What types of infection control practices will be important first steps for this admission?

The nurse in charge of Jane Hicks' admittance to the rehabilitation unit of the NJD Rehab/Skilled care
facility should employ isolation measures and hand washing protocols as the first and most critical
infection control techniques to avoid the transmission of MRSA. Important measures should be taken to
avoid the spread of MRSA from Jane's sacral stage 3 pressure ulcer lesion, which has tested positive for
the bacteria in culture. When Jane Hicks arrives at the rehabilitation wing of the NJD Rehab/Skilled care
facility, she should be placed on isolation measures as soon as possible to prevent the spread of
infection. The patient will either be given their own room or placed in a cohort with others who have the
same virus. To stop the transmission of Jane's MRSA to other patients, staff, and visitors, she has to be
isolated in her own room. When paying a visit to Jane, guests should be briefed on the safety measures
in place and shown how to properly don any necessary PPE. Staff members should also be educated on
how to prevent the spread of MRSA through the use of personal protective equipment and other
infection control measures.

For Jane Hicks' admittance, hand cleanliness is another crucial infection control precaution. Proper hand
sanitation involves washing with detergent and water or an alcohol-based hand sanitizer. Before treating
a patient, after leaving the patient's room, and after taking off protective equipment like gloves, it's
important to wash your hands thoroughly. The spread of MRSA and other infections can be mitigated
with regular hand washing and drying.

In order to avoid the spread of illness, environmental cleaning and disinfection procedures are also
crucial. Jane's room needs a complete cleaning and disinfecting, with specific attention paid to often
touched areas like the bed rails, doorknobs, and light switches. Cleaning and disinfection procedures
should be tested for their efficacy by exposing staff members to mock tests.

What approaches, if any, would you take to change Jane’s scenario to promote positive outcomes?

Implementing evidence-based protocols for the prevention and treatment of pressure ulcers, such as the
use of pressure-reducing devices, turning and repositioning schedules, and proper wound care practices,
would be the first step I would take to alter Jane's scenario for the better. In addition, I would coordinate
with other specialists to find solutions to Jane's mobility issues and fall risks, such as providing physical
and occupational therapy. In addition, I would see to it that Jane's difficulties with memory and hearing
are appropriately handled so that she receives the care she needs and is able to effectively express what
she requires.

Based on Jane’s scenario and the past three years data presented in the scenario, describe any
opportunities for improvement in the workplace nursing care.

Several areas of nursing at Jane's workplace show promise for enhancement in light of the scenario data
and trends over the past three years. One possibility is to institute stricter measures for preventing and
controlling infections, such as more frequent monitoring of infection rates and the dissemination of
relevant information to staff and residents. To ensure that patients like Jane receive continuous and
coordinated treatment across the continuum of care, there is room for improvement in the coordination
and communication between healthcare providers such as hospitals and skilled nursing institutions.

What measures would you implement to evaluate the nursing performance?

frequent audits of infection control activities, such as hand hygiene compliance and environmental
cleaning, and frequent assessments of pressure ulcer prevention and treatment techniques can be
implemented to evaluate nursing performance. Furthermore, the quality of care rendered can be
assessed and improvement points pinpointed by means of patient satisfaction surveys. Improved nursing
outcomes may be maintained with the help of continued staff education and training on evidence-based
methods.

References