Health Hand Hygiene

Health Hand Hygiene The compliance of health care workers (HCWs) with hand hygiene and disinfection quality practices is considered one of HHUMC principle objectives because of its direct impact on healthcare provision . Hand washing is the single most effective measure of preventing healthcare associated infections. The Infection Control committee runs an ongoing hand hygiene campaign to raise compliance rates. The main elements of which are: Promotion of alcohol hand disinfectants which have been shown to significantly improve compliance.: Alcohol-based hand disinfection dispensers were installed in all hospital departments Staff training : the infection control committee conducts routine and scheduled training on hand hygiene and the importance of alcohol disinfectant use for all hospital staff Hand washing Message: the infection control team encouraged the placement of hand hygiene posters in all hospital hallways and departments.The graphic reminders are an effective measure in reaching a large number of the hospital population which includes staff and hospital visitors and promoting the messag about the importance of good hand hygiene practices and techniques. Observational Audit: The Infection Control team carried an observational audit of targeted staff that have direct patient contact in all hospital departments during the period January 2007 to November 2007. The IC/OHS committee provided an annual schedule for the departments to be visited and audited. The audit entails monitoring the practice of all Health-care workers (HCWs) against the requirement that hands must be decontaminated before and after every contact with patients or invasive devices, prior to any aseptic procedure and after handling body fluids or contaminated materials. These contacts are described as hand hygiene opportunities. Compliance can be defined as either washing hands with liquid soap and water or rubbing with an alcohol disinfectant, in accordance with a hand hygiene opportunity. Compliance = Hand hygiene carried out x 100 Opportunity for hand hygiene (O) In quarter I of 2007 the compliance rate was 73%. During the quarter II, compliance decreased to 71% and in the quarter III and IV the compliance rate were 72.2 % 70 % respectively. The hospital-wide annual compliance average rate was 71.5 % which is an improvement from the 69% compliance rate of 2006 and a continued improment since compliance was measured in 2005. It is also above the hospital goal for the first time. The annual score for each department is shown in the figure below. The HHUMC Infection Control Department set a QI score of 70% or more to be achieved in 2007 in order to continuously improve compliance. The pie chart below represents the hospital department scores divided into the percentage of hospital departments that have achieved the score. The departments that received the lowest scores are the departments that will be closely monitored and already received extra attention in order to improve their compliance with the hand washing policy. Most of the hospital departments reached their goal. Interventions such as staff training, promotion of alcohol hand disinfectants, putting posters and monitoring staff performance played a significant step in improving hand washing compliance in the hospital. During the observations, barriers to hand hygiene were identified, e.g. no paper towels, alcohol disinfectants in dispensers. Some of the observations also gave concern about staff not decontaminating their hands following removal of gloves. Findings were identified and transmitted to the nursing director, department managers, and staff on duty after the audits. Future plans for hand hygiene campaign The infection control department plans to continue its activities to further promote and train the the hospital staff in the use of alcohol hand disinfectants. The observational audits will be repeated at least twice each year. Additional engagement with the nursing departments that have scored the lowest in the recent audit has already begun and the root causes for the lack of compliance with the hand hygiene recommendations will be analysed. The causes that are associated with lower compliance are related to the infrastructure and ease of available sites for hand disinfection as well as the promotion of the â€Å"hand hygiene culture†.

Patient Visit Summary Report Essays -- Patient Interview Report

Confidentiality Disclaimer - This essay uses patient initials only. No identifying features are included within this essay. Patient: BA Patient’s age: 63 years old 1. Medical conditions (active) : After taking the patient’s medical history, I found out that the patient experiences several active medical conditions. She was diagnosed having rheumatoid arthritis, diabetes type II, sleep problem, high blood pressure and high cholesterol. She got rheumatoid arthritis when she was 49 years old, and has been having this for 14 years. She will feel the pain at places involving joints like the hands, knees and hips. She also feels the pain in the area around her head and neck, which contributes to headache. This is actually a condition where our immune system which is supposed to fight infection, attacks the cells lining our joints, causing them to be swollen, stiff and painful, and in process, damaging the joint, the cartilage and our nearby bone1. The sharp pain she feels usually radiates from her heels to her hands. Walking is really painful for her due to the inflammation of the joints. This condition is worsened during hot weather and if she feels stress, where it triggers pain most. Not only that, she feels exhausted and tired easily after doing any activities and thus, she tends to sleep a lot due to this illness. The patient also has a condition called fibromyalgia, which is a disorder that causes muscle pain and an extreme feeling of tiredness (fatigue)2. Patients will experience chronic fatigue syndrome and achy muscles, and this is treated with anti-inflammatory medications. Fibromyalgia affects her lifting ability, which limits movement and activities such as shopping. According to the patient, this bothers her ... ...guide/penicillin-allergy-topic-overview 9. National Heart, Lung and Blood Institute. What is COPD? [Internet]. United States : U.S. Department of Health & Human Services; 2013 [updated July 31]. Available from : http://www.nhlbi.nih.gov/health/health-topics/topics/copd/ 10. World Health Organization Europe. The Solid Facts (Second Edition). Denmark : World Health Organization; 2003. 11. Cleveland Clinic. Occupational and physical therapy for arthritis [Internet]. Ohio : Cleveland Clinic; 2012 [updated September 17]. Available from : http://my.clevelandclinic.org/disorders/arthritis/hic_occupational_and_physical_therapy_for_arthritis.aspx 12. MedlinePlus. Type 2 diabetes – self care [Internet]. United States : National Institutes of Health; 2013 [updated October 31]. Available from : http://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000328.htm

Describe the world you come from

For the majority of my life, I have lived in India. I moved to the US in 8th grade. I still remember the last few days in India, reminiscing all the good times I had with my friends and family. Those days when I used to go to the school soccer field in the warm evening with my friend to play. Those nights when the electricity would go out and my family would sit down in one room and eat dinner with my Grandpa telling stories of his old days in the Indian army. All the times when we celebrated the wide variety of festivals.There was this bitter feeling inside me, knowing that I will have to leave all this behind and start a completely new life. I had to make new friends; I had to live in a new environment. It felt like a great challenge at that time. But my family knew they had to move away from the flawed school system in India, where the rich would get the best education and the poor would get the inadequate. They knew I had a better chance of being successful in life, if we moved t o the US.From among my family and friends, I felt like the lucky one because I was getting this opportunity to better my life. Now in the US, I see my parents work hard everyday to make money and be able to fulfill my needs. They try to get me the optimal things for my sports and education. Often times I would see my mom come home from long day of work, tired and worn out, complaining of back pains and headaches. At those times I would think to myself that, my parents didn’t have to move to the US.They were better off in India, where we had servants taking care of the stuff at home and my parents with their comfortable jobs. But they moved to the US for me and I believe that it is my job to get a good education and become successful in life so that they can feel like they made the right decision by moving to US. Since the day I realized how hard my parents are working to help me succeed, it has become my goal to repay and thank them for everything they have done for me. I cou ld not be anymore happier than the day I have achieved my goals and made my parents proud.

The Trial of a Serial Killer Robert Pickton Essay

A society that presumes a norm of violence and celebrates aggression, whether in the subway, on the football field, or in the conduct of its business, cannot help making celebrities of the people who would destroy it, (Lapham, 1985). Unfortunately, such acts of rampage have become a prevalent factor in the Canadian culture. As a result of endless media coverage, Canadians now are constantly bombarded with countless images of violence. Many of which often portray a victim avenging their opponent by force. Thus, indoctrinating individuals to believe that it is only through aggression that problems are resolved. Rather than being punished for acts of violence, those who commit such offenses are often praised for their â€Å"heroism†. In addition,†¦show more content†¦In determining, Robert Picktons mental capacity during his crimes, his defense attorneys argued that he possessed a limited intelligence. This statement would differ from the prosecutions position, as they b elieved his IQ surpassed that of mental retardation. In all actuality, Pickton had spent many years in special education and only managed to finish parts of high school. Thus, affirming that he was by no means a wise man. However, without any kind of strong formal education, the simple-minded pig farmer was able avoid arrest, for one of Canada’s largest killing sprees to date. This is largely because Picktons choice of victims, as well as the Vancouver police departments reluctance to investigate, aided in concealing his identity. Contrary to public belief, the behavior illustrated by Robert Pickton was not eccentric or unheard of, as when placed with the profile of a serial killer, he is an identical match. His history of social isolation, drug use, and record of violent offenses, are further commonalities in which serial killers share. Similarly to most serial killers, Pickton choose his victims based on their vulnerability. By deciding to murder easily available prostitute s, Pickton was targeting people that were likely to be the forgotten members of society. This strategical method of crimeShow MoreRelatedAn Analysis of Serial Killing and Sexual Sadism Applying Robert Pickton as a Case Study2093 Words   |  9 PagesRobert William â€Å"Willie† Pickton is currently serving a life sentence for the second degree murder of six British Columbian women. Although convicted for the murders of six victims, physical and forensic evidence for thirty-three women was uncovered at Pickton’s Port Coquitlam pig farm which served as the crime scene for his murders. Numerous other missing women, mostly marginalized prostitutes with chronic drug addiction, from Vancouver’s Downtown Eastside area remain unaccounted for. It is not unreasonableRead MoreWilliam Pickton Anthropology1495 Words   |  6 Pagesassignment one, complete the following questions. 1. Analyse the behaviour of William Pickton using the three different social science perspectives. Choose one theory from psychology, sociology, and anthropology. Using each perspective, write a one page analysis of the behaviour of William Pickton. Write a perspective for each social theory (three pages in total). 2. Write a hypothesis to research a serial murderer using the following social science theories: Psychoanalysis, Functionalism, andRead MoreSummary Of The Pig Farmer Killer Essay1404 Words   |  6 Pages December 14, 2016 Robert Pickton: The Pig Farmer Killer ​A serial killer, by definition, is an individual who murders three or more people, usually in service of abnormal psychological gratification, with the murders taking place over more than a month and including a significant break between them called the cooling off period. A man by the name of Robert Pickton, born October 24, 1949 in British Columbia, Canada, fits this definition. ​Robert William â€Å"Willie† Pickton is a former multi-millionaireRead MoreSexual Offence Encompasses A Wide Range Of Crimes Essay1884 Words   |  8 Pages Sexual offence encompasses a wide range of crimes. This makes it tough to identify underlying causes and suggesting measures to prevent. Differing psychological, anthropological and sociological perspectives in the cases of Robert Pickton and Russell Williams show the complexity of the issue. No two sex offenders are alike. According to Schwartz (1995), â€Å"sex offenders comprise an extremely heterogeneous population that cannot be characterized by single motivational or etiological factors† (SAPAC)