Final Paper

Deliverables

Write a 20-25 pages (not including the title and reference pages)
APA formatted paper with an introduction and conclusion.
APA headings for each section of the paper
At least 12-15references
Step 1: Capstone Project

Write a paper bringing all sections of the paper together.
Step 2: Consider

Including
Title page
Introduction to paper

Purpose section( This is my purpose)
Chlorhexidine gluconate (CHG) is a product used to kill germs (Popovich, 2017). In hospitals, bathing with the CHG reduces the spread of infections. Patients in intensive care and oncology patients are always at the risk of getting new infections (“CHG bathing to prevent Healthcare-Associated infections”). In oncology patients, the CHG baths decrease central line-associated bloodstream infection (CLABSI) compared to the normal bath (Popovich, 2017). This project aims to educate the healthcare workers on the importance of chlorhexidine gluconate baths in every shift. The CHG bath helps prevent infection on the central line of oncology patients.
Literature Review section(This is my literature review)
Chlorhexidine belongs to a group of drugs that are known as antimicrobials. Scientifically, these drugs are meant to prevent the rate of infection, especially in the mouth. In the pharmaceutical industry, it is used to manufacture mouthwash, whose overall role reduces bacteria’s number. Additionally, it has also been modified to treat such infections as gingivitis, whose main characteristics include redness, swelling, and bleeding gums. These groups of drugs are different from antibiotics, as their primary role is to function as antiseptics. In this regard, they are quite different from antibiotics, and antibiotics only treat a specific group of bacteria. Thus, they are classified as bleach, although they function quite differently. In contrast, these antimicrobials serve as bleaching agents but are safe for the skin. On the same note, chlorhexidine bathing is beneficial as it reduces the occurrence of hospital-acquired bloodstream infections.

Outcomes, Approach and Budget section (This is my outcome)
The Antiseptic Skin Cleanser McKesson 4 oz., Flip-Top Bottle 4% Strength CHG (Chlorhexidine Gluconate) / Isopropyl Alcohol, and Economy 12×12 Bulk Wash Cloth 100% Cotton from Texton Athletic Towels are vital elements in a clinical setup that will help the medical personnel to achieve positive results of the investigation. The utilization of these components will include reduced hygiene-related ailments, reduced hospital readmissions, and rate of catheter point infections. It will also entail lessening of complaints of surgical region contaminations and eradication of skin infections. By using the McKesson and the wash, cloth products will help to: lessen hygiene-related complaints such as diarrhea and blood infections among patients who consistently used the skin antiseptic element, reduces the rate of infections for patients suffering from kidney failure, mainly at the catheter’s entry point into the body (Memorial Sloan Kettering Cancer Center, 2019), and minimal complaints of infections at the surgical areas of the patients who undergo operations. Reduction of the rate of skin infections among the clients who used the Antiseptic Skin Cleanser. This aspect is because the presence of Chlorhexidine neutralizes the enzymatic system in the body, thus killing the germs and bacteria on the body surface (Jing et al., 2020).  The specific and measurable outcomes for this project are:
    By February 7, 2021, the manager will understand the importance of Chlorhexidine bath in the hospital by 100%
    By March 2, 2021, the nurses and certified nursing assistant verbally understand the presentation teaching by 80%
    By March 10, 2021, the nurses and certified nursing assistant will properly provide Chlorhexidine bath to the patient and verbally understands the teaching by 85%
    By March 13, 2021, the nurses and certified nursing assistant will educate the patients about the importance of Chlorhexidine bath in the hospital by 90%
    By March 20, 2021, Central Line-Associated Bloodstream Infection will decrease by 95% in the hospital.

-Antiseptic Skin Cleanser McKesson 4 oz. Flip-Top Bottle 4% Strength CHG (Chlorhexidine Gluconate) / Isopropyl Alcohol
McKesson Antiseptic Skin Cleanser
Contains 4% Chlorhexidine Gluconate
Reduces the number of microorganisms on the skin prior to surgery or patient care.    One bottle of Antiseptic skin Cleanser costs $3.60. For my 1 week presentation (every other day (Mon, Wednesday, and Friday) for 2 hours. I need at least 4 bottles in one presentation which add up to 12 bottles and costs the hospital $43.20

-1212 White Washcloths, Economy .75 lb/dz
    These 100% cotton washcloths are economy quality and are made to withstand average-heavy washing.  Lightweight, easy to wash and quick to dry.  Absorbent and perfect for cleaning purposes.    In ten single yarn, the washcloths costs $5.85. For my 1 week presentation (every other day(Monday, Wednesday, Friday) for 2 hours. For each presentation, I need ten single yarn which adds up to thirty single yarn. The thirty single yarn will costs the hospital $17.55

Strategies and Results section(This is my strategies and results)
            The first among the recommended methods to prevent or minimize incidences of Central Line-Associated Bloodstream Infection is the implementation of chlorhexidine baths among patient with central line placement. The other technique is using appropriate hand hygiene by nurses or physicians inserting the central line for use in the administration of medications or fluids among hospitalized patients. The other strategy hygienically removing catheters that have no use or that are not necessary to minimize potential sites of infection entry. However, this discussion will focus on the use of chlorhexidine bath to decrease Central Line-Associated Bloodstream Infection incidences. Generally, bathing patients with chlorhexidine have proved to reduce Central Line-Associated Bloodstream Infections significantly by reducing the rates of infection that enter into the bloodstream through the catheter or the central line.
              In the hospital, where the author did his capstone project, he had in-service for nurses and certified nursing assistants for a week about teaching and demonstrating the proper way to provide chlorhexidine baths for the patient because the main goal of the capstone project is to decrease Central Line-Associated Bloodstream Infection to the patients with central line. After a week, nurses and certified nursing assistant understand the importance of chlorhexidine baths to the patients.
              A study has been conducted both in the intensive care unit setting and non-intensive care unit setting using chlorhexidine to determine its effectiveness in reducing Central Line-Associated Bloodstream Infection. According to Pallotto et al., (2019) daily chlorhexidine baths for patients having a central line coupled with staff education, resource availability, leadership support and increased accountability and awareness have significantly reduced central line-related infections. Therefore, the advantages of chlorhexidine bathing among patients with a central line placement include prevention or reduction of Central Line-Associated Bloodstream Infection incidences, reduction of hospitalization period, reduction of healthcare costs and improved patient outcomes. Therefore, it is evident that chlorhexidine bathing should be considered for immediate implementation to prevent Central Line-Associated Bloodstream Infection and related medical problems.
            The limitation of using a chlorhexidine bath is that it cannot be used for patients with adverse skin problems, burns or those having allergies. Therefore, chlorhexidine bathing does not apply to all patients or cases. The risk associated with using chlorhexidine bathing to prevent or reduce Central Line-Associated Bloodstream Infection prevalence is the potential for the emergence of chlorhexidine resistant strains of pathogens but there is an alternate option which is soap and water.
          In implementing chlorhexidine bathing to prevent Central Line-Associated Bloodstream Infection, each hospital should follow guidelines approved by the relevant medical organizations of health departments. Nurses should be in the frontline in ensuring that chlorhexidine bathing is done properly and daily for patients in any hospital unit with central line. Therefore, nurses and patient caregivers should be made aware of and be educated on how to undertake a chlorhexidine bath. This will ensure that the nurses adhere to the guidelines as they perform chlorhexidine baths. The ethical considerations associated with chlorhexidine bathing include seeking patient consent, adhering to the principle of non-maleficence and utilitarianism. With non-maleficence and utilitarianism consideration, nurses will evaluate patients and ensure safety before indicating chlorhexidine bath and prescribe chlorhexidine bath to maximize well-being and reduce Central Line-Associated Bloodstream Infection rates (Scheier et al., 2021). This element will aid in the successful implementation of the strategy.
          The unit’s total infection rate has decreased from 65% to 43% from February to mid of March. Nurses and certified nursing assistants also verbalize the understanding of chlorhexidine baths. The relationship between the result and expected outcome is after the in-service for the staff. The nurses and certified nursing assistants were able to understand the importance of using chlorhexidine baths. They were able to adequately demonstrate proper chlorhexidine use by starting wiping from neck to feet with circular motion going towards the ground. Even after a 30-day evaluation from the author, the chlorhexidine bath should still be evaluated by the charge nurse or manager to maintain the project’s sustainability.
Conclusion
Reference pages

Note:Please use the information above and just make it longer upto 21 pages and also use the template that I attached below. Please use APA 7 format! I appreciate it. Thank you.

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