Consumers Union April 28, 2014 Letter Regarding Opposition AB 2346 (Gonzales)

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CCIH IN THE INTENSIVE CARE UNIT

The lack of standardization and socialization of the various practices are commonly observed and cause the inefficiency of the service to organize the rules and routines (standard operating procedures-POP) for its operation, which should be adopted uniformly by all professionals.

  1. The preparation can be performed in conjunction with the Continuing Service Education and Infection Control Committee Hospital, followed by training for the socialization of information imposed in service to health care workers (Pinto, 2005; Fernandes, 2000).
  2. Inactivity or inefficiency of Hospital Infection Control Committee (CCIH) is another very common found in hospitals and causing damage to the institution, from lack of ability or profile of professionals to play in the area or from lack of awareness of the Manager as suggested needs from CCIH are not always met.
  3. It often occurs that the CCIH does not have a deployed and implemented hospital infection control program (PCIH), working without direction for their actions (SILVA, 2005; ADAMS, 2002).

Many hospitals still do not realize the importance of the CCIH administrative contribution of the body in advising, diagnosing and considering the presence and distribution of hospital infection among inpatients and graduates, interfering through the distribution and / or implementation of control measures of infection to guarantee the quality and safety of care (SCARPARO, 2005; Brito, 2006).

Concern in supporting the control of nosocomial infections in Brazil appeared in the decade of the 60, leading to the first publications and reports listed by the topic (rock; TIMONE, 2010).

We can mention those relating to the patient: transplants, immunosuppression, burns, procedures and techniques to which patients are visualized (LICHY; MARQUES, 2007).

There are several factors that increase the number of cases of infection in the ICU.

Hospital infections are the most obvious indicators of non-compliance of the health care system, even if the responsibility is, in general, vested in the healthcare professional or institution providing care (OLIVEIRA, 2005).

Infection control in the ICU is a difficult and of great importance for the proper functioning of the unit, thus showing the accuracy of both individual and patient protection, as well as the implementation of appropriate techniques and procedures in order to prevent any damage to the patient, another factor, no less important, is the cleanliness of the hospital environment (pino; NICOLETTI, 2008).

There are several factors that increase the number of cases of infection in the ICU.Consequently, hand hygiene in the hospital environment becomes a priority, practical evaluation to be the most important in isolation to reduce the rates of these infections in the hospital setting, reducing the transmission of microorganisms from hands (LIRA, 2008)

It is extremely important to emphasize the need for a hospital within the unit and HICC mainly within intensive care units. So also suppose how important is the participation of nurses, to have an appropriate performance on the difficulties presented resulting from unconsciousness, ineptitude and even lack of information from some professionals in this environment (PEREIRA; SHARMA, 2005).

  • The work of a multidisciplinary team of reviewers tends to achieve greater success in the results of work done by only one professional category, because each of these tests and evaluates the procedures of your specific training area better (re, 2007).

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