GAO: Hospitals have incentive to under-report infections

I have Staph/MRSA, and just got out from a 10 day stay for my yearly flare up. The hospital is Hemet Valley Medical Center in Hemet, CA. My first three days I was in with another MRSA patient who had open seeping wound on the floor, which I wasn't aware of and stepped in the fluid from the foot. My infection is in my right hand and is not seeping.

I was astounded of the lack of RN's and Doctors who did not gown up, nor washed their hands when going from our room to another. The only hospital personnel who did follow protocols for STAPH/MRSA patients were the lab personnel.

They took our vital signs with the same machines used on everyone and were not cleaned after leaving our room. It's no wonder why MRSA spreads so quickly in a hospital setting. I was moved to a private room after my "room mate" left AMA. She also had two large sores on her hip that were cleaned and packed every day, and that was the only time the RN's gowned up.

Something needs to be done about this because it's happened in other hospitals I have been a patiend in. Their lack of concern for other patients in the hospital didn't seem to an issue for the health care providers who treated either of us.

A soft sale for incentive package in the healthcare arena in regards to asepsis and antiseptic or floating bacteria's and or viruses.
In 2008 we are continue to battle uphill and downhill the cost effectiveness for nosocomial diseases within the hospital population.

Someone has coined the term incentive, the CDC seems to be the oversee-ers committee;when dealing with direct contact, airborned pathogens, etc.

The reality is top management is under concerned with the reality of how the hospital functions. Somewhere in the top to bottom communications, right to left, and bottom to top. The desire for substantiating a safe enviroment which includes redbags, changing of soiled sheets daily and prn,mandate that all preoperatives must have ob/gyn smears if tolerated and male penile smears. A reduction of bacteria can be achieved.

We are discussing staph germs being contracted because of poor hand washing and being transient from patient to patient and family to family.

The ideology of how pathogens work his or her way from the host out into the population is poorly understood. There is not enough promotion,through education,to keep each employee aware of the seriousness and causes of staphylococci,baccilli, enterococci, etc.

There are prevention methods
chlorite needs to be introduced back into the hospitals again. but the cost of bleach became to pricy.
benadine used to be placed at each sink, but the effective technique for proper handwashing became to costly.
changing of soiled sheets used to be a priority, but washing the sheets became too costly. The patient will be go home the next day. Etc.

The defattening of the cat, leaves the cat defenseless and ill.

It's time to reengineer a new plan which will substantiate better established ideologies in the prevention resolution arena.

I apologize for the unedited version. My point is this. Top level management has to demand better first string supervisors.

These supervisors are to focus not only on the mission statement for the hospital but the qualitative healthcare which is required, to be served to the consumers.

gyn - papsmears can be implemented within the preoperative package
urology -male penile smears can be implemented within his preoperative package.
chloride- needs to be repurchased for the mopping and cleasing for hospital floors and objects. 4 parts bleach and 8parts h2o. this was the rule in dallas texas hospital education
Betadine retrieval for usage to proper hand washing techniques. Radiology
changing of all soiled sheets.

The decisions are being made to make a hospital function cost effective in an environment where the employees are deficient in understanding the precursors for nosocomial disease.

airborne
direct contact
bacteria
viruses
each element has policy and protocol, but it is the education and training which darkens the services intended for healthcare.