Capstone2017_Stethoscope hygiene_Keshauna Millner by Keshauna Millner https://padlet.com/kmillner/jt2584yf2dfg en-us 2017-04-07 03:27:36 UTC 2024-07-27 12:14:42 UTC hello@padlet.com CBS stethoscope video on USA Today article kmillner https://padlet.com/kmillner/jt2584yf2dfg/wish/165298875 Coverage 16 sec. to 29 sec.]]> 2017-04-07 03:44:28 UTC https://padlet.com/kmillner/jt2584yf2dfg/wish/165298875 SNSA Stethoscope Hygiene Reflection kmillner https://padlet.com/kmillner/jt2584yf2dfg/wish/165298907 2017-04-07 03:45:16 UTC https://padlet.com/kmillner/jt2584yf2dfg/wish/165298907 - Issue - Lack of stethoscope hygiene in patient care kmillner https://padlet.com/kmillner/jt2584yf2dfg/wish/165575888 Stethoscopes are vectors allowing transmission of HAIs if not properly disinfected between patient use
  • Who is affected: All patients seeking healthcare
  • How: Stethoscopes are used daily by all healthcare professionals when providing patient care increasing susceptibility and HAI transmission rates
  • Where: Any healthcare setting
  • When: During the auscultation portion of assessment
  • Why:  Stethoscopedisinfection inconsistencies due to absent protocol
]]> 2017-04-09 20:56:49 UTC https://padlet.com/kmillner/jt2584yf2dfg/wish/165575888 - Analysis 1 - Nurses' current roles with stethoscope hygiene to stop HAIs kmillner https://padlet.com/kmillner/jt2584yf2dfg/wish/167580169 What is happening with stethoscope hygiene?
  • No cleaning between patients
  • Personal stethoscopes prohibited while caring for patients on contact precautions resulting in stethoscope sharing within patient room
  • Stethoscope hygiene usually occurs once daily
How does noncompliance exacerbate the issue?
  • Increased HAIs 
  • Longer hospital stays
  • Increased healthcare costs
  • Superbugs
]]> 2017-04-21 19:50:24 UTC https://padlet.com/kmillner/jt2584yf2dfg/wish/167580169 - Analysis 2 - Importance of the Nurses' role in decreasing HAIs with stethoscope hygiene kmillner https://padlet.com/kmillner/jt2584yf2dfg/wish/167580218 Why is the nurses role in decreasing HAIs with stethoscope hygiene important?
  • Front line patient care
  • Facilitate patients' return to optimal health
  • Decrease incidence of HAIs 
  • Avoidance of negative effects of HAIs
How can nurses' help with battling HAIs with stethoscope hygiene?
  • Patient advocacy
  • Uphold patient safety commitments 
  • Compliance
How will nurses' involvement with stethoscope hygiene help decrease HAIs ?
  • Decreased transmission rates 
  • Patient education
  • Patient empowerment
  • Compliance encouragement
]]> 2017-04-21 19:50:53 UTC https://padlet.com/kmillner/jt2584yf2dfg/wish/167580218 - Analysis 3 - Stethoscope hygiene challenges or barriers faced by nurses kmillner https://padlet.com/kmillner/jt2584yf2dfg/wish/167580300 What  challenges or barriers  are present that effect nurse involvement in decreasing HAIs with stethoscope hygiene?
  • Nurses' attitudes/resistance
  • Absence of reminders
  • Disinfectant inaccessibility
  • Recommendation vs. requirement
  • Ethics
Why is there limited nursing participation with stethoscope hygiene?
  • Absence of protocol
  • Perception
  • Lack of awareness 
]]> 2017-04-21 19:51:16 UTC https://padlet.com/kmillner/jt2584yf2dfg/wish/167580300 - Recommendations - kmillner https://padlet.com/kmillner/jt2584yf2dfg/wish/167580402 Improving nurses' stethoscope hygiene participation Development of stethoscope hygiene protocol with a maintenance campaign
  • Literature affirms need
  • Expand CDC and WHO recommendations
  • Protocol formation 
    • Three team approach
  • Before and after studies show decreased contamination levels
  • Requirement increases compliance and accountability
  • Maintenance campaign leads to sustained compliance
Time saving disinfection methods 
  • Time constraints most common reported barrier
  • Decreasing time needed for disinfection increases compliance
  • Combination hygiene methods
  • Decreased resistance to change
Increased knowledge
  • Nursing education
  • Education helps with adoption into practice
  • Patient education and empowerment
  • Nurses' encourage patients to hold care providers accountable 
]]> 2017-04-21 19:51:54 UTC https://padlet.com/kmillner/jt2584yf2dfg/wish/167580402 - Reflection - kmillner https://padlet.com/kmillner/jt2584yf2dfg/wish/167580479 Two curricular concepts learned during education at SCOHS that pertain to HAI reduction with stethoscope hygiene
  1. Standard precaution needs (fundamentals)
  2. Nursing practice based on evidence-based practice (research/OB)
How has upholding standard precautions prepared me to assume a leadership role transitioning to professional practice?
  • Importance of maintenance
  • Avoid HAI transmission
  • Abide by code of ethics to keep patients safe
How has adopting the framework of evidence based practice (EBP) nursing prepared me to assume a leadership role transitioning to professional practice?
  • Nursing practice derived from EBP (research and OB/Peds)
  • Lifelong learning
  • Responsibility to protect patient health (ANA, 2015)
  • Developing personal stethoscope hygiene process in absence of agency protocol when caring for patients based on literature
  • Translating EBP changes into practice with collaboration, communication and teaching
]]> 2017-04-21 19:52:15 UTC https://padlet.com/kmillner/jt2584yf2dfg/wish/167580479 - Literature Review - kmillner https://padlet.com/kmillner/jt2584yf2dfg/wish/167580546 All literature confirms the adoption of nurses utilizing the practice of stethoscope hygiene
About that healthcare icon dangling around your neck: Do we have some cleaning to do?
Summary:
  • WHO reveals high levels of stethoscope diaphragm  contamination second to practitioner fingertips
  • Recommendation to simultaneously clean stethoscopes and hands
  • Time saving disinfection methods: Alcohol wipes or gel, ethanol agents increased compliance and decreased contamination 
  • Sticker reminders and available cleansing agents increased compliance
Stethoscope disinfection campaign in a Nigerian teaching hospital: Results of a before-and-after-study
Summary: 
  • Stethoscope hygiene viewed as low priority
  • Pre-intervention: 78.5% stethoscope contamination rate
  • Pathogens found: E. coli, K. pneumonia, S. aureus resistant to most antibiotics  
  • Pre-intervention: 39.2% of nurses perform stethoscope hygiene post assessment 
  • Post-intervention: 20.2% stethoscope contamination rate
  • Providing education and accessible disinfectants increased compliance
Stethoscope hygiene: A best practice review of literature
Summary:
  • Research reveals stethoscopes as high risk vectors
  • Pathogens found: MRSA, E.coli and C. Difficile
  • MRSA viable for 7 months
  • E. Coli viable for 16 months
  • C. difficile viable for 5 months
  • Alcohol or ethanol based agents removes 94% of contamination
  • Tackling time constraints, nurses' attitudes, and using reminders increased compliance
]]> 2017-04-21 19:52:38 UTC https://padlet.com/kmillner/jt2584yf2dfg/wish/167580546 -Introduction - kmillner https://padlet.com/kmillner/jt2584yf2dfg/wish/167580569 2017-04-21 19:52:49 UTC https://padlet.com/kmillner/jt2584yf2dfg/wish/167580569 - Conclusion - kmillner https://padlet.com/kmillner/jt2584yf2dfg/wish/167580702 2017-04-21 19:53:42 UTC https://padlet.com/kmillner/jt2584yf2dfg/wish/167580702 Battling HAIs with stethoscope hygiene kmillner https://padlet.com/kmillner/jt2584yf2dfg/wish/168279771 2017-04-26 04:47:49 UTC https://padlet.com/kmillner/jt2584yf2dfg/wish/168279771 -Presenter- kmillner https://padlet.com/kmillner/jt2584yf2dfg/wish/168430794 Keshauna Millner 
Senior Nursing Student]]> 2017-04-26 16:34:28 UTC https://padlet.com/kmillner/jt2584yf2dfg/wish/168430794 - References - kmillner https://padlet.com/kmillner/jt2584yf2dfg/wish/168439570 2017-04-26 17:00:24 UTC https://padlet.com/kmillner/jt2584yf2dfg/wish/168439570