Staff nurses and PCAs should be the first stakeholders to be included in the

Staff nurses and pcas should be the first

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Staff nurses and PCAs should be the first stakeholders to be included in the practice change. Bedsides nurses and PCAs must adhere to the organizations policies and procedures for bathing and infection prevention to decrease the HAI rates. Since this staff will be administering the CHG baths to patients on a daily basis, having their support and input is vital in a successful change in practice. This staff would be included in the process by training them on the HAI prevention practice and recruiting some nurses and PCAs to educate fellow staff members.The management team should be included as stakeholders as they will support thefunding for this change. In return, the management team will benefit from increasing
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revenue in addition to reducing the cost of treating HAIs. Management would be included in process by requesting that they lead the project for their respective staff.The next stakeholders should be infection control professionals. These are the people that need to approve the proposed practice change based on current evidence based information. By including those that work on preventing infections and investigating the HAIs within the system, we increase the information available on prevention measures as well as the data on how the practice change is effecting the overall HAI rates within the organization. The infection control professionals should be involved by being the project leader. This would include gathering the evidence needed for the practice change, putting together a project team, and creating the education for staff.Every change will meet some resistance. In the case of CHG bathing, some of thebarriers could be staff believing that the patient will not be as clean as a soap and water bath. The barriers for the staff can be allayed by demonstrating a soap and water bath and a CHG bath on a bacterial covered object. After each bath a special light used to light up bacteria will be applied to the object to see the difference in the bacteria remaining after each bath. Second, information regarding the bacteria left behind in a bath basin could be presented to show that soap and water baths may be adding additionalbacteria to the patient. A barrier for management is believing that the cost of the CHG wipes is too costly. A cost breakdown of the average number of CHG bath wipes needed per unit versus the cost of one HAI should be demonstrated.
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Historical data should be collected regarding the number of HAIs in the organization prior to the practice change. Data will then be collected after the initiation of CHG bathing to analyze the HAI rates in all patients.ReferencesBoonyasiri, A., Thaisiam, P., Permpikul, C., Judaeng, T., Suiwongsa, B., Apiradeewajeset, N., . . .Thamlikitkul, V. (2016, March). Effectiveness of Chlorhexidine Wipes for the Preventionof Multidrug-Resistant Bacterial Colonization and Hospital-Acquired Infections in Intensive Care Unit Patients: A Randomized Trial in Thailand. Infection Control & Hospital Epidemiology,37(3), 245-253. doi:10.1017/ice.2015.285 Chen, W., Cao, Q., Li, S., Li, H., & Zhang, W. (2015, April). Impact of Daily Bathing with
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Chlorhexidine Gluconate on Ventilator Associated Pneumonia in Intensive Care Units: A Meta-Analysis. Journal of Thoracic Disease, 7(4), 746-753. doi:10.3978/j.issn.2072-1439.2015.04.21Edwards, M., Purpura, J., & Kochvar, G. (2014, July). Quality Improvement InterventionReduces Episodes of Long-Term Acute Care Hospital Central Line-Associated Infections.
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