Who is expected to attend? Do the attendees need to prepare anything for the meeting? How would you gage staff value on infection control prior to the meeting and post implementation of new strategies?
Outside of the Agenda please provide the information on, what preparation do you need to do as Practice Manager? How have you identified key issues? List them. If you identified issues what were the causes? List them. Factual information that is relevant and shows your ability to provide solutions. (Standards, policies, procedures and list the documents)
What resources/information do you need to prepare for the attendees prior to the meeting. (a poster)
Develop an action plan both short term and long term, to improve the current situation. Provide resources that could assist.
In what timeframe and how would you review that the changes made are being followed and are working.
Who is expected to attend call meeting?
Preparation needed as Practice Manager?
Physiotherapy practice is a health care practice that promotes recovery in disability, illness, or injury. As a practice manager for healthy families, I found that the physiotherapy practice was facing issues. If a patient acquires infection due to improper physiotherapy then it shows that an infection control policy should be made by the health care institutions to control such cases. Therefore, a meeting is called up to spread and share the importance of infection control practices while conducting physiotherapy with patients or individuals. The meeting covers the key points of the infection control policy, key points from the code of practice, how to deal with hazardous events and the infection control risks, informing the team about how to do hazard identification, encourage employees to improve infection control procedures and to report infection risks, and related topics.
To minimize the risk of infection is the prime aim of this policy through the timely and isolation of patients with suspected or known pathogens. In physiotherapy practices also infection control policy should be followed to prevent the spread of diseases. Before starting the practice, the physiotherapists should wash their hands properly with soap and sterilize them to maintain hygiene and reduce the risks of infections. If patients are already immune weak then serious steps should be taken like wearing clean and hygienic gloves/gown, a change of gloves between tasks, and proper disposal of them. The eyes, nose, and mouth should be protected as they act as routes of entry for pathogens. Moreover, prevention of needle stick injuries should be ensured with the disinfection of patient care equipment regularly or after every cycle of practice. If during physiotherapy blood or body fluids handling occurs then safe management should be performed.
The team is not performing infection control practices as mentioned above in a proper manner this resulted in infection development in customers. However, if proper practices with specifies codes of practices are conducted then it reduces the risks of infection among patients/employees/customers. The physiotherapists should respect the rights of the patient and the dignity of the patient in the health care workplace. The physiotherapists should not discriminate on any grounds and should recognize the patient’s personal biases. They should also act respectfully for each patient regardless of their caste, sex, economic status, or religion. They should provide safe, healthy, and continued practice care. All the health care services should be provided with full safety so that during practice no one is exposed to any risk of infection development. There should always be measures to control and monitor the infection spread chances. These act as a solution to prevent, control, and monitor the infection spread during physiotherapy health care.
In the health care workplace, if the infection control policies are not followed then the patient will become more prone to health hazards like infections and poor health. The hazard identification can be performed by the team by performing regular and timely checkups of the patients (Roberts, 2018). This might show that more patients are getting suffered from infections due to unhygienic physiotherapies when infection control practices are not performed. The team will follow the hazard analysis critical control point (HACCP) principles for hazard identification and analysis: 1. A hazard analysis will be conducted; 2. Determining critical control points (CCP), 3. For each CCP establishment of critical limits, 4. Demonstrating a CCP monitoring system, 5. Ensure that corrective actions are to be taken, 6. A procedure for confirmation of the HACCP system, 7. Establishing record keeping and documentation (FDA, 2018).
The team is informed about infection control
The team can only ensure to provide a safe and healthy workplace in health care if they get continuously informed about the infection control among the workplace workers, employees, or patients. Proper communication between the team members and the other co-workers or patients can help in maintain such conditions. The team should get feedback on changes in work procedures, compliance issues, and infection control outcomes, and this feedback should be frequent, timely, and specific. Moreover, for effective infection prevention and control, practices must be monitored and reported on regularly and continuously.
The use of strategic or open-ended communication is a strategy to educate the patients and the staff as well as for infection control. Communication can be various types like direct communication involving verbal information exchange, meetings, telephonic communication, or non-verbal communication. These can help to direct or spread information related to infection control in the workplace in health care. The use of practice regulations as a part of communication can also help in reducing the risks of infection. This includes policies, guidelines, information packs, or handbooks, with the help of these the team can spread awareness and encourage others for following infection control procedures. These provide very influencing knowledge on how infection control is important in health care this will encourage the health care professionals to maintain aseptic environments. Other ways include education like informal training or e-learning systems.
It is important to overcome any difficulties by providing training, such as coaching or mentoring. Both mentoring and coaching; aim to enable staff to implement infection control practices. The type of difficulty that the member of staff has will help determine whether they will have a coach or mentor. For example, if the staff member has difficulty with the correct hand washing procedure then they will probably be assigned a coach until they overcome their problem. On the other hand, a mentor may be chosen if the staff member fails to identify opportunities for improvement in infection control practices. It is essential to capture: attendance records at the induction programs and the clinical workforce at orientation; a plan for ongoing assessment and education of competence for the clinical workforce; records giving information about the percentage of the numbers of the workforce that have completed the required training and education. At orientation planned education sessions or as part of competency assessment the educational materials include: evidence-based content, training on competency-based criteria, in such a way that the training is working towards being validated or is validated, and a review process with evaluation are included.
Once the policies and procedures are established, the next important element of ensuring these become part of the standard work practice is to implement a performance management system that ensures all people are using the correct infection prevention and control practices. The issues that arise through consultation were reported in an online format that was assigned to the respective personnel for resolution. It was a time-based issue resolution portal with feedback so that in time the issues get resolved as early as possible by the respective personnel. The issues were also collected through meetings and interactions among workplace patients/employees. After evaluating the root cause the actions were taken resulting in improved outcomes. This process involves formal meetings that set and review goals, strategies, and performance indicators. It also involves regular monitoring, coaching, and feedback throughout the cycle, thereby allowing for the acknowledgment of progress and the early identification of performance gaps.
When adopting prevention and control practice work procedures an important step in the management process is to control the risk. In the liquid spill example, the risk can be eliminated by wiping and drying the floor. The risk has therefore effectively been controlled by eliminating it. However, not all risks at a workplace can be eliminated. When controlling a risk, a method is known as the ‘hierarchy of controls’ is used. The hierarchy of controls is a sequence of options offering several ways to approach the control process. The most effective control measure is the elimination, followed by substitution - substituting a hazardous substance, material, or system of work for a less hazardous option, isolation - enclosing noisy or dangerous equipment. For example, many workplaces use a dedicated soundproofed room for large photocopiers. In engineering - exhaust ventilation systems, machine guarding. This requires a physical change to the work environment. Under administrative – the systems of work, training, safe work practices, and safety signs, and as a recommendation use of PPE - personal protective equipment, such as safety glasses, disposable gloves, and aprons, can help in dealing with infection control risks and hazardous events procedures (Morgan, 2018).
There are various ways to improve infection control procedures and to encourage the employees to report infection risks. They are: offering suggestions, asking the employee for their suggestions for addressing the issue, and agreeing on a specific plan of action, including how they plan to do it, what the employee will do, and within what time. The attachment to the employees' performance management file and the documentation of the action plan (Blackman et al., 2019). It should specify that if the performance issue is not resolved then the consequences will be faced by the employee, which can also help in achieving the goal. As a manager with leadership skills, self-confidence, good problem-solving skills, and assertiveness the goals will be achieved. It is also recommended that training should be conducted along with awareness programs regularly to impart knowledge about the importance of infection control procedures.
FDA. (2018). Hazard analysis critical control point (HACCP). Retrieved from https://www.fda.gov/food/guidance-regulation-food-and-dietary-supplements/hazard-analysis-critical-control-point-haccp
Morgan, J. S. (2018). Personal protective equipment. Bioemergency Planning: A Guide for Healthcare Facilities, 169–182. https://doi.org/10.1007/978-3-319-77032-1_14
Roberts, D. T. (2018). Applying risk assessment at the worker level: Applications to electrical safety. IEEE Industry Applications Magazine, 25(1), 18-24. DOI:10.1109/MIAS.2018.2868345
Blackman, D. A., Buick, F., O’Flynn, J., O’Donnell, M., & West, D. (2019). Managing expectations to create high performance government. Review of Public Personnel Administration, 39(2), 185-208. https://doi.org/10.1177%2F0734371X17701544
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