What would be a response? Availability and

What would be a response? Availability and utilization of technology in healthcare delivery cannot be overemphasized. The focus of the scenario based on my healthcare practice that would benefit from access to data is hospital-acquired infections (HAI). This scenario involves a 38yr old male that was admitted to the medical-surgical unit for abdominal pain who acquired Methicillin-Resistant Staphylococcus Aureus (MRSA) infection during his course of stay in the hospital. Hospital-acquired infections are nosocomial acquired infections that are typically not present or might be incubating at the time of admission (Boev & Kiss, 2017). These infections are usually acquired after hospitalization and manifest 48 hours after admission to the hospital. The risk for hospital-acquired infections is dependent on the infection control practices at the facility, the patient’s immune status, and the prevalence of the various pathogens within the community. The impact of hospital-acquired infections is seen not just at an individual patient level, but also at the community level as they have been linked to multidrug-resistant infections. Hospital-acquired infections have very high morbidity and mortality, costing the healthcare system billions of dollars each year (Danna, 2018). The hospital that I work at takes the hospital-acquired infections seriously and would require or benefit from the access/collection and application of data towards this scenario. The data that could be used include patient history, comprehensive physical examination, lab work, culture prior to antibiotics and vital signs. Here, obtaining thorough details in history and performing a comprehensive physical examination is important in determining whether the infection was acquired before admission or whether it is a hospital-acquired infection. Whereby important pieces of history, such as subjective fever, chills, and night sweats, may indicate that the infection was already in the system prior to their visit and not hospital-acquired. Also, vital signs at admission and afterwards can reflect signs of systemic inflammatory response or sepsis and would help differentiate if the values were normal or not to indicate hospital acquired infections. Much more, laboratory testing complements the history and clinical examination in elucidating the possible source of infection and revealing evidence of organ dysfunction. Serum levels of lactic acid, liver transaminases, prothrombin time, blood urea nitrogen (BUN), serum creatinine, low or elevated white cell counts, elevated bands, thrombocytopenia, hypoglycemia, hyperglycemia, and reduced mixed venous blood saturation can support clinical findings to show whether infection was acquired in the hospital (Sydnor & Perl, 2011). Also Obtaining samples for cultures before initiation of antibiotics is vital in early identification of the pathogen and the antimicrobial susceptibility pattern. These data are collected at admission, at any new changes in condition, throughout admission time and accessed through the electronic medical record (EMR). Having the capability to access a patient’s electronic medical record from a central hub would be very helpful to not only healthcare professionals but to the patient as well. There is a lot of knowledge that could come from data collection, access and utilization (McGonigle & Mastrian, 2022). In accessing the data, healthcare professionals would be able to see and be knowledgeable about the changes in priority areas or symptoms denoting hospital-acquired infections. Also, knowledge about the pointers derived from the data will guide monitoring, performing and isolation of cases towards a concerted effort by all healthcare teams in order to have an impact (Sweeney, 2017). Nurses play a vital role in prevention as they are often the first to encounter infected patients. A nurse leader would use clinical reasoning and judgment in the formation of knowledge from this experience through meeting and brainstorming the problems that have been identified in the data and formulating ways on how to mitigate them. Here, the nurse leader is able to set SMART goals and enforce policies and certain measures towards a better outcome. SCIENCE HEALTH SCIENCE NURSING NRP 555

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