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Impact of Policy on Practice - Case Study Example

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Impact of Policy on Practice

A patient with a hospital acquired infection (HAI), in this case (MRSA), was brought down from a ward to a busy x-ray department, in the middle of the day, without the knowledge of the infection being given to either the porter or the department staff. Although the department would have phoned the ward when the referral form was sent, to enquire how the patient was going to come down i.e. bed or wheelchair, no mention was made by the ward staff to the radiographer about this patient's infection status. The knowledge was gained by the radiographer while chatting to the patient in the x-ray suite. The radiographer then phoned the ward, which confirmed it. The policy at the trust is that all patients with an infection (such as MRSA or clostridium difficile (vomiting and diarrhoea) CD are brought down, one at a time, to a specific room in the late afternoon, (post clinic etc), when two radiographers or, one radiographer and 1 student, will carry out the examinations as a team. One person will handle the patient with gloves and apron, while the other person will handle the equipment. Once all patients have been x-rayed, the room will not be used again until it has had a thorough clean. This ensures that the patient is not kept waiting in the department any longer than necessary, and that there is less chance of any cross infection.
PEST analysis is defined by Mindtools (2006) as
"A simple but important and widely-used tool that helps you understand the big picture of the Political, Economic, Socio-Cultural and Technological environment you are operating in".
Political
The issues related to NHS are a hot topic of discussion for anyone even remotely related to politics. Politicians of all parties try to focus on it, as they know that this is an important agenda to gain public confidence. Needless to say MRSA has always been an issue of lengthy speeches made by our politicians. According to bbc.co.uk "The number of deaths in which the super bug MRSA has been cited as a cause has doubled in four years, official statistics show." (Para.11)
Unfortunately political parties, instead of unitedly fighting the menace fight amongst themselves in an attempt to solve the problems. There is an excellent example of this statement stated in bbc.co.uk "last year Health Secretary, John Reid ordered hospitals to slash rates of MRSA bloodstream infection by half by March 2008." (para.17) "But Conservative Party leader Michael Howard blamed the government's 'obsession with targets'. (para.18)
In the incident narrated above, the ward staff showcased sheer carelessness and pathetic attitude towards his professional responsibility while overlooking the policy related to the x-ray of MRSA patients. Do the people who make policies try to check whether the policies are being followed at all Laurance has stated; "to tackle the menace, ministers promised a crackdown on poor hygiene with hospitals ranked in a league table of cleanliness. But it is too little, too late." (MRSA, politics and press section, para.11)
In the cases like the one mentioned above, the well being of medical practitioners gets ignored too. Very few think about the people who are on the other side of the platform called 'health'. One policy related t ...Show more
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Summary

Infection control is an essential part of healthcare for both patients and staff. This assignment will discuss, whether the policies that surround the issue of infection control, have impacted on practice or not.
The spread of (HCAIs) in general and of methicillin resistant staphylococcus aureus (MRSA) in particular, is acknowledged as a key issue in NHS hospitals…
Impact of Policy on Practice
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