Staff Work Around

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  • Published : December 3, 2012
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Staff Work Around

The purpose of this paper is to help student nurses to learn and understand new polices and procedures. It will familiarize student nurses on the multitude of standardized nursing polices, standards of care, and evidenced based researches that will influence and provide guidance as new graduate nurses. The nursing policy that was chosen is Contact Isolation for Clostridium defficile, and focuses on the difficulty of finding the evidence based policies, dissemination of policy guidance to staff, rationale for the occurrence of deviation on unit, and discussion of unsafe practice, which affect the patients and the hospital.

The unit that was observed has many patients that are on isolation, either contact or droplet isolation precaution. An increased in unsafe actions, such as failure to wearing the appropriate isolation attire, will most likely increase. The policy for contact isolation was required to provide guidance. However, it was difficult to locate on the hospital website search engine. The preceptor also had hard time finding the document. It was eventually located after more than fifteen minutes. It was observed that the difficulty in searching for the document was mainly due to the clunky algorithm of the search engine. It was not smart enough and hence required multiple keywords for it to effectively locate the right document. The evidenced-based policy/procedure was originally disseminated through yearly computer based learning to staff that are in contact and care of such patients. Although they have yearly computer based training, it was still observed that there were deviations from the policy.

It was also observed that often preceptor and other nurses enter patient’s room to shut the button off on the IV monitor wearing only gloves, without the necessary gowns. These actions caught my attention as according to the hospitals policy for personal protective equipment (PPE) requirements, “Gloves and Gown for every...
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