The use of prophylactic antibiotics to reduce the instances of Research Paper

The use of prophylactic antibiotics to reduce the instances of surgical site infections - Research Paper Example We will write a plan for the implementation and evaluation of this plan and its application guidelines. In the interest of covering the trend of electronic health records, the plan will involve the use of newer technologies in maintaining a 100% antibiotic prophylaxis rate. While much has been written concerning which medications to use, when and how, I will take the Stetler Model to use newer technologies to improve upon current problems and provide new ideas to that extent. Phase 1: Introduction and Preparation A great many strides have been made since the advent of antibiotics that have helped cure infection and even prevent them from happening. In surgical care, because the body is being necessarily invaded normal flora can be translated to areas in which they become pathogenic and cause infection and disease (Wells, 2009) . Surgical site infections occur as a result of these bacteria and cause disease in the following manners: Incisional Deep (muscle and fascial layers) Subcutan eous (cellulitis) Organ or Space (Abscess or Meningitis) Further, research conducted by White (2007) shows how despite national recommendation guidelines many hospital surgical teams fail in achieving a 95%+ rate of surgical antibiotic prophylaxis to prevent post-operative infections which can occur as late as 30 days after the procedure (Wells, 2009). The most common soft tissue infectionsare gram positive organisms and are easily treated or prevented, but if allowed to infect areas of the body without prior treatment they can reproduce and cause abscesses, then the chance of damaging infections where organ function is compromised can be adequately controlled using the Stetler model to be implemented here. Appendix 1 will show the replication of the National Research Council Wound Classification. Interest Interest in this topic stems from insight to the needs we have at present to improve some of the antiquated paper systems in place with one that provides for the needs of the pati ent population, accounting for human error, that will be incurring a surgical procedure and that would be all patients from pediatric to geriatric. The need to limit infection as a complication of an already difficult medical practice is tantamount to improving post-operative infection outcomes where co-morbidities are not common place, but rare and limited. Patient Population and Clinical Settings As mentioned, almost every patient will at one time need a surgical procedure. However, each operation is different and carries risks unique to itself. A colectomy will certainly need different antibiotic treatment than a simple cyst removal or even a transplant operation, however the pre-surgical needs are all the same. Each patient needs to meet with the anesthesiologist, the operating surgeon if they haven't prior to the date, and nursing staff who will be caring for them throughout the process. In each, be it an outpatient facility, hospital, or clinic, appropriate treatments should b e administered and proper documentation followed. Validation and Literature Review A complete and thorough review of current literature regarding surgical prophylaxis was performed using Google Scholar for literature review, PubMed, and text sources. Search target parameters included 'surgical prophylaxis error', 'nursing surgery error', 'pre-surgical antibiotics' and 'surgical infection'. After a thorough review,

It's the Law ... or is it Essay Example | Topics and Well Written Essays - 500 words

It's the Law ... or is it - Essay Example There exist set rules and laws that are useful in curbing the misuse of other people’s work found in the web. The paper will briefly explore copyright laws governing internet information and the penalties for contravening them. There are numerous laws and regulations governing the use of internet information, but the paper will particularly look at copyright laws. In 1998, the then United States president Bill Clinton signed the digital millennium copyright Act (Scott). The act provides guidelines that should be adhered to by the users of the internet when accessing other people’s work that may include, music and intellectual work among others. Further, Scott documents that some of the copyright laws and regulations include: fair use, unauthorized access and copying, file sharing and liability. Let us examine liability. As stipulated in the copyright Act, one is not allowed to produce and distribute unauthorized copies from the internet. In the event that producti on is to be done, consent of the producer is supposed to be sought. Failure to do the same amounts to a breach of the law and the offender is liable for the legal consequences. When the breach occurs, the plaintiff can sue the actual offender or the internet service provider in a court of law. The complainant is also at liberty to seek an injunction from the court (Lesley). The purpose of the injunction is to prevent the offender from continual violation of the copyright rights. Lesley further documents that the copyright holder has the right to seek compensation from the offender in the court in form of monetary or statutory damages. The court of law is charged with the responsibility of establishing the guilt or innocence of the accused. If one is found guilty of violation the copyright act, he or she must take criminal responsibility.