As I work on my clinical project to improve CHG
As I work on my clinical project to improve CHG bathing compliance in the medical-surgical setting, it’s important to consider how it may be affected by organizational, state, or federal accreditations and standards. One major influence comes from the standards set by the Joint Commission, which accredits and certifies healthcare organizations in the United States. The Joint Commission has strict guidelines on infection prevention and control, and CHG bathing is a recognized method to reduce infection rates, especially in patients with central lines or those undergoing surgery (The Joint Commission, n.d.). Ensuring compliance with these guidelines is crucial for the hospital to maintain accreditation, making this project directly aligned with these standards rather than a barrier. Additionally, the Centers for Medicare & Medicaid Services (CMS) also set quality standards that healthcare facilities must meet to receive federal funding. CMS emphasizes patient safety and infection control measures, and improving CHG bathing compliance helps the hospital meet these standards (CMS, 2024). Increasing compliance means the hospital can better adhere to CMS regulations, avoiding penalties or reduced funding. In this way, my project supports the hospital’s efforts to meet federal standards rather than presenting any obstacles. At the state level, the Texas Board of Nursing (BON) outlines the standards of practice for registered nurses, including ensuring patient safety and providing evidence-based care. By focusing on improving CHG bathing compliance, I am following these nursing standards, as the practice reduces the risk of hospital-acquired infections (Davis et al., 2024). Furthermore, my project aligns with the state’s emphasis on quality improvement and patient-centered care, so it doesn’t conflict with any state regulations or nursing standards. There are no direct barriers from these accreditations or standards. Nonetheless, it is essential to recognize that proper training and adherence to hospital policies are critical. Nurses and other healthcare staff must be fully educated on CHG bathing protocols to ensure compliance, and any deviations could result in non-compliance with both organizational and federal standards. Therefore, my project is not hindered by these regulations, but it does require careful planning and education to meet the high standards set by accrediting bodies and professional organizations. References Centers for Medicare & Medicaid Services (CMS) (2024). Quality, safety & oversight – Certification & compliance. https://www.cms.gov/medicare/health-safety-standards/certification-compliance Davis, T., Wittmann, S., Prairie, B. A., Dugan, N., Reiser, P., Goclano, L., & Dziobak, R. (2024). Implementing a compliance monitoring process to promote chlorhexidine gluconate bathing and hand hygiene: An Initiative to Decrease Central Line-Associated Bloodstream Infections. Patient Safety, 6(1). https://doi.org/10.33940/001c.121071 The Joint Commission (n.d.). Infection prevention and control. https://www.jointcommission.org/resources/patient-safety-topics/infection-prevention-and-control/ What is your comment/feedback on this statement. Please add one reference. Thank you.
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