NURS FPX 4035 Assessment 3 Improvement Plan In-Service Presentation

In-Service Presentation

Student Name

Capella University

NURS FPX4035

Professor Name

Submission Date

In-Service Session

Slide 01: 

Hello, I am________.I will share clinically relevant information, emphasising the prevention of infection, early identification, and escalation of risks to safety. The following resources will support the healthcare team to improve the quality and safety of care by improving post-operative care, minimizing infection, and optimizing outcomes for all patients across all healthcare settings.

Slide 02:

Scenario

Mr. Jones Carey, 62, has just been transferred to the Riverdale Medical Institute (RMI) from an outside healthcare system. During this transfer, Mr. Carey was neither given Post-Operative Infection Prevention (POIP) nor Post-Operative Infection Surveillance (POIS). This transfer was followed by a severe Healthcare-Associated Infection (HAI) in Mr. Carey immediately after the transfer. This led to increased hospital stays and subsequent increased workload for other health care workers in the management of infection care and added increased surveillance. This is a scenario that illustrates the risk to patients posed by a negative outcome that could have been avoided had the attention been focused on infection control and prompt management of clinical problems.

Slide 3:

Agenda and Outcomes

Healthcare-Associated Infection (HAI) prevention is the result of the synergy of infection control practices, timely and committed follow-up of clinical needs, and proactivity in monitoring throughout the recovery process.

Purpose Statement

Nurses will get familiar with the risk factors for Healthcare-Associated Infection (HCAI) reduction/reduction risk in patients undergoing surgery. This meeting will be an introduction to new approaches that can support keeping patients safe and provide support for the infection control measures required by the infection prevention bundle. This will facilitate identification, recording, and enhancement of the infection indicators and documentation of infection. Systematic surveillance, reporting, and recording of infection prevention and control help to create a safe health care system. A practice of evidence and consistent use of infection prevention and control promotes collaboration, decreases patient risk of infection, and enhances the safety of health care systems.

Slide 04:

Goals

The first objective is to illustrate the relationship between poor patient outcomes, increasing burden of HAI’s and lack of IPC. If a patient’s signs and symptoms are not identified and monitored, there is a risk that the patient will have negative outcomes, a longer stay in hospital, and more unnecessary interventions without Infection Prevention, Control, and Care (IPC). There is a strong relationship between the routine use of Infection Prevention and Control and better Infection Prevention and fewer infections, according to Sartelli.

The second objective is to implement best practices of positive teamwork between Nurses, Doctors, Infection Control, and the other members of the post-operative team. Clinical information and concerns being communicated to the team and other health care workers in a timely and accurate manner helps to provide safe and effective care. Katantha, however, believes collaboration is the best means of embedding and maximising a ‘proactive approach to patient deterioration and infection prevention and control’ across the healthcare system.

Finally, consider promoting (or even modelling) early detection and early response to early signs of post-operative infection, as well as the evidence-based practice that will lead to less emphasis Garcia believes that integrated systems for managing and tracking infection, coupled with educating and preparing the whole post-op team, will raise the bar on infection control and prevention in the post-op patient.

Slide 05:  

Safety Improvement Plan

The failure of patients’ care and the inadequate uptake of infection prevention has led to a loss of care for patients as well as the prevention of HAIs. The most challenging was the monitoring of infection prevention measures after the surgery for Mr. Jones Carey.  There were still some deficiencies in documentation of care and the escalation and monitoring process. The first step was to establish a bundle of infection prevention measures at a formal level, and so it was decided this would be done.

The development of a monitoring framework, engagement audits to assess the care team’s compliance with the monitoring and documentation of clinical care, and the creation of an infection prevention and clinical deterioration training were specialized electronic infection prevention measures checklist and a monitoring framework. The proposed measures will be mainly targeted at the activities of clinical care to eliminate any kind of risk of safety and infection, which were post-surgical and preventable.

Importance of Addressing This Issue

The first steps of the infection prevention programs are an important achievement for patients and hospitals. We value the importance of a patient’s mental health, but we feel there are more patients who should be aware of that as they have to endure long and arduous rehabilitation. Rehabilitation not only involves the patient’s physical recovery but also his/her psychological recovery.

We need to note, however, that during the rehabilitation process, infection prevention and control is essential. In his opinion, integration of infection prevention in clinical practice and systemization of clinical activities will enable stopping harmful activities and providing patient safety, Sandu added. The primary focus of this system is concerned with the safety of the patient; the careful planning and execution of an activity by the caregiver in a thoughtful, systematic, and purposeful fashion.

Slide 06:

Process for Safety Improvement

A long-term objective of ours is to reduce infections associated with the health care system. This will be achieved by continually embedding care standards into the care of all surgical patients both pre- and post-surgery. One of the key moveable targets in this plan is to use an electronic infection prevention checklist that will then allow for the implementation of the infection prevention bundle. To ensure the consistency of care, identify and reduce the risk of infection, and prevent problems through routine standardisation of clinical practice. Another key point in this plan will be to create mandatory training for nurses to identify standards of infection control and prevention, and to practice post-surgical care to prevent and control infections.

Creating new standards of accountability will be part of the plan. This will need systems of monitoring and documenting that are formalized. It is designed to: Ensure documentation of monitoring of infection control; Ensure monitoring of infection control is followed up with documentation of the actions taken. Hascic demonstrated how an electronic health record (EHR) can be utilized to record an integrated workflow to track and share opportunities for posts and/or elevating safety questions. Other regular reviews and performance monitoring (on paper) should enhance interactions and dialogues among health care teams. This will aid Infection Prevention & Control and reduce the number of infections in Health Care Systems.

Slide 07:

Audience’s Role and Importance in the Improvement Plan

It takes the whole health care team to work together to achieve the desired improvement in the plan. Nurses will be the most critical members of the team and are likely to go beyond normal duties by having a clear time frame for identifying the risk, responding to it, and demonstrating the standardized infection prevention bundle in a clear and coherent manner, and by conducting surveillance.

Mistri highlighted that the key elements to consistently implementing standardized safety procedures are clear and effective communication and taking responsibility. Physicians, infection control specialists, and the organization’s manager, in addition to nurses, will need to collaborate to implement evidence-based practices to improve patient safety, especially that of post-operative patients.

Slide 08:

This is because cooperation among the healthcare organization and the presence and enforcement of safety is a crucial aspect when trying to achieve an initiative with the aim of preventing an infection. Poorly improved infection control puts the currently successful efforts to contain Healthcare-Associated Infections (HAI) at risk, hinders the program, and results in unnecessary suffering for patients and individuals. Babaré says that a safety culture can be created when everyone from the healthcare team to all the stakeholders in the system does what they’re supposed to do. This safety culture will result in a healthcare system and an organisation where there will be few and unpredictable postoperative complications.

The same approach can be used in other parts of the organisation to work towards improvement within the organisation and how it works. The build-out of standardized infection prevention practices during direct patient care will minimize disruptions to systems within the organization, and create more control and variability will be eliminated. She discovered that, among healthcare organizations, the consistent, reliable, and sustainable practices of healthcare safety and healthcare operational systems have the most significant impact on the improvement of healthcare quality and healthcare customer satisfaction.

Slide 09:

New Process and Skills Practice

There will be a need for some changes to healthcare practices to deal with HAI in people who have undergone surgery. Staff will be asked to employ a new infection avoidance process; this will be based on Infection Prevention Bundles that are inputted into an Electronic Checklist (ECL). This will not only result in a handling/aseptic technique/infection surveillance pathway, but also an escalation/documentation pathway.

All staff who work with patients who are in a post-op phase will get training in infection prevention and post op care as a required part. This training will include the following: Infection surveillance, Basic Principles of Infection. Methods of infection prevention will be further strengthened via electronic integration and communication horizontally through the whole continuum of care.

Slide 10:

Participants will learn to recognize signs of infection post-surgery and be able to create a plan of action and assess strengths and weaknesses. They will be asked to work in groups of 3-4, looking at some case studies to identify where there are opportunities to improve IPC. A clinical reasoning case study will be used to aid the development of clinical reasoning and the use of prevention according to the model of the case study developed by Afonso and Amaral.

Participants will use the case study as a model and will substantially limit the evaluate, insert, and document components of the case study to a focused simulation of evidence-based practice after being informed by the case study and facilitated by the facilitators; they will implement the infection prevention bundle.

Explaining Value

The program focuses on the core skills of infection control and prevention, deterioration, and teamwork, which are taught, practiced, and developed using real patient case studies. The problem-solving strategies presented in Chen’s research include working together to solve problems during a real-life patient safety situation. The case studies will help to develop an evidence-based practice model of communication/collaboration in the workplace. It will improve the processes in which the participants will be involved, as well as the clinical outcomes.

Potential Responses to Likely Questions or Concerns

After finishing this exercise, most participants will be aware of the challenges and medical issues of surgery, and will be able to think of some of the difficulties. Here is an example of a “How might we” question about the challenge. In what ways might a nurse have several patients and be able to provide an infection prevention bundle and supervise? One possible solution is the seamless introduction of Nurse documentation into an electronic Nurse Manager documentation system and the introduction of an integrated, unified, and standardized checklist.

The Nursing Mentorship Program will help make this challenge a little easier. It will be less of a challenge over the years. The use and application of unused infrastructure and technologies are probably the biggest challenge today to the health-care system. When we have to deal with the safety of our clients and the disruptions in infection control and prevention, collaboration will be affected. Difficult situations will be negotiated and addressed in a positive, constructive way.

Slide 11:

Soliciting Feedback

Various feedback channels will be employed to assess the educational session and the overall safety program. This will give us an opportunity to recognise our strengths and what to develop. Gierus’ study explains the application of the dual measures method (quantitative and qualitative) to improve and extend the evaluation and procedure of extension. Staff will discuss as a team and explain the barriers to implementation, and the barrier(s) will be explained during operational huddles. Mechanisms will be in place for anonymous feedback that will help to provide honest feedback.

A set of barriers to the widespread implementation of infection prevention will be helpful for planning interventions to prevent infection by those in leadership positions. Optimising this programme and its enabling elements will help to ensure that this project is aligned with the organisation’s aims of decreasing HAI’s, enhancing patient safety and patient satisfaction.

Slide 12:

Conclusion

The in-service will raise healthcare practitioners’ awareness about evidence-based strategies related to safety after surgery to prevent the development of HAIs. Key points of this presentation will be centered around the routine use of the infection prevention bundle, swift recognition and reporting of infection, brief documentation, and collaboration. Involvement with these aspects, in an enthusiastic way, will help healthcare practitioners reduce the number of patients who become infected, improve the efficiency of patient recovery, and provide timely, safe, and highly effective care.  

For the next (4th) assessment of NURS-4035 visit: Nurs FPX 4035 Assessment 4