ASSISTANT NURSING caregiver, CNA, HHA, Overview of Sequence of Steps Involved in an HAI Investigation Typically, the state, territorial, local or tribal public health authority is notified of a potential HAI outbreak by a healthcare provider or facility on the basis of laboratory or other HAIs surveillance data or as a result of recognizing an unusual infection cluster. Health departments might also detect potential outbreaks through surveillance or after being directly contacted by affected patients. The public health department can contact CDC for additional technical assistance. In certain instances, however, the healthcare facility's administrator contacts CDC directly; in that instance, CDC subject matter experts can provide technical advice, but they must coordinate with the state or local public health department before becoming involved in a field investigation. Depending on the scenario, initial steps taken by a public health authority might include the following: Public health department epidemiologists gather information and provide consultation to the healthcare facility reporting the potential outbreak. The public health department official begins an on-site investigation and considers inviting CDC to assist. The public health personnel and healthcare facility staff gather and analyze information through interviews, chart reviews, observations, and environmental sampling to identify a point source or practice that might have caused the outbreak. The public health personnel recommend new or revised measures to stop the outbreak and prevent additional HAIs. Field Investigation
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Navigating the World of Agency Nursing in Aged Care and Acute Care: Key Tips for Success Working as an agency RN in aged care and acute care comes with unique dynamics compared to permanent roles. Here are some tips to help you thrive in these environments: - Understand Facility Expectations Take time to learn each facility's protocols and expectations around patient care, charting, and communication. - Master Time Management Establish a routine that helps you manage high-acuity patients and multiple residents effectively. - Keep Communication Clear and Consistent Strong communication is key to integrating quickly. Keep facility staff updated on any changes in patient conditions or care needs. - Stay Updated with Clinical Skills Aged care and acute care require distinct skills. Stay current with best practices, from infection control to palliative care. - Be Adaptable to Different Workflows Embrace new documentation systems (like EMRs) and care approaches as you move between facilities. - Prepare for Emotional Challenges Supporting older residents and acutely ill patients can be tough—take care of yourself and find ways to unwind after shifts. - Stay Organized with Documentation Familiarize yourself with common documentation systems, and ask about shortcuts that can save you time. - Advocate for Patient-Centered Care Always prioritize the needs of residents and patients, no matter how short your time at the facility. Be proactive in recommending care adjustments. - Embrace the Learning Opportunity Agency nursing offers the chance to broaden your skills across different settings. Use each shift as a chance to grow. Whether you’re in aged care or acute care, these tips can help you provide high-quality care while adapting to new environments.
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Many ask me what sets my Skilled Nursing Facility aside from others? My answer is simple: We have created a culture of SAFETY, I'm proud to be one of the first HROs in LTC. Creating a High Reliability Organization (HRO) in long-term care settings is crucial for ensuring the safety and well-being of residents. Here are some key strategies and principles that can help achieve this: 1. **Mindfulness**: Foster a culture where all staff members are encouraged to be mindful and aware of potential risks and hazards. This involves promoting open communication, active listening, and a non-punitive approach to reporting errors or near misses. 2. **Preoccupation with Failure**: Encourage a proactive approach to identifying potential failures before they occur. This could involve regular risk assessments, root cause analysis of incidents, and continuous quality improvement initiatives. 3. **Reluctance to Simplify**: Avoid oversimplifying complex situations. Long-term care settings often involve multifaceted challenges related to patient care, medication management, and infection control. Staff should be trained to consider the broader context and potential interdependencies of their actions. 4. **Sensitivity to Operations**: Develop sensitivity among staff to recognize changes in conditions and potential issues on the ground level. This might involve implementing standardized protocols, checklists, and regular training sessions to enhance situational awareness. 5. **Commitment to Resilience**: Build resilience by preparing staff to adapt to unexpected situations. This includes cross-training employees, fostering teamwork, and ensuring that staff are equipped with the necessary resources and support to handle emergencies. 6. **Deference to Expertise**: Encourage a culture where frontline staff feel empowered to speak up and share their expertise. This involves valuing the insights and experiences of all team members, regardless of their position within the organization. 7. **Continuous Learning**: Promote a commitment to learning and improvement at all levels of the organization. This could include ongoing education, participation in conferences and workshops, and staying updated with the latest research and best practices in long-term care. 8. **Leadership Commitment**: Leadership plays a crucial role in establishing and maintaining a culture of safety and reliability. Leaders should actively support HRO principles, allocate resources for training and improvement initiatives, and serve as role models for staff. By implementing these principles, long-term care facilities can enhance safety, improve patient outcomes, and create an environment where residents receive high-quality care with minimal risk of harm.
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The Nursing terminology of the week @ Caring Hearts https://lnkd.in/g7cmfPhx is “Policies and Procedures”. Adherence to policies and procedures are crucial for today’s nurse and the integrity of the healthcare system. Patients’ awareness of their illnesses, and regulatory oversight has further compelled nurses’ adherence to policies and procedures. What are policies and procedures? A policy is a formal statement that outlines an organization’s principles, goals, guidelines and decision making, and actions. It is a framework for ensuring that the organization's operations align with its mission and values. The purpose is to help establish a clear expectation for behavior and performance. Examples are patient confidentiality policies, infection control policies, and staff conduct. The procedure on the other hand is the specific, detailed set of steps on how a particular task or process is carried out ensuring that every employee can achieve the desired outcomes. It is the responsibility and expectations of every nurse to understand and adhere to these policies and procedures to ensure safe patient care and uphold the organization’s integrity. This is particularly important for travel nurses as they work from one organization to another. While nurses thrive every day to uphold these policies and procedures to provide safe care, organizations must periodically review and revise these policies; and update procedures to reflect changes in the evolving landscape of technology, innovations in practice, and regulations. The organizational leaders must ensure that policies and procedures remain relevant and effective. Frontline nurses who constitute about 30% of most healthcare organizations, and also are the first and last point of contact when patient visit hospital must be included in the revision and update through participation in Evidence based practice and research. Which policies and procedures in your organization do you think are obsolete/ outdated ? Leave your comment. https://lnkd.in/gE7C-QCA
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Scottish Government’s Winter Preparedness Plan Must Address ‘Corridor Care’ The Royal College of Nursing is calling for the Cabinet Secretary for Health and Social Care to directly address the patient safety and dignity concerns associated with corridor care through the Winter Preparedness Plan being presented to Parliament this afternoon (24 September). The call comes as RCN Scotland Director Colin Poolman gives evidence to the Parliament’s health, social care and sport committee on the National Care Service (Scotland) Bill, highlighting that the focus on the National Care Service will do nothing to address the current crisis in capacity or tackle workforce shortages and recruitment and retention challenges within community health and social care services. Throughout the summer Scotland’s acute hospitals have continued to experience overcrowding, with the number of people waiting in excess of four hours in A&E during July at record levels and almost 2,000 people ready to leave hospital but waiting on packages of care and support in the community. Many of NHS Scotland’s health boards have implemented continuous flow models in an attempt to reduce the length of time patients have to wait within emergency departments. RCN Scotland has raised concerns about the risks associated with these models. In particular, the lack of recording and reporting of instances when patients are cared for in inappropriate areas such as corridors and treatment rooms or when additional beds are added to wards without the necessary staffing or equipment to ensure patient safety and dignity. The unacceptable pressures on hospital services are a direct result of the lack of capacity within community health and social care services. The Winter Preparedness Plan 2024-25 must acknowledge and address this. Over the summer, RCN Scotland asked members to share their experiences of care in appropriate places via the Sensemaker tool. Following is a sample of some of the comments made by members. Staff nurse: “Caring for an end of life patient (who subsequently passed away) in a six bedded busy medical ward. We just couldn't facilitate a side room due to infection control issues. Meanwhile management are still calling the ward to try and arrange transfers of additional patients to the ward - seventh patient in six bedded room. No curtains, no oxygen points, no sockets, no space. Two examples of no privacy nor dignity in care.” Senior charge nurse: “Caring for patients in corridors. Assessing people in relatives’ room and makeshift corners with screens in place. Knowing we can’t check patients’ skin or care for continence needs because we don’t have anywhere to do it - the endless daily cycle of this. Our reality every single day - no exception. The indignity and humiliation that our frail elderly population are subjected to every single day. We don’t meet patients’ basic needs.” Ahead of today’s statement, Colin Poolman, Director RCN Scotland said: “Our members have …
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Hello door openers. My thought for the day (ok weekend). I used to work in ICU, which could be argued is the hospital equivalent of aged care’s specialist units, variously named as high care, MSUs, DCUs, SDCUs etc. Both are often locked units. In ICU there is a requirement (in most countries) for 1:1 or 1:2 nurse ratios. In MSUs there isn’t any requirement. In ICU the doors are not locked to keep patients in, largely it’s to keep others out for infection prevention reasons, to allow visitors to be counselled on what they may see, and sometimes to stop people who put them there in the first place. In MSUs it’s not clear why doors are locked, but generally it’s a fear of ‘something’ happening based on no real evidence or understanding of dementia. In ICU all staff are highly trained in their core skills and in working seamlessly as a multidisciplinary team. Some are experts and mentors. In MSUs there is no current training or skills requirement. In July in Australia, a national dementia education and skills framework is launched with sensible and achievable recommendations on what various levels of staff should be trained in (all staff). The framework is not mandatory and many providers will ignore it until made to comply because that is the culture. Current training in Netherlands for dementia care workers is exponentially longer and more comprehensive than Australia’s token gesture Certificate III which can be completed in 6 weeks with 120 hours of turning up at a care home, potentially not even exposed to person centred dementia care. I have found my role as an educator is to help people unlearn misconceptions before they can even begin to learn. By that time they’ve often been embedded in the system and are already task oriented and confused. You can’t become a competent ICU nurse overnight and you can’t become an emotionally intelligent carer in 120 hours and with a one hour online course a year to ‘refresh your skills’ or show your ‘competence.’ Person centred care isn’t something you can grade as competent, what does that even mean? Currently the evidence base for most commonly used interventions in dementia care have low research evidence, yet all homes claim to be providing ‘person centred care’ and ‘best practice.’ Either they are all doing exactly the same thing or someone is being disingenuous. If you went in for an operation in hospital, and certainly if you were unlucky enough to be in ICU, would you expect and hope the staff there knew what to do? Why don’t we have the same standards for so called specialist aged care units, and the staffing levels to achieve what they say they already do? #OTD2030 Dementia Training Australia #dementiacare #learningculture #learningorganisation
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"NURSES ARE RUDE!" Well, I thought so too until I started my journey into the profession. The media hasn't been fair on nurses/ the image of nursing either. But are Nurses really rude? Who is a rude Nurse to the average Nigerian health seeker? Let's try to answer. A rude Nurse is: 👉 the Nurse who asks patients' relatives to leave when visiting hours are over. 👉 that Nurse who insists on having only 2 visitors to a patient at a time. 👉 that Nurse who tells the patients' relatives to sit on the chair instead of their patient's bed. 👉 that Nurse who didn't attend to you when you or your sick relative was screaming for help. Let's understand this. In a care setting, the patient is most important. All the health workers are important but the patient is 'IMPORTANTER". The entire team serves the patient. This is especially true for Nurses who are the first to have contact with the patient. If a Nurse tells you to not sit on her patient's bed, it's because she is considering her patient's comfort. A Nurse knows when her patient needs to rest. When a Nurse tells you visiting time is over, please understand her intention. It is for her patient's benefit. Imagine a scenario where all the patients in a ward have more than 3 visitors at a time and they be making noise, disturbing the hospital. Will the Nurse be unfair to send them out? For heaven's sake, it's a hospital NOT a market square. Additionally, people do not understand the concept of infection control. There's something called "Hospital Acquired Infection". When Nurses say do not enter, it's actually for your own good. As for that Nurse who didn't attend to you when you were screaming for help, she could be following a basic principle – TRIAGING. Imagine a Nurse is attending to two patients, patient A and patient B. Patient A has mild fever while patient B has a respiratory problem. Patient A has been screening for the Nurse's attention. An intelligent Nurse would give more priority to patient B because patient B's condition is more severe even though he/she is not screaming for help. In many cases, one Nurse attends to over 50 patients a day. This can be overwhelming. Nurses have emotions. They have weaknesses too. They can get tired. It is not an easy task. Since it's not all Nurses that are rude (obviously you have not had an encounter with all of them), when you want to talk about a sad experience you had with one or a few of them, you say "Nurse XYZ was rude to me" or "Nurse XYZ is a rude Nurse." DO NOT say "All Nurses are rude" or "Nurses are rude" simply because of that one experience. If you still believe otherwise, let's settle in the comment. Nurses, the first impression you give to your client matter. Make a good first impression. _______________________ I am Halimatu Abdullahi and I care about improving health outcomes. Kindly connect with me! #limahcares #nursesWeek #repost2020 📸 Becoming a Registered Public Health Nurse
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The Impact of COVID-19 on IV Therapy The COVID-19 pandemic has had a profound impact on IV therapy, resulting in increased demand and a greater need for skilled IV nurses. Increased Demand: The virus has led to a surge in patients requiring IV therapy for various reasons. This includes patients hospitalized with severe COVID-19 symptoms requiring IV fluids, medications, and nutritional support. Additionally, individuals experiencing long-term effects or complications from the virus may need ongoing IV treatments. Greater Need for IV Nurses: The increased demand for IV therapy has significantly strained the healthcare system, leading to a greater need for skilled IV nurses. Hospitals and clinics are actively seeking certified IV nurses to administer treatments and manage patient care. Higher Salaries: With the high demand for their expertise, certified IV nurses can now command higher salaries. Healthcare facilities are willing to offer competitive compensation packages to attract and retain qualified IV nurses. Emphasis on Infection Control: COVID-19 has highlighted the importance of infection control in healthcare settings. IV nurses are now crucial in maintaining stringent infection prevention protocols during IV therapy administration to protect patients and healthcare workers. In conclusion, the COVID-19 pandemic has had a significant impact on IV therapy. While it has created challenges, it has also opened new opportunities for IV nurses and highlighted their critical role in patient care. The demand for skilled IV nurses is likely to remain high as the world continues to grapple with the pandemic and its long-term consequences. Looking to advance your nursing career and meet the growing demand for IV therapy specialists? Explore our IV Certification Program today and open doors to new opportunities in the healthcare industry. Visit https://ivmastery.com/ to learn more! #COVID19 #IVTherapy #Nursing #Healthcare #Pandemic #Nurses #Telehealth #InfectionControl #IVCertification #CareerAdvancement
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🌍 Nurses’ Preparedness for Infectious Disease Emergencies: A Call for Enhanced Training 🩺 The COVID-19 pandemic has exposed critical gaps in emergency response, particularly among our frontline heroes—nurses. A recent study highlights the urgent need to bolster their preparedness for infectious disease emergencies. 🔍 Key Insights: - 2055 nurses assessed show moderate to above-average competence, yet only 19% have prior emergency experience. - A significant number call for more practical drills and training. - Higher academic qualifications do not always equate to better preparedness—practical training is essential! 🚀 Action Steps: Regular, targeted training sessions and scenario-based simulations are vital in equipping nurses with the skills they need. Tailored training plans can enhance individual proficiency and improve overall healthcare response. Let’s prioritize our nurses’ professional development! Click the link to dive deeper into this essential study. #EmergencyPreparedness #HealthEconomics #Healthcare #InfectiousDiseases #Nursing #ProfessionalDevelopment #Publications #MarketAccess #MarketAccessToday
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I would like to make my topic : Nursing Theory- Infectious Disease Management S
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🧼👶 Innovative Approaches to Hand Hygiene in Pediatric Care: A Shield Against Infections 🧼👶 👶 In pediatric care, the fight against healthcare-associated infections (HAIs) is crucial. Children’s immune systems are still developing, making them particularly vulnerable to infections like respiratory illnesses, bloodstream infections, and gastrointestinal diseases. Effective hand hygiene is one of the most powerful tools to prevent these infections. 🌟 Recent advancements are transforming how we approach infection prevention in pediatric settings: 🔗 Real-Time Monitoring Systems: Sensor-based technologies now allow for real-time tracking of hand hygiene practices among healthcare workers, ensuring they comply with hygiene protocols more consistently. 🔗 Touchless Dispensers: Modern touchless hand sanitizer dispensers minimize contact and reduce the risk of surface contamination, making hand hygiene more accessible and effective. 🔗 Enhanced Sanitizers: New formulations of alcohol-based hand sanitizers are designed to be both highly effective against a broader range of pathogens and gentle on children’s sensitive skin. 🔗 Interactive Training Programs: Innovative training programs use simulations and interactive tools to educate healthcare professionals, parents, and visitors on the importance and technique of proper hand hygiene. These advancements collectively help to reduce the spread of harmful bacteria and viruses, leading to a safer environment for young patients. By staying informed about these innovations, healthcare providers can better protect their pediatric patients from infections. To delve deeper into these trends and discover how they’re reshaping pediatric care, join us at the Nursing Care Conference. Learn from experts, network with peers, and stay at the forefront of infection prevention strategies. 🌟 . . #nursingcare #PediatricCare #handhygiene #infectionprevention #HealthcareAdvancement #patientsafety #NursingTrends #nursing #uk #usa #clinicare #conference #nursingresearch #laboratories
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