Topic 4 DQ 6
Please respond with a paragraph to the following question, add citations and references:
When you think of a hospital you do not automatically think it is a dirty place. It is cleaned meticulously with many different chemicals to prevent infections but in truth, the hospital is one of the dirtiest places around. People are sick and carry many different types of germs and bacteria that can be passed to others. In my experience in Pediatrics if you have not worked in the area for a while you will catch almost every contagious sickness that comes in. The Centers for Medicare & Medicaid Services (CMS) addressed the never events that stopped payments to facilities for preventable patient complication and injuries in 2008 (Cherry & Jacob, 2017). The preventable ten categories of hospital-acquired conditions (HAC) includes foreign object retained after surgery, air embolism, blood incompatibility, stage III and stage IV pressure ulcer development, falls/trauma, manifestations of poor glycemic control, catheter-associated urinary tract infection (UTI), vascular catheter-associated infection, surgical site infection and Deep Vein Thrombosis (DVT)/Pulmonary Embolism (PE) (Cherry & Jacob, 2017).
The new rules are impacting nursing care and making sure nurses are able to properly provide the techniques to prevent these infections or situations that can affect the revenue of the hospital facilities. Reimbursements can only be obtained if they have proof provided from studies in prevention of these events. Nursing leaders and managers of organizations are searching for ideal approaches and strategies based on research proving methods to avoid these events. There have been times on the unit I work that a new policy has been established due to an event. For example, we had a patient who was a normal vaginal delivery with a second degree periurethral tear that was repaired. She discharged home on postpartum day two and after being home a day she began having difficulty emptying her bladder completely and was becoming more painful. She came to the emergency department and placed a Foley catheter and drained 1600 mL of urine from her bladder. From this event, there was a bladder maintenance protocol and algorithm to prevent this from happening again. There were several computer training done as well. We hold each other accountable for making sure it is being followed between Labor and Delivery and Mother/Baby. These rules reduce the morbidity and mortality of preventable HAC. The evidence-based practices have become the basis of hospital protocols and policies ensuring the safety of the patient by making the patient delivery care model more reliable.
References
Cherry, B., & Jacob, S. R. (2017). Contemporary nursing issues, trends, & management (7th ed.). St. Louis, MO: Elsevier.
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