Education Program on Risk Management of Secondary Infection

Education Program on Risk Management of Secondary Infection

Grand Canyon University: HLT-308V Risk Management and Healthcare Regulation

Education Program on Risk Management of Secondary Infection

According to the Center for disease Control and Prevention (CDC), secondary infection such as central line associated bloodstream infection (CLABSI), a serious condition that occurs when germs enter the bloodstream through the central line (a tube that is placed in a large vein that empties out near the heart), result in thousands of deaths annually and billions of dollars are added as extra expenses to the U.S. healthcare system (2016). Because these infections are avoidable, CDC in conjunction with other healthcare organizations are providing strategies and gears to the HealthCare community to help in eradicating or preventing them. In addition to the efforts provided by these institutions, they made guidelines available on risk management prevention of similar conditions to provide extra help to health professionals. In this paper, our focus is to prepare a proposed risk management educational session on secondary infection and complications associated with. We will address objectives and rationales for the educational session, along with supportive data. Moreover evaluation strategies of the educational session will be presented for effectiveness before they addressed and challenges and ideas to help users to adhere to the plan.
Objectives
A. Use of sterile technique
1. Ensure teaching of all new employees and yearly competency educational sessions.
2. Incident reporting of all breaks in sterile technique
B. Prophylactic medications: use of antibiotics and anticoagulants
1. If patient not on antibiotics while in hospital, send home with prophylaxis.
2. Avoid blood clots through use of anticoagulant administration during stay.
C. Signs for patients and visitors on hand hygiene.
1. New visitors given pamphlet on hand hygiene.
2. Patients should be taught hand hygiene upon admission.
Rationale
A. Use of sterile technique
1. If sterile technique is not used during proposed procedures, risk of infection increases.
2. CLABSI and CAUTI can be prevented with use of proper sterile technique.
B. Prophylactic medications: use of antibiotics and anticoagulants
1. Prophylactic antibiotics help prevent secondary infections that can be acquired in hospital settings.
2. Anticoagulants can help prevent PE and DVT due to immobilization in the hospital.
C. Signs for patients and visitors on hand hygiene.
1. 722,000 patients acquire an HAI and 75,000 die annually
2. Hand hygiene is the first line preventable way to spread infection.
Supportive Data

It has been shown that adherence to a robust never event policy reduces malpractice suits, groundless claims, and subsequently saves costs. (How a robust Never Events Policy Can Alter Your Facility’s Culture, 2016.) Interventions to reduce bloodstream infections associated with central lines not only contributed to at least 3,000 fewer deaths per year, but also saved $1.8 billion in medical costs between 2001 and 2009. In 2009 alone $414 million in cost savings were attributed to the decrease in CLABSI. (CDC, 2011.)

Implementation

Implementation teaching will inform our nursing staff on the following topics:

A: CAUTI’s

1. Minimal use of catheters

2. Educate patients

3. CAUTI Bundles

4. Checklists (Hanchett, 2012)

B. Blood clots

1. Heparin therapy

2. Lovenox

3. Avoid Vitamin K

4. Fall precautions

5. Follow labs (NRSNG, 2017)
C. CLABSI

1. CLABSI Bundles

2. Checklists

3. Guidelines for prevention

4. ICU vs non ICU (Center for Disease Control and Prevention, 2016)

Evaluation Strategies: What tools will you use to evaluate the proposed educational session?
The educational plan will be in adherence to evidence based research studies on similar topics. Surveys can be used. Staff interview and questionnaire used for staff feedback because the Joint commission Standard IC program identifies risks for transmission of infectious agents on an ongoing basis (the program should meet the standard imposed by the joint commission to verify if the risks associated with secondary infection are addressed. Also “Adding a management practice bundle may provide critical guidance to physicians, clinical managers, and hospital leaders as they work to prevent healthcare-associated infections” (McAlearney et al, 2017). We will investigate the following:

A.Cauti’s
1.Statistics of catheter use: in house. Before and after teaching to assess effective teaching
2.Stats of Bundles: trail one unit (ICU), compare use versus non use to assess effectiveness.

B.Blood Clots
1.Heparin vs Lovenox
2.Stat for falls in patients with DVT’s

C.CLABSI
1.Stats on Bundles
2.Stats on prevention

Challenges
Catheter-related circulatory system contaminations are a critical wellspring of dismalness and mortality at last stage renal infection populace. Albeit elective gets to experiencing renal substitution treatment exist, numerous patients start hemodialysis with a dialysis catheter because of calculated and physiologic elements engaged with arteriovenous fistula creation and development. Colonization of catheters by means of skin greenery prompts the generation of biofilm, which goes about as a repository for harmful microorganisms. Precaution treatments fixate on suitable catheter support, contamination control measures, and early expulsion of gadgets as patients change to different access. Regardless of best endeavors, when preservationist measures neglect to avert diseases in a high-hazard populace, antimicrobial bolt treatment ought to be considered as a choice to battle catheter-related circulation system contaminations.
Opportunities
It is evaluated that the utilization of process change and innovation to lessen CLABSI can set aside to $2.7 billion every year while essentially enhancing quality and safety.3 closing the execution hole will Require clinics and social insurance frameworks to resolve to activity as particular administration, hone,
Also, innovation designs, cases of which are portrayed beneath for use or reference. This is Given to help healing centers in organizing their endeavors at outlining and executing proof based Packs for CLABSI decrease.
Authority Plan

• Hospital administration and senior managerial authority must focus on getting to be mindful of
Significant execution holes in their own particular association.
• Hospital administration, senior regulatory initiative, and clinical/wellbeing authority should close
Their own particular execution hole by actualizing a far reaching approach.
• Healthcare initiative must fortify their dedication by playing a functioning part in championing
Process change, giving their chance, consideration and center, evacuating hindrances, and giving

Important assets.
• Leadership must exhibit their responsibility and support by forming a dream without bounds,
Unmistakably characterizing objectives, supporting staff as they work through change activities, estimating
Results, and imparting progress towards objectives. Activities talk louder than words. As part
Models, initiative must ‘walk the stroll’ and also ‘talk the discussion’ with regards to supporting
Process change over an association.
• There are numerous sorts of pioneers inside a social insurance association and all together for process
Change to genuinely be fruitful, authority duty and activity are required at all levels.
The Board, the C-Suite, senior administration, doctors, chiefs, supervisors, and unit pioneers all
Have essential parts and should be locked in.
Change administration is a basic component that must be incorporated to manage any enhancements.
Conclusion
We address objectives and rationales for the educational session, along with supportive data. Moreover evaluation strategies of the educational session will be presented for effectiveness before they addressed and challenges and ideas to help users to adhere to the plan.

References

Center for Disease Control and Prevention. (2011, March 01). CDC Vitalsigns [PDF]. Atlanta: Center for Disease Control and Prevention.

Center for Disease Control and Prevention. (2016, March 1). Central Line-associated Bloodstream Infection. Retrieved from Center for Disease Control and Prevention: https://www.cdc.gov/hai/bsi/bsi.html

CDC. (2016-2018). HAI data and statistics. Centers for Disease Control and Prevention. Retrieved from https://www.cdc.gov/hai/surveillance/index.html

Hanchett, M. (2012). Preventing CAUTI: A Patient-Centered Approach. Preventing Strategies, 42-50. Retrieved from http://www.apic.org/Resource_/TinyMceFileManager/epublications/CAUTI_feature_PS_fall_12.pdf

NMH. (2011). Preventable Complications. Northwestern Memorial Hospital. Retrieved from http://www.nmh.org/nm/quality-preventable-complications

NRSNG. (2017, May 16). Deep Vein Thrombosis (DVT). Retrieved from NRSNG: https://www.nrsng.com/care-plan/deep-vein-thrombosis-dvt/

Retrieved from https://www.cdc.gov/vitalsigns/pdf/2011-03-vitalsigns.pdf
Center for Disease Control and Prevention (2016). Healthcare associated Infections. Retrieved online from:https//www.cdc.gov/hai/bsi.html

How a robust Never Events Policy Can Alter Your Facility’s Culture. (2016). Patient Safety Monitor Journal, 17(8), 4-9.

McAlearney, A.S.; Hefner, J. L.; Robbins, J.; Harrison, M.I. (2017). Preventing central line- associated bloodstream infections: A qualitative study of management practices. Retrieved from https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology/article/preventing-central-lineassociated-bloodstream-infections-a-qualitative-study-of-management- practices/B31F6DF7903D97AE97E1D3F40B991C11. https://doi.org/10.1017/ice.2015.27. Volume 36, Issue 5.