Watch the video: Partnering to Heal Teaming up Against Health Care Associated Infections. (Links to an
external site.)https://health.gov/hcq/trainings/partnering-to-heal/index.html
In the video, there were five (5) significant actors directly involved in the unfortunate outcome of the case.
Consider who was at fault. Join in a discussion with your peers regarding this situation and actions of
those involved.
Initial Post
Trace the “chain of infection” and identify an error of one of five (5) significant actors and suggest two (2)
actions that could have been taken by that actor to alter the outcome of the young patient who ultimately
died. See the list below identifying the significant actors involved in the incident.
Actors:
1.Kelly – Family Caregiver (significant)
2.First Nurse - Dena – Nurse at Desk (significant)
3.Second Nurse - Nurse Caring for patient (significant)
4.Third – African American Night Nurse (significant)
5.Manuel – Medical student (significant)
6.Janet – Infection Preventionist (not significant as did not physically break chain)
7.Nathan – Unit Director (not significant as did not physically break chain)
8.Attending Physician (not significant as did not get report of patient change or physically break
chain)
Sample Solution