The most frequent nosocomial infections are surgical wounds catheter associated

The most frequent nosocomial infections are surgical

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The most frequent nosocomial infections are surgical wounds, catheter associated urinary tract infection (CAUTIs), lower respiratory tract infections (pneumonia), and bloodstream infections. Identifying the patients at risk in developing nosocomial infections is one of the first steps in prevention. These infections increase costs, lengths of hospital stay and contribute to the patient’s morbidity and mortality. The patients the most at risk for nosocomial infections are patients of older age, infants and patients with chronic disease. “The United States (US) Centers for Disease Control and Prevention estimated that annually approximately 1.7 million hospital- associated infections caused or contributed to the deaths of 99,000 Americans each year” (Naidoo, 2017, p. 60). There are numerous methods we can utilize to assist us in decreasing these infections. One of the most important methods in infection prevention is handwashing. When should handwashing be completed? Handwashing should be done before and after touching a patient, before clean/aseptic procedures, after body fluids, after sneezing or coughing, before and after eating, before and after using the bathroom, and after touching a patient’s
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surroundings. We should wash our hands with soap and water when our hands are visibly dirty. We can use alcohol-based hand rub if hands are not visibly dirty. In healthcare facilities, we see signs hanging everywhere reminding staff, patients, families and visitors to wash their hands to prevent infections. An alcohol-based hand sanitizer can be seen at the entrance to healthcare facilities, in the hallways, and at the entrance of each patient’s room. Another strategy to improve care is to utilize standard precautions with each patient. Make sure to wear gloves when providing care to the patient. Some patients may have a contagious bacterial infection and the need for airborne/droplet/contact precautions may be needed to protect transmission to another person. Utilizing the proper personal protective equipment (PPE) is essential. PPE includes: masks, gloves, isolation gowns, goggles, face shields, respirators, and aprons. Post a sign outside the patient’s room to notify staff and visitors of the need for PPE related to an infection. Sterilizing of equipment and routinely cleaning patient’s rooms are also vital in prevention of nosocomial infections. Encouraging vaccination of both staff and patients aid in transmission of infections. With indwelling urinary catheters, you want to limit the
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  • Spring '17
  • Kristi Dalby
  • Nursing, Changes: A Love Story, Nosocomial infection, Staphylococcus aureus, urinary tract infection, Clostridium difficile, nosocomial infections

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