Importance of NSQHS in Healthcare Setting

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Assignment Name
Student ID
29 Aug 2019
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Introduction
National Safety and Quality Health Service (NSQHS) was designed by the commission in
partnership with the Australian government, clinical experts, private sector providers,
patients, and carers to improve the quality of health service provision for the public. There
are basically eight NSQHS standards which are designed for providing a nationally consistent
level of care service to the consumers. All the Australian hospitals are bound to make
accreditation against the NSQHS standards. In this report, the selected NSQHS standards are
(i) preventing and controlling healthcare-associated infection and (ii) comprehensive care.
These standards are disgust in context to what's the name nursing experience in the form of
5R’s reflection model (Delaney, 2018).
Preventing and controlling healthcare-associated infection
Reporting - During my internship at XX hospital, I was working with senior doctors and
Health Care professionals. My reporting responsibility was assigned with physician with
nephrology specialization, and thus the professional learning was acquired in the direction of
treating diseases related to kidney. The nephrology department deals with amyloidosis,
electrolyte disorders, diabetic kidney disorder, glomerulonephritis, hypertension, and kidney
disease. I was given the responsibility to monitor a patient who has to undergo kidney
dialysis. During this period, I found that the patient's dialysis was to be conducted by a
nephrologist doctor without following any hygienic measures. The doctor did not follow any
hand hygiene process prior to the dialysis process. The doctor also neglected catheter care,
which is highly essential to prevent any form of infection during the dialysis. However,
before injecting the catheter I reminded to follow hygiene measures and use personal
protective equipment.
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Responding - I was surprised and disappointed with the quality of care being given to the
critical patients. This ethical consideration was raised because of my learning and education
in nursing, where it was taught that hygienic concern and use of evidence based practice must
be of prime concern for the health care professionals (Butenko, Lockwood & McArthur,
2017). In my opinion, the doctors should have washed or cleaned the skin area with water or
mild soap where the catheter will enter. Additionally, to maintain hand hygiene the doctors
should have washed his hands with warm water and soap or alcohol-based hand rub (Malik,
McKenna & Griffiths, 2016).
Relating - On the basis of my personal knowledge and understanding, the doctor should abide
by preventing and controlling healthcare-associated infection standards. In this way, the
standards review the complex system and monitor the changes included in the patient care
process. It aims to protect the public from any harm through a quality assurance mechanism
(Head & Alford, 2015). The standard has the objective to manage and prevent infection
related to antimicrobial resistance, and thereby minimize the risk of patient's health.
Reasoning - The doctor and other Healthcare professionals should follow the preventing and
controlling healthcare-associated infection standard. It is because patients with dialysis are at
a high risk of life-threatening infections. There exists a higher risk of bloodstream infection
through vascular access, especially with the use of central venous catheters. Patients with
bacterial infection susceptible to hepatitis B, hepatitis C, influenza and HIV.
Reconstructing - Therefore, in the future, it is the responsibility of the infection prevention
and control team to monitor and prevent the risk of infection to patients, staff, and visitors
through effective preventive measures (Gould, Moralejo, Drey, Chudleigh & Taljaard,
2017).
Comprehensive care
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