Infection prevention and control is a challenging field. There is the long training and certification process. There are the long hours of on-the-job training and specialization. There are the mountains and mountains of paperwork alongside the demanding clinical work. Some might even say it’s a thankless job, with tons of pressure to improve, alongside an ever-changing landscape of pathogens and patient populations. And yet there continues to be a group of passionate individuals who choose to make a difference by becoming infection preventionists. Today we take a moment to say thank you to all those students of infection control, the future professionals in IC/IP.
In a widely-circulated interview, President Biden stated that the pandemic was, in effect, over. While not an official statement and also clarified over the next few days, the idea that the worst of the pandemic is over has been echoed by global medical experts. So what now? A return to "normal" in the medical field does not mean no more infections; in fact, it means returning to a world where almost 100,000 people die each year from infections they acquired while receiving medical care - most of which are preventable. There are many similarities between a pandemic and the on-going crisis of hospital-acquired infections, and in today's post, we will explore them.
This series on outpatient services and infection control can seem rather dismal. Thankfully, most outpatient facilities are safe and only a small percentage of patients experience an HAI. Nonetheless, the breaches in infection control mean that given the right circumstances, severe outbreaks can (and do) take place. The reality can make us feel powerless and confused. Fortunately, there are things that we can do to help.
We recently heard a chilling story: An ER doctor shared that he was treating many of his patients in the waiting room - diagnosing, providing medication, and discharging - not because there was no room in the hospital, but rather because there were not enough nurses. Indeed, there is a significant nursing shortage in the United States. Almost all of us are aware of this professional scarcity thanks to regular news coverage and even personal experience. What many laypeople may not be aware of, however, is that we have been in the midst of a significant nursing shortage not just since COVID-19, but since 2012. In today's post, we will uncover what kind of impact this shortage will have on one of the most critical aspects of hospital care: Infection control and prevention.
So far in our series on infection control in ambulatory care settings, we covered the types of facilities and how they are regulated. One huge topic to cover is the impact of the outpatient setting on the ability to track infections. Today’s post will begin to explore this topic, and our final post will present what we can do, both individually and collectively, to begin to improve infection prevention in these facilities.
No one wants to stay in a hospital any longer than they have to. We all have an innate desire to get back to the comfort of our homes and begin the process of returning to normal activities. Some of us may not realize that there is also a very real, scientific reason for leaving the hospital as soon as possible: The longer a patient is in the hospital, the greater their chances of getting a hospital-associated infection (HAI), and once a patient has an HAI, they tend to stay longer in the hospital. It seems like a lose-lose scenario for everyone involved. It's just in everybody's best interest to reduce HAIs to not increase LOS, and shorten LOS to reduce HAIs. In today's post, we'll see how healthcare facilities are working to accomplish this dual goal.
We don’t know enough about infection in ambulatory care centers.