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Recommendations to Reduce the Rate of Nocosomial Infections

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Recommendations to Reduce the Rate of Nocosomial Infections

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1. Become a steward of infection prevention by being consistent with EBP hygiene methods for the nurse and the patient.
2. Present the most current and proven methods during iservices and during poster presentations.
3. Educate, using the teach back method, the patient on ways to perform self-care and appropriate hygiene methods to prevent infection while encouraging autonomy.

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Lack of knowledge, skills, and guidance

Time constraints

High ratio of nurses-to-patients

Lack of collaboration with team members

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Nurse Directed Infection Prevention Policies

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Nurse Directed Infection Prevention Policies

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Use of infection bundles

Timely interventions to prevent or reduce exposure to infection sources

Nurse directed enforcement of infection prevention measures

Collaboration with healthcare team

Research

Education

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What nurses are currently doing to reduce the likelihood of developing a nocosomial infection.
(Highlighted texts are links to infection prevention videos)

Hand hygiene

Consistent use of PPE when interacting with patients

Consistent use of Sepsis and Infection Surveillance

Universal decolonization

Administration of antibiotics if infection (sepsis) is suspected

Performing chlorahexadine baths daily

Turning patients to prevent skin breakdown

Performing oral hygiene care of patients requiring mechanical ventilation or those who are sedated.

Regular lab work to survey if patients are developing infections

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Alkubati, S. A. et al. (2014). Health care workers' knowledge and practices regarding

the prevention of central venous catheter-related infection. American journal of infection control, 43[1], 26-30. Retrieved from

https://secure.jbs.elsevierhealth.com/action/showCitFormats?pii=S0196-6553%2814%2901204-8&doi=10.1016%2Fj.ajic.2014.09.021&code=ymic-site

Apisarnthanarak, A., Pinitchai, U., Warachan, B., Warren, D. K., Khawcharoenporn, T.,

& Hayden, M. K. (2014). Effectiveness of infection prevention measures featuring advanced source control and environmental cleaning to limit transmission of extremely-drug resistant Acinetobacter baumannii in a Thai intensive care unit: An analysis before and after extensive flooding. American journal of infection control, 42(2), 116-121

Huang, S. S. (2013). Targeted versus Universal Decolonization to prevent ICU infection.

New England Journal of Medicine. [368], 2255-2265.

Jansson, Miia et al. (2013). Critical care nurses’ knowledge of, adherence to and barriers towards evidence-based guidelines for the prevention of ventilator-associated pneumonia – A survey study. Intensive and Critical Care Nursing 29[4], 216-227, Volume 29.

Price, James R et al.(2014). Transmission of Staphylococcus aureus between health-care

workers, the environment, and patients in an intensive care unit: a longitudinal cohort study based on whole-genome sequencing. The Lancet Infectious Diseases , 17[2], 207-214 , http://www.thelancet.com/journals/laninf/article/PIIS1473-3099(16)30413-3/fulltext

Sacks, Greg D. et al. (2014).  Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement central line bundle. The American journal of surgery, 207[6], 817 – 823.

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Infection prevention has been incorporated throughout the entire program. Infections acquired in the hospital are harder to treat and can cause significant delays in recovery or even death. As a new nurse gearing up to enter world of patient care, the curriculum, simulation, and clinical work has laid the foundation to be able to contribute to the care of patient while working with the healthcare team.

Components of the program has prepared me to take stewardship of EBP infection prevention. These components are utilized across the lifespan of the patient and include the pathophysiology of infections, pharmacologic management of infection, clinical participation in care of patients, and the fundamentals of providing safe patient care by preventing the spread of disease using universal precautions. Team work has been highly encouraged and emphasized throughout the nursing program and has allowed for the development of teamwork, group dynamics, and varying leadership styles.

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(Highlighted text links to video)
As you can see throughout the presentation, preventing infections in the critical care setting is a multimodal task through nursing action and involvement.
Thanks for watching!

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Analysis 2: Importance of Nurse's Involvement in Infection Prevention

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Analysis 2: Importance of Nurse's Involvement in Infection Prevention

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Nurses need to be involved in the development of protocols that reduce HAIs. Because nurses spend the greatest amount of time with the ICU patient, their involvement is paramount in order to curtail or prevent infections.

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The American Journal of Surgery - Export Citations

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Analysis 3: Barriers to Nurse's Involvement in the Prevention of Infection

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Analysis 3: Barriers to Nurse's Involvement in the Prevention of Infection

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Barriers to involvement need to be identified early in order to create a robust prevention program. Nurse involvement should be valued and encouraged as the nurse is going to implement policy.

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Analysis 1: Nurse's Role in the Prevention of Infection in the ICU

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Analysis 1: Nurse's Role in the Prevention of Infection in the ICU

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ICU nurses spend the most time with admitted patients. As such, nurses have a major role in the prevention of HAIs. There has been a multitude of research performed in order to develop best practices related to infection prevention.

The following article examines whether targeted or universal infection prevention is better for the patient.

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Start Here (Video overview)
PICOT Question:  Among patients who are currently being treated in the intensive care unit, does prophylactic treatment for nocosomial infections reduce the overall rate of hospital acquired infections?

Staphylococcus aureus and methicillin resistant S. aureus. Three most common nocosomial infections in the ICU are associated with foley catheters, central IV lines, and ventilated patients.: