Monday, December 30, 2019
Diversity - 789 Words
Based on the article, Mindful Reflection as a Process for Developing Culturally Responsive Practices, prepare a 500-750-word reflective essay. Within your essay, address the following: * Describe personal frames of reference regarding cultural, linguistic, and gender differences; * Reflect upon how these differences influence your ability to create a learning environment that respectfully encompasses cultural and other individual differences; and * Describe specific ways to incorporate your students abilities, interests, and cultural and linguistic backgrounds into the learning environments. Support your essay with 3-5 scholarly resources, including the Dray and Wisneski reading. Prepare this assignment according to theâ⬠¦show more contentâ⬠¦30). It is important to recognize that attributions can be negative or positive and may lead to overgeneralizations and prejudice, which classroom teachers should minimize (Dray amp; Wisneski, 2011, p. 31). Diversity challenges can be affected by misunderstandings in difference of gender, race, class, geographic location, language, religion, family structures, abilities, and family/personal history (Dray amp; Wisneski, 2011, p Teachers should also understand the deeper meaning of behavior in daily classroom interactions of students who may or may not be labeled with a disability but who present behavior challenges in the classroom (Dray amp; Wisneski, 2011, p. 31). The educator must not blame or label the student or the behavior (Dray amp; Wisneski, 2011, p. 31). Educators must constantly engage in self-reflection about their assumptions and attitudes toward students (Dray amp; Wisneski, 2011, p. 31).. 28). Consider talking with other professional personnel who specialize in multiculturalism (Dray amp; Wisneski, 2011, p. 33). Share your interpretations in a spirit of collaboration to learn from family members about their expectations and norms for behavior (Dray amp; Wisneski, 2011, p. 33). After teachers have considered alternative explanations and developed a different interpretation of a situation, they are able to change their behavior (Dray amp; Wisneski, 2011, p. 33). Educators should viewShow MoreRelatedDiversity And Diversity For A Company873 Words à |à 4 PagesDiversity is a key contributor in todayââ¬â¢s workforce. Many factors effect diversity and there are guidelines a company can follow to ensure it is diverse. Diversity and inclusion can be tools to create a competitive advantage for a company and can help solve issues by looking at problems from different perspectives. It also contributes to the employees by allowing for work with many types of people. According to Phillips and Gully (2014) ââ¬Å"Diversity awareness enables you to hire, retain and motivateRead MoreDemographic Diversity And Cultural Diversity1700 Words à |à 7 PagesDEMOGRAPHIC AND CULTURAL DIVERSITY GOPI KRISHNA CHALLA RIVIER UNIVERSITY Demographic and Cultural Diversity ABSTRACT The research is concerning Organizational Behavior which includes unusual types of Organizations with dissimilar types of public behaviors. Among that Demographic Diversity and Cultural Diversity of an Organization is extremely significant to turn into a triumphant organization or company in the marketplace Especially the Demographic and Cultural Diversity show the in good physicalRead MoreEssay on Diversity in the Workplace1258 Words à |à 6 Pages Diversity in the workplace is a subject that has gained increased attention in the workplace over the past few years. After all, the impact of affirmative action and equal employment opportunity programs on the nations work force is undeniable. Women and minorities were the first to dramatically alter the face of the economic mainstream, while gays, persons with disabilities and senior citizens followed not far behind. The result is a diverse American labor force representing a microcosm of ourRead MoreDiversity And Cultural Diversity1 288 Words à |à 6 PagesCultural diversity is defined as ââ¬Å"the existence of a variety of cultural or ethnic groups within a societyâ⬠(Google diversity). As we continue down the path of globalization it becomes important to reflect on the ever-changing landscape of society and the values people may have in them. This applies both towards society and the work place in which society must operate. Companies like Ernst Young, ATT, and Comcast acknowledge the changing landscape and are leading the charge towards becoming aRead MoreDiversity and Inclusion Paper1085 Words à |à 5 PagesThinking About Diversity and Inclusion Paper SOC/315 December 15, 2010 Professor Dr. Lorthridge Introduction This paper will discuss and focus on the four dimensions of diversity: ethnicity, gender, differences in skills, abilities and personality traits and how they have an impact in my workplace. To be able to go further in this paper one should understand the definition of diversity. Diversity is a variety between people associated to factors such as culture, employment status, educationRead MoreThe Diversity Audit Project : Starbucks1406 Words à |à 6 Pagesof the diversity audit project is to teach students how to analyze and measure diversity efforts of potential employers and as potential customers. In this globalizing world these skills are more important than ever. Many companies are making changes to diversify their employees and their customer base; this project is focused on investigating one companyââ¬â¢s efforts. After this project students can expect to have gained a deeper knowledge of how to measure a companyââ¬â¢s level of diversity and analyzeRead MoreThe Impac t Of Workplace Diversity On The Workplace997 Words à |à 4 Pages Workplace diversity is a term which describes the inclusion of people in the workplace regardless of their cultural differences such as gender, race and sexuality. Rather than disregarding them, diverse workplaces utilise these differences to widen the range of experiences and skills among their employees as stated by the Australian Breastfeeding Association (2012). Some professions, however, are more diverse than others. According to the Diversity Inclusion: Unlocking Global Potential - GlobalRead MoreDiversity and Inclusion1102 Words à |à 5 PagesDiversity is a notion, when applied to the majority of circumstances, can create a positive conclusion. The trick to producing a positive outcome is often how the different aspects are brought together. Consider a classic dinner combination peas and carrots, the two colors look appealing and the two flavors comes together as one making a superb side dish. Now consider oil and water, these two substance are not often considered a good c ombination. Although, this is not always the case; olive oil andRead MoreDiversity And Inclusion For Diversity1920 Words à |à 8 PagesIn the most simplest terms diversity and inclusion can be explained by diversity being the mix and inclusion is getting the mix to work well together. In broader terms, diversity is anything that can be used to differentiate groups and people from one another. This can be anything from life experiences, learning styles, personality types to race, gender, sexual orientation or even county of origin. These differences can be used to achieve quality teaching, learning and support services. InclusionRead MoreDiversity And Equality And Diversity1852 Words à |à 8 PagesDiversity tends to be established by people from different spheres of life including different ethnicities, cultures, and social settings. It allows individuals to appreciate and understand the interdependence of culture, the environment in which people are living, and humanity. Diver sity also helps individuals to build alliances and unity despite having a difference regarding their beliefs, religion, and culture. It helps one to recognize and appreciate that people are born different regarding
Sunday, December 22, 2019
My Personal Experience With Prejudice Essay - 1265 Words
In any society, how we see ourselves and how others treat us depends on many factors. Race, ethnicity, and cultural background are identifiers of individuals. Most people have confronted prejudice based on these identifiers, either personally experiencing discrimination or knowing someone who has. Beyond ensuring organizational compliance with a countryââ¬â¢s anti-discrimination laws, it is incumbent upon managers to support diversity in the workplace and to be culturally competent. This paper will assess my personal experience with prejudice in the workplace, including the implications of the situation to the organization in terms of its stakeholders, reputation, and its legal responsibilities. Furthermore, I will analyze the negative effects the discriminatory behavior had on morale and functioning of coworkers and employees. Lastly, I will recommend three action steps that I would have taken as a manager to avoid the situation, in addition to three steps to render the situ ation. Summary of Discriminatory Behavior While in college, I worked at a local country club as a part-time employee. My manager was young and relatively new to the position, however, upon hire, he seemed like he had the appropriate skills to lead the guest services team. As servers, we were responsible for taking and delivering orders, bussing tables and ensuring overall member satisfaction with the food and service quality of the club. There were many servers on the team, and most of us wereShow MoreRelated My Personal Experience with Prejudice in America Essay1148 Words à |à 5 PagesSomeone once asked me how I felt about prejudice. ââ¬Å"In contrast to what?â⬠, or should I say, ââ¬Å"shocking in all its forms.â⬠Initially my response was puzzling. Let me explain. If you were to ask me how I felt about prejudice in the United States I would have to say, ââ¬Å"Here, I am very aware of my skin color.â⬠It is no secret that the US has had a long historical battle with racism. I am able to be educated at the collegiate level, due wholly, or in part, to the Civil Rights movement of the 1960ââ¬â¢sRead MorePrejudice: a Worldwide Problem1429 Words à |à 6 PagesPrejudice: A Worldwide Problem There is a dangerous and often deadly problem in the world today. It reaches beyond political and religious boundaries and spans across all economic and social statuses. It affects the homeless, middleclass, and the richest people in society. The problem is prejudice. In America, when we think of prejudice we often think of it in terms of Black and White. However, prejudice is much more than that. It is a broad term that can encompass things like racism, sexism, andRead MoreThe Color Of Water By James Mcbride1506 Words à |à 7 PagesColor of Water Comparison Essay When people are treated unfairly or unjustly, how should they perceive it and how to they generally react to this? In the Color of Water by James McBride, prejudice shapes James and Ruth in many ways, James has different stories than Ruth, due to the fact that he lived in a different time period, which makes his scenario different from Ruthââ¬â¢s. Both faced adversity, and stood up for themselves and defended themselves in many different ways just to make sure that theyRead MoreThe Color Of Water By James Mcbride1514 Words à |à 7 PagesThe Color of Water Comparison Essay When people are treated unfairly or unjustly, how should they perceive it and how do they generally react to this? In The Color of Water by James McBride, prejudice shapes James and Ruth in many ways, James has different stories than Ruth, due to the fact that he lived in a different time period, which makes his scenario different from Ruthââ¬â¢s. Both faced adversity, and stood up for themselves and defended themselves in many different ways just to make sure thatRead MoreAnalysis Of Twelve Angry Men By Reginald Rose754 Words à |à 4 Pagescharacterisation, conflict and tension, symbolism, language and setting, Rose dramatically reflects human experiences with ââ¬ËTwelve Angry Menââ¬â¢. It is a play that directly appeals to our sense of justice and equality and questions audiences to contemplate the arguments on a ââ¬Ëfair trialââ¬â¢ in a judicial process when ââ¬Ëreasonable doubtââ¬â¢ is also taken into consideration. Reginald Rose also reflects human natu re and experiences by taking into account the emphasis on each individualââ¬â¢s civic duty and responsibility to maintainRead MoreMinimum Of 10 Indications Of Prejudice : The Most Hated Homophobic Family In America1237 Words à |à 5 Pages Identify a minimum of 10 indications of prejudice. The Most Hated Homophobic family in america In the video with the westboro baptist family church they hate all gays and homosexuals. (1.)(2.)(3.)Their picket signs showed a man lean over and another man behind him indicating what she called homosexual act that all gays are doing is just her own prejudices and beliefs that homosexual is nasty it is her own idea. Stereotype two all those in the act of sexualness not between one man and one womanRead MoreEssay on The Causes of Prejudice by Vincent N. Parrillo850 Words à |à 4 Pages Prejudice is known for negative beliefs and actions upon individuals or even groups of people. In the article, ââ¬Å"Causes of Prejudiceâ⬠by Vincent N. Parrillo, Parrillo talks about both the psychological and sociological causes of prejudice but in this particular essay we will just be focusing on the former side of the equation. It happens at the cognitive level of prejudice where a person or a group of people believe in something that is not true. For example, some people say Asian people are notRead MoreQuestions On Attitudes And Attitudes869 Words à |à 4 Pages For this assignment, I was assigned to take some assessments regarding some prejudices I might have. In my opinion, I do not think if it matters whether we are black, white, catholic, or gay or straight. Everyone regardless of certain demographics has some prejudice thoughts that are present in their mind. Those prejudices do not mean that we are racist or discriminatory. For the most part we base those prejudices on stereotypes that are not even true. From this website I had personally takenRead MoreA Narrative Of One Mexican American Woman1663 Words à |à 7 PagesIntroduction: This is a narrative of one Mexican American womanââ¬â¢s experiences and her views on the importance of passing down the cultural beliefs of her ancestors. In the section of the country in which I live there is a large population within the community of Mexican American culture. Although I have frequent contact with people of Mexican American heritage either through employment or interaction out in the community, I have a limited understanding of their culture. For this reason, I chose toRead MoreMy Mother, If She Had Won Free Dance Lessons And The Cab Driver Who Ripped Me Off945 Words à |à 4 Pagesideas can be viewed negatively or positively. Stereotypes may foster or perpetuate misconceptions about some demographics. In the poems, ââ¬Å"My Mother, If She Had Won Free Dance Lessonsâ⬠and ââ¬Å"The Cab Driver Who Ripped Me Off,â⬠both written by Cornelius Eady, contain characters who are susceptible to misconceptions and prejudices due to their personal experiences. In ââ¬Å"My Mother, If She Had Won Free Dance Lessons,â⬠the speaker discusses his mother s condition and how their lives could have been different
Saturday, December 14, 2019
Ateneo Entrance Exam Essay Free Essays
Hazel Grace Lancaster (The Fault in Our Stars by John Green) This little line from one of my favorite books helped me start my journey of self-discovery. Before, I really did consider myself as someone very inexorability. To the world, Iââ¬â¢m Just an average girl that nobody will ever notice. We will write a custom essay sample on Ateneo Entrance Exam Essay or any similar topic only for you Order Now Maybe never will be noticed in an extraordinary way, but Iââ¬â¢m determined to make my mark. But flirt things first, I had to discover myself and define who I really am. My first moment of self-discovery began, actually, when first developed my love for books. And that moment happened way, way back when I was still a young child. Nothing made me happier than going to National, Power Books or Fully Booked to go see what new storybook, magazine or novel was available. To this day going book shopping, an activity most people my age would find as agonizingly boring, is an opportunity to expand my knowledge and vocabulary. The only thing I need to improve on right now Is, admittedly, my book choices. My Dad constantly reminds me to move onto more young adult publications and cut back on the childrenââ¬â¢s novels. Books are my flirt great love. Through them, I can go on fantastic adventures that become almost real in my imagination. I also relate to the characters In terms of their personalities and the things they do In the story. From the protagonist, antagonist and all the other characters in between, I can find someone or even something I can relate to in a book. My current favorite books are The Fault in Our Stars by John Green, where I have learned a great many deal of new words such as hamster, thyroidal, prototypical, narcissistic, bacchanalia and so many other terms that were once too sophisticated or me to understand until I looked them up In the dictionary. The Fault In our stars is a heartwarming and yet also heartbreaking love story of two young cancer-stricken teenagers who find their own little infinity together within their limited number of days. Iââ¬â¢d tell you more but I wouldnââ¬â¢t want to spoil the entire novel. Second in my favorites list would have to be The Book Thief by Markus Sake. Here, I saw World War II and the horrors of the Holocaust through a young girl like myself, who was unable to read and write until she was given to a foster family in Germany. Lies Impinge then later befriends Max Vandenberg, a Jewish man who hides in her family basement to escape the Nazis. Again, I will not spoil this great work and you will have to read it yourself. This book really strikes me as something that can really make us all question our humanity. As almost all of us know, the Holocaust in World War II was the most horrifying genocide in the entire world. Millions of men, women and children all executed Just because of their religion. If you ask me, Doll Hitler must have been both insane and blind. Did he not know that in World War l, approximately 96,000 Jewish soldiers fought for Germany? It pains me to think that Hitler did not remember that. The Book Thief is most definitely one of those war novels that will have you questioning mankindââ¬â¢s humanity. As for a favorite book series, I would have to say that the How to Train Your Dragon series by British author Caressed Jewell. I admit, itââ¬â¢s a childrenââ¬â¢s books series but I really enjoy reading the 1 OFF imagination. In fact, this beloved series has been turned into two films and a TV show. But Iââ¬â¢ll tell you all about it later. Indeed, through reading books of all kinds I eave discovered things about myself I didnââ¬â¢t even know were there. I discovered that I have a talent for writing and storytelling. And I have grown to love these two hobbies, which I hope that I can turn into a Job by becoming a writer or a Journalist when I grow up. Aside from reading, I have also experienced being in academic contests in my school where I have begun to define myself as an intellectual. One of those contests is the Essay Writing Contest the school has every year. I never really win any prizes for my compositions but itââ¬â¢s always so much fun to compete. Through essay writing contests, my writing ability is steadily honed and constantly improved with every essay I write. So part of my Journey of self-discovery has been accomplished through the means of books and writing. The other part is, honestly, what Vive been recently obsessing about. ââ¬Å"Everything we know about you guysâ⬠¦ Is wrong! â⬠ââ¬â Hiccup Horrendous Haddock Ill (How to Train Your Dragon Movie) That line from an animated movie by Trademarks Animation has always been embedded in my memory. The first part of this essay focused on my love for books and how reading and writing eave helped me discover who I am in terms of what I can do in this world. This part will now focus on who I truly am as a person. How to Train Your Dragon is a 2010 animated film directed by Dean Edibles and Chris Sanders under Trademarks Animation. Its story revolves around a young Viking teenager named Hiccup (Yeah, I know. The name is pretty unusual. ) who lives in the fictional dragon fighting island of Beer. In Beer, fighting dragons is as necessary as breathing air to live. However, Hiccup is the runt of the village and is physically unable to fight dragons and cannot vive up to his fatherââ¬â¢s expectations. Incidentally, his father, Stoics the Vast, is the tribe chief. But when Hiccup creates an invention that shoots down an ultra rare dragon species known as the Night Fury and attempts to slay it, the young Viking then finds himself unable to do so. This then leads to him freeing it and establishing a forbidden friendship with the dragon, whom he names Toothless. In Hiccup world, befriending a dragon is the highest act of treason. And yet in the end, Hiccup and Toothlessââ¬â¢ amazingly strong bond enables them to change the relationship between he dragons and Vikings of Beer. Yes, it is an animated movie. But it is not strictly for kids only. I had a real moment of self-discovery and self-definition when I watched this at my best friendââ¬â¢s recommendation. And I was immediately awestruck by the movie on so many levels. The detail on the animation was superb, the lighting was perfect, the music score was Just phenomenally beautiful. But what really touched my heart was the story. I really relate to Hiccup. He is left-handed, physically not in the best of shape, intelligent and extremely different from the rest of his peers. L, myself, am also left- ended, physically weak, mentally strong andâ⬠¦ Different. I often look at my friends and other people and I canââ¬â¢t help but sometimes feel that Iââ¬â¢m Just too different. I donââ¬â¢t like all the things everyone else likes and sometimes I donââ¬â¢t even understand current trends and stick to the things I know. Like Hiccup, I am different. And also like Hiccup, I have embraced my difference. Thanks to this film (and its TV series and sequel) I have figured out who I am as a person. Everyone discovers a new trend and they all zone. And when someone tries to change me, I steadfastly refuse to do so. I am an individual. And I am proud of it. Iââ¬â¢m different from everyone else and thatââ¬â¢s okay. Truth be told, weââ¬â¢re all different. Weââ¬â¢re Just scared to show the world our individualistic. Thatââ¬â¢s why I try hard to stay true to myself and make sure nobody and nothing turns me into something I am not. But I also remind myself to keep an open mind and broaden my horizons. When I experience new things, it helps me discover more interesting characteristics that help define myself as a person. And thatââ¬â¢s exactly what Hiccup does. He accepts his individuality and tries to do things nobody has ever tried before. Throughout the film, TV series and sequel, Hiccup stayed true to himself and didnââ¬â¢t allow anyone to change him. If you must know, I have recently watched How to Train Your Dragon 2 and had another great moment of realization. In the second film, Hiccup is now a young adult and is currently trying to find himself. This is exactly what Iââ¬â¢m doing right now, even as I write this. I apologize if this essay may seem haphazardly constructed. I must admit, my writing style does tend to confuse some people. But thatââ¬â¢s essentially how I have defined myself as a person, through books, writing and argons. And to tell you the truth, self-discovery and defining yourself as a person never stops. As the years go by, you will have more experiences, more moments that help you realize that thereââ¬â¢s more to you than meets the eye. For me, Iââ¬â¢m still pretty young so I still have a long way to go until I can complete my personal definition. In case some of you may not fully know me yet, allow me to tell you once again who I am. I am an individual with a love for writing, making stories, reading books, obsessed with dragons. And basically, I am different. And I am proud to be different. How to cite Ateneo Entrance Exam Essay, Essays
Friday, December 6, 2019
Prevention practices free essay sample
The United States Centers for Disease Control estimates that each year one in twenty hospital patients will contract a Healthcare Associated Infection (HAI). When further examined, the number of infected patients is approximately 1. 7 million per year resulting in nearly 99,000 deaths (CDC, 2011). Due to numbers like this, healthcare organizations, professional associations, and patient advocacy groups have all launched initiatives showing a universal response to this national healthcare priority. Chief among these initiatives was the collaboration between The Society for Healthcare Epidemiology of America and the Disease Society of America. The SHEA-IDSA joint publication on HAI prevention builds a professional foundation for healthcare facilities in the Unites States to mitigate the risk of HAI infected patients. The prevention strategies begin by identifying the most common HAIs, their causes, and detailing the both the human and financial costs associated with HAIs. Using this information, SHEA and ISDA created prevention strategies to combat each HAI. This essay will follow the SHEA-IDSA template by detailing information on the most common Healthcare Associated Infection and provide detailing prevention strategies. According to the United States Centers for Disease Control and the SHEA-IDSA report, the most common Healthcare Associated Infection are Central Line Associated Blood Stream Infections or CLABSI. With nearly 50% of all ICU patients requiring a central line, the amount of recorded CLABSI infections is extremely high. The research on CLABSI indicates the most common pathogens are Staphylococcus Aureus, Enterococci, and Candida. To better understand the nature of CLABSI incident and therefore employ prevention strategies one must understand the dynamic of a central line. The National Healthcare Safety Network defines a central line as ââ¬Å"a catheter whose tip terminated in a great vesselâ⬠(IHI, 2011). The catheter on a central line punctures the skin, which by default makes bacterial and fungal infections possible. Once the infection has entered the body it can spread to the blood stream. The infection can then cause hemodynamic changes possibly causing death of a patient. Proof of an infection is found in the recovery of a pathogen from a blood culture from a patient who had a central line. For declarative purposes, a pathogen not commonly present on the skin must only be found in one culture whereas a pathogen commonly found on the skin must be detected in two or more cultures. In order to be confirmed as a central line infection, the central line must have been installed a minimum of two days prior to the development of the infection and there must be no other apparent source of the infection. Regarding the cost of Healthcare Associated Infections; both are indicators of the enormity of the problem. As mentioned earlier the 2010 CDC report titled ââ¬Å"Preventing Healthcare-Associated Infectionsâ⬠stated 1. 7 million cases occur each year in the United States. According to the same report 99,000 cases result in death. The Institute for Healthcare Improvement estimates that of these 99,000 deaths, up to 4,000 are a direct result of bloodstream infections. The human cost dwarves the financial costs, which alone have a crippling effect on the healthcare industry. Reflecting on the Institute for Healthcare Improvement report, each CLABSI incident prolongs hospitalization on average of seven days. Each infection costs between $3,700 and $29,000. Having established the common CLABSI incidents, identifying the risk of infection, and examining the cost, it is time to move into prevention strategies. The Institute for Healthcare improvement established the industry standard for central line infection strategies in what are known as Care Bundles. ââ¬Å"The IHI ââ¬Å"Central Line Bundle is a group of evidence-based interventions for patients with intravascular central catheters that, when implemented together, result in better outcomes than when implemented individually. The five components of the bundle are proper hand hygiene, maximum barrier precautions, chlorhexidine skin antisepsis, optimal catheter site selection, and daily review of line necessity. The most basic step in CLABSI prevention is hand washing. (IHI, 4/23/2011) The IHI guidelines specify that healthcare professionals need to wash hands before and after catheter care, when dressings are changed, and the central lines are accessed. Furthermore patients should be taught when and how to properly wash hands. This education extends to family members ofà the patients. Along with basic hygiene, patients should also be taught to avoid handling or manipulating central lines. Emphasis on sterility and hygiene are reinforced in the second IHI guideline known as Maximum Barrier Precautions. The medical stuff is required to wear caps, masks, sterile gowns, and sterile glove when central lines are inserted. The patient must also be covered head to toe with a sterile drape except for a small opening at the catheter insertion site. (IHI, 4/30/2011) The third IHI precaution is Chlorohexidine. Studies indicate using Chlorohexidine for skin preparation prior to central line insertion or when changing dressings is more effective than other solutions such as povidone-iodine or alcohol. To properly cleanse the treatment area, Chlorohexidine must be applied for at least 30 seconds and the solution must dry completely before inserting a central line. The use of antiseptics like Chlorohexidine is not reserved just for patients. Studies have shown that coating or impregnating catheters with antiseptics have reduced the risk of infections. The overall benefits however are questionable when examining the practice from a cost benefit perspective. This is due to statistically insignificant differences in the rate of infections when using impregnated or non-impregnated catheters. (Lai, N. et al, 2013) The next precautions cited in the IHI bundle are optimal catheter site selection and daily central line review (IHI, 4/30/11-B). One key component of site selection is found in conducting a risk/benefit analysis. The treating physician is capable of such an analysis. In general the IHI guidelines suggest avoiding the femoral artery for central lines. When treating adult patients, they also suggest a preference to the subclavian site over a jugular site when using non-tunneled central lines. A daily review of a patientââ¬â¢s central line is also necessary. The risk of infection increases the longer a catheter is in place therefore a daily check must be conducted to ensure the line is still needed. A daily review will also facilitate the removal of un-needed lines. It is important to note that scheduling catheter removals or replacement at scheduled intervals, every three days for example, has not lowered the risk of infection. The key element missing in scheduled removals is the daily, in-person review. Implementation and compliance of IHI Bundle Precautions is multi-faceted requiring continuing education and revised staffing practices (NGC, 2013). Healthcare professionals must be trained in proper procedures for avoiding central line infections. Procedures include catheter insertion and maintenance. To ensure the guidelines are followed and the education is effective, each healthcare site should enact a compliance committee and empower the committee to conduct periodic reviews of central line procedures. Among the many precautions cited above the committee should create a central line checklist and make the checklist available to all staff members. Furthermore the committee can create a culture of central line safety by ensuring cleaning agents are prominently placed at all hand-washing stations, each supply chart stocked with chlorhexidine kits and other sterile items like masks and gloves. Physical compliance checks would also be in the purview of the committee and can be seen in the form of integrating daily central line checks with multidisciplinary rounds and requiring central line records showing the date and time of the line placement. The compliance committee will also be charged with reviewing the facilityââ¬â¢s staffing procedures. This is necessary because studies indicate the risk of patient central line infection increases when there is an elevated patient to nurse ratio. The studies have also indicated that the use of ââ¬Å"pool nursesâ⬠in ICU settings contributes to increased risk of infection. Where IHI guidelines were introduced and adhered to, the number of CLABSI incidents dramatically decreased. For example, from 2001 to 2009 there was a 58% reduction which saved nearly $1. 8 billion in excess healthcare costs. This represents nearly 6,000 lives saved through proper protocols. When looking at two years in this range, 2008 and 2009, the reductions are impressive. For example, in 2008 there were approximately 37,000 cases of central line infections in patients receiving outpatient hemodialysis. In 2009 there were 23,000 cases among patients receiving inpatient treatment. While the number of cases in these areas is still high, the statistics reveal they are declining (CDC, 2011). The authors of this paper had the opportunity to complete their clinical hours at two different facilities; Banner Health Network and Dignity Network. The authors found that both facilities set a goal of completely eliminating CLABSI and created a culture to facilitate this goal. Aside form the overall improvement in patient care such a goal will be financially beneficial for the facilities. This is in large part due to changes in funding rules that state healthcare facilities will no longer be reimbursed for CVC associated bloodstream infections because they are considered to be largely preventable. Both facilities visited by the authors strictly adhere to the IHI central line bundle concept. Each of them also added new elements to make the bundle even more successful. For example, both sites use biopatch to prevent bacteria access at the site of a CVC insertion. They also instituted guidelines for routine dressing changes and cover the line hubs with alcohol-impregnated caps when lines are not in use. In addition, both facilities empower nurses to supervise the insertion procedure and stop the procedure if any steps are skipped. As covered previously, catheter-related bloodstream infections cause life threatening complications, increase morbidity, dramatically increase expenses and above all are largely preventable. Study after study on the issue proves that adherence to strict guidelines pertaining to central line treatment, like the IHI bundle, dramatically decreases the number of CLABSI incidents and the amount of money spent on treatment. Instituting and maintaining a culture focused on CLABSI prevention is necessary in all healthcare facilities. Such a culture not only fosters a safe treatment environment but also allows each healthcare professional to personally advocate for their patientsââ¬â¢ health and recovery.
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