Role of Nursing in Preventing Hospital Acquired Infections

Question Discuss about theRole of Nursing in Preventing Hospital Acquired Infections. Answer: Introduction Nurses play a very crucial role in preventing hospital acquired infections. These are infections that occur right after the patients have already been admitted to the hospital or any other medical facility; this is inclusive of those infections that are acquired within the facility but display the symptoms later when the patient has been discharged from hospital, and also work-related infections among the hospital employees. Being the patient crusaders, the nurses are capable of affecting change so as to enhance the patients welfare ( Ausserhofer et al.,2013 ) With many tools at their disposal, the nurses are able to create surrounding that is safe and free of infections for the patients. At any given moment, beyond a population of 1.4 million people in the world ails from diseases acquired in medical facilities and hospitals. The uppermost occurrences of hospital acquired infections were recorded in south East Asia (10.0%) and eastern Mediterranean regions with a pervasiveness of 9. 0 for western pacific along with 7.7 for European regions. Practices carried out by nursing care can help improve on the figures and make hospitals and other medical facilities more safe and friendly to the patients and staff. Nurses are therefore key, in ensuring that the patients do not acquire hospital infections (Cantrell et al., 2009). Role of Nurses Wearing protective equipment when in contact with some specific body fluids a number of body fluids and secretions, including cerebrospinal fluids and amniotic fluid can be a pathway of transmission of blood borne pathogens, especially when the nurses are providing first aid or healthcare (Da Silva et al.,2016) .Disposable gloves must be put on when examining a lacerated or non intact skin, e.g. when dressing an open wound, examination of oropharynyx, gastro intestinal tract(GIT) and dental procedures and the gloves should be new and never been reused, be of good quality and material. Masks and protective eye wear should be in place when attending to patients in circumstances where there might be blood spillages and bone chips/fragments (Cornejo-Jurez et al., 2015).Nurses should make sure to protect patients wounds from staff breathings by ensuring that good quality masks are worn and properly fixed on the mouth and nasal openings. When spraying or spattering of blood or body fluids is expected, e.g. procedures to do with surgery, gowns /aprons are recommended (Fijan et al., 2012). The gowns should not allow for the body fluids to go through and for sterile procedures; sterile linen and disposable gowns are used. If exposed to body fluids or blood, nurses should ensure cleaning of wounds instantly and bleeding should be immediately ceased. if blood/body fluids splash towards the mouth, it should be thoroughly flashed with clean water instantly. Sharp injuries and Needle stick that are capable of transmission of blood borne infections, should be disposed immediately in puncture resistant boxes.( Horlocker Wedel, 2008) Contaminated material like linen must be handled with isolation safety measures and taken for cleansing in bags that are coded for prevention of spreading infection to infection free materials nurses should place infectious waste in labeled bags that do not leak which are later collected carefully to avoid contamination, and before disposing the material that is contaminated in a landfill, it should be autoclaved or incinerated. Nurses should ensure the environment within which they work is clean by ensuring proper air ventilation, examination of the water pipes and quality, cleaning and disinfection of equipment, proper collection of linen and proper disposal of waste products ( Fijan Turk,2012). Nurses can also prevent infection by irrigating the cutaneous wounds thoroughly between dressing changes, removing all dead materials that may promote infection and hinder healing process effectively and dressing a wound in an appropriate way so as to absorb exudates. Hand washing is also another means by which Nurses can prevent most of the hospital acquired infections, efficient hand washing process can be attained by using an antimicrobial soap and running clean water for at least 10-16 seconds, this will ensure removal of soil particles and bacteria. Use of hand antiseptics and hand rubs for at least 60 seconds to remove and destroy transient flora, alcohol based hand rubs can also be applied for hand washing and can be used as substitutes where suitable. Our hands and fingers if carrying infective organisms can lead to infectious diseases (Weinstein, Gaynes Edwards, 2005). Sinks should be placed in every patients room and the nurses should always comply to the hand washing poli cy and ensure that hand washing is done especially before and after dressing a wound, before and after contact body fluids and removal of excretions and even after handling equipment that is contaminated or laundry, after visiting the toilets, after administering of medicines to their patients, before taking of meals, at the beginning and end of duty, also wash hands before putting on gloves, principles like removal of jewelry ,washing and drying thoroughly around the ring ,and always turning off the water using elbow- on elbow taps and ensure to dry the hands thoroughly. Oral care should be given to Neutropenic patients inclusive of gentle flossing and brushing of teeth, or even antimicrobial rinses in situations where the state hygiene is poor. Catheter dressings should instantly be replaced when moist, loosened or soiled. Replacement of IV administration sets, extensions and secondary sets in every 72 hours, unless infection is reckoned to occur or documented. Discussion Healthcare providers should be more worried than ever about promoting and supporting nursing care to ensure patient safety, any slight improvement made to nursing care will reduce the number of death cases associated with Nosocomial infections and diseases (Lalrindiki et al., 2014) Nosocomial infections that are acquired in hospitals and other health care facilities have led to many cases of death and more mordibility among patients in hospitals and are a major challenge for both the hospitalized individuals and communal health as well, this is common when the nursing care given to the patients does not comply with the standards that are set out in prevention of hospital acquired infections .patients who are infants and aged individuals have low resistance to infections and hospitalized individuals that suffer from chronic ailments such as AIDS have high vulnerability to infections. Nurses therefore have a big role to play in ensuring that these kinds of patients are well taken care of in bid to ensuring no more infections occur once theyre admitted to a medical facility. (Cornejo-Jurez et al, 2015) The nurse has the ability to directly prevent patient infection because they provide care at the bedside and thus resulting in positive outcomes in patients in terms of health care. The action of the nurses and other healthcare workers directly impact patient morbidity and mortality. Practices like hand washing techniques, wearing of gloves, face masks and gowns when in contact with contaminated material and also when being careful not to contaminate in a sterile environment, proper disposal of contaminated material and other proper hygiene measures practiced in medical institutions improve the wellbeing of the hospitalized individuals and that of the care providers as well. Since hospital acquired infections contribute to a great number of deaths, prevention of these infections should be the primary goal of every hospital and medical institution across the globe (Tai et al., 2009). Conclusion Nurses play a key role in prevention of infections and minimizing its spread. The health and well being of their patients and the financial health of their employers depends entirely on the care of the nurses. Hospital acquired infections can be reduced by nurses providing direct patient care using practices which minimize infections like avoiding contact of body fluids and contaminated linen and dressing of wounds with extra care. The role of nurses significantly reduces the cost of health care by reducing the recovery periods for their patients, reduction of extra costs of antibiotics and healthcare facilitys expenses Reference Ausserhofer, D., Schubert, M., Desmedt, M., Blegen, M. A., De Geest, S., Schwendimann, R. (2013). 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