Introduction
Mobile chest in ICU. 145kg, unconscious, mechanically ventilated. MRSA positive. Lying slightly oblique and needs to be straightened and moved up the bed. Nurse can’t help because pregnant.
Work health and safety is a crucial aspect in any professional work environment especially when there is the potential for risk towards oneself or others. As a radiographer providing a public health service, there is a certain level of care and responsibility required when making clinical decisions. This case study presents several issues that a radiographer must be aware of and address to the best of their ability.
The role of the radiographer is to obtain the best possible images whilst ensuring the safety of the patient, others and most
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To prevent the risk of cross-infection to patients and staff, stringent infection control measures must be followed. Failure to apply these actions poses a greater risk of nosocomial infection to vulnerable patients in the Intensive Care Unit including those with open wounds, invasive devices and weakened immune systems (REF).
Hand hygiene has a dual role in protecting both the patient and the radiographer from acquiring and potentially transfering transient micro-organisms. This can be achieved by using liquid soap and water with effective washing technique, or using an alcohol hand rub, before and after contact with the patient. In addition, personal protective equipment including gloves and disposable aprons must be worn to prevent transmission of micro-organisms to both patients and staff during direct patient
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For example, some radiographers may use gloves as a substitute for hand washing. Gloves should strictly be one use only to avoid contamination of clean surfaces, equipment or other patients (REF). Another poor standard notable is the consistency of cleaning equipment following the completion of an examination. Poor hospital hygiene in relation to the environment will create a reservoir for infection and increases the risk of
Mr. Blais is a 73-year-old male here today for a routine followup regarding his hypertension, hyperlipidemia, and cardiomyopathy.
Patients have observed several physicians and nurses not washing their hands before interacting with patients. Hand hygiene is one of the largest tactics to combat nosocomial infections. The hospital should adopt a culture of 100% compliance with hand washing. The first step would be to increase handwashing stations and have more quick-dry alcohol-based antibacterial soap dispensers. Making access easier and decreasing the time taken to wash one’s hands would encourage adherence the policy. Furthermore, each floor should track hand washing and report data of potential nosocomial infections caused by improper handwashing. Keeping patients protected from bacteria is important especially when most are in an immunocompromised
Mr. Lewis is seen for Dr. Craane at Oak Park Heights. Mr. Lewis is a 74-year-old gentleman with multiple medical problems, including rheumatoid arthritis, hepatitis C, diabetes mellitus, hypertension, and severe respiratory insufficiency. His recent history is well known to us as he was originally at Faribault when he became ill with the current episode of leg ulcerations. He was being treated for rheumatoid arthritis and severe COPD at that time and had significant edema in his legs. He was being treated with methotrexate for his rheumatoid arthritis and was also on low dose prednisone at that time. He developed very, very painful leg lesions that quickly developed from darkened skin lesions to undermined ulcerations that had a gangrenous
Chief Complaint: N.G., a 33 year old Hispanic female who appears reliable presents today with complaints of “something is in my left eye”.
A campaign called, “Clean Hands Save Lives” endorsed by the CDC in the year 2015 put an emphasis on five simple steps to avoid or reduce illnesses. The steps are the following and to be carried out in that order: wet, lather, scrub, rinse, and dry (Potter, Perry, Stockert, & Hall, pg. 458). In addition to performing hand hygiene, gloves must also be used when handling any type of specimen. The use of PPE or Personal protective equipment is important as it protects the wearer from any type of injury or infection. (PPE) Healthcare facilities disclose the type of contact precaution outside a patient’s door. For example, a label for Airborne Precautions indicate that a respiratory protection device (N95 respirator) must be worn in order to enter the room and while interacting with the patient. A room with Droplet Precautions requires the use of a mask or respirator. On the other hand, a room with Contact Precautions indicates the use of gloves and gowns, and a room with category Protective Environment requires protection with HEPA filtration, mask, gloves, and gowns (Potter et al., pg 459).
The start-up of any new business can be challenging on many different levels. For instance, the regulatory guidelines, policies, and procedures, as well as ethical standards, must be implemented at the start of any business to ensure that everyone abides by the same practices and principles. Seeing as Tri-County already has services in place for patients, Pat could use some of the regulatory and ethical guidelines such as the diversity and compliance rules as a blueprint. However, some anticipated concerns that Pat may encounter upfront is first the perception of the community of a new business in town. Pat would need to set a precedence that the new psychotherapy clinic values and respects their patients and the community. Second, Pat would
During this last visit, Dr. M made some mistakes which may have played a crucial role in Jacob acquiring an infection, or, in the least, contributed to negligence. After removing Jacob’s cast, Dr. M did not complete his examination of Jacob’s leg before he left the room to exam another patient, Sarah, in the room across the hall. Upon entering the room, he did not close the door. The most obvious mistake the doctor did was not washing his hands after his examination of Sarah, who has osteomyelitis, after which he returned to the first exam room to continue his examination of Jacob’s leg. Hand washing plays a major role in preventing cross-contamination when caring for patients. According to the Centers for Disease Control and Prevention (CDC, 2014), washing hands is an extremely important way to prevent the spread of infection from patient to patient or patient to health care professional. It is essential that all health care providers practice hand hygiene even if gloves are worn. There
wanted to go to the bathroom because he wanted to play. We did not treated him the way we should have done it. We should have been supportive. At this point, I am ashamed for not informing myself and for giving all my trust to doctors who at the end caused more damaged than a cure for my son. Christopher also developed behavioral and physical effects that were implied from the medications and the depression caused by having soil underwears. His behavior is argumentative and defiant, he often refuses to comply with mom and dad rules, and annoys his siblings. Christopher has also acquired nail-biting; which I think is a way for him to vent out his frustrations. We as parents were frustrated, emotionally weak, and with no way out.
Introduction The aim of this case study is to discuss Linda, a 14 year old girl who has been in and out of respite care for the last year. She is normally bright and bubbly and seems to enjoy the breaks. Normally she has a good ability to mix with her peers and takes part in all activities.
The following check list is useful for me to make sure to go over all areas related to low self-esteem:
Implementation of patient care practices for infection control is the role of the nursing staff. Nurses are responsible for maintaining hygiene, consistent with hospital policies and good nursing practice on the ward and monitoring aseptic techniques, including hand-washing and use of isolation. It is also in their scope of practice to promptly report to the attending physician any evidence of infection in patients under the nurse’s care and initiating patient isolation and ordering culture specimens from any patient showing signs of a communicable disease, when the physician is not immediately available. Limiting patient exposure to infections from visitors, hospital staff, other patients, or equipment used for diagnosis or treatment and maintaining
* Hand washing is the most important method of preventing the spread of infection by contact (Ayliffe et al 1999). The Nottingham University Trust Policy on Hand Hygiene (2009) states that there are three types of hand hygiene, the first is ‘routine hand hygiene’ which involves the use of soap and water for 15 – 20 seconds or the application of alcohol hand rub until the hand are dry. The second is ‘hand disinfection’ which should be used prior to an aseptic procedure by washing with soap and water and applying alcohol hand rub afterwards. The third is ‘surgical hand washing’ which is the application of a microbial agent to the hands and wrists for two minutes. In addition to which a sterile, disposable brush may be used for the first surgical hand wash of the day although continued use will encourage colonisation of microbes. The third example is the most appropriate to any O.D.P undertaking the surgical role as it is the best way for the surgical team to eliminate transient flora and reduce resident skin flora (World Health Organization 2010). The first and second are important to any O.D.P undertaking any other role within the Operating Department as this is the best way to reduce the transient microbial flora without necessarily affecting the resident skin flora
First of all, since the patient is in a slightly oblique position, he needs to be straightened and moved up the bed. It is important to move the patient into an upright position so that optimal AP chest X-rays could be obtained (2). In addition, the patient is unconscious and he is not able to cooperate with the examination. He weighs 145kg and the nurse looking after him refuses to help because she is pregnant. Therefore, manual handling would be needed and it should be performed properly to reduce the risk of back injury of staffs (3). Besides, the patient is mechanically ventilated, therefore the positioning should be performed carefully to avoid displacing monitoring devices(2). Meanwhile, it is also important to move the external portions of lines and catheters above the clavicles and off the patient if possible (2). By doing so, artifacts would be less likely to cover disease and cause confusion (1). Moreover, the patient is MRSA positive. Infections with MRSA may increase morbidity, mortality and healthcare costs in ICU patients (4). Therefore, it is important to improve infection control within ICU and hospital-wide screening and
The priority nursing diagnosis of hospital acquired infection is risk for any kind of infection. One of the main goals for each patient in the hospital is the patient will remain free of infection as evidence by absence of heat, pain, redness, or swelling in any area of the patient’s body during each nurse’s shift. (care plan book). Frequently hand washing is the best intervention for preventing infection. Hand washing reduces the risk of transmission of pathogens by inhibiting the growth of or killing the microorganisms. (cb)Proper sterile technique during urinary
Hypnosis explained by the psychology community as an altered state of consciousness that leaves people in a more subjective state, or more likely to listen to verbal suggestions. The term of hypnosis came from the Greek root word for sleep. There have been records of Hypnosis going back 2,500 years in ancient China and Egypt, (Gurgevich, 2011-2015, para.1). Hypnosis or also known as hypnotherapy is said to be used to help you gain control over undesired behaviors or to help you cope better with anxiety or pain, (“Test and Procedures Hypnosis,”2015, Para. 2). An example of how a hypnotherapy session might go like this; a therapist comes in while a patient was in an relaxed state and proceeds to tell the patient that they will be cured from their illness when they came out of the relaxed state and then the patient may or may not be cured.