Nurses’ primary goals are to promote patient safety and give the best quality of care to the patients. They also play a vital role in preventing and reducing medical errors in their work place. Nurses must be fully aware of the new recommendations and guidelines to follow in the healthcare setting. The Joint Commission established the National Patient Safety Goals (NPSGs) in 2002 (The Joint Commission, 2015). The goal of this program is to assist the health care providers with issues and concerns regarding patient safety and to help solve them. Hospital National Patient Safety Goals include: a) identify patients correctly, b) improve staff communication, c) use medicines safely, d) use alarms safely, e) prevent infection, d) identify patient safety risks, and, e) prevent mistakes in surgery (National Patient Safety Goals, 2016). Preventing and reducing the risk of healthcare-associated infection is one of the major concern in an in-patient setting. Patients …show more content…
For central line-associated bloodstream infection, some of the evidenced based preventative measures include: a) hand washing, b) use of maximal barriers protection during catheter insertion, c) the use of chlorhexidine for skin preparation d) removal of catheter when no longer necessary, and e) wipe catheter access ports with alcohol when in use for injection or aspiration (National Guideline Clearinghouse, 2012). Joint Commission and other accredited hospital agencies are working their best to prevent healthcare-associated infections. Poor compliance with infection prevention practices among healthcare workers are common, but it is important that the nurses comply with these practices. Patient safety is the number one goal and we as nurses should keep this in mind when giving care to
Thank you for your all information. Your answer is very organized and well addressed the question. I agreed with you the Joint Commission's mission and goal now is to focus on continuously improving health care for the public by evaluating health care organizations and inspiring them to excel in providing the safest and effective care of the highest quality and value. According to the Joint Commision (JC), there are no new National Patient Safety Goals in 2015, but JC continuously determines the highest priority patient safety issues and how best to address them. For exxample, for hospital setting, the goals focus on following problems: identify patients correctly, improve staff communication, use alarms safely, prevent infection, identify
The morality of Healthcare acquired infections has increased tremendously whereas; both inpatient and outpatient clients have been infected during a hospital visit. These infections has weaken the sick which may lead to additional medications, or surgery, and extended hospital stay. According to (CDC 2002), healthcare acquired infections are result of unhygienic practices in medical field. This includes ambulatory surgical centers, hospice center, nursing homes and rehabilitation centers.
Objective One During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach.
Policy and Procedure CAUTI Prevention Policy Name: Catheter Associated UTI Prevention Purpose: To identify causes and take measures for the prevention of Catheter Associated Urinary Tract Infections (CAUTI) in the healthcare setting Population: Healthcare members and patients who are caring for a urinary catheter either at home or in the hospital setting Introduction: The mission of this policy is to inform healthcare workers of the proper procedures to follow in regards to the prevention of catheter associated UTI’s in the hospital setting. In order for this mission to be accomplished, all workers must follow this policy in the clinical and work environment. The main goal is to prevent unnecessary catheter associated infections.
Each year, the goals are analyzed and if necessary, updated. The 2016 National Patient Safety Goals aim to: 1) Improve the accuracy of patient and resident identification; 2) Improve the effective communication of caregivers; 3) Improve the safety of medication use; 4) Improve the safety of clinical alarm systems; 5) Reduce the risk of health care associated infections; 6) Organize identification of safety risks evident in patient populations; and 7) Set universal protocol for preventing wrong site/procedure/person surgeries (TJC, 2016). These safety goals are mandated so that medical errors are reduced and patients are given the best quality care possible. Some of the steps nurses can take in association with these goals include: using at least two patient identifiers to ensure correct patient treatment and reduce patient misidentification; making timely reports of critical test and diagnostic results; maintaining accurate patient medication information, and labeling all medications and containers removed from original containers; quickly responding to medical equipment alarms, and maintaining their upkeep; following hand hygiene guidelines, and using evidence-based practices to prevent infections due to multi drug-resistant organisms, surgical sites, or indwelling catheters; identifying patients at risk for suicide; and ensuring that sites are correctly marked for surgery through marking the procedure site and undergoing a verification process (Cherry & Jacobs,
In order for the future of health care to change, changes must begin at the top with stakeholders, the hierarchy and nursing management, nurses as leaders within their organizations. According to Disch J. (2008), nurses as leaders within their organizations need to also step forward, CNEs have the background, perspective, and platform to help their organizations seriously tackle safety issues that jeopardize patient care and that face nurses and their colleagues daily, and are the essential building blocks of all health systems--and
- Safety provi¬sions are interpreted to protect patients from illnesses caused in the course of medical treatment as well as to provide hygienic and injury-free experience in the health care setting. Special provisions exist for safety in pharmaceuticals, blood supply, infectious disease treatment and diagnostics, and mental health services, among others. Ethical codes for doctors, nurses, and other health care workers contain provisions applicable to the patients’ right to safety. Medical errors and other actions that fail to meet safety standards can carry civil, criminal and administrative penalties
Fundamentals of Nursing National Patient Safety Goals are the foundation of the nursing department. Without these goals in place, the patient will not be receiving patient-centered care. As nursing students, it is important to understand these goals, as well as the DMACC program student learning objectives. EOP SLO Safe Practice Safe Practice is doing what is best for the patient and their autonomy. Safe practice involves many different aspects, such as the patient’s comfort, pain level, physical health, mental health, psychosocial needs, and that all their possessions are accounted for.
Identify current patient safety goals for one health care setting NPSG.07.06.01 Use proven guidelines to prevent infections of the urinary tract that are caused by catheters. Managing indwelling urinary catheters according to established guidelines is crucial for patient safety. It is important that health care providers are securing catheters for unobstructed urine flow and drainage, maintaining a sterile system for urine collection, and replacing the system when required. These things, along with collecting urine samples, are all examples of how to implement the evidence-based guidelines to ensure safety and quality health care to patients (The Joint Commission, 2015).
Patient safety experts have demonstrated that “patient safety increases when teamwork and collaboration skills are taught and empowered; when teamwork and collaboration are not present, medical errors will result” (Creasia & Friberg, 201, p. 348). As a nurse, it is imperative to collaborate with other interdisciplinary members in health care and also strive to research and implement evidence-based practices. Evidence-based practice is necessary to “ensure the highest quality of cost-effective care and the best patient outcomes” (Fineout-Overholt, 2011, para. 16). With a collaborative and innovative attitude on safe health care practices, an increase in patient safety and effectiveness of care will
In the review of the literature regarding National Patient Safety Goals and the reduction of healthcare associated infections by the implementation of evidence-based practice, one article addressed the education of patients and family to prevent catheter-related bloodstream infections (Dela Cruz et al., 2012). MD Anderson Cancer Center Infusion Therapy Team places 600 central venous catheters (CVC) and PICC’s and 100 implanted ports each month at their facility (Dela Cruz et al., 2012). Volume like this has lead to an extensive formal education program to assist the patient and family with care and maintenance of their CVC to reduce the number of catheter-related bloodstream infections (Dela Cruz et al., 2012). The education program consists
The primary prevention is the best way to eliminate the potential for exposure. Since hand washing is the most effective mean of spread of infection, it would be my primary goal to increase the compliance of hand hygiene among healthcare workers, but also an extensive education of patients and family members on hand washing before and after touching the patient as well as afar any contact with any potentially contaminated materials (surface, body fluids or respiratory secretions). Mandatory education of patients, visitors and healthcare workers, across the system as well as cross department compliance practices are single best mean of preventing the spread of infection. For example, every patient and family member can be educated about hand hygiene, use of PPE-personal protective equipment (face mask, gowns and gloves). Although, the practices are already being utilized, I believe the compliance is poorly monitored.
Department of Health and Human Services established an objective for Healthy People 2020 to prevent HCAIs, this reflects that the U.S. health care system is committed to and serious about solving this issue. These objectives address two extremely important topics, central line-associated bloodstream infections, and methicillin-resistant Staphylococcus aureus (MRSA) infections. Also, there are other major causes of HCAIs that Health and Human Services is working on their prevention such as urinary tract infections (UTIs) associated with catheters, infections of surgical wounds and sites, C. difficile infections, and ventilator-associated Pneumonia. Researches done on HCAIs shown that we can prevent many of these infections by implementing effective strategies to eradicate it, adapting some advanced prevention tools, and following new prevention approaches. There should be a more focus on HCAIs prevention in acute care settings.
Through the learning from week 1 and week 2, I have learnt that the most frequent adverse event in health-care delivery is health care-associated infections. It is essential for us to follow the infection control practices that both patients and us are at a risk of being infected. Standard Precautions involve the use of safe work practices and protective barriers, for example, the use of personal protective equipment(PPE). At first, I think Standard Precautions are very easy. Everyone knows PPE can protect us from infections and hand hygiene is important throughout the process.
They need to learn the various pieces and functions of communication in diverse areas of nursing. According to Garrett (2016), to maintain patient safety communication should be consistent, comprehensive, transparent, concise, and appropriate, consequently, leading to interacting and connecting with patients who demonstrated to improve results, reduce costs, and improve the patient’s understanding. A study conducted by Daly (2017), states that they are four themes nurses should utilize in their daily practice: 1. Prioritise people, 2. Practise effectively, 3.