MPHA 5F11: Title: Reduce healthcare associated infection in Hospital setting. By: Tasnuva Iqbal
Connection to: MPHA 5P03: Epidemiology; MPHA 5P05: Biostatistics in Public Health
MPHA 5P03 is vital because this provides me with essential knowledge about interpreting epidemiological research findings. Because MPHA 5P03 offers me knowledge about epidemiological research, calculating hand hygiene rates, Hospital-acquired MRSA, VRE, ESBL, and C.diff rate calculation. I learned how to analyze data and make graphs, and interpret the result of the finding.
Conduct PPE audits every month and identify where I need to change educational materials to improve PPE donning and doffing rate and reduce disease transmission.
Conduct PPE audits every month and analyze data
Calculate hand hygiene rate of inpatient and outpatient units. Update internal hospital dashboard to support ICP for IPAC quarterly meetings and reduce HAI in a hospital setting.
Update ARO surveillance data in the excel spreadsheet
Connection to: MPHA 5P02: Qualitative Research and MPHA 5P06 Policy and
Practice
I am working on the PowerPoint educational slides, which contain disease transmission, disease prevention, and isolation precautions signs. I reviewed all Public health Ontario best-practice guidelines, Ministry of health guidance document, CDC, WHO and internal policy. I check every slides and pamphlet to ensure that every PowerPoint slide and education material is translated into plain language. When developing educational materials and brochures, I must focus on my audiences, such as environmental services employees, visitors, and patients. I use pictures, simple language, and easy-to-understand sentences. I do not use scientific names or abbreviations. MPHA 5P06 taught me how to write policies and procedures, who the target population is, how I find that population, the steps of implementing policies, how I update the existing policy, and which area I need to focus on. MPHA 5P02 taught me qualitative and quantitative research, interpretation of the qualitative interviews and making a summary.
List of Activities, Tasks &
Product
2.E- learning for staffs
Product: Make PowerPoint presentation slides for all hospital employees. A literature review of disease transmission and prevention strategy. Analyze HH data and best practice guidelines to implement the prevention strategy ( Complete).
- Active and passive surveillances
Product: Review lab results and check ARO's new signs and symptoms. Update monthly all ARO results in an excel spreadsheet. Review all admission dates and any ARO positive results to identify any new nosocomial infection or not (in progress).
1.Conduct hand hygiene and PPE audit
Product: Observed 4 moments of HH audit and PPE donning and doffing audit every month. Data update in the scorecard (in progress)
4.Sergical site infection audit
Product: Call C-section patients each month to identify whether any surgical site infection happen or not and update the database (in progress).
5.IPAC policy update and make a draft of new policy
Product: Review all peer review articles, Public Health of Ontario best practices document, Ministry of health and long-term care guidelines, CDC and WHO new guidelines for updating internal policy and draft new policy (in progress).
- Develop a pamphlet of ARO for visitors and patients' education.
Product: I review ARO internal policy, Infection Prevention and Control for Clinical Office Practice, Routine Practices and Additional Precautions documents, and HH rate to make a pamphlet (complete).
- Updated all additional precaution signs
Product: My role in this application involved conducting a literature review and updating additional precautions signs. I made an enhanced droplet/contact sign draft copy and submitted it to the supervisor (complete).
Connected to MPHA 5P09: Health equity and 5P16: Indigenous health
When I made any new policy draft or updated policy, I mainly focused on SDoH, such as lack of knowledge about disease transmission, lack of education about food, housing status, aboriginal status, and income. I focused on health equity and the Knowledge Translation Planner document when I made education material. I concentrate on aboriginal health, including physical, intellectual, spiritual, and emotional health. I discuss with my team about Call to Action 23 ( Provide cultural competency training for all health- care professionals) to reduce the gap.
Connection to MPHA 5P07
5P07 is vital because this course provides me with the basic knowledge about disease transmission, prevention strategies, incubation period, type of diseases, and isolation precautions. Provide me with in-depth knowledge about antibiotic resistance organisms and antimicrobial stewardship programs. I use this course material in this practicum to implement educational materials for staff and visitors.
Evaluate indicator of IPAC measure
Attend quarterly IPAC meetings, take feedback and review the update
click to edit
Monthly review and calculate HH and PPE rate.
Quarterly calculation of SSI and Hermia data, infection rate and report to the supervisor
Calculate ARO nosocomial / non nosocomial infection rate.
MPHA 5P05: Biostatistics in Public Health course knowledge is essential for all healthcare professionals. This course taught me to interpret the research articles and understand the CI and P-value. Interpret whether the result is the statistical significance or not. I used CASP critical appraisal tools to analyze the study findings. I review related articles and guidelines to support learning and policy implementation.
I review all peer reviews articles related to implementing or updating policy. I conducted a literature review using my knowledge and skills to create IPAC eLearning and an educational pamphlet.
My duty during an outbreak is contact tracing, making line lists and graphs, and brainstorming for a prevention strategy. If we see any cluster of new cases, I need to review lab results and match them with symptoms.