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Standardized infection control bundle in home health care
Thesis   Open access

Standardized infection control bundle in home health care

Nicole R. Kunkel
Master of Science (M.S.), Drexel University
May 2019
DOI:
https://doi.org/10.17918/xaxw-gv64
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Abstract

Nurse administrators Nurses--Supervision of Infection--Control Home care services
The increase in complexity of home health care patients poses unique and challenging health risks; often limited by space, equipment, and supplies. The outpatient setting lacks infrastructure and resources to support infection prevention and surveillance activities, leading to failures in basic infection prevention. Therefore, a gap analysis was completed to identify significant issues present with current infection control and bag technique policies and procedures at Penn Care at Home (PCAH). PCAH experiences a lack of standardization of personal protective equipment (PPE) and disinfectants, leading to a difference in cost among items as well as a difference in manufacturer guidelines for each product. The aim of the project is to determine if providing staff with a standardized infection control bundle will decrease cost and improve infection control practices in home health care. This quality improvement project includes pre-implementation data collected through retrospective order records from Medline, creating and implementing a bundle for ordering supplies, education on correct ordering and usage of supplies, and post-implementation data and analysis. Due to the inability to negotiate a lower cost of bundled supplies, there was no significant cost savings from purchased products. However, the data shows a decreased spend in off formulary products, a decrease in percentage of orders requiring editing, and an increase in patient specific glove ordering. The clinical implications of this evidence are to continue to standardize all products on PCAH's formulary to ensure all clinicians know how to use products appropriately to provide safe and effective care while controlling costs through supply spend and infection prevention.

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