REFLECTION •I work in a local hospital in the US, located in the southern part of Boston, where we provide a wide range of health services. There is an intensive care unit, more than 30 inpatient rooms and we also provide an emergency room. The health center has various health staffs ranging from physicians, surgeons, nurse practitioners, cardiologists and nurses that together collaborate to meet the needs of the patients, day by day. The hospital is open six days a week operating 24-hour therefore it available for anybody needing urgent health care services. We do not only offer family clinical practice services, but specialty clinic services are also available where patients can easily access to the cardiologist, orthopedic doctors, allergists, dermatologists, occupational therapists, to name but a few. In case of need, the clinical providers refer to these specialists and patients greatly benefit from them.
PROBLEM •Although the organization provides a variety of health services, there exists a big gap for control of nosocomial infections within the health care units. Most of the patients in the hospital are at risk of nosocomial infections due to the large number of patients admitted per day with various complications within a small housing, various medical procedures like surgery within the health hospital, medical staff’s movement, while the hospital lacks inadequate sterilization of equipment for preventive measures (Khan , et.al 2017). The hospital lacks effective antibiotic policies for antibiotic microbes, there is also poor laboratory backup furthermore most clinicians are unaware of these infections. These diseases reduce the chances of recovery of patients as well as risking their lives to other complex disorders. Consequently, the infections prolong hospitalization duration, increasing the cost of medical service to the patients. Since it is a parastatal health organization, there is a need for government intervention to mitigate the issue
INTERVENTIONS •According to a meta-analysis conducted by Iliyasu et al., 2018, the rate of hospitals related infections reduced with more than a half when students attending to post mote term washed their hands with chlorinated lime water. Besides, treating compound fractures with carbolic acid proved positive. Besides, Alshehari et.al 2018 systematic review proved that hand washing among health care workers in the intensive care unit would reduce major hospital infections, hence sanitization of the hospital environment could be an effective way of reducing the risk of nosocomial infections in hospitals. This can be done by initiating programs for infection control. The initiative program may be comprised of public health leaders such as the senior
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INTERVENTIONS •This can be done by initiating programs for infection control. The initiative program may be comprised of public health leaders such as the senior administrative staff of the parastatal, physicians and health ministers. Educational programs may be significantly important in educating the clinical officers as well as the patients on the preventive measures of the infections. By these, the patients will not be at risk of chronic disorders and the infection rate will reduce with more than a half. The review articles submitted highlight the causes of nosocomial infections as well as the major preventive measures for the same infection such as handwashing. From evidence-based practice is important in clinical care as it ensures that medical standards of medical care are met using the best evidence, and the best outcome is achieved.
REFERENCES •Alshehari, A., Park, S., & Rashid, H. (2018). Strategies to improve hand hygiene compliance among healthcare workers in adult intensive care units: a mini systematic review.Journal Of Hospital Infection,100(2), 152-158. DOI: 10.1016/j.jhin.2018.03.013 •Khan, H. A., Bang, F. K., & Mehboob, R. (2017). Nosocomial infections: Epidemiology, prevention, control, and surveillance.Asian Pacific Journal of Tropical Biomedicine,7(5), 478-482. •Iliyasu, G., Daiyab, F. M., Tiamiyu, A. B., Abubakar, S., Habib, Z. G., Sarki, A. M., & Habib, A. G. (2016). Nosocomial infections and resistance pattern of common bacterial isolates in an intensive care unit of a tertiary hospital in Nigeria: A 4-year review.Journal of critical care,34, 116-120.