Healthcare-associated Infections (HAI) (Nursing)

by Samantha Rhea, MSN, RN

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    00:01 All right, so we talked about that chain of infection.

    00:04 Now we're gonna talk about that in the healthcare setting.

    00:07 So healthcare-associated infections are one of the biggest issues in healthcare we have today.

    00:12 We typically call them HAIs.

    00:15 So if you see this acronym, this is very common and you'll probably see this again in charting, in the healthcare system or in your nursing curriculum.

    00:23 So we're talking about HAIs.

    00:26 These are infections that can occur as a result of an individual receiving a care or treatment from healthcare professionals.

    00:35 Now the issue with HAI, is the problem is us as health care's usually inflict this on other patients.

    00:41 These can result in longer length of stays, really poor patient outcomes, complications, and a lot of the times even death.

    00:50 So with HAIs, we've got to think about high risk individuals.

    00:54 These can be several different populations, such as those that are poorly nourished, elderly patients, weak, or someone with a weakened immune system, or chronic and multiple illnesses.

    01:06 Now, the longer you're in your nursing curriculum or your nursing program, you're gonna to notice that patients have many of these factors so the risk of a healthcare-associated infection is great.

    01:19 So we're talking about HAIs, they're associated again, with many factors, and many of them in nursing, we cannot control but we need to consider these.

    01:28 So nursing, for example, cannot influence age, right? So your younger adult is typically not as susceptible as your older adult patient.

    01:39 We also got to think of the site of infection.

    01:42 This can matter in regards to the bloodstream or respiratory.

    01:46 There's different sites of the infection that can make huge differences on a patient outcome.

    01:52 Also, the disease process and treatment therapy, we can't necessarily change that in nursing.

    01:58 And we've got to think about the number of invasive procedures.

    02:02 Unfortunately, when a patient's in there, we've got in the hospital, we have to think about several different diagnostic procedures to treat the patient, or maybe even to find the diagnosis.

    02:12 So because of the numerous invasive procedures the patient may have to undergo, their healthcare-associated infection risk is very high.

    02:22 And lastly, don't think of-- don't forget about those things before the hospital.

    02:26 What are their habits? Do they have a lot of stressors? What's their nutritional status? These can all affect healthcare-associated infections.

    02:35 In nursing, we don't really have a lot of control over these.

    02:38 However, we can influence a lot of factors and that's where we come in and good practice comes in, such as washing your hands, looking at vital signs and disinfect whenever possible.

    02:51 We can influence with just some of these things, the length of stay for the patient.

    02:56 We also can make sure we're taking infection precautions such as again, gowning, and gloving using personal protective equipment and washing our hands.

    03:07 The other thing nursing can influence and we are the big frontline people on this is, how long is a central line or maybe an indwelling catheter in the patient.

    03:18 Now we have lots of protocols in the hospital to help us evaluate those to help us make a decision and when to remove these lines.

    03:26 These are typically in the patient, and because anytime something foreign is in the body, you're at risk for infection.

    03:33 So as nurses, we need to do daily assessment and be diligent about removing these when they are not necessary.

    03:40 So the number of healthcare employees contacting the patient, we can cluster our care.

    03:45 You probably are thinking, well, how can we stop from going into a patient room? You're totally right, we can't do that but we can cluster the amount of care and the number of times that we go into the room.

    03:57 We can also minimize visitors when the patient is definitely at risk for infection.

    04:02 And lastly, don't forget about that post-hospitalization plan of care.

    04:07 So are there things that we can educate the patient and let them know 'hey, if you follow these instructions, this can definitely reduce your risk of healthcare-associated infections'.

    About the Lecture

    The lecture Healthcare-associated Infections (HAI) (Nursing) by Samantha Rhea, MSN, RN is from the course Safe and Effective Patient Care (Nursing).

    Included Quiz Questions

    1. A client who has a central venous catheter
    2. An elderly client who has a Foley catheter
    3. A client who is homeless and malnourished
    4. A young adult who has an allergy to latex
    5. A middle-aged client who has anxiety
    1. Length of stay in the hospital
    2. Prompt recognition of signs of infection
    3. Reducing visitors to the client
    4. Keeping invasive lines in as long as possible
    5. Having multiple staff members care for the client

    Author of lecture Healthcare-associated Infections (HAI) (Nursing)

     Samantha Rhea, MSN, RN

    Samantha Rhea, MSN, RN

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