Wednesday, July 17, 2019

Infection Control Essay

This is a reflective concession that go away reflect upon a scenario that took place during the clinical spot of a student nurse in sign of the zodiacs. The assignment will focus on MRSA protocols in theatre of operationss, why it is important and how the use of reflection assists in the slightly-the-clock professional development of a student nurse. passim the assignment the author will use the Rolfe reflective framework (2001, cited in Jasper, 2003) to explore what happened through pop the scenario using the three stages of what, so what and now what. verbal expression is a useful tool which health bring off professionals use to improve their skills and advance their future work by revisiting scenarios that occurred and exploring why something happened, whether it could be change in any way or to recognize salutary practice (Jasper & Rosser, 2013)In accordance to The Code (NMC, 2008) which dictates that solely longanimous tuition should be unbroken confidential, and the data nourishion Act (1998) which also governs that patient role information should be kept secure and released to only those incumbent or to who the patient shares it with All patient expand will be kept private and the patient is referred to only as the patient.During a surgical functioning in theatre the MRSA protocol was being followed. thus far during the procedure a Doctor left the theatre and then tried to re enclose the preparedness room, the clean circulating nurse did not spare this and informed the doctor to change scrubs and break their shoes straight away. A full interpretation of the scenario is attached as Appendix 1. The nurse was toilsome to minimize jeopardy of cross transmission as clothing and footwear could be contaminated by surfaces (Kumar, Saunders & Watson, 2000). The student nurse needs to save a good understanding of MRSA, protocols and enquiry and evidence ground approaches to deliver safe and appropriate care whilst minimizing risk of cross infection.Methicillin- large-minded Staphylococcus aureus (MRSA) is a bacterium that is resistant to a number of antibiotics that treat infection including methicillin. thither are different strains of Staphylococcus aureus making it harder or easier to treat. MRSA can live in the nostrils or on skin and iseasily transferred from person to person or surface by contact, it can also be dispersed by skin particles through the ambience (McNeil, Mody & Bradley, 2002), contaminating beds and surfaces (Kumar, Saunders & Watson, 2000 ) and can remain active for daylong than 6 months (Wagenvoort, Sluijsmans & Penders, 2000).This is why passel hygiene and environmental cleanliness is so important (Crowcroft, 1996). The bacterium can enter the bloodstream through small cuts or a wound Depending on individuals immune system hoi polloi can fight off lower strains of MRSA with nominal infection symptoms such as pain, temperature, dizziness and so forth However citizenry with lower ed immune systems i.e. people in hospital with existing health complaints or infections can be harder to treat (Dougherty &Lister, 2004). MRSA is a tart pathogen and when it doesnt respond to treatment can contract sepsis, urinary tract infections, endocarditis, pneumonia, septic arthritis, osteomyelitis and can notwithstanding result in death (Weigeit, 2007).During theatre procedures the homogeneous source closing off nursing that is used on the wards is used in theatres nursing that is used on the wards (NHS, 2012). St Georges Hospital (NHS St Georges Trust, 2012) theatre policy outlines during theatre and recovery staff numbers should be kept to a minimum, all unnecessary equipment should be upstage from theatre, staff should wear protective clothing and a plastic gown, after the procedure all equipment and surfaces should be cleaned and patients should be nursed using source isolation practices. (Dougherty & Lister, 2004) Source isolation aims to keep the source of infectio n from spreading anywhere by means of hand washing, washing, protective clothing and incineration of all disposable wild in a admitled manor. The National Institute for clinical excellence also highlighted the importance of source isolation regarding MRSA discussing its negative impacts on health ranging from discomfort to honorable disability or death. (NICE, 2011) in 2009/10 the NHS dealt with most 1900 bloodstream infections, each infection cost the NHS around 7000. The aim in following guidelines is to protect patients, protect staff and to protect the environment for the next patient who will enter the theatre having an operation (Dougherty & Lister, 2004). give thanks to evidence based clinical practice and improved hand hygiene MRSA bloodstream infection pass judgment have dropped by 41% in the NHS across Englandsince 2009 and a further 29% in 2012/2013 (Department of Health, 2012)From this solution the student was able to reflect on research and evidence based approac hes specifically in regards to MRSA and consume a more in-depth understanding of MRSA. Reading closely bacterium and paths of transmission helped the student nurse have a better understanding of infection control measures and their importance.

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