Please respond to each of the 2 discussions below. 1/2 page and 1 source per discussion. #1 discussion Response to Sarah F The effectiveness of 0.5% hydrogen peroxide wipes used on blood-pressure cuffs and electrocardiographic telemetry leads to disinfect providing safer care. The method used for this study was measurement of bacterial colonization on electrocardiographic telemetry and blood pressure cuffs. Call buttons and patient trays were used as controls. According to Brown (2018), this type of study is conducted by observation and categorizing or counting results. The advantages to this type of research is reliable results. This is measurable results. The disadvantages to this type of research is the research is not able to introduce different variables due to having a set experiment. According to Brown (2018), an extraneous variable could happen and lead to wrong conclusions. The research done in this article can lead to better disinfecting of telemetry leads and blood pressure cuffs. According to Risteen, Cohen & Mooney (2018), 0.5% hydrogen peroxide wipes adequately cleaned the blood pressure cuff, but not the telemetry leads. Making it known that this type of wipe will not disinfect telemetry leads. The research-then-research strategy also known as he inductive method. In this method according to Alligood (2018), is collecting facts before attempting to plan test. In the article they stated that they wanted to see if using 0.5% hydrogen peroxide wipes was good to use on blood pressure cuffs and telemetry leads. They came up with a question and then proceeded to get data. One they had the facts they were able to test and find out that 0.5% hydrogen peroxide is only effective on blood pressure cuffs. References Alligood, M. R. (2018). Nursing Theorist and Their Work (9 ed.). St. Louis, Missouri: Elsevier. Brown, S. J. (2018). Evidence-Based Nursing The Research-Practice Connection (4th ed.). (Ed.). Burlington, MA: Jones & Bartlett Learning. Risteen, R., Cohen, S., & Mooney, L. (2018). DISINFECTION OF BLOOD PRESSURE CUFFS AND ELECTROCARDIOGRAPHIC TELEMETRY LEADS WITH 0.5% HYDROGEN PEROXIDE WIPES. American Journal Of Critical Care, 27(4), 322-327. doi:10.4037/ajcc2018743 #3 discussion response to Kayla L Physical and verbal violence against health care workers a. Date of publication: April 17, 2018 b. Organization or author: The Joint Commission c. Purpose: Used to identify specific types of sentinel and adverse effects and high-risk conditions, describes their common underlying causes, and recommend steps to reduce risk and prevent future occurrences. d. Target population: Healthcare professionals e. Major clinical recommendations: Look beyond solutions that only increases security Put systems into place across an organization that enables staff to report workplace violence, including verbal abuse. The goal established for zero harm to staff or patients. Capture, track, and trend all reports of workplace violence-including attempts of violence. This can be gathered from OSHA, insurance, security, legal or risk management, and change of shift reports. Provide support and follow-up to victims, i.e. psychological counseling. Review contributing factors of workplace violence (risk assessment). Train all staff, including security, in de-escalation, self-defense, and response to emergency codes. Constantly update violence reduction initiatives The Joint Commission posted a Sentinel Event Alert due to the number of physical and verbal violence against health care workers. According to the Occupational Safety and Health Administration (OSHA), approximately 75 percent of nearly 25,000 workplace assaults reported annually occurred in the health care and social service settings (The Joint Commission, 2018). Healthcare professionals are four times more likely to experience workplace violence than any other worker. The Joint Commission utilized sentinel event data that showed that 68 incidents of homicide, rape, or assault of hospital staff members over eight years. Reporting may be much higher due to some incidents that may not have been reported. The Joint Commission has developed many standards and requirements related to workplace violence. Reference The Joint Commission. (2018). Physical and verbal violence against health care workers. Sentinel Event Alert, (59), 1-9. doi:https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-topics/sentinel-event/sea_59_workplace_violence_4_13_18_final.pdf
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