This document discusses the issues with current intravenous cannulation procedures and introduces a new cannulation device called the U-Cannula. It notes that current cannulation techniques often require multiple puncture attempts, which increases trauma, risk of infection, and healthcare costs. The U-Cannula aims to address this by using an introducer strap to smoothly guide the cannula into place in one attempt. Clinical studies found the U-Cannula successful in 94% of first attempts compared to average attempts of 2.48 for standard cannulas. While the concept has support from doctors, major manufacturers have been reluctant due to concerns it could reduce skills or increase costs. The document argues the U-Cannula could help reduce infection
Rotary Endodontics Training Courses In Delhi | Dental Courses In Delhi Dr. Rajat Sachdeva
The aim of this #Endocourse is to provide a contemporary account of Endodontology which will enable general dental practitioners to develop the skills necessary to provide high standards of care for patients requiring endodontic treatment.
Live Patient “Endodon-tricks” delivers by a tsunami of information that at once reiterates the core principles of clinical endodontics, and brings about the latest and greatest innovations.
“Endodon-tricks and Surg & Rescue”… a Comprehensive Approach to Modern Endodontic Concepts and Techniques
The programme format will involve a combination of lectures, case discussions, however the main emphasis is on hands-on training.
Practical skills shall be cultivated within a skills laboratory principally by demonstration and 1:1 tutoring from experienced specialist clinicians.
It is appreciated that students may vary in their ability and experience; hence the teaching will be tailored as far as possible to the students’ requirements.
Course handouts and comprehensive course literature is included in the cost.
https://goo.gl/photos/HXTc8APPGSXWrsaA8
http://www.sachdevadentalcare.com/rotary-endodontic.html
In modern healthcare, IV cannulas play a crucial role in delivering vital medications and fluids directly into the bloodstream. Their importance cannot be overstated, as they provide a quick and efficient way to administer treatment to patients in need.
Rotary Endodontics Training Courses In Delhi | Dental Courses In Delhi Dr. Rajat Sachdeva
The aim of this #Endocourse is to provide a contemporary account of Endodontology which will enable general dental practitioners to develop the skills necessary to provide high standards of care for patients requiring endodontic treatment.
Live Patient “Endodon-tricks” delivers by a tsunami of information that at once reiterates the core principles of clinical endodontics, and brings about the latest and greatest innovations.
“Endodon-tricks and Surg & Rescue”… a Comprehensive Approach to Modern Endodontic Concepts and Techniques
The programme format will involve a combination of lectures, case discussions, however the main emphasis is on hands-on training.
Practical skills shall be cultivated within a skills laboratory principally by demonstration and 1:1 tutoring from experienced specialist clinicians.
It is appreciated that students may vary in their ability and experience; hence the teaching will be tailored as far as possible to the students’ requirements.
Course handouts and comprehensive course literature is included in the cost.
https://goo.gl/photos/HXTc8APPGSXWrsaA8
http://www.sachdevadentalcare.com/rotary-endodontic.html
In modern healthcare, IV cannulas play a crucial role in delivering vital medications and fluids directly into the bloodstream. Their importance cannot be overstated, as they provide a quick and efficient way to administer treatment to patients in need.
1-Evidence-based practice is what keeps the health care system usandibabcock
1-Evidence-based practice is what keeps the health care system up-to-date with technology and best-practices; these practices help improve patient outcomes. The first article that I read was research about improving the procedures for collecting and testing urine specimens. In the study, they observed how the collection method was carried out and how long it took for the specimen to reach the laboratory for testing. It was determined that not only were the collection methods flawed but the specimens were sitting too long at room temperature; both influenced the test results. Having contaminated specimens were producing unreliable test results and people were getting a wrong diagnosis with a wrong treatment plan. This study helped identify the major problems along with creating solutions to those problems: mid-stream clean catch, using straight-catheters, proper way to get a specimen from an indwelling-catheter, and appropriate time for the specimen to sit at room temperature. This research article helped improve patient outcomes because it increased the accuracy of the test results which yielded a more specific diagnosis; appropriate treatments increased patient outcomes. In our facility when we collect a urine specimen we keep the specimen in the refrigerator and call the labs for a stat pick-up.
The second article that I read was on improves patient outcome fall prevention in 65+ adults. A prevalent safety issue is injuries that occur from Falls. Elderly and frail have a higher risk of falls that can lead into hip-fractures or even death. Accidental falls can result from an unsafe environment or environmental risk factors for example low blood pressure, dehydration, impaired mobility, unstable gait to name a few. To prevent/reduce the risk for falls staff need to maintain awareness of the environmental safety. I work in an Assisted living facility we have Fall-Risk Assessment tool that we use for each of our residents. But our main intervention is communication with staff and residents. We ensure that there is no trip hazard, we lower the bed to the lowest position when they are in bed, check their rooms and facility for potential safety issues, have mats on the floors next to their bed.
2-Two areas of nursing practice that have been under scrutiny in my facility involve Catheter Associated Urinary Tract Infections (CAUTIs) and Standard precautions. Both seem like basic concepts, but in nursing, sometimes the “basics” get swept to the back of your mind when you are focusing on other issues involved in patient care. Both of these concepts are integral parts of patient safety, which is and should be our number one priority.
In the healthcare setting, the use of an indwelling catheter can be a necessity on many occasions. As nurses, it is imperative that we assess the need carefully for catheter placement, as well as continuously assess the need for the catheter to remain in place. According to a study put forth by BMC Health Services R ...
Comment1Nursing practice has changed in how nurses handle and ca.docxdivinapavey
Comment1
Nursing practice has changed in how nurses handle and care for central lines as well as how central lines are inserted specifically peripherally inserted central catheters. The reduction of CLABSI’s (central line associated blood stream infection) and the use of an insertion bundle have greatly improved patient outcomes in the last many years. These practice changes have reduced patient mortality and decreased the length of patient stay in the ICU. Through these studies and by implementation of new processes brings awareness to nursing staff on what needs to be done to better care and protect our patients. The findings have changed my overall view of central lines. When I cared for central lines I was more careful at assessing, accessing, documenting and advocating for earlier removal of these devices when no longer needed in my patient. At the hospital where I work, dressing changes of central lines are a two person process and the use of CUROS caps to cover needless connectors or injectable ports on tubing is required to prevent infection. The insertion bundle is utilized by our PICC team who do their part in following strict guidelines when placing the central line catheter.
Comment2
Hospital Acquired Pressure Ulcers (HAPU) is a topic of great concern in health care delivery due health impact and complications on affected patients, as well as the cost and reimbursement issues. The costs of pressure ulcers are extremely high. Patients die from sepsis related to pressure ulcers that become chronic. According to National Pressure Ulcer Advisory Panel 2017, more than 2.5 million patients develop pressure injury (PI) a year, national incidence rate of 2.5% in hospitals, and 60, 000 death a year (William Padula, John Hopkins University). PI injury cost US Health system $9-11 billion a year. In an effort to prevent HAPU, death caused by sepsis related to pressure ulcers, Stage II and III pressure Ulcers are among the eight preventable conditions identified by Medicare and Medicaid which extra payment are eliminated. Medicare and Medicaid stop reimbursing hospitals for certain hospital-acquired conditions considered preventable in the hospital setting, private insurance also follow this step. Pressure ulcers are a potential complication of prolonged bed rest and are included in the category of hospital-acquired conditions. Incontinent patients are especially prone to pressure ulcers if moisture is not managed adequately. The key to prevent pressure entails is to first identify patients at risk; and second implementing strategies for all patients who are identified at risk. Health care delivery has the duty to focus patient care to prevent PI by inspecting skin daily, managing moisture on skin, conducting a pressure ulcer admission assessment for all patients, minimizing pressure, optimizing nutrition and hydration, reassessing risk for all patients daily. Following these steps help improving patient care and prevent in ...
8
Catheter-Associated Urinary Tract Infections (CAUTI)
Walden University
Leadership Competencies in Nursing and Healthcare
NURS-4220-5
Catheter-Associated Urinary Tract Infections (CAUTI)
The healthcare system must provide safe and quality care to all patients. For years, hospitals nationwide have struggled with healthcare-associated infections (HAIs). Since HAIs are considered preventable events in a hospital setting the Centers for Medicare and Medicaid Services (CMS) established reimbursement changes and hospitals are focusing more on patient safety practices and improving processes to have better patient outcomes (Thornlow & Merwin, 2009). According to The Centers for Disease Control and Prevention (CDC, 2017), approximately seventy-five percent of hospital-acquired urinary tract infections are associated with a urinary catheter with a prolonged use being the most critical risk factor for developing a CAUTI. Also, CAUTIs can cause an overabundance of complications included but not limited to gram-negative bacteremia, sepsis, and mortality (Skanlon, 2017). In a long-term acute care hospital (LTACH), prolonged and unnecessary use of indwelling urinary catheters is interrelated with a higher risk of catheter-associated urinary tract infections (CAUTI) and extended lengths of stay (LOS) (Felix, 2016). The purpose of this paper is to reduce the usage of indwelling catheter days and decrease CAUTI rates from 2.48 to below the target rate of 1.71 by utilizing prevention practices in a 72-bed long-term acute care hospital emphasizing on the assurance of a continuous improvement process. This proposal consists of implementing alternatives before deciding to insert an indwelling catheter, utilizing maintenance bundles, and daily assessment of the necessity of the catheter. All these interventions are aiming at preventing and decreasing catheter-associated urinary tract infections (CAUTIs).
The role of nurses in the prevention of CAUTIs is critical; we are the frontline of patient care and safety. Although, sometimes we encounter situations where a CAUTI occurs, the quality of care we provide to our patients reflects by the interventions we take to prevent our patients from getting an infection. Every action we make while providing care for a patient is an essential step in the quality of their care. Most patients admitted into long-term acute care have wounds or infections that require long-term antibiotics. These patients come in from acute care hospitals, and in the majority of the cases patients already have an indwelling urinary catheter, however, there are situations where the patient doesn’t come with an indwelling catheter, and nurses get orders to place one on admission. Finding alternatives to either discontinue or insert a foley is an essential part of the daily nursing assessment and on the hospitalization of these patients. Important factors to consider while assessing the patient are mobility, cognitive status, gender, and wounds.
L.
8
Catheter-Associated Urinary Tract Infections (CAUTI)
Walden University
Leadership Competencies in Nursing and Healthcare
NURS-4220-5
Catheter-Associated Urinary Tract Infections (CAUTI)
The healthcare system must provide safe and quality care to all patients. For years, hospitals nationwide have struggled with healthcare-associated infections (HAIs). Since HAIs are considered preventable events in a hospital setting the Centers for Medicare and Medicaid Services (CMS) established reimbursement changes and hospitals are focusing more on patient safety practices and improving processes to have better patient outcomes (Thornlow & Merwin, 2009). According to The Centers for Disease Control and Prevention (CDC, 2017), approximately seventy-five percent of hospital-acquired urinary tract infections are associated with a urinary catheter with a prolonged use being the most critical risk factor for developing a CAUTI. Also, CAUTIs can cause an overabundance of complications included but not limited to gram-negative bacteremia, sepsis, and mortality (Skanlon, 2017). In a long-term acute care hospital (LTACH), prolonged and unnecessary use of indwelling urinary catheters is interrelated with a higher risk of catheter-associated urinary tract infections (CAUTI) and extended lengths of stay (LOS) (Felix, 2016). The purpose of this paper is to reduce the usage of indwelling catheter days and decrease CAUTI rates from 2.48 to below the target rate of 1.71 by utilizing prevention practices in a 72-bed long-term acute care hospital emphasizing on the assurance of a continuous improvement process. This proposal consists of implementing alternatives before deciding to insert an indwelling catheter, utilizing maintenance bundles, and daily assessment of the necessity of the catheter. All these interventions are aiming at preventing and decreasing catheter-associated urinary tract infections (CAUTIs).
The role of nurses in the prevention of CAUTIs is critical; we are the frontline of patient care and safety. Although, sometimes we encounter situations where a CAUTI occurs, the quality of care we provide to our patients reflects by the interventions we take to prevent our patients from getting an infection. Every action we make while providing care for a patient is an essential step in the quality of their care. Most patients admitted into long-term acute care have wounds or infections that require long-term antibiotics. These patients come in from acute care hospitals, and in the majority of the cases patients already have an indwelling urinary catheter, however, there are situations where the patient doesn’t come with an indwelling catheter, and nurses get orders to place one on admission. Finding alternatives to either discontinue or insert a foley is an essential part of the daily nursing assessment and on the hospitalization of these patients. Important factors to consider while assessing the patient are mobility, cognitive status, gender, and wounds.
L ...
Milestone Scientific Inc. (MLSS) is a biomedical technology research and development company that patents, designs, develops and commercializes innovative diagnostic and therapeutic injection technologies and instruments for medical and dental applications. Milestone's computer-controlled systems are designed to make injections precise, efficient, virtually painless, and less expensive. Milestone’s proprietary DPS® Dynamic Pressure Sensing technology® platform advances the development of next-generation devices, regulating flow rate and monitoring pressure from the tip of the needle, through platform extensions for local anesthesia for subcutaneous drug delivery, with specific applications for epidural space identification in regional anesthesia procedures.
Improving Urinary Catheterization
Reducing Catheter-Related Infections at Amsterdam Nursing Home in New York
Group Members
Introduction
Urinary catheters are vital tools that collect urinary in a drainage bag from the bladder.
They are important for patients with a compromised urinary function.
Urinary Catheters are a double-edged sword:
On the one hand, they simplify the handling of a basic bodily function.
On the other hand, they subject frail patients to the risk of infection, which may lead to death, falls, or confusion. The infection is referred to as catheter-associated urinary tract infections (CAUTI) (Parker et al., 2017).
Problem Statement
Catheter-related infections at Amsterdam Nursing Home in New York are currently quite high.
This project aims to find solutions to lower the current infection rate to manageable levels.
The high infection rates are posing diverse risks to the patients in post-acute and long-term care.
The current situation is leading to negative patient outcomes. It also results in unnecessary high healthcare costs.
Aims Statement
This project aims to decrease the infection rates from the use of urinary catheters from the current 10% infection rate to a maximum of 2% infection rate by the end to a 3 month timeframe in the elderly population at Amsterdam Nursing Home.
Establishing Measures
The following measures will prove that the object is working:
A drop in the infection rates from 10% to 2%.
A significant drop in the current expenditure used to treat complications due to infections (at least 50%).
An increase in patient satisfaction based on a survey to be filled by clients (at least 75%).
Selecting Changes
Appropriate Urinary Catheter Use.
Catheters should only be used for appropriate indications as outlined by the CDC. Also, the duration of use should be minimized in high risk patients.
Proper Techniques for Insertion and Maintenance.
High hygiene levels should be maintained. This is in reference to hand hygiene, use of sterilized products, and general cleanliness in the nursing room.
Also, catheterization should only be done by authorized personnel.
Regular maintenance of the catheters should be done. Catheters should be replaced as necessary (Gould et al., 2010).
Selecting Changes
Quality Improvement (QI) Programs.
All practitioners should be routinely educated on the proper use of catheters.
Appraisal programs should e conducted regularly to evaluate effective catheter use in the nursing home.
Administrative Infrastructure.
Provision of relevant guidelines.
Education and Training.
Sourcing of Supplies.
Surveillance.
Testing Changes
Use of Interworking Model.
Model comprised of Donabedian’s conceptual framework, Watson’s Theory of Caring, and Lewin’s Theory of Change (D'Antonio, 2018).
This model is crucial in re-educating staff to enact change, emphasize a nurse-driven initiative, and to assess quality
Testing Changes
Plan
The objective of testing changes is to see if t ...
1-Evidence-based practice is what keeps the health care system usandibabcock
1-Evidence-based practice is what keeps the health care system up-to-date with technology and best-practices; these practices help improve patient outcomes. The first article that I read was research about improving the procedures for collecting and testing urine specimens. In the study, they observed how the collection method was carried out and how long it took for the specimen to reach the laboratory for testing. It was determined that not only were the collection methods flawed but the specimens were sitting too long at room temperature; both influenced the test results. Having contaminated specimens were producing unreliable test results and people were getting a wrong diagnosis with a wrong treatment plan. This study helped identify the major problems along with creating solutions to those problems: mid-stream clean catch, using straight-catheters, proper way to get a specimen from an indwelling-catheter, and appropriate time for the specimen to sit at room temperature. This research article helped improve patient outcomes because it increased the accuracy of the test results which yielded a more specific diagnosis; appropriate treatments increased patient outcomes. In our facility when we collect a urine specimen we keep the specimen in the refrigerator and call the labs for a stat pick-up.
The second article that I read was on improves patient outcome fall prevention in 65+ adults. A prevalent safety issue is injuries that occur from Falls. Elderly and frail have a higher risk of falls that can lead into hip-fractures or even death. Accidental falls can result from an unsafe environment or environmental risk factors for example low blood pressure, dehydration, impaired mobility, unstable gait to name a few. To prevent/reduce the risk for falls staff need to maintain awareness of the environmental safety. I work in an Assisted living facility we have Fall-Risk Assessment tool that we use for each of our residents. But our main intervention is communication with staff and residents. We ensure that there is no trip hazard, we lower the bed to the lowest position when they are in bed, check their rooms and facility for potential safety issues, have mats on the floors next to their bed.
2-Two areas of nursing practice that have been under scrutiny in my facility involve Catheter Associated Urinary Tract Infections (CAUTIs) and Standard precautions. Both seem like basic concepts, but in nursing, sometimes the “basics” get swept to the back of your mind when you are focusing on other issues involved in patient care. Both of these concepts are integral parts of patient safety, which is and should be our number one priority.
In the healthcare setting, the use of an indwelling catheter can be a necessity on many occasions. As nurses, it is imperative that we assess the need carefully for catheter placement, as well as continuously assess the need for the catheter to remain in place. According to a study put forth by BMC Health Services R ...
Comment1Nursing practice has changed in how nurses handle and ca.docxdivinapavey
Comment1
Nursing practice has changed in how nurses handle and care for central lines as well as how central lines are inserted specifically peripherally inserted central catheters. The reduction of CLABSI’s (central line associated blood stream infection) and the use of an insertion bundle have greatly improved patient outcomes in the last many years. These practice changes have reduced patient mortality and decreased the length of patient stay in the ICU. Through these studies and by implementation of new processes brings awareness to nursing staff on what needs to be done to better care and protect our patients. The findings have changed my overall view of central lines. When I cared for central lines I was more careful at assessing, accessing, documenting and advocating for earlier removal of these devices when no longer needed in my patient. At the hospital where I work, dressing changes of central lines are a two person process and the use of CUROS caps to cover needless connectors or injectable ports on tubing is required to prevent infection. The insertion bundle is utilized by our PICC team who do their part in following strict guidelines when placing the central line catheter.
Comment2
Hospital Acquired Pressure Ulcers (HAPU) is a topic of great concern in health care delivery due health impact and complications on affected patients, as well as the cost and reimbursement issues. The costs of pressure ulcers are extremely high. Patients die from sepsis related to pressure ulcers that become chronic. According to National Pressure Ulcer Advisory Panel 2017, more than 2.5 million patients develop pressure injury (PI) a year, national incidence rate of 2.5% in hospitals, and 60, 000 death a year (William Padula, John Hopkins University). PI injury cost US Health system $9-11 billion a year. In an effort to prevent HAPU, death caused by sepsis related to pressure ulcers, Stage II and III pressure Ulcers are among the eight preventable conditions identified by Medicare and Medicaid which extra payment are eliminated. Medicare and Medicaid stop reimbursing hospitals for certain hospital-acquired conditions considered preventable in the hospital setting, private insurance also follow this step. Pressure ulcers are a potential complication of prolonged bed rest and are included in the category of hospital-acquired conditions. Incontinent patients are especially prone to pressure ulcers if moisture is not managed adequately. The key to prevent pressure entails is to first identify patients at risk; and second implementing strategies for all patients who are identified at risk. Health care delivery has the duty to focus patient care to prevent PI by inspecting skin daily, managing moisture on skin, conducting a pressure ulcer admission assessment for all patients, minimizing pressure, optimizing nutrition and hydration, reassessing risk for all patients daily. Following these steps help improving patient care and prevent in ...
8
Catheter-Associated Urinary Tract Infections (CAUTI)
Walden University
Leadership Competencies in Nursing and Healthcare
NURS-4220-5
Catheter-Associated Urinary Tract Infections (CAUTI)
The healthcare system must provide safe and quality care to all patients. For years, hospitals nationwide have struggled with healthcare-associated infections (HAIs). Since HAIs are considered preventable events in a hospital setting the Centers for Medicare and Medicaid Services (CMS) established reimbursement changes and hospitals are focusing more on patient safety practices and improving processes to have better patient outcomes (Thornlow & Merwin, 2009). According to The Centers for Disease Control and Prevention (CDC, 2017), approximately seventy-five percent of hospital-acquired urinary tract infections are associated with a urinary catheter with a prolonged use being the most critical risk factor for developing a CAUTI. Also, CAUTIs can cause an overabundance of complications included but not limited to gram-negative bacteremia, sepsis, and mortality (Skanlon, 2017). In a long-term acute care hospital (LTACH), prolonged and unnecessary use of indwelling urinary catheters is interrelated with a higher risk of catheter-associated urinary tract infections (CAUTI) and extended lengths of stay (LOS) (Felix, 2016). The purpose of this paper is to reduce the usage of indwelling catheter days and decrease CAUTI rates from 2.48 to below the target rate of 1.71 by utilizing prevention practices in a 72-bed long-term acute care hospital emphasizing on the assurance of a continuous improvement process. This proposal consists of implementing alternatives before deciding to insert an indwelling catheter, utilizing maintenance bundles, and daily assessment of the necessity of the catheter. All these interventions are aiming at preventing and decreasing catheter-associated urinary tract infections (CAUTIs).
The role of nurses in the prevention of CAUTIs is critical; we are the frontline of patient care and safety. Although, sometimes we encounter situations where a CAUTI occurs, the quality of care we provide to our patients reflects by the interventions we take to prevent our patients from getting an infection. Every action we make while providing care for a patient is an essential step in the quality of their care. Most patients admitted into long-term acute care have wounds or infections that require long-term antibiotics. These patients come in from acute care hospitals, and in the majority of the cases patients already have an indwelling urinary catheter, however, there are situations where the patient doesn’t come with an indwelling catheter, and nurses get orders to place one on admission. Finding alternatives to either discontinue or insert a foley is an essential part of the daily nursing assessment and on the hospitalization of these patients. Important factors to consider while assessing the patient are mobility, cognitive status, gender, and wounds.
L.
8
Catheter-Associated Urinary Tract Infections (CAUTI)
Walden University
Leadership Competencies in Nursing and Healthcare
NURS-4220-5
Catheter-Associated Urinary Tract Infections (CAUTI)
The healthcare system must provide safe and quality care to all patients. For years, hospitals nationwide have struggled with healthcare-associated infections (HAIs). Since HAIs are considered preventable events in a hospital setting the Centers for Medicare and Medicaid Services (CMS) established reimbursement changes and hospitals are focusing more on patient safety practices and improving processes to have better patient outcomes (Thornlow & Merwin, 2009). According to The Centers for Disease Control and Prevention (CDC, 2017), approximately seventy-five percent of hospital-acquired urinary tract infections are associated with a urinary catheter with a prolonged use being the most critical risk factor for developing a CAUTI. Also, CAUTIs can cause an overabundance of complications included but not limited to gram-negative bacteremia, sepsis, and mortality (Skanlon, 2017). In a long-term acute care hospital (LTACH), prolonged and unnecessary use of indwelling urinary catheters is interrelated with a higher risk of catheter-associated urinary tract infections (CAUTI) and extended lengths of stay (LOS) (Felix, 2016). The purpose of this paper is to reduce the usage of indwelling catheter days and decrease CAUTI rates from 2.48 to below the target rate of 1.71 by utilizing prevention practices in a 72-bed long-term acute care hospital emphasizing on the assurance of a continuous improvement process. This proposal consists of implementing alternatives before deciding to insert an indwelling catheter, utilizing maintenance bundles, and daily assessment of the necessity of the catheter. All these interventions are aiming at preventing and decreasing catheter-associated urinary tract infections (CAUTIs).
The role of nurses in the prevention of CAUTIs is critical; we are the frontline of patient care and safety. Although, sometimes we encounter situations where a CAUTI occurs, the quality of care we provide to our patients reflects by the interventions we take to prevent our patients from getting an infection. Every action we make while providing care for a patient is an essential step in the quality of their care. Most patients admitted into long-term acute care have wounds or infections that require long-term antibiotics. These patients come in from acute care hospitals, and in the majority of the cases patients already have an indwelling urinary catheter, however, there are situations where the patient doesn’t come with an indwelling catheter, and nurses get orders to place one on admission. Finding alternatives to either discontinue or insert a foley is an essential part of the daily nursing assessment and on the hospitalization of these patients. Important factors to consider while assessing the patient are mobility, cognitive status, gender, and wounds.
L ...
Milestone Scientific Inc. (MLSS) is a biomedical technology research and development company that patents, designs, develops and commercializes innovative diagnostic and therapeutic injection technologies and instruments for medical and dental applications. Milestone's computer-controlled systems are designed to make injections precise, efficient, virtually painless, and less expensive. Milestone’s proprietary DPS® Dynamic Pressure Sensing technology® platform advances the development of next-generation devices, regulating flow rate and monitoring pressure from the tip of the needle, through platform extensions for local anesthesia for subcutaneous drug delivery, with specific applications for epidural space identification in regional anesthesia procedures.
Improving Urinary Catheterization
Reducing Catheter-Related Infections at Amsterdam Nursing Home in New York
Group Members
Introduction
Urinary catheters are vital tools that collect urinary in a drainage bag from the bladder.
They are important for patients with a compromised urinary function.
Urinary Catheters are a double-edged sword:
On the one hand, they simplify the handling of a basic bodily function.
On the other hand, they subject frail patients to the risk of infection, which may lead to death, falls, or confusion. The infection is referred to as catheter-associated urinary tract infections (CAUTI) (Parker et al., 2017).
Problem Statement
Catheter-related infections at Amsterdam Nursing Home in New York are currently quite high.
This project aims to find solutions to lower the current infection rate to manageable levels.
The high infection rates are posing diverse risks to the patients in post-acute and long-term care.
The current situation is leading to negative patient outcomes. It also results in unnecessary high healthcare costs.
Aims Statement
This project aims to decrease the infection rates from the use of urinary catheters from the current 10% infection rate to a maximum of 2% infection rate by the end to a 3 month timeframe in the elderly population at Amsterdam Nursing Home.
Establishing Measures
The following measures will prove that the object is working:
A drop in the infection rates from 10% to 2%.
A significant drop in the current expenditure used to treat complications due to infections (at least 50%).
An increase in patient satisfaction based on a survey to be filled by clients (at least 75%).
Selecting Changes
Appropriate Urinary Catheter Use.
Catheters should only be used for appropriate indications as outlined by the CDC. Also, the duration of use should be minimized in high risk patients.
Proper Techniques for Insertion and Maintenance.
High hygiene levels should be maintained. This is in reference to hand hygiene, use of sterilized products, and general cleanliness in the nursing room.
Also, catheterization should only be done by authorized personnel.
Regular maintenance of the catheters should be done. Catheters should be replaced as necessary (Gould et al., 2010).
Selecting Changes
Quality Improvement (QI) Programs.
All practitioners should be routinely educated on the proper use of catheters.
Appraisal programs should e conducted regularly to evaluate effective catheter use in the nursing home.
Administrative Infrastructure.
Provision of relevant guidelines.
Education and Training.
Sourcing of Supplies.
Surveillance.
Testing Changes
Use of Interworking Model.
Model comprised of Donabedian’s conceptual framework, Watson’s Theory of Caring, and Lewin’s Theory of Change (D'Antonio, 2018).
This model is crucial in re-educating staff to enact change, emphasize a nurse-driven initiative, and to assess quality
Testing Changes
Plan
The objective of testing changes is to see if t ...
Here I am trying to explain how Medical Negligence and Medical Ethics are interlinked and why doctors must do all they can to defend our ethics. I am sharing case history, every day clinical examinations and management of common illness to explain why they are unethical medical practice.
Since I published a letter in 1996, critisising the use of preprinted assessment sheet, allowing nurses to work like doctors in the NHS(UK), the number of deaths, complications and wrong doings has escalated to catastrophic proportions. Doctors who continue to work are suffering in silence. The ones who raised concern were systamatically harassed, bullied and ostracised.
The institutions, associations, nursing council and the Royal Colleges and the WMA have ignored their duty to protect fellow human. I do not think we can claim to be members of a "Noble Profession" if we allow this un-ethical medical practice continues.
The General Medical Has not only ignored their duty to protect fellow human but also discriminated doctors passing out from Non-European medical schools by allowing nurses to work like doctors. This institution has failed to define the word "Doctor" and has inflicted pain and suffering to doctors who defend their moral and ethical duty.
Our profession and our lives are threatened by emerging and antibiotic resistant infections. We must join hands and defend our profession. By allowing nurses with no medical school training or skill to clinically examine patients to diagnose and prescribe drugs, we have failed to protect fellow human who trust our profession. This is substandard, un-ethical medical practice that has brought us shame must be stopped.
Please leave your comments and criticise me if I am wrong. As a Hindu Brahmin, it is my religious duty to defend "Dharma", protect the sick and vulnerable. Please watch this presentation and ask your self have you fulfilled your promise and are you defending your faith?
The Internet Of Things represents a major departure in the history of the Internet, as connections move beyond computing devices, and begin to power billions of everyday devices, from parking meters to home thermostats to healthcare
Estimates for Internet of Things or IoT market value are massive, since by definition the IoT will be a diffuse layer of devices, sensors, and computing power that overlays entire consumer, business-to-business, and government industries. The IoT will account for an increasingly huge number of connections: 1.9 billion devices today, and 9 billion by 2018. That year, it will be roughly equal to the number of smartphones, smart TVs, tablets, wearable computers, and PCs combined.
In a new report from BI Intelligence, we look at the transition of once-inert objects into sensor-laden intelligent devices that can communicate with the other gadgets in our lives.
Why Healthcare Service all over the world is failing to deliver quality care? The main reason is because there are too many people offering advice and treatment with no knowledge of how, why and what happens in our body. Prescribing drugs is not healthcare. Virtual NHS is a portal to help doctors to take control of their profession and offer the best service they promised to deliver.
I have been subjected to harassment, bullying, black mailed and threatened by nurses and their associates because I raised concern to help reduce wrong doings that went in in the NHS since 2003. Unfortunately, thousands of people who accessed healthcare in the NHS(UK) needlessly died. There must be thousands of people suffering complications.
Using our tools and this Virtual NHS Apps will help protect you from atrocities.
Please visit and share this presentation with your doctor, family ad friends
NHS in UK is in the brink of collapse. GP are said to be offering advice via internet, Skype and smart phone. We raised concern about mistakes that occur when doctors and nurses offer advice using protocol or algorithms but the people in power, managers and nurse leaders do not accept there exist any problem. Please be warned, the days of abusing antibiotics are gone. Doctors are finding it hard to offer the right treatment due to bacteria developing resistance. Please register and check out our tool MAYA..
Child abuse both physical and sexual has been increasing all over the world. I think this is mainly because parents with young children are isolated and are finding it hard to cope on their own.
Political and media hype has resulted in doctors and other agencies involved in the care of children ignoring or not trained to recognise early signs. This often result is prolonged agony and may result in tragic consequence.
When these neglected children grow -up and decide to go on a rampage killing innocent people, the leaders and media use the opportunity to promote themselves and criticise the offender.
I have personally experienced the difficulties of defending my ethical duty and know how difficult this can be to stand alone and defend the care of a helpless children. I have published this slide presentation to teach every responsible adult to help protect the life of innocent children.
Let us stop breeding monsters and create a world filled with joy and laughter of happy children.
All about the future of healthcare. We have been living under an illusion that doctors help save your life. I have been working as a dcotor for almost 30 years and have realised that this is an illusion and the reality is that we now are threatened by microorganisms that kill fast.
Let us joint hands and see how we can help defend our children and ourselves in the future.
It's NOT war, terrorist, credit crunch or the global warming that threaten our existence, but microscopic creatures that live almost everywhere on the planet. They are immune to most antibiotic, antiseptic and are colonised in rivers, soil and sewers. They are spreading all over the world with alarming rate. Infectious disease is now the second leading cause of death worldwide. These bacteria swap genes without going through the stages of reproduction and infect patients with Swine flu. They infect and kill young healthy adults and children in seventy two hours.
Understanding how they spread and why this happened will help you save your family, friends and yourself.
"Knowledge of Health is Knowledge of Life"
U-Cannula Designed to reduce trauma to patients and spreading hospital antibi...Dr Kadiyali. M. Srivatsa
Spreading antibiotic resistant bacterial infection is rapidly increasing. We have developed a simple method to reduce number of attempts required to insert IV Cannula and catheters
Israel officially the State of Israel has Lebanon in the north, Syria in the northeast, Jordan in the east, and Egypt on the southwest, and contains geographically diverse features within its relatively small area. Also adjacent are the West Bank to the east and Gaza Strip to the southwest.
With a population of about 7.28 million, the majority of whom are Jews, Israel is the world\'s only Jewish state.
After World War I, the League of Nations approved the British Mandate of Palestine with the intent of creating a "national home for the Jewish people." In 1947, the United Nations approved the partition of Palestine into two states, one Jewish and one Arab. On May 14, 1948 the state of Israel declared independence and this was followed by a war with the surrounding Arab states, which refused to accept the plan. Since then, Israel has been in conflict with many of the neighboring Arab countries, resulting in several major wars and decades of violence that continue to this day.
This may sounds like a B-movie on the Sci-Fi Channel, but the CA-MRSA scare is all too real - one of several health alerts this year that proved just how vulnerable we are despite all our scientific know-how and advances in medicine. Bacteria, living organism made of one cell has mastered gene manipulation, enzyme technology, personal defence and technology transfer.
All invasive practical procedures, operations, plastic surgery, transplant surgery, hip or knee replacement, open heart surgery will soon come to a grinding halt. The very technology we’ve created to help us live more comfortable and, yes, often healthier lives will turn around and bite us-hard..........