Safe injection practices and personal protective equipment for infection prevention
The infection control system is accounted for hand hygiene, cleaning and proper handling and disposal of the sharps. In our organisation, the infection prevention programme has been developed according to the standards of NSQHS. Our organisation have involved surveillance programmes that are based on what and where are the issues. The infection control and prevention assessment framework has been adopted to facilitate patient safety. Infection control can prevent or stop the spread of infections in healthcare organisations (Alhumaid et al. 2021).
This site includes an overview of how the infections have spread ways to prevent the infections. There are mainly five principles that have been used in healthcare companies such as safe injection practice using sterile devices or instruments. Usage of personal protective equipment that can prevent the disease and hand hygiene (Biringer et al. 2017). All these stand precautions have been used in healthcare organisations to prevent infection. I have used more protective barriers such as gloves, face masks, protective eyeglasses and the face shield to prevent infection. It helps me reduce the occupational transmission of the bacteria or organisms from the patient to the worker of health care and from the health care worker to the patient.
Continuity of care is the approach to make sure that the patient-centred care team is highly involved in healthcare management with sharing the goal of delivering high-quality care. It is a fundamental element of primary care and specifically vital to older adults who have struggled with chronic diseases (Clarke Clark-Burg and Pavlos 2018). It has been found that it is not sufficient for people with chronic or complex conditions is required care and support. It cannot give proper or sufficient care to people with complex chronic diseases. There is a need for an integrated framework or a modified framework of this continuity of care to deliver sufficient care to those people who have multiple chronic diseases. It fails to provide the intervention care in detail to the individuals for giving treatment for all chronic diseases (Facchinetti et al. 2020). This continuity of care is an appropriate referral for medication changes as it is not considered.
For example, our healthcare organisation has used the chronic care model that is a proactive approach and lower cost. It can assist the empowerment of the patients and the community. It contributes to improving the quality of care and better health outcomes. However, the traditional could not be implemented for patients with complex needs. However, it can give a higher satisfaction rate and cost-effective healthcare (Nóbrega et al. 2017). There is a piece of insufficient evidence about the association of continuity of care with results of disease-specific.
The medical devices need to be designed so that people, under any condition, can give proper results. For this purpose, there is a need to give training, education and the message that they would not compromise any clinical condition or the safety of the patients. New technology can be proven safe and gives accurate results. However, there is a need to give strong evidence of the validation that helps in minimising the overall risk to the patients (Querido et al. 2019). This medical device provides reasonable safeguards against failure in clinical practice. In healthcare organisations, infection prevention and control is adopted as an evidence-based approach to prevent the patients and the health workers. Effective IPC needs to involve all stages of the healthcare system. It includes the policymakers, facility managers and health workers to access the health services (safetyandquality.gov.au, 2022).
Importance of delivering high-quality care to patients with chronic diseases
In our organisation, the programme in support of IPC is generated. These programmes have included injection safety, surgical site for infections, hand hygiene and how the hospitals operate during and outside emergencies. Our organisation has maintained strict rules about the safety of patients. I have monitored that our organisation has used the medical device reporting tool so many times to monitor the device performance, detecting the safety issues regarding device-related and can contribute to the benefit-risk assessments of the products. This organisation has given training and education to us that how to use medical devices by maintaining the safety of the patient. Our organisations follow the FDA standards of the community. Our organisation has only taken the services of manufacturers of medical devices who have proven their medical devices are safe and guaranteed to give accurate results. However, in my practice, I have assessed the devices and then want to know what to check. Gaining information than using the device correctly.
The clinical handover contains patient identification risks of the harm. It consists of details of the clinical assessment and the present clinical situation. The patient needs to deliver all relevant information to the clinicians (Sharma et al. 2020). The medication history, infectious state and other new critical changes need to be documented at the transition of care. Clinical handover requires the goals of the patient and preferences. It needs the support of the patients, families and carers for being involved in the clinical handover. This clinical handover mainly transfers the responsibility and accountability for the care.
The above statement is true as the relevant data needs to be transferred to the right person to take the right actions. In our organisation, any diagnosis report needs to be delivered to the correct person. The information from the patient’s general practitioner to the family must be a substitute decision-maker (Sim 2019). The records of healthcare about the medical history, list of medicines, changes in cognitive, plans of advanced care and goals of the care is mandatory for accurate medication reconciliation, diagnosis and proper treatment decisions. In our organisation, the patient has been encouraged to convey important insights into their conditions that can affect the care and needs. The patient’s engagement in delivering communication can improve the outcomes of the patient care prevent adverse events during the care. It reduces the readmissions in hospitals after the discharge. In our organisation, a well structured clinical handover is used where patient engagement is included.
According to the NSQHS standard, changes in the care plan and vital information are needed to communicate with a clinician (Sim 2019). To implement effective communication for the risks and critical information, the clinicians have used the clinical information process. For example, our healthcare organisation has an effective communication process for the carers, families and patients for the direct communication of the vital information about care to the clinicians. It might be possible that there is a need to change the critical information at any point during patient care (Sim 2019). Critical information can come from other sources such as patients, family and carers. It depends on how important the information is to the health wellbeing of the patient.
Medical devices and patient safety
For example, in my journey, I have noticed that all information or any kind of health deterioration information we need to deliver to the physician or clinician immediately. It helps the team to take immediate action. In our organisation, any critical information such as errors in diagnosis or missed test results, changes in the physiological and psychological state are immediately informed to the clinicians. We need to know the surgeon or responsible physician for the patient. We have to document the critical information and healthcare record which is necessary to make sure the safety of the patient. Our organisation has used closed loop communication through emails and pagers. It allows the other staff to communicate effectively. However, in my journey, I have reported all critical information to the clinician by written documents.
As per the 6th standard of NSQHS, the documentation information includes critical information, reassessment procedures and changes to the care plan. It can be said that using an EHR system is one of the best strategies of the healthcare system as the manual record is taking longer time than the electronic system. In our organisation, this EHR system has been used to eliminate any communication issues. For example, using digital scribes and voice recognition in our organisation is effective as it is less time-consuming. It helps to diagnose the disease and reduce it (World Health Organization, 2017). It improves the safety of the patient by removing medical errors. These EHR has provided clinical alerts or reminders to the health professionals. It can improve the aggregation, communication and analysis of patient information. It makes it easier to check or consider each condition of a patient. However, it supports the health professionals of our healthcare organisation to make treatment decisions. EHR has helped the health providers better manage the patients in our organisation. This system gives accurate, up-to-date and complete data about the patients for delivering quality care. However, there is some issue with this as EHR can get wrong data if it is not updated. It can be inefficient and takes over costs and time. It can be concluded that using this EHR in our organisation can greatly benefit the safety and quality care aspect. There is a need to learn more about using these systems to avoid the ineffective application of this tool in a healthcare organisation (Sharma et al. 2020). There is a need to conduct a training and educational programme of EHR to make sense of how it is used and how it can benefit the people.
References
Alhumaid, S., Al Mutair, A., Al Alawi, Z., Alsuliman, M., Ahmed, G.Y., Rabaan, A.A., Al-Tawfiq, J.A. and Al-Omari, A., 2021. Knowledge of infection prevention and control among healthcare workers and factors influencing compliance: A systematic review. Antimicrobial Resistance & Infection Control, 10(1), pp.1-32.
Biringer, E., Hartveit, M., Sundfør, B., Ruud, T. and Borg, M., 2017. Continuity of care as experienced by mental health service users-a qualitative study. BMC health services research, 17(1), pp.1-15.
Clarke, S., Clark-Burg, K. and Pavlos, E., 2018. Clinical handover of immediate post-operative patients: A literature review. Journal of Perioperative Nursing, 31(2), pp.29-35.
Facchinetti, G., D’Angelo, D., Piredda, M., Petitti, T., Matarese, M., Oliveti, A. and De Marinis, M.G., 2020. Continuity of care interventions for preventing hospital readmission of older people with chronic diseases: A meta-analysis. International journal of nursing studies, 101, p.103396.
Nóbrega, V.M.D., Silva, M.E.D.A., Fernandes, L.T.B., Viera, C.S., Reichert, A.P.D.S. and Collet, N., 2017. Chronic disease in childhood and adolescence: continuity of care in the Health Care Network. Revista da Escola de Enfermagem da USP, 51.
Querido, M.M., Aguiar, L., Neves, P., Pereira, C.C. and Teixeira, J.P., 2019. Self-disinfecting surfaces and infection control. Colloids and Surfaces B: Biointerfaces, 178, pp.8-21.
safetyandquality.gov.au, 2022. National Safety and Quality Health Services Standards. [online] Available at:
<https://www.safetyandquality.gov.au/sites/default/files/migrated/National-Safety-and-Quality-Health-Service-Standards-second-edition.pdf> [Accessed 19 March 2022].
Sharma, A., Fernandez, P.G., Rowlands, J.P., Koff, M.D. and Loftus, R.W., 2020. Perioperative Infection Transmission: the Role of the Anesthesia Provider in Infection Control and Healthcare-Associated Infections. Current Anesthesiology Reports, 10(3), pp.233-241.
Sim, I., 2019. Mobile devices and health. New England Journal of Medicine, 381(10), pp.956-968.
World Health Organization, 2017. Designing instructions for use for in vitro diagnostic medical devices (No. WHO/EMP/RHT/PQT/TGS5/2017.05). World Health Organization.