Jared Griffin Guided Reflection Questions Scenario Analysis Questions EBP/s what

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Jared Griffin Guided Reflection Questions Scenario Analysis Questions EBP/s what priority problem(s) did you identify for Jared Griffin? ESPIS What potential problems could arise from improper infection control practices EBP Discuss the relationship between the spread of hospital-acquired infections (MAS) and proper infection control. PCCIT &C; Discuss the importance of patient education on proper infection control practices ??? what other interprofessional team members should be involved in lared Griffin's care? Concluding Questions Describe how you would apply the knowledge and skills that you obtained in Jared Griffin's case to an actual patient care stuation Sccnario Situation: Jared Griffin is a 63-year-old African American male who had a right total knee arthroplasty (TKA) yesterday morning Background: Mr. Griffin has a history of MRSA, which was diagnosed 3 years ago when he had surgery for a hammer toe. A nasal swab was done in the office during his recent preoperative check that came back positive for MRSA. Decolonization protocol was initiated prior to the admission for the total knee procedure and he is currently under contact precautions per hospital policy. He has a history of osteoarthritis and mild Assessment: Mr. Griffin is afebrile with a temp of 37.2 C (99.8 F), and vital signs have been stable during the night. Pain level has been at a 2-3. He has dangled his feet off side of the bed and will have physical therapy in his room at 1000. He has been able to bend his knee to a 75-degree angle and the goal is 90 degrees. The surgeon changed Mr. Griffin's dressing, and discontinued the drain and IV fluids, at 0700 on his morning round. His labs just came up, but I haven't had a chance to look at them yet Recommendation: You'll need to go in and do your morning assessment. Continue with contact precautions, and observe for signs and symptoms of infection. analysis questions

Explanation / Answer

MRSA (Methycillin Resistant Staphylococcus aureus) is an infection which has no oral medication to cure, but it is generally treated by shower with Bactorub or Microbat and applying To.Bact ointment on nares , axilla and groin region.

After completing the course the swab are taken and tested whether it has resided or needed further treatment.

It is easily transferred by contact with an infectious person.

The priority problem identified is infection which has lead to a rise in body temperature.The presence of organism in his body already is a causative agent.

When improper infection control practice is done it may lead to spread of infection to other person.So the practice of hand hygiene,hand wash,use of personal protective equipment as per the standard and need has to be used to avoid cross iinfections.

Hospital Acquired Infection is an individual getting infection after admission.when poor infection control practice is followed anyone can get infections easily.so the HAI has a direct link with infection control practice in a hospital.

A infection control team including an Infection Control Nurse has to report to the concerned department to raise an alert and treat patients effectively.The Nursing Aide,Care taker, relative has to take general precautions.

Taking this case as an example a strict infection control practice is to be followed. Patients who has previous history,any invasive lines in the body,any sort of wound on admission has to be screened for MRSA to avoid problems later.

The signs and symptoms of infection can be identified in the following way

*Vital signs TPR, BP

here patient has mild fever 99.8. degree Fahrenheit

Lab value like

TLC is increased when there is infection

General observations like

redness, swelling,pain or tender, discharge are common things to be assessed in morning assessment.

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