Mr. Jones is a 72 calendar year old Gentleman who was simply cared for in an acute medical setting up, to ensure patients confidentiality is retained (NMC2009) his name has been modified.
Infection control is a simple facet of a nurse's role, as well as the responsibility of everyone who works within healthcare systems (Office of Health (DH) 2006a).
Infection control and preventing all infection remains a significant goal within all health care settings, and is situated with all healthcare specialists and personnel's responsibility to ensure this is achieved. The NHS and medical care systems have specialised infection control clubs to ensure a highly effective infection control program has been prepared and integrated, also regularly evaluate the effectiveness of programs and upgrade their findings. Chlamydia elimination and control team provides advice about the protection and management of infection including outbreaks of diarrhoea and vomiting, as well as promoting education and understanding to patient's and carers. They work directly with staff and senior users of the medical placing to ensure that right policies and methods are adhered to. (www. nhs. uk/infection-prevention-and-control/).
Healthcare consists of a multi disciplinary team and everything professionals must interact in order to encourage the effectiveness of the infection control programme is achieved. Microbiology has become an advanced research in the analysis of attacks and the management of their control in the hospital setting, the analysis of living organisms that are so small that can not be seen by the naked eyes, Microbes are everywhere you go, they could survive in nearly every conceivable environment(J. Wilson). Many varieties of bacteria prevails as well as virus and other micro organisms, but because of advance scientific findings an extremely small proportion cause disease and contamination (J. Wilson).
The university student nurse acted properly and was alert to following the NMC guidelines at all times within the clinical area of positioning, and adhering to confidentiality recommendations and ethical insurance plan.
The learner nurse was called to aid Mr. Jones who acquired alerted the personnel on the ward that he was in need of assistance in the bathroom. When entering the room it was obvious to the student nurse that Mr. Jones was distressed. Mr. Jones had been incontinent and defecated on to the floor of the toilet and bordering area. The pupil nurse gave reassurance to Mr. Jones to encourage the pain relief of his anxiousness and problems, making the health care of people your first concern, treating people kindly and considerately. (NMC2009).
According to the Bristol feces chart the stools that Mr. Jones experienced approved were type 7, the Bristol stool graph shows seven types of stool and originated by K. W Heaton and S. J Lewis at the School of Bristol and first shared in the Scandinavian journal of Gastroenterology in 1997. Types 5-7 based on the Bristol stool chart may suggest diarrhoea and urgency, with stools approved watery with no solid parts which presents entirely liquid.
The Bristol feces chart is an extremely useful guide as developing a reference to comply with gives the professional medical professional a much better understanding and descriptive way of transferring on information regarding their patient, significant amounts of information can be learned by the regularity of the patients stool concerning signify if their is any reason to be concerned, Clostridium difficile can be an infection which is seen within the medical care setting including the hospital or caution home, and was initially recognized in the late 1970s, it generally does not present problems in a wholesome person but can present a problem in people who have been taking permanent antibiotics, as this can hinder good bacterias within the gut which can encourage C. difficile bacterias to multiply and produce contaminants which in turn causes diarrhoea and vomiting, C. difficile is more prevalent in the over 65 age group, and can be spread through cross contaminants from patient contact, via medical personnel or via polluted surfaces within the surroundings. (www. nhs. uk/conditions/clostridium-difficile). Medical conditions are constantly battling against outbreaks of infection with applying effective control steps which the infection control teams have implemented in rules from insurance policy and procedures, oftentimes time of outbreaks can not be established but effective control methods can prevent the spread of an infection to other areas, Norovirus which can present huge problems and stress to the medical care preparing can usually be established to provide in the winter months, vomiting and diarrhoea can present any moment outside this time around frame and strategies is a duty of good care to adhere to, to minimise the chance of the pass on of contamination. An outbreak within the specialized medical setting up may be thought as 'two or more conditions of the same an infection which are connected in time and place' and any suspicion of an outbreak must be reported and documented to the relevant departments. (The Health Function 2006).
Having identified the risks of potential cross contamination and infection the student nurse motives were to ensure that the necessary precautions were adhered to. Defensive clothing such as gloves and aprons should be worn relative to the standard universal precautions policy. Personnel can be vulnerable to infection or transference of pathogens if they do not adhere to good disease control procedures. "Essential skills clusters for nurses".
The pupil nurse prior to assisting Mr. Jones any further made sure satisfactory protective clothing was worn with placing gloves and apron on. Wearing uniforms or defensive personal clothing is influenced by current legislation. (Health insurance and Safety at work Act 1974). The university student nurse had made a decision not to wear 'added' protective clothing such as this example her personal judgement didn't feel it necessary, face masks and eyes protection aren't always necessary for most intervention or activity to avoid cross an infection, however, when there is a likelihood of unintentional splashes from blood vessels, body fluids, secretions and excretions to the face they must be worn. (Arrowsmith 2005, p. 81, Pratt et al. 2007).
The first top priority of the nurse is the individual, so that they feel comfortable and less distressed about the problem, Make the attention of men and women your first matter, treat people as individuals and respect their dignity (NMC 2009). It really is an over-all legal and honest rule that valid consent must be obtained prior to starting treatment or providing personal look after a patient. Detailing plainly the student's motives to Mr. Jones was important to ensure that Mr. Jones was up to date and consented to the scholar nurse supporting with personal treatment he was to receive, you must ensure that you gain consent before you commence any treatment or treatment (NMC2008). Mr. Jones mental capacity was at a reasonable level to have the ability to comprehend what possessed just occurred and made the knowledgeable personal choice that the learner nurse could assist him with resolving the problem that he previously found himself in, For consent to be valid, it must be voluntary and educated, and the individual consenting must have the capacity to make the decision. ( www. nhs. uk/conditions/consenttotreatment).
The cleanliness needs of Mr. Jones were satisfied, using cleaning soap and normal water and clean underwear and gown was offered. Hygiene needs are an important important role of the nurse, and the protection of the skin and ensuring the patients skin area is left clean and dry. Skin care is critically important, keeping in mind to cleanse and protect your skin, especially if the skin has been exposed to urine or feces, also being aware of damaged pores and skin, which can lead to infection, especially serious among the elderly. Aswell as infection it is essential to promote preventing skin breakdown, again, especially within older people. The occurrence of urine and faeces on the skin escalates the normal PH of 4. 0 -5. 5 and makes your skin wet. The rise of PH and surplus moisture escalates the risks of tissue breakdown and disease. (Ersser et. al. 2005). This also ensured that cross contamination of any possible an infection did not cross onto anybody on the ward and contaminants of the surfaces at Mr. Jones bed space. Bacteria may multiply swiftly to make a source of illness, provided that a suitable vehicle transfers them to a vulnerable site on the patient. (Illness control in clinical practice, J. Wilson).
Appropriate handling of contaminated items is the main element to minimise the risk of transmission and cross contaminants within the medical area and responsibility of the student nurse and all other personnel within the professional medical areas, removal of gloves and aprons after use should be subjected of in the nearest specialized medical throw away bin and soiled linen placed in a red linen tote. Contamination of the surroundings is a required obligation of the nurse and the relevant local personnel on the ward was up to date of the region of risk, NHS Infection control precautions insurance policy says, that spillages of faeces and/or vomit must be washed up immediately using detergent and drinking water. The region should then be disinfected using a hypochlorite 10, 000ppm (Antichlor Plus) solution. Prior to the pupil nurse escorting Mr. Jones back to his foundation space within the ward necessary and essential hand cleansing was carried out thoroughly and encouragement for Mr. Jones to carry out the same safety measures were implied, by doing so this step discouraged transmission of pathogens and possible cross contamination. Palm decontamination is a low tech clinical intervention that can prevent transmitting of illness (DH2006b). Unclean hands have been proven to be always a significant vehicle for the transmitting of micro organisms and contribute to outbreaks of disease in healthcare conditions. (Pratt et al 2007).
A healthcare professionals role and responsibility is to collaborate with those their care and attention at all times also to encourage education and understanding about their individual promotion of health and wellness, NMC, Expectations of do, performance and ethics areas that, you must support people in caring for themselves to boost and keep maintaining health, and recognise and respect the contribution that folks make with their own attention and wellbeing. The learner nurse pushing Mr. Jones to clean his hands and help with his personal care can encourage promoting Mr. Jones independence and mental wellbeing as well as encourage the knowledge of the value of discouraging of combination contamination within the environment.
A senior person in the nursing personnel was immediately enlightened about the situation with Mr. Jones as the info was important with the treatment he was presently receiving and highly relevant to any future good care that he was going to get, as well as the possible risk of infections as type 7 feces poses to the surroundings. The necessity to respect individuals confidentiality is a duty of good care to the individual so that it would be essential to ensure the patient was informed that any information passed on was in their best interest, NMC 2010 states, you must be sure people are educated about how and just why information is distributed by those who'll be providing their good care and you simply must disclose information if you believe someone may be vulnerable to harm, good law of the united states where you are practising.
