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Old 11-04-2012, 04:47 PM
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Reflect on your practice and identify a significant clinical issue that you would like to search for evidence in online sources. This issue will be the basis for the Research Database Assignment that you will submit in Week 5. Describe what makes your issue significant, e.g., the seriousness, the number of people affected, the gaps in knowledge, etc.
I need some ideas on things that I can research. Someone has already posted about the use of hand sanitizer, another about wound care in the home. My lack of experience as an RN is hindering me here when considering an issue to think about. Perhaps infection control, but what about it? What specifically so that I can focus my research.... or something about patient outcomes... errr... help? ideas?
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Old 11-04-2012, 05:12 PM
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What are significant issues in your hospital. Catheter related UTI's? Ventilator accquired pneumonia? Central line infections? Spread of MRSA or VRE? Medication distribution system (is it confusing? are there similar dosages or meds stored in close proximity?) How does the shift work affect the staff? Are higher acuity patients always located in other areas? If not do they adjust the number of patients one nurse may have if she has a patient with a higher acuity? Just a few things to think about....
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Old 11-04-2012, 05:15 PM
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If I remember correctly, I used Hospital Acquired Infections. There lots of research plus the new Medicare rules of not paying for HAI's.
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Old 11-04-2012, 06:20 PM
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I wonder if studying MRSA would be a good one. I read some article recently in a journal that argued that sufficient hand washing was enough to keep it from spreading, that isolation was not necessary. Then on top of it my hospital will isolate for Hx of, even if it was in a wound that has been closed for YEARS, if the patient has a Hx, they are isolated. It's a little crazy...

Great ideas you guys gave. I need to think about this some more and ponder the possibilities.
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Old 11-04-2012, 07:33 PM
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Originally Posted by SVL View Post
I wonder if studying MRSA would be a good one. I read some article recently in a journal that argued that sufficient hand washing was enough to keep it from spreading, that isolation was not necessary. Then on top of it my hospital will isolate for Hx of, even if it was in a wound that has been closed for YEARS, if the patient has a Hx, they are isolated. It's a little crazy...

Great ideas you guys gave. I need to think about this some more and ponder the possibilities.

HELL does this too....the VA does not.. if you have 3 clean nasal swabs, you're out of isolation...

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Old 11-04-2012, 07:50 PM
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I went with "How can we prevent non-socomial infections?" and my basis for the research was that it was costly for the hospital and community. I found a source saying it cost us about $4.5 billion per year, and then also because they can be fatal with a source saying it cost us about 90k lives per year. I think it will be a good topic. My hospital also has a good infection control department that I'm sure I could gather some data from them about my hospital specifically. :) Thanks for the ideas everyone.
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