scholarly journals Poisoning trends in intensive care unit at secondary care hospital – a pilot study

2019 ◽  
Vol 10 (3) ◽  
Author(s):  
Sri Nanda G ◽  
Balaji S ◽  
Khayati Moudgil
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pilot Study ◽  
Small Scale ◽  
Hazardous Substance ◽  
Care Hospital ◽  
Global Issue ◽  
Study Results ◽  
Living Organisms ◽  
Collection Form

Poison is known as a toxic and hazardous substance that is capable of causing illness to the living organisms. It can lead to some fatal outcomes. Self-harming has become a global issue, which is a burden on society. Every year millions of people die due to the consumption of toxic compound and leaving their loved ones behind in grief. The prospective pilot study was performed on a small scale for a period of three months. Each type of poison case admitted to Intensive care unit for the three months from July 2018 to September 2018 were taken into consideration. The informed consent has been obtained from all the patients, whereas demographics details of the patient were obtained using a predesigned data collection form. During the study period, 37 cases of poisoning were reviewed. The incidence is found to be more in males 28 (75.6%) when compared to females 9 (24.3%). Our study results showed that pesticides are the major reason for poisoning with an intention of self- harming. Majority of the poisoning cases were seen in the age group of 21-30 where physical and mental stress is the major reason.

scholarly journals Frequency of Burnout Syndrome in an Intensive Care Unit of a Tertiary Care Hospital in Dhaka, Bangladesh

2019 ◽  
Vol 9 (1) ◽  
pp. 30-34
Author(s):  
Debasish Kumar Saha ◽  
Muhammad Abdur Razzak ◽  
Madhurima Saha ◽  
ASM Areef Ahsan ◽  
Kaniz Fatema ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Prolonged Exposure ◽  
Tertiary Care ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Burnout Syndrome ◽  
Care Hospital ◽  
Cross Sectional ◽  
Study Results

Background: Burnout syndrome is a psychological term resulting from prolonged exposure to job stressors. It is a very common problem among health professionals especially intensive care unit (ICU) staffs (physicians, nurses, ward-attendant), as ICUs are characterized by a high level of work related stress. The consequences associated with professional burnout affect both the healthcare professionals and recipients. Methods: This cross-sectional study was done over the period of four months (April to July, 2017) in the department of Critical Care Medicine, of Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorder (BIRDEM) General Hospital, Dhaka. Total 93 ICU staffs were included as study population. After taking informed written consent, the participants were given a structured questionnaire consisting of 2 parts. Part 1 addressed demographic information including gender, age, credentials, employment status, years in practice, work schedule, hours worked per week, smoking and alcohol habit, involvement in teaching and research works. Part 2 of the handout was the Maslach Burnout Inventory - Human Service Survey (MBI-HSS); an inventory consisting of 22 questions to assess three components of burnout. Results: Among the 93 study participants 39.8% were physicians, 47.3% were nurses and 12.9% were wardattendants) were included in this study. Majority (52.7%) of the responders were found in the age group 20-29 year and 58.1% were married. Majority (58.1%) had a working experience of 1-5 year in ICU, where 61.3% staff had 20-25 working days/month. Regarding duty schedule, 84.9% staff were doing shifting duty, 83.9% had 6-10 working night shifts/month. Most (62.4%) were involved in 1-5 patients’ care during their duty time. Among all responders, 17.2% had habit of smoking and 4.3% had alcohol intake habit. 56.7% physicians were involved in research works, and 41.9% of total physicians and nurses were involved in teaching activities. Mostly (97.8% of all staff) followed the ICU guidelines. Regarding burnout scale, 50.5% of the staff had been suffering from moderate emotional exhaustion (EE), 46.2% of high EE. Majority (38.7%) had been suffering from low depersonalization (DP), 32.3% were in high DP and 29.0% were in moderate DP; 81.7% scored high on the personal accomplishment (PA) subscale. Conclusion: This study results suggest that majority of ICU staff are affected by some level of burnout syndrome. Birdem Med J 2019; 9(1): 30-34

scholarly journals Contamination of Healthcare Worker Personal Protective Equipment with MRSA Outside the Intensive Care Unit Setting

2020 ◽  
Vol 41 (S1) ◽  
pp. s27-s28
Author(s):  
Gita Nadimpalli ◽  
Lisa Pineles ◽  
Karly Lebherz ◽  
J. Kristie Johnson ◽  
David Calfee ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Patient Care ◽  
Direct Patient Care ◽  
Care Group ◽  
Surveillance Culture ◽  
Care Hospital ◽  
Contact Precautions ◽  
Patient Interactions ◽  
The Right

Background: Estimates of contamination of healthcare personnel (HCP) gloves and gowns with methicillin-resistant Staphylococcus aureus (MRSA) following interactions with colonized or infected patients range from 17% to 20%. Most studies were conducted in the intensive care unit (ICU) setting where patients had a recent positive clinical culture. The aim of this study was to determine the rate of MRSA transmission to HCP gloves and gown in non-ICU acute-care hospital units and to identify associated risk factors. Methods: Patients on contact precautions with history of MRSA colonization or infection admitted to non-ICU settings were randomly selected from electronic health records. We observed patient care activities and cultured the gloves and gowns of 10 HCP interactions per patient prior to doffing. Cultures from patients’ anterior nares, chest, antecubital fossa and perianal area were collected to quantify bacterial bioburden. Bacterial counts were log transformed. Results: We observed 55 patients (Fig. 1), and 517 HCP–patient interactions. Of the HCP–patient interactions, 16 (3.1%) led to MRSA contamination of HCP gloves, 18 (3.5%) led to contamination of HCP gown, and 28 (5.4%) led to contamination of either gloves or gown. In addition, 5 (12.8%) patients had a positive clinical or surveillance culture for MRSA in the prior 7 days. Nurses, physicians and technicians were grouped in “direct patient care”, and rest of the HCPs were included in “no direct care group.” Of 404 interactions, 26 (6.4%) of providers in the “direct patient care” group showed transmission of MRSA to gloves or gown in comparison to 2 of 113 (1.8%) interactions involving providers in the “no direct patient care” group (P = .05) (Fig. 2). The median MRSA bioburden was 0 log 10CFU/mL in the nares (range, 0–3.6), perianal region (range, 0–3.5), the arm skin (range, 0-0.3), and the chest skin (range, 0–6.2). Detectable bioburden on patients was negatively correlated with the time since placed on contact precautions (rs= −0.06; P < .001). Of 97 observations with detectable bacterial bioburden at any site, 9 (9.3%) resulted in transmission of MRSA to HCP in comparison to 11 (3.6%) of 310 observations with no detectable bioburden at all sites (P = .03). Conclusions: Transmission of MRSA to gloves or gowns of HCP caring for patients on contact precautions for MRSA in non-ICU settings was lower than in the ICU setting. More evidence is needed to help guide the optimal use of contact precautions for the right patient, in the right setting, for the right type of encounter.Funding: NoneDisclosures: None

Screening for delirium in the intensive care unit using eDIS-ICU – A purpose-designed app: A pilot study

2021 ◽  
Author(s):  
Anna-Liisa Sutt ◽  
Dylan Flaws ◽  
Hayley Gunn ◽  
Eamonn Eeles ◽  
India Lye ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pilot Study

Early prediction of delirium in a pediatric cardiac intensive care unit: A pilot study

2021 ◽  
pp. 101401
Author(s):  
Pamela D. Reiter ◽  
Garth Wright ◽  
Ryan Good ◽  
Marisa Payan ◽  
Ann Lieb ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pilot Study ◽  
Early Prediction ◽  
Cardiac Intensive Care Unit ◽  
Cardiac Intensive Care

scholarly journals Using a behavior analytics approach to change nursing care of extremely premature infants: A pilot study

2018 ◽  
Vol 9 (5) ◽  
pp. 14
Author(s):  
Jenn Gonya ◽  
Jessica Niski ◽  
Nicole Cistone
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Pilot Study ◽  
Neonatal Intensive Care Unit ◽  
Premature Infant ◽  
Premature Infants ◽  
Nursing Care ◽  
Neonatal Intensive Care ◽  
Extremely Premature Infant

The neonatal intensive care unit (NICU) is, inherently, a trauma environment for the extremely premature infant. This trauma is often exacerbated by nurse caregiving practices that can be modified and still remain effective. Our study explored how behavior analytics could be used to implement an intervention known as Care by Cues and how the intervention might, ultimately, impact infant physiologic stability.

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