scholarly journals Incidence of Medication Error in Critical Care Unit of a Tertiary Care Hospital: Where Do We Stand?

2020 ◽  
Vol 24 (9) ◽  
pp. 753-754
Author(s):  
Anand Bhutada
Keyword(s):  
Critical Care ◽  
Medication Error ◽  
Critical Care Unit ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital

scholarly journals Incidence of Medication Error in Critical Care Unit of a Tertiary Care Hospital: Where Do We Stand?

2020 ◽  
Vol 24 (9) ◽  
pp. 799-803
Author(s):  
Kapil Zirpe ◽  
Bhavika Seta ◽  
Sharvari Gholap ◽  
Khadija Aurangabadi ◽  
Sushma K Gurav ◽  
...  
Keyword(s):  
Critical Care ◽  
Medication Error ◽  
Critical Care Unit ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital

scholarly journals Active surveillance culture in a critical care unit of a tertiary care hospital of West Bengal, India: a prospective study

2019 ◽  
Vol 6 (1) ◽  
pp. 18 ◽  
Author(s):  
Leelavati Thakur ◽  
Chinmaya Dash ◽  
Sulekha Sinha
Keyword(s):  
Critical Care ◽  
Critical Care Unit ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Base Line ◽  
Surveillance Culture ◽  
Care Hospital ◽  
Esbl Producer ◽  
Klebsiella Species

Background: Hospital-acquired infections are a common and serious public health problem and their management and control are essential to minimize hospital-related morbidity and mortality. The aim was to acquire the base line data regarding prevalence of Multi Drug Resistant (MDR) organism in a tertiary care institution and to help in ensuring proper practice guidelines like contact isolation, cohorting and sterile barrier precaution. The study design was an observational descriptive hospital based cross sectional study.Methods: The study was conducted in a critical care unit of a tertiary care hospital for a duration of 6months. Patients with the age more than 18yrs, duration of stay more than 48hrs were included in the study. Categorical data are expressed in percentages.Results: In the study 111 patients more than 18 yrs of age were enrolled of which 68 were male and 43 females. The sample collected from the axillary site were 110, nasal site 108, urine 96 and respiratory site 95. The culture positivity for pathogenic organisms were maximum for axillary site (95.5%) followed by nasal site (83.33%), respiratory site (36.8%) and urine (26%). Of all the organisms isolated multidrug resistance were as follows: MRSA 63% and MSSA 37% (of all S. aureus), MR CoNS 41.32% (of all CoNS), ESBL producer 22.2% and carbapenemase producer 22.2% (of all Klebsiella species), ESBL producer 37.5% and carbapenemase producer 31.26% (of all E. coli), non albicans Candida 57.14% (of all Candida species).Conclusions: Early identification of the causative pathogen in nosocomial and community-acquired infection is crucial for initiating the correct antibiotics as well as preventing further spread.

scholarly journals Awareness and practice of patient’s oral care among critical care nurses in a rural tertiary care hospital

2019 ◽  
Author(s):  
Singla Bhavika ◽  
Akshaya N. N.Shetti ◽  
Rachita Mustilwar ◽  
Singla Anshul
Keyword(s):  
Critical Care ◽  
Critical Care Unit ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Oral Care ◽  
Cross Sectional Study ◽  
Critical Care Nurses ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional

Background and aim: Oral care contributes significantly to the patients’ health outcome in a critical care unit. Nurses play a vital role in maintaining good oral health. However, there remains a dearth of literature regarding oral care practices among nurses workingin an Indian critical care unit. In this descriptive cross sectional study, we assessed the level of awareness and the existing practices of patients’ oral care among our critical care unit (CCU) nurses. Methodology: After obtaining approval from the institutional ethics committee, 64 CCU nurses, having work experience of atleast 6 months in the CCU, were enrolled in this descriptive cross sectional study. A self-structured questionnaire was used to assess the awareness and practice of the nurses. The data collected was analyzed using descriptive statistics and results were expressed as percentages.Result: Of the 64 nurses enrolled in the study, there were no dropouts. It was found that 62 (96.87%) nurses provided oral care to all the CCU patients. 60 (93.7%) nurses claimed that a standard oral care protocol has been provided to them. Documentation of the oral care was carried out by 54 (84.37%) nurses. Although 50% of the nurses had been trained to provide oral care, 54 (84.37%) nurses felt the need of fresh training. 60 (93.7%) nurses preferred using toothbrush in conscious patients. Chlorhexidine was the most commonly used solution. Bleeding, extubation and biting were among the few complications that they faced during routine oral care.Conclusion: Despite working in a rural set up with limited resources available, oral care was provided by most of the nurses. Following a standard protocol and documentation of the same, has helped maintain consistency in oral care of all critical care patients.Citation: Bhavika S, Shetti AN, Mustilwar R, Anshul S. Awareness and practice of patient’s oral care among critical care nurses in a rural tertiary care hospital. Anaesth pain & intensive care 2019;23(3):295-300

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