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Central Venous Access Device Nosocomial Infections

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Final Project Prepare a comprehensive infection prevention and control plan using analyzed data from your computerized data tracking sheet from Assignment One. Include goals, tables, graphs, or charts, as appropriate and indicate priorities needed to develop a basic, targeted, syndromic surveillance, prevention, and control plan. Include a post discharge follow up plan, a corrective action plan for possible implementation based upon surveillance findings and your risk assessment. Utilize the Final Project Rubric provided below to construct your report. Instructions From your database of HAIs or from your preceptor site/your site, select a HAI that has exceeded the acceptable attack rate for the institution. Write an introduction to your paper Utilizes epidemiological methods. Describe the epidemiology of the virus or bacteria. Provide the case definition of the virus or bacteria and the rates. Discuss the reservoirs, vectors, transmission, and life cycle of the virus or bacteria. List pathophysiology (etiology, manifestations, treatment, and prognosis). Discuss risk factors. Confirm diagnosis of initial case by clinical and laboratory findings. Uses statistical methods Calculate and present rates. Present an epidemiological curve if enough data are available. Summarize results. Reports to appropriate staff/agencies. Discuss the essential personnel to be notified and who should be on the team to investigate and plan control interventions including external agencies. Discuss how additional cases will be identified and added to data collection form. Recommends prevention and control strategies. Based upon your specific infection, propose initial control plans, including the need for additional cultures/tests, notifications, etc. Screening of admissions. Removal of infectious reservoirs and vectors. Interruption of transmission. Use of antibiotics in infected patients. Assessment of antibiotic resistance. Follow-up for post-discharge of patients Recommend preventative strategies for the future based upon your specific infectious agent. Summary of findings and recommendations. Write up your findings in an APA formatted, 10-12 page double-spaced report (excluding title page and reference page), using at least five scholarly references. Please use the rubric below to help you complete this final project. What I have started: Central Venous Access Device Nosocomial Infections Critical care patients or immune compromised patients with CVC lines are at a greater risk for HAIs. APIC and many other entities are pressing for national and even international efforts to decrease those risks and minimize the potential for a device related infection. I believe that infection control programs everywhere should apply standards of practice that show consistent preventative measures to ensure patient safety. CVC lines are essential tools in the delivery of specific medical therapies; but it is essential that all healthcare providers are given the tools necessary to ensure patient safety and satisfaction. There is no excuse for an infection. We must advocate and we must strive to protect our entire patient population. The first rule of health care, “Do No Harm” (Gupta, et al., 2018). Our patients are coming to us to be relieved of their illnesses not to acquire new ones. So if we could all just follow the simple preventive measures such as washing our hands before and after assisting our patients; also the bundle approach we all can make a difference. Epidemiological Methods From your database of HAIs or from your preceptor site/your site, select a HAI that has exceeded the acceptable attack rate for the institution. -Describe the epidemiology of the virus or bacteria. -Provide the case definition of the virus or bacteria and the rates. -Discuss the reservoirs, vectors, transmission, and life cycle of the virus or bacteria. -Describe pathophysiology (etiology, manifestations, treatment, and prognosis). -Discuss risk factors. -Confirm diagnosis of initial case by clinical and laboratory findings. 1. Utilizes epidemiological methods. 1. Describe the epidemiology of the virus or bacteria. 2. Provide the case definition of the virus or bacteria and the rates. 3. Discuss the reservoirs, vectors, transmission, and life cycle of the virus or bacteria. 4. List pathophysiology (etiology, manifestations, treatment, and prognosis). 5. Discuss risk factors. 6. Confirm diagnosis of initial case by clinical and laboratory findings. Statistical Methods -Describe data using basic statistical techniques -Calculate and present rates. -Present an epidemiological curve if enough data are available. -Summarize results. Uses statistical methods 1. Calculate and present rates. 2. Present an epidemiological curve if enough data are available. 3. Summarize results. Reporting Needs for HAIs -Discusses the essential personnel to be notified and who should be on the team -Discusses how additional cases will be identified and added to the data collection form Reports to appropriate staff/agencies. 1. Discuss the essential personnel to be notified and who should be on the team to investigate and plan control interventions including external agencies. 2. Discuss how additional cases will be identified and added to data collection form. Recommended Infection Prevention and Control Strategies -Based upon your specific infection, propose initial control plans, including the need for additional cultures/tests, notifications, etc. -Screening of admissions. -Removal of infectious reservoirs and vectors. -Interruption of transmission. -Use of antibiotics in infected patients. -Assessment of antibiotic resistance. -Follow-up for post-discharge of patients -Recommend preventative strategies for the future based upon your specific infectious agent. Recommends prevention and control strategies. 1. Based upon your specific infection, propose initial control plans, including the need for additional cultures/tests, notifications, etc. 2. Screening of admissions. 3. Removal of infectious reservoirs and vectors. 4. Interruption of transmission. 5. Use of antibiotics in infected patients. 6. Assessment of antibiotic resistance. 7. Follow-up for post-discharge of patients 8. Recommend preventative strategies for the future based upon your specific infectious agent. Conclusion Summary of findings and recommendations. References Arias, M. (2010). Outbreak investigation, prevention, and control in health care settings: Critical issues in patient safety (2nd ed.). Burlington, MA: Jones & Bartlett. Association for Professionals in Infection Control and Epidemiology. (n.d.). Retrieved from https://apic.org/. Gupta, R., Sharma, S., Parwez, & Saxena, S. (2018). Changing panorama for surveillance of device-associated healthcare infections: Challenges faced in implementation of current guidelines. Indian Journal of Medical Microbiology, 36(1), 18–25. Heymann, D. L. (2015). Control of communicable diseases manual (19th ed.). Washington, D.C: American Public Health Association. Hudson SJ. (2010). Playbill for the Zero-Tolerance Era for HAIs: Key players in clinical labs hold starring roles. MLO: Medical Laboratory Observer, 42(11), 8–13. Kulich, P. A., & Taylor, D. L. (2012). The infection preventionists guide to the lab. Washington D.C.: Association for Professionals in Infection Control and Epidemiology, (APIC). Nelson, K. E. & Williams, C. (2014). Infectious disease epidemiology. Burlington, MA: Jones & Bartlett Learning. Noaman, A. Y., Ragab, A. H. M., Al-Abdullah, N., Jamjoom, A., Nadeem, F., & Ali, A. G. (2018). WMSS: A Web-Based Multitiered Surveillance System for Predicting CLABSI. BioMed Research International, 2018, 1–11.

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