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- German state of Hesse threatens to sue Rhoen over particle therapy
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Metrics FigureThe nursing bag has been used by home care visiting staff for decades as a means to transport patient care equipment and supplies to patients' homes. These supply bags can be back packs, “fanny packs,” shoulder or hand-carried bags, and wheeled rolling bags that contain vital sign equipment, computer tablets, personal protective equipment, and other supplies needed to provide patient care. What's most important is not the configuration of the bag, but rather how it is managed. By virtue of the bag coming in contact with the staff's hands, the environment of the staff's vehicle and patients' homes , pathogenic microorganisms can be brought into the patient's home or transferred from one home to another. This article will establish guidelines for the management of the “nursing bag” used by home care and hospice clinicians, and offer best practice guidance and strategies to prevent and control the transfer of microorganisms through its use. The interior of the bag can become contaminated when hand hygiene is not routinely performed prior to entering the nursing bag, and the used patient care equipment is not cleaned before being placed back in the bag.
Many sellers on Etsy offer personalized, made-to-order items. Huslage K., Rutala W. A., Gergen M. F., Sickbert-Bennett E. E., Weber D. J. Microbial assessment of high-, medium-, and low-touch hospital room surfaces. Some of the technologies we use are necessary for critical functions like security and site integrity, account authentication, security and privacy preferences, internal site usage and maintenance data, and to make the site work correctly for browsing and transactions.
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Lippincott Professional Development is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. Lippincott Professional Development, will award 1.0 contact hour for this continuing nursing education activity. Found something you love but want to make it even more uniquely you?
Core and supplementary contents in the home care nursing bag. Etsy’s 100% renewable electricity commitment includes the electricity used by the data centers that host Etsy.com, the Sell on Etsy app, and the Etsy app, as well as the electricity that powers Etsy’s global offices and employees working remotely from home in the US. Hesse’s science ministry said in a statement it would file a suit against Rhoen-Klinikum no later than March 1 to safeguard its interests unless the particle therapy facility started operating by then. Rhoen-Klinikum had promised less than a year ago that it would start operating the particle therapy facility by the end of 2013. If it misses that deadline, the state could tell it to repay the 107 million euros ($146.5 million) the state had given Rhoen in 2006 to invest in particle therapy.
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Nursing bags should be placed on a visibly clean, dry surface inside the vehicle. Environmental contamination plays an important role in the transmission of several epidemiologically important pathogens, such as methicillin-resistant S. Further research with a large sample size is needed to determine best practice. Until research data are available, these “bag technique” strategies are low-tech, low-cost, and easy-to-implement by home care and home care clinicians to protect our immunocompromised home care and hospice patients...and keep them out of the hospital and where they most want to be...in their homes. These principles apply to any carrying device brought into the home, such as a tote bag used to transport a scale to weigh the patient, or a laptop computer bag. When a monthly time frame is selected, this activity should occur close to the last day of the month to coincide with the date that medical supplies that expire in the same month will need to be disposed of and replaced.
A tote or duffel-style bag can be washed in the washing machine and dried in the dryer on high heat for a full cycle . Visually, the bag should always present with a clean “professional” appearance, and be replaced when any vinyl on the bag's trim surfaces crack, especially the handles, and when the bag appears worn from normal wear and tear. When a wheeled rolling bag is used, the bag should remain on the floor.
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There has been a long-standing controversy in the home healthcare and hospice field over whether a surface barrier should be placed under a bag and supplies when they are removed. There are no regulatory requirements or evidence-based guidelines to require placing a barrier under the bag or supplies removed from the bag. The purpose of using a surface barrier is to prevent contamination of the external surfaces of the bag and the contents removed from the bag. It is the home care and hospice organization's responsibility to define in policies and procedures if and when a surface barrier is required.
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German state of Hesse threatens to sue Rhoen over particle therapy
There is abundant evidence in the literature of extended survival rates of human pathogens on environmental surfaces (Huslage et al., 2013), and the recent data on the contamination rates of floor surfaces in healthcare facilities provide support for this practice. Patients are going home from acute care facilities colonized or infected with a multidrug-resistant organism or C. Difficile and their homes often are not as well hygienically maintained with daily cleaning and disinfection, as is performed in a healthcare facility. When choosing a bag to transport patient care equipment and supplies, select a bag that has an exterior surface material that is of a smooth, noncanvas nylon or polyester fabric, or vinyl material for ease in cleaning the bag's exterior surfaces. Unlike a hard, nonporous surface that can be disinfected, the surface of the nursing bag can only be decontaminated and cleaned to reduce the number of pathogens.
Bedbugs are notorious “hitchhikers” and when a surface barrier is not used, the bedbug can drop off the nursing bag inside the vehicle. Once bedbugs are inside the vehicle, it may be difficult or impossible to remove them. Bedbugs move by crawling and will not be able to crawl out a plastic container with smooth, high sides.
A common breach in infection prevention and control practice made by home care and hospice clinicians is reentering the bag while wearing gloves that had patient contact. This failure to remove the gloves and perform hand hygiene before going back into the nursing bag with “used” gloves on inadvertently contaminates the interior contents of the bag. Remove the gloves if worn, perform hand hygiene, and then reenter the bag. It is suggested that the hand hygiene products and supplies be stored in an outer pocket of the bag that can be easily accessed. Currently, there are no data that serve as evidence of a home care or hospice patient developing an infection from a pathogenic microorganism brought into a patient's home via a nursing bag. There is however, evidence that the bag may serve as a reservoir for multidrug-resistant organisms, thereby suggesting a potential risk for indirect transmission of microorganisms from one patient to another via a contaminated nurses' bag.
Shipping policies vary, but many of our sellers offer free shipping when you purchase from them. Typically, orders of $35 USD or more qualify for free standard shipping from participating Etsy sellers. Siemens bought back the equipment from Rhoen and pulled out of the project, saying it had been too ambitious in offering the new technology for general patient treatment. It teamed up with engineering group Siemens to set up the facility but the companies eventually found that the equipment could not be used for the kind of continuous operation needed to make it pay off financially.
From handmade pieces to vintage treasures ready to be loved again, Etsy is the global marketplace for unique and creative goods. It’s also home to a whole host of one-of-a-kind items made with love and extraordinary care. While many of the items on Etsy are handmade, you’ll also find craft supplies, digital items, and more. FRANKFURT, Dec Germany’s state of Hesse said on Friday it was preparing to file a suit against Rhoen-Klinikum if the hospitals operator fails to meet a deadline to start offering particle therapy at its Giessen-Marburg hospital.
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