats and dogs to humans. Dermatophytes like to live on moist areas of the skin, like the places where there are skinfolds. They can also live on household items, including clothes, towels, and bed sheets and so on. Symptoms and Prevention Dermatophyte infections are usually spread through direct contact with an infected person or animal. Clothing, bedding and...
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...The 1967 United Kingdom foot-and-mouth outbreak was a major outbreak of foot and mouth disease in the United Kingdom. The only centre of the disease, in contrast to the three concentrated areas in the 2001 crisis, was on the Wales border with Shropshire.[1] France and other EU countries were also affected by the crisis.[ Background There were three official inquires into the foot-and-mouth epidemics and the Government’s response in the fifty years prior to the 1967 outbreak. These occurred in 1922, 1923-1924, and 1953.[2] In the 1950s, there was a substantial outbreak across the United Kingdom. Of the thirteen years leading up to the 1967 outbreak, there were only two years that there was no reported outbreak.[2] During this period, foot-and-mouth was prevalent across Europe. Outbreak In October 1967, a farmer from Bryn Farm in the county of Shropshire, concerned by the health of one of their sows, sought veterinary advice and the animal was found to have contracted foot-and-mouth disease. Bryn Farm was immediately put into quarantine and general animal movement was banned. The virus rapidly spread to the nearby Ellis Farm. Two cows from the latter had already been sent to market, leaving the farmers in a vulnerable position.[3] In the following months, over 2,364 outbreaks were detected in the United Kingdom.[4] Ninety-four percent of the cases occurred in North-West Midlands and North Wales.[2] Reports The Minister for Agriculture, Frederick Peart, appointed a committee...
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...means for delivering rapid laboratory testing to the patient. Overall, the physicians and clinics we interviewed were interested in the value that POCT offered to their patients, including rapid results and a smaller sample size. Most clinics are already utilizing CLIA-waived (simple testing), such as the rapid flu and strep tests. I feel that the demand for faster test results will help the POCT market continue to grow in the future. POCT helps physicians to make quicker diagnoses and provide the right treatment to the patient early, thus helping to reduce the costs of healthcare. I feel that POCT could make a huge impact in the infectious disease sector. Clinicians often cannot distinguish between bacterial, parasitic, viral, fungal, or noninfectious causes. An accurate diagnostic test that could help identifies the causative agent of a disease would be a huge benefit; POCT could offer this type of test. I feel the potential applications for POCT are endless. However, in order for POCT to be successful, I feel that the issues of accuracy, reimbursement and costs will need to be addressed. Many physicians feel that the rapid tests are not as reliable as the conventional laboratory testing. In order, for future companies to be successful in the POCT market, they will have to be that their tests are reliable and accurate. Also, another issue that some physicians have with the POC tests is the issue surrounding reimbursement and cost. Most insurance companies do not fully...
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...The Effects of Zoonotic Diseases Case Study #13 April 17, 2011 Zoonosis refers to an infectious disease in animals that can be transmitted to people. An animal serves as the natural reservoir for such an infectious agent, ("MedTerms," 2001). Many zoonoses, which is simply the plural meaning of zoonosis, including viruses, bacteria, and parasites can be transmitted to humans by various routes. Some of these routes consist of animal bites, vectors (i.e., insects), and animal-to-human contact (i.e., inhalation of respiratory droplets or skin-to-skin contact), (Bauman 613-14) & ("Infectious Diseases," 2009). Most emerging infections that have occurred world wide are said to be a zoonotic disease. Many of these diseases are fatal or have the potential to be fatal if not treated quickly and properly identified. An example of a zoonosis case that has the potential to arise annually is listed below: Case Study#13 “You work in a small family practice in rural VA. A man in his early 50’s comes in with a complaint of intermittent fever (102-103°F) and headache for the past two weeks. The physician examines him and takes a history. The only clinical finding is a wound about the size of a quarter on his right thumb. Axillary lymph nodes are swollen and tender. The man says he cut himself while skinning a rabbit three days ago. On the basis of these observations the physician prescribes streptomycin and asks the man to call if his symptoms don’t...
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...Foodborne Illness – Hepatitis A 1. What is the infectious agent (pathogen) that causes this infectious disease? The U.S. Government requires that sewage be treated to eliminate pathogens. This includes bath water, toilet water, and storm run-off. These fluids may carry pathogens for many water borne disease, including giardiasis and hepatitis A. This involves collection and sedimentation of sewage waters, separating solid matter (sludge) from the liquid (effluent) portion of sewage. The effluent is chlorinated to kill pathogens before it can be released in to lakes or rivers. The sludge is burned or dumped. Some advanced methods of treatment us a secondary treatment following the primary treatment. This is done by transferring the fluid in to tanks filled with a population of microorganisms that decompose more than 90 percent of the organic wastes and eliminate pathogens by competition. It is then chlorinated before being released in to rivers or lakes. Many sewage treatment plants use additional chemicals that also eliminate pathogens. 2. How is the infectious agent transmitted through food or water? Hepatitis A is the only common vaccine preventable food borne disease in the United States (Fiore 2004). It is one of five human hepatitis viruses that primarily infect the human liver and cause illness. This may result in liver failure and death. It is transferred through food or water that is contaminated with fecal matter that has the HAV virus. Other potential...
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...tables, diaper pails, or toys) that contain stool from an infected person or animal. Drinking water or using ice made from water sources where Giardia may live (for example, untreated or improperly treated water from lakes, streams, or wells) Swallowing water while swimming or playing in water where Giardia may live, especially in lakes, rivers, springs, ponds, and streams Eating uncooked food that contains Giardia organisms Having contact with someone who is ill with giardiasis Traveling to countries where giardiasis is common Giardia cannot be passed by coming in contact with blood. Giardiasis is a global disease. It infects nearly 2% of adults and 6% to 8% of children in developed countries worldwide. Nearly 33% of people in developing countries have had giardiasis. In the United States, Giardia infection is the most common intestinal parasitic disease affecting humans [1]. Giardia infection can cause a variety of intestinal symptoms, which include: Diarrhea, Gas or flatulence, Greasy stool that can float, Stomach or abdominal cramps, Upset stomach or nausea and dehydration. Symptoms of giardiasis normally begin 1 to 3 weeks after becoming infected. In otherwise healthy people, symptoms of giardiasis may last 2 to 6 weeks. Occasionally, symptoms last longer. Medications can help decrease the amount of time symptoms...
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...inferential statistics, explain data at each of the four levels of measurement and describe the advantages of accurate interpretation of statistical information to improve decision making in the workplace. How Are Statistics Used in Your Workplace There are many uses for statistical application in the field of infection prevention and control. The purpose of infection prevention and control is to put into place policies and procedures that minimize the spread of infections, especially in the hospital setting. The primary function of infection prevention and control surveillance is to reduce the occurrence of infections by using risk factors and implementation of risk-risk reduction measures and the effectiveness of interventions (“Center for Disease Control”, 2012). Two examples of how statistics are utilized are the hospital-wide surveillance of central line associated blood stream infections (CLABSI) and catheter related urinary tract infections (CAUTI). Infection rates of CLABSI and CAUTI are reported to senior leadership on a monthly basis; if an increase in infection rates is noted...
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...illness, life expectancy without treatment falls to about 1 year. People with AIDS need medical treatment to prevent death. The only way to know if you are infected with HIV is to be tested. You cannot rely on symptoms to know whether you have HIV. Many people who are infected with HIV do not have any symptoms at all for 10 years or more. Some people who are infected with HIV report having flu-like symptoms (often described as “the worst flu ever”) 2 to 4 weeks after exposure. Symptoms can include: • Fever • Enlarged lymph nodes • Sore throat • Rash These symptoms can last anywhere from a few days to several weeks. During this time, HIV infection may not show up on an HIV test, but people who have it are highly infectious and can spread the infection to others. However, you should not assume you have HIV if you have any of these symptoms. Each of these...
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...Evolution of New and Old Communicable Diseases According to Gordis (2004), epidemiology is defined as “the study of the distribution and determinants of health related states and event of diseases in specified populations and the application of this study to control of health problems”. Severe acute respiratory syndrome (SARS) is contagious and potentially life threatening form of pneumonia which was first detected in February 2003 in Asia and it spread to various countries in Europe, North America and South America before it was declared as SARS 2003 global outbreak (Centers for Disease Control and Prevention, 2004). SARS is an acute respiratory tract illness caused by an infectious virus transmitted from person to person. Various pathogens that cause acute respiratory diseases are respiratory syncytical virus, parainfluenza virus, influenza virus and severe acute respiratory syndrome-associated coronavirus (SARS-CoV) (WHO, 2007). In 2003, various scientists across the world started investigating the virus with the help of electron microscopy and virus discovery microarrays. The new coronavirus was inoculated in monkeys which caused interstitial pneumonia similar to SARS (Holmes, 2003). This newly identified acute viral respiratory syndrome caused by a novel coronavirus is a positive-stranded RNA virus with genome containing nucleocapsid protein, membrane proteins and spike protein which forms the typical “coronavirus” structure (Lashley & Durham, 2007). Spreading...
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...Webster’s dictionary defines a disease as “a condition of the living animal or plant body or of one of its parts that impairs normal functioning and is typically manifested by distinguishing signs and symptoms; a harmful development.” Add that with the definition of infectious disease from our AS Level and A Level Biology book - “...transmissible, or communicable diseases; diseases caused by pathogens that can spread from infected people to uninfected people” - and it’s no wonder why scientist and citizens alike are in a frenzy to understand what these diseases are like, how they are spread, what causes them, and most importantly, how to stop them. In the following paragraphs my job is to explain all of this to the best of my knowledge and ability. First up, Cholera. Cholera is the infection of the small intestine that causes a large amount of watery diarrhea (or “rice water” as our Cambridge book likes to call it) and possible vomiting. It is a water-borne disease and occurs where people do not have access to proper sanitation such as a clean water supply or uncontaminated food (third world countries such as Bangladesh, where the first strain of this disease was found). Transmission occurs, primarily, by drinking water or eating food that has been contaminated by the feces of an infected person or the bacterium Vibrio cholerae has somehow been exposed to unclean water or food washed in said water. In the developed world (first world countries), seafood is the usual cause though...
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...Evaluation Alexis Hunter Chamberlain College of Nursing NR443 Community Health Nursing Summer Semester 2010 Nursing Interventions and Evaluation: Human Immunodeficiency Virus: (HIV) HIV infection remains a significant problem in Duval County, Florida. This disease significantly affects many communities and Duval County shares one of the highest HIV rates in America. One reason why Duval County faces higher rates of infection is because of the high minority population. Also, high levels of poverty and unemployment can make it difficult for a person to maintain health insurance to access their primary care provider and get the necessary treatment for HIV. Social stigma also plays a part in and negative attitudes of the community can prevent a person from seeking treatment or even testing for HIV. In this paper, three community health interventions that will address the main factors that contribute to HIV infection will be discussed. The best defense against HIV is educating the public about the disease. Regular testing for HIV is very important as well. The first intervention would to be involved in a local testing center and be able to test individuals as well as educate them on the disease. The majority of people at risk for HIV are located in the downtown area. There is a large homeless population and most lack insurance or funds to obtain a primary care physician. Many of the downtown testing sites are churches, shelters and other centers. These places...
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...Community Outbreak Community Outbreak The outbreak of measles is at an all time high in 2011 with a confirmed 223 cases, up from 2008 with only a 140 confirmed cases (Iannelli, 2011). In 1989 with the last big measles out break the introduction of the MMR , measles outbreaks were scarce in the United States (Iannelli, 2011). The rise in outbreaks were linked back to foreign travel in the 2008 outbreaks (Iannelli, 2011). Another link in the rise in measles outbreak is the choice not to vaccinate. Many parents now opt not to have their children vaccinated for personal reasons. This makes the child more susceptible to the outbreak and thus passes it on to others. * Epidemiology- although the incidence of measles has risen in recent years efforts to control the outbreaks globally have altered the virus transmission. In developed countries measles has been contained by vaccinations during childhood. Worldwide measles is the cause of morbidity and mortality. Measles was estimated to cause about 31 to 39.9 million illnesses with about 777,000 deaths worldwide (Barinaga & Skolnik). Measles is the fifth most common cause of death in children less than fives years old. The World Health Organization (WHO) put a strategy in place to vaccinate greater than 90 percent of the people with two doses of the MMR vaccine and to monitor that population very carefully. This would include case investigations of anyone suspected of contracting the virus (Barinaga & Skolnik)...
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