Hand Hygiene Workflow in Pediatric Settings

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Tools used to transfer essential and succinct information about nursing standards, instructions, and crucial regulations are critical for the well-being of the target demographic. Therefore, providing visual support for this purpose becomes increasingly important (Booth et al., 2017). As the example of Carter, Cohen, Murray, Saiman, & Larson (2016) shows, the incorporation of a simple 5-step workflow diagram for hand hygiene in the context of pediatric care creates additional opportunities for caregivers of infant children to acquire the necessary abilities. By focusing on simplicity and clarity of instructions, as well as the goal of educating patients, one can create a simple and understandable yet informative and educational guide for maintaining hygiene.

Figure 1. Workflow Diagram: FO Feeding.

Explanation of the Flowchart

As shown in Figure 1, the current workflow of maintaining the hand hygiene in the pediatric care setting requires the placement of a patient in a specific location and the preparation of the tray with the necessary items. Putting on gloves in order to administer the next steps, which include feeding a child in the specified guideline, is the next step that has to be accomplished while wearing gloves. Afterward, the tray has to be removed from the area, followed by the child being removed from the chair, and transferring it to the stroller. The specified steps have to be repeated for each child under a nurse’s care.

Each of the steps in the diagram can be described as value-added since they are succinct and provide an immediate instruction for a specific action. For instance, the first step instructs a nurse about the preparation for the feeding process, which helps to address possible hygiene-related issues. The next stage also adds an important value by stressing the need to refer to the sanitation standards for donning gloves and keeping them on while feeding. The third step of the instructions has the greatest value as it mentions the actual feeding process. The fourth and the fifth stages, in turn, add crucial value since they instruct a nurse about finishing the feeding process properly.

The Metric

The diagram in question uses a rather basic metrics of ml of food administered to children. While this information is not specified in the diagram, the amount of food provided to infants depends on their weight and health-specific requirements. Although general recommendations exist, a patient-specific approach is strongly recommended in the instance (Hanin, Nuthakki, Malkar, & Jadcherla, 2015).

Areas of Improvement

The current workflow describing the process of managing the feeding of infants is rather simple and easy to use, yet it needs improvements concerning the details of feeding. For instance, additional information concerning the strategies for keeping the gloves and the feeding tools clean will have to be provided (Jadcherla et al., 2017). In addition, the existing instructions lack the description of the instances of mismanaging the feeding process and the information about handling the specified concerns. Therefore, adding extra information about common difficulties that nurses may face during the process of infant feeding is highly required.

Conclusion

By creating a simple workflow chart with basic instructions about managing the process of feeding infants, one can address a range of health-related issues in the nursing care environment, which is critical for the further well-being of the target patients. Due to the incorporation of the guidelines that represent a workflow diagram, one can outline the essential instructions to patients. Simultaneously, the suggested approach encourages nurses to build a knowledge system that will allow them to improve their knowledge and understand the principles based on which the guidelines are built. As a result, the levels of patients’ well-being will rise systematically, and the quality of care will improve exponentially.

References

Booth, R. G., Sinclair, B., Strudwick, G., Brennan, L., Morgan, L., Collings, S.,… & Singh, C. (2017). Deconstructing clinical workflow: Identifying teaching-learning principles for barcode electronic medication administration with nursing students. Nurse Educator, 42(5), 267-271. Web.

Carter, E. J., Cohen, B., Murray, M. T., Saiman, L., & Larson, E. L. (2015). Using workflow diagrams to address hand hygiene in pediatric long-term care facilities. Journal of Pediatric Nursing, 30(4), 17-21. Web.

Hanin, M., Nuthakki, S., Malkar, M. B., & Jadcherla, S. R. (2015). Safety and efficacy of oral feeding in infants with BPD on nasal CPAP. Dysphagia, 30(2), 121-127. Web.

Jadcherla, S. R., Khot, T., Moore, R., Malkar, M., Gulati, I. K., & Slaughter, J. L. (2017). Feeding methods at discharge predict long-term feeding and neurodevelopmental outcomes in preterm infants referred for gastrostomy evaluation. The Journal of Pediatrics, 181, 125-130. Web.

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