Proposed Solution, Implementation, and Evaluation

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Proposed Solution, Implementation, and Evaluation
Name
Institution
Proposed Solution, Implementation, and Evaluation
Summary of Proposed Solution
The proposed solution to address contamination with vancomycin-resistant enterococci (VRE), methicillin-resistant Staphylococcus aureus (MRSA), multi-resistant Gram-negative bacilli, norovirus, and Clostridium difficile in hospitals rooms is hinged on new technology on decontamination, Hydrogen Peroxide. Hydrogen peroxide is as the decontaminant of choice is supported by evidence-based-research already performed on the application and efficacy of hydrogen peroxide compared to traditional disinfectants. The research showed that hydrogen peroxide is more effective and reduced Hospital Acquired Infections (HAIs) more than any other method used. The strategies are based on the results/findings of the use of hydrogen peroxide vapor investigations from evidence-based practice. The strategies for the implementation of the plan entails adoption of new procedural practices that used Hydrogen peroxide for decontamination. The strategy also encompassed a wider scope to entail enforcing hand hygiene policy for staff and visitors, improved training and monitoring of environmental cleanliness.
Implementation Plan
1 Method of obtaining necessary approval(s) and securing support from your organization’s leadership and fellow staff.
Change always arouses resistance and for any project in an organization, there will be those who will be against it, others who will be confused, and the ones who will support your vision. However, there are different ways one can use to prepare their leaders and colleagues for the changes they have in mind.
First of all, it is important to understand that there are two types of approval. These include, formal and informal. Formal approval mainly involves institutional bodies such as Institutional Review Board and Site-Based Research Units review. To get formal approval, the solution must indicate that the rights of human subjects involved in the process is protected and that the solution is within the set ethical standards.
Informal approval mainly involves approval from the leaders and colleagues. To get this approval or support, the following will be done:
* The key stakeholders will be identified and their feedback sought early in the project.
* Seek the commitment of the stakeholders keeping in mind that their level of enthusiasm will vary greatly.
2 Description of current problem, issue, or deficit requiring a change. If you are proposing a change in current policy, process, or procedure when delivering patient care, describe first the current policy, process, or procedure as a baseline for comparison.
Contamination within the confines of hospitals has been a major issue for a long time now and with the rate of HAI victims rising, calls for a solution keep getting louder. Numerous studies have indicated that hospital surfaces are contaminated with vancomycin-resistant enterococci (VRE), methicillin-resistant Staphylococcus aureus (MRSA), multi-resistant Gram-negative bacilli, norovirus, and Clostridium difficile. These contaminants often lead to healthcare-acquired infections which continue to claim thousands of lives yearly. Calls for hospitals to revamp their decontamination practices have been getting louder by the day but as it will be discussed, factors such as the policies in place can be a huge hindrance to getting the desired results.
According to one of Capital health’s policies that was drafted in 2014, “all of capital health’s physical environments will receive both cleaning and disinfection, and cleaning must always occur before disinfection.” As per the policy, disinfection can only be done using liquid chemicals and cleaning of the hospital surfaces should be done at least twice a day. However, one thing suspiciously misses from the above statement: a clause to allow the adoption of newer and better methods of disinfection. For example, as studies have shown, hydrogen peroxide is indeed an effective disinfectant, however, Capital health may never get to use it because its policies seem rigid.
3 Detailed explanation of proposed solution (new policy, process, procedure, or education to address the problem/deficit).
Drop the old methods of decontamination
The proposal considers the use of hydrogen peroxide in all areas of the hospital infected with HAIs before and after caring for a patient, in operation rooms, nurse stations, and hospital halls; including robotic surgical instruments, manual instruments and medical supplies, and room surfaces (Capital Health, 2014). This will be of great help because it will create a new decontamination and disinfection culture which will help reduce the HAI cases.
Raise performance standards of hand hygiene policy
HAIs are not necessarily as a result of patients’ conditions. However, they can also be spread by the clinical staff, contaminated surfaces and rooms, improper cleaning practices, family members as well as visitors. Most people are not aware of the thousands of germs they pick up with their hands and eventually, these germs find their way into the body of a patient. However, the hospital can offer the necessary education and information in the bathrooms, elevators, hallways, and it can also ask visitors to wear clean clothes whenever they are visiting their loved ones. as for the clinical staff, they should always be using surgical hand antisepsis.
Improve training and education of staff members
Knowledge can never be exhausted and as people grow and advance in their careers, this statement becomes more pronounced. The healthcare staff also need to keep learning and to keep abreast with any new information. The health agencies needs to always understand the requirements and mechanisms for training and educate their staff and the public more about the prevalence of HAI (CDC, 2011). This should always take place as the members continue to expand their knowledge and to understand the uniqueness and efficiency of using hydrogen peroxide as the new disinfectant. According to the CDC (2003), a change of policy should always include a periodic review of training in “environmental-surface infection-control strategies and procedures as part of an overall infection-control and safety curriculum.”
Monitor the environment’s cleanliness
Here, the hospital can use CDC’s guidelines which require that proper monitoring of housekeeping duties be ensured. According to Carling and Bartley (2010), the above mainly serves a guarantee that hospitals strive and also deliver quality sanitary practices.
4 Rationale for selecting proposed solution.
The proposed solution is solely based on the need to not only improve the decontamination practices within the hospital but also to reduce the number of HAI cases. A number of researchers have evidently demonstrated and confirmed that the tradit...