CHTRANSLRESEAR.docx - Translational Research 1 Translational Research for Practice and Populations Western Governors University Translational Research 2

CHTRANSLRESEAR.docx - Translational Research 1...

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Translational Research 1 Translational Research for Practice and Populations Western Governors University
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Translational Research 2 Translational Research for Practice and Populations Identifying a problem in your healthcare facility can be a big deal. Most of the time it is something that benefits the outcome of your patients. Identifying the problem is only the tip of the iceberg. Once the problem is pinpointed the work starts. Getting people involved, brainstorming, implementing, and following through are a few parts of process changes. In this paper I will discuss an issue in my current healthcare facility and discuss research and potential changes for improved outcomes. Professional Practice Description I work in a small county hospital where we deliver approximately 150 babies per year. I work in the operating room where we perform the cesarean sections. Some are planned, some are urgent, and a slight few are emergent. Despite the type of cesarean, we are seeing our post- operative infection rate climbing. Our current practice is meant to decrease the infection rate, but we are not seeing that. For a planned c-section the patient is admitted to our Family Birth Center. While there they have their hair clipped if it is in the surgical site area, use a pre-surgical wipe, and change into a hospital gown. Once they reach the surgical department, we cover their hair with a hat, start and intravenous antibiotic, and prep the abdomen with a chlorhexidine solution. Prior to the patient arriving to the operating room, we damp dust all surfaces, open instruments and supplies sterilely, and check our packages for proper indicators and blue wraps for holes. All of these tasks are confirming that all items are sterile and safe for patient use. At the end of the procedure we put a dressing on the incisions site. Some mothers who have diabetes, or other wound healing inhibitors get a special wound vac dressing after the procedure. Our current nursing practice needs to be improved due to the increase in surgical site infections.
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Translational Research 3 Key Stakeholders Stakeholders that would be important to include in this proposed practice change would be: Two OBGYN Physicians, Director of Surgical Services, Director of Family Birth Center, Infection Control Nurse, Pharmacist, surgical technologist, and staff nurses from both surgery and family birth center. The two physicians who perform the cesarean sections would need to be present. We need to know their differences in orders, procedures, and outcomes. The two directors of the units need to be available to share their knowledge and be able to relay the findings to their staff in an effective manner. The infections control nurse is essential because she is collecting the data. She can tell us the numbers and the potential causes of the infections. She will be able to tell us what cultures on incisions are showing. A pharmacist should be present due to the pre-surgical antibiotic we are giving. Maybe it is not the right type. Maybe we need to give a different medication. The surgical technologist in our department also do the sterile
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