BLOODSTREAM INFECTION ELIMINATION OR REDUCTION – Savvy Essay Writers | savvyessaywriters.net

BLOODSTREAM INFECTION ELIMINATION OR REDUCTION – Savvy Essay Writers | savvyessaywriters.net

Summarize your research in a poster presentation or a PowerPoint presentation which you will present to your peers.

Poster/Presentation Rubric

Poor Acceptable Average Excellent Score
Organization of the material (25%)

Overall organization of the poster/presentation

Haphazard presentation which appears to be little more than a collection of images and words in almost random order

0-17 points

Some thought given to overall image. Difficult to follow the story.

18-20 points

Overall impression is good. Some imaginative aspects; sequence is logical

21-22 points

Innovative and stylish. Organization allows the viewer to easily navigate the presentation.

23-25 points

Image content (25%)

Appropriateness of selected images to the question or topic

Images are poorly selected and add very little to the question’s answer or overall message of the poster.

0-17 points

Images are appropriate and partly answer the question. Partially contribute to the overall message of the poster.

18-20 points

Images used are of good quality and appropriately answer the question. Images contribute to the overall message of the poster.

21-22 points

All images are imaginatively chosen and convey the message in an informative manner.

23-25 points

Image quality (25%)

Imaginative use of images to enhance poster

Little effort shown in attention to detail. Most of the images are of poor quality

0-17 points

Images are of an adequate standard. Images may not be related to the poster content.

18-20 points

Good quality images that contribute somewhat to the understanding of the content. Any variance does not attract from the overall impression.

21-22 points

Images contribute to the overall effect and add to the understanding of the content. Images are appropriate to the overall poster content. Good use of color.

23-25 points

Writing

(25%)

Overall quality of written content of poster.

Generally poor choice of written words which tend to distract rather than inform. Too many words and/or inappropriate font/style. Many grammatical or punctuation errors.

0-17points

Appropriate use of words adds to understanding. Statements may be too long for a poster format. Several grammatical or punctuation errors.

18-20 points

Mostly good choice of statements. Relevant and concise. Few grammatical or punctuation errors.

21-22 points

Excellent use of written word. Short statements which add to the quality. Correct use of quotes and appropriate use of style. No grammatical or punctuation errors.

23-25 points

Total Running head: QI ESSAY BLOODSTREAM INFECTION ELIMINATION OR REDUCTION 1

QI ESSAY BLOODSTREAM INFECTION ELIMINATION OR REDUCTION 20

QI Essay Bloodstream Infection Elimination or Reduction

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College of Affiliation

Date

Contents Abstract 4 Introduction 4 Literature Review 6 Definition of the Terms 9 Bloodstream infections 9 The evidence-based intervention being implemented: adherence to the CDC recommended practices and infection prevention principles 9 The plan for the implementation 11 The creation of bloodstream infection prevention and control programs 11 The development of the evidence-based guidelines to be implemented for the reduction of the bloodstream infections in hemodialysis patients 11 The introduction of the bloodstream infection control or reduction education to the healthcare workers through using a team and the task-based approaches 12 The surveillance of the bloodstream infections in the hemodialysis process 12 The implementation of the multimodal strategies to help in the improvement of the practices aimed at reducing the bloodstream infections in hemodialysis patients 13 The development of the program to help in the coordination and facilitation of the implementation process of the bloodstream infection prevention activities for the patients on hemodialysis 13 A continuous process of monitoring and auditing of the bloodstream infection elimination approaches and feedback as well as the control activities 14 Workload, bed occupancy, and staffing in the facility 14 The building of the materials, environment, and the equipment needed for the implementation process 15 Ethical Considerations 15 Required Resources 17 Leadership Theory as a guide to the implementation and substance of the proposed change or practice 18 Shared Leadership Theory 19 The change theory to facilitate the implementation process 20 Behavioral change theory 20 Evaluation Procedures 21 Alternative Processes, the plan for sustainability 22 The expected outcome from the implementation of the practice 23 Conclusions 23 References 25

Abstract

Bloodstream infections refer to the infections that occur in the healthcare facilities and they are the new infections that are acquired within the facility. These infections lead to hospitalization, morbidity, and mortality in hemodialysis patients. There are about 30,100 reported incidences of infections in the United States. The bloodstream infections are caused by the equipment being used by the healthcare providers for example the surgical equipment, the environment of the facility, and the healthcare workers or patients who transmit such infection to the other. The paper aimed at discussing the adherence or the practices recommended by the CDC to help in the prevention and reduction of the bloodstream infection in hemodialysis patients. The CDC proposed some interventions to be followed in the reduction of these infections. These included the provision of the feedback, surveillance, audit of the hygienic practices, and the control strategies. Bloodstream is a life-threatening infection and affects the overall healthcare of the patients. The plan for the implementation was to create a bloodstream infection prevention and control programs; the development of the evidence-based guidelines; the introduction of education to the healthcare workers in the reduction of the infection; the surveillance of the infection; implementing the multimodal approaches to improve the practice aimed at reducing these infections; developing coordination and the facilitation program; ongoing monitoring and auditing the practices; considering the aspect of the workload, occupancy, and the staffing; and improvement in the environment, provision of the materials, and the equipment required. The implementation of the process must consider the ethical aspects of beneficence, justice, and non-maleficence. The benefits and well-being of the patients must be put into consideration.

Introduction

Bloodstream infections are considered to be the key crucial cause of hospitalization, illness, and death among patients being provided with dialysis process. Bloodstream infections are also common in the intensive care unit (ICU) especially on the central venous catheters. The central venous catheters are used for the infusion of the medication, fluid, blood products; hemodialysis; withdrawal of the blood; or the hemodynamic monitoring process. The use of these invasive devices is pre-disposing patients to preventable bloodstream infections. The bloodstream infections are an infection inpatient with a catheter or central two days before the onset of the infections that are not related to another site. Bloodstream infections are characterized by higher cases of mortality and complications on the health of the patients especially those who are undergoing hemodialysis.

The Center for Disease Control and Prevention (CDC) reports that there are about 30,100 reported cases of the central line-associated infections that occur every year in the United States especially in the intensive care units (ICU). The use of the hemodialysis catheter is linked to the eightfold higher cases of vascular associated bloodstream related infections as compared to the arteriovenous fistula.

The criteria for the diagnosis of the hemodialysis catheter-associated bloodstream infection based on the proposal of the Kidney Health Initiative’s Catheter End Points Workgroup is related to any clinical suspicion of the infection with a fever or temperature greater than 37.50C or the possible alteration of the mental status and/or the new predialysis hypotension with a systolic blood pressure of less than 90 mmHg.

The bloodstream infection leads to high cases of hospitalization and is considered as the second leading factor of the death rate amongst hemodialysis patients. The control of the infection on patient in hemodialysis is used to measure used for the maintenance of the healthy environment and prevention as well as avoiding the process of disseminating infection amongst the immunocompromised patients. Hemodialysis patients are becoming vulnerable to infections as well as the localized infections of vascular access, blood-borne infections like Hepatitis B virus, Hepatitis C virus, and HIV. Other infections can also include airborne ones.

The sources of bloodstream infection on the hemodialysis patient is linked to the water, equipment, the surfaces of the hospital environment, and the infected patients who pass these infections to other patients and healthcare workers. The modes of bloodstream infections include the contaminated hands of healthcare providers as a result of poor hygiene. Several guidelines have been proposed by international organizations such as the CDC, the Association of Professionals in Infection Control (APIC), the Kidney Disease Outcomes Quality Initiatives (K/DOQI), and the Improving Global Outcomes (KDIGO) among others. These guidelines have been aimed at preventing and controlling infection and to be implemented with the hemodialysis settings. Nevertheless, despite the existence of such guidelines, the adherence to such procedures is poor and this has increased the cases poor hygienic practices in healthcare facilities and even in the hemodialysis settings thus exposing patients to the bloodstream infections that are passed from providers to patients and from one patient to the other.

Literature Review

According to the study by Soi et al (2016), the…

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