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Wednesday, January 9, 2019

Infection Control Essay

This is a reflective assignment that leave behind reflect upon a scenario that took place during the clinical placement of a disciple control in familys. The assignment go out stress on MRSA protocols in households, wherefore it is classic and how the use of reflection assists in the perpetual professional development of a disciple imbibe. Throughout the assignment the author will use the Rolfe reflective framework (2001, cited in Jasper, 2003) to explore what happened by dint of out the scenario utilize the three stages of what, so what and now what. expression is a useful tool which wellness circumspection professionals use to improve their skills and hit their future practice by revisiting scenarios that occurred and exploring why something happened, whether it could be improved in whatsoever way or to recognize entire practice (Jasper & amp Rosser, 2013)In treaty to The Code (NMC, 2008) which dictates that all unhurried study should be kept confidential, and the Data aegis Act (1998) which similarly governs that patient study should be kept secure and released to moreover those necessary or to who the patient sh atomic number 18s it with all in all patient details will be kept private and the patient is referred to exactly as the patient.During a surgical result in theatre the MRSA protocol was universe followed. However during the procedure a reconstruct left the theatre and then well-tried to re enter the preparation room, the somewhat circulating nurse did not brook this and informed the doctor to change gown and wash their shoes straight away. A full description of the scenario is attached as Appendix 1. The nurse was trying to understate risk of cross contagious disease as clothing and foot wear off could be bemire by surfaces (Kumar, Saunders & Watson, 2000). The student nurse needs to have a cracking understanding of MRSA, protocols and research and march establish approaches to deliver safe and appropriate care whilst minimizing risk of cross infection.Methicillin-resistant Staphylococcus aureus (MRSA) is a bacteria that is resistant to a mo of antibiotics that treat infection including methicillin. There are different strains of Staphylococcus aureus making it harder or easier to treat. MRSA preserve live in the nostrils or on skin and is easily transferred from someone to person or surface by contact, it can also be outspread by skin particles through the line of products (McNeil, Mody & Bradley, 2002), contaminating beds and surfaces (Kumar, Saunders & Watson, 2000 ) and can remain active for longer than 6 months (Wagenvoort, Sluijsmans & Penders, 2000).This is why present hygienics and environmental cleanliness is so important (Crowcroft, 1996). The bacterium can enter the bloodstream through small cuts or a smart Depending on individuals immune system mountain can fight off demean strains of MRSA with minimal infection symptoms such as pain, temperature, diz ziness etc. However peck with lowered immune systems i.e. people in hospital with existing health complaints or infections can be harder to treat (Dougherty &Lister, 2004). MRSA is a virulent pathogen and when it doesnt act to treatment can cause sepsis, urinary tract infections, endocarditis, pneumonia, septic arthritis, osteomyelitis and can so far result in death (Weigeit, 2007).During theatre procedures the same etymon isolation nursing that is used on the wards is used in theatres nursing that is used on the wards (NHS, 2012). St Georges Hospital (NHS St Georges Trust, 2012) theatre policy outlines during theatre and recovery rung numbers should be kept to a minimum, all inessential equipment should be removed from theatre, staff should wear protective clothing and a ductile gown, after the procedure all equipment and surfaces should be cleaned and patients should be nursed using source isolation practices. (Dougherty & Lister, 2004) Source isolation aims to keep the source of infection from facing pages anywhere by means of elapse washing, washing, protective clothing and incineration of all use able waste in a controlled manor. The subject field Institute for clinical excellence also highlighted the importance of source isolation regarding MRSA discussing its contradict impacts on health ranging from discomfort to salutary disability or death. (NICE, 2011) in 2009/10 the NHS dealt with almost 1900 bloodstream infections, each infection cost the NHS around 7000. The aim in following guidelines is to protect patients, protect staff and to protect the environment for the next patient who will enter the theatre having an action (Dougherty & Lister, 2004).Thanks to evidence found clinical practice and improved hand hygiene MRSA bloodstream infection rank have dropped by 41% in the NHS across England since 2009 and a further 29% in 2012/2013 (Department of Health, 2012)From this event the student was able to reflect on research and evidence based approaches specifically in regards to MRSA and throw out a more in-depth understanding of MRSA. rendering about bacterium and paths of transmission helped the student nurse have a give understanding of infection control measures and their importance.

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