Tag Archives: infection

General Safety Issues, Health Issues

THE TOP FIVE RISKS TO BE AWARE OF WHEN RECOVERING FROM SURGERY (GUEST POST)

 When it comes to surgery, most people worry just about the procedure itself and think that once it’s over, you’re “out of the woods.” However, the time spent recovering after surgery is just as dangerous if not more so than during the procedure itself, as the patient is still in a precarious state. While every case is different, there are a few post-op risks that are common to many surgical procedures: 

  • Anesthesia Complications – It may be commonplace in hospitals, but anesthesia can nonetheless cause permanent damage if not properly administered and/or if the patient reacts badly to it. Issues range from a simple sore throat to nausea and vomiting, which can result in dehydration if not properly cared for. Emergence delirium, a condition in which the patient wakes up confused and agitated, is also a threat since patients can injure themselves while still in a daze. Inquire as to the anesthesiologist’s experience and if they have worked with the rest of the team before.
  • Infection – Surgery literally opens up your body to infection, and sanitization procedures notwithstanding, surgical centers and hospitals are hot spots for bacteria and viruses. Nurses in the PACU should keep a close eye on your incision site, change the bandages often, and take immediate action if an infection is suspected.
  • Lack of Oversight – Not all surgical centers have the same staffing policies, and if your PACU doesn’t have enough staff on hand to effectively monitor patients, your condition could rapidly deteriorate without nurses noticing. Look for a one-to-one ratio of nurses to patients, particularly if you’ll be receiving painkillers.
  • Malfunctioning or Incorrectly Set up Equipment – In a recent medical malpractice settlement, a surgical center’s PACU monitoring machines were found to have been muted, which played a role in the death of a 17-year-old girl after a routine tonsillectomy.
  • Medications – Pain management is a main tenant of post-operative care, but narcotics can also come with significant side effects. Fentanyl, for example, is a very strong painkiller often given to surgical patients, but it comes with the risk of respiratory issues. Ask before your procedure if you’ll be given medications following it, and if so what they will be and the potential side effects. 

While you can never protect yourself completely going into a surgical procedure, being aware of the potential risks both during and after the surgery, as well as taking steps to mitigate them, can help you lower the chance of complications. Your doctor may also have helpful information on how to prepare. 

Mario Cattabiani is the Director of Communications at Ross Feller Casey, LLP, a personal injury and medical malpractice law firm. Check out their post-op care checklist for additional information.

First Aid Safety, General Safety Issues, Head Protection, Health Issues, Protective Clothing

NOW’S THE TIME TO GET OUT THE BUG REPELLENT!

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Every summer time, we are “bugged” by those pesky critters……flies, gnats, mosquitoes, bees, yellow jackets, wasps – you name it, we have it!  At this time, however, the biggest culprits are mosquitoes, those that are carrying a disease called West Nile Virus.  West Nile Virus causes an infection that is spread by certain kinds of mosquitoes.  They become infected when they bite infected birds.  Then, they spread the virus when they bite people or animals, such as horses.  This virus cannot spread from animals to people or from person to person  through casual contact. 

West Nile Virus causes an infection that can lead to inflammation of the brain (encephalitis), the spinal cord (myelitis), or the tissues surrounding it and the spinal cord (meningitis).  There is no specific treatment available.  Mild infections go away on their own, with the use of mild pain  relievers.  Persons who are more susceptible to the virus are those over age 50 and those who have cancer, diabetes and kidney disease, or those with underlying health problems, as well as those who have received organ transplants.  

Dallas County, Texas’ second most-populated county, authorized aerial spraying of insecticide on Friday for the first time in almost five decades to help fight the mosquito-born illness.  Thus far, 12 North Texas residents have died.  This year, the Texas Department of State Health Services has tracked 214 cases of the neuro-invasive West Nile, the most serious form of the illness.  Because it is just now becoming the peak season for the illness, agency officials fear the state will break the record number for such cases, which was 438, reported in 2003.  Texas isn’t the only state reporting this virus, so persons everywhere should take precautions. 

People should do everything they can to avoid mosquitoes.  Some ways to control them around your home are:

            Remove their habitat (where they live and breed.  Eliminate standing water in rain gutters, tires, buckets, plastic covers, toys or any other container where they can breed.  Also, empty and change water in bird baths, fountains, wading pools, rain barrels, and potted plant trays at least once a week to destroy potential mosquito habitats.  Keep swimming pool water clean and circulated.  Drain or fill temporary pools of water with dirt.

            To prevent your exposure to mosquitoes: use EPA-regulated mosquito repellents when necessary and follow directions and precautions closely.  Head nets, long sleeves and long pants should be worn if you are going into areas with high mosquito populations.  Stay inside during the evening when mosquitoes are active.  Be sure your window and door screens are “bug tight.”  Replace outdoor lights with yellow “bug” lights, which tend to attract fewer bugs than ordinary lights.  Remember the yellow lights are not repellents. 

There is no vaccine for the virus, which can cause high fevers, headaches and disorientation.  As stated earlier, however, most go away on their own.

This situation has become more serious because of the warm winter that insects lived through, and the extreme dry conditions that certain areas have experienced. 

The best solution is to stay inside, especially at night.   For those who must work outdoors, there are many types of mosquito repellents.  DEET has been proven to be a most effective repellent for mosquitoes, ticks, chiggers, deer flies, stable flies, black flies, gnats and fleas.  There is even a type of netting  for those who must wear hardhats or ball caps!

 

Source: CNN,
ABC News, A.P., CDC, Texas Department of State Health Services

First Aid Safety, General Safety Issues, Hand Protection, Protective Clothing, Respiratory Safety

ARE YOU FAMILIAR WITH HOSPITAL ASSOCIATED INFECTIONS?

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The World Health Organization reports that at any given time, approximately 1.4 million people worldwide are suffering from infections they received at a healthcare facility.  I personally know of one of those persons.  Following his second hip surgery, a family member got an infection, which required several days in the hospital, surgery to take care of the infection, and six weeks of home health care providers who administered large doses of penicillin through a portable IV.  The process was successful; however, it caused a lot of pain and discomfort, as well as mental anxiety, as to whether the treatment would work, or if another surgery would be needed.

Three types of infections that can be received in hospitals or healthcare settings are:

1.    Ventilator Associated Pneumonia.  VAP has the highest morbidity and mortality of Hospital Associated Infections.  This type of infection will increase patient time in the ICU by 4-6 days.  Estimated costs for each incident ranges from $20,000 to $40,000.

2.    Surgical Site Infections.  Costs from these types of infection from invasive procedures amounted to $10 billion in the United States alone annually.

3.    Cross Contamination.  Patients and healthcare workers are better protected from cross contamination by consistent hand hygiene.  Clean hands are the most important factor in preventing the spread of dangerous germs in healthcare settings.  Hand contamination is reduced by 70-80% when wearing gloves.  The importance of personal protective equipment, such as masks, gloves, surgical gowns, and other medical clothing cannot be overstated.

Hospitals, clinics, nursing homes, dentist offices, and other healthcare industries work hard to provide excellent infection control.  However, due to growing public anxiety, more pressure is being put on state and local legislators in regard to hospitals’ responsibility of controlling, combating, and reporting hospital associated infections.  There are numerous types of infections that can occur, but patients deserve to have the peace of mind that their return home will be a healthy one.

Source: haiwatch.com