One of the primary motivations for implementing healthcare programs is to benefit the entire public. Some programs educate and provide protection strategies, while others provide alternatives in the event that the prioritized techniques fail. In the process of finding areas of non-compliance that may pose a risk to the general public, compliance and resilience in the examination of healthcare programs are critical. In policy assessment, team members are heavily reliant, but only those having reliable expertise or understanding of the policy to be assessed and its area in general. This paper seeks to evaluate the healthcare policy on central-line associated bloodstream infection.
Description of Global Healthcare Issue
Central line-associated bloodstream infection (CLABSI) is a primary bloodstream infection that occurs when bacteria or viruses enter the bloodstream through the central line. It is usually witnessed in patients after 48 hours of admission into the healthcare facility.
The Policy in the United States Related to the Healthcare Issue
In a joint effort with other stakeholders, the CDC developed guidelines for preventing CLABSI. It has given healthcare facilities the full mandate to monitor the rates of diseases and assess the ffectiveness of prevention efforts through the national healthcare safety network (Wright et al., 2018). The guidelines include avoiding the use of femoral sites, hand hygiene before catheter insertion, clinician education, and use of insertion checklists when placing CVCs.
The Policy in Mexico Related to the Healthcare Issue
The Mexican policy includes training and monitoring staff competency in infection control practices. Line insertion and maintenance skills, making Central Venus Line necessary in the health operations, hand hygiene, and appropriate use of personal protective equipment (Lutwick, 2019). Daily line care checklists, and guidelines for the enteral, parental feeding of VLBW infants, and antimicrobial stewardship.
The Strengths of the Policy in the United States
The policies help reduce catheter associated blood infections. For instance, the hand hygiene and care packages reduce the disease infection in low-resource environments (Wright et al., 2018). These actions limit the occurrence of bloodstream infections, but they also save money for the hospital.
The Strengths of the Policy in Mexico
Targeted educational intervention for the nurses using a simulated central line care model improves competence in central line care and decreases CLABSI rates in the inpatient oncology unit.
Hand hygiene and proper use and removal of PPE will limit the transient microbial burden transferred to oneself or others (Patel et al., 2018). It has been established that identified aseptic and infection control techniques minimize the spread of organisms to a single patient and avoid repeated transmissions that contribute to an epidemic situation involving several patients.
The Weaknesses of the Policy in the United States
The weaknesses include inadequate microbiological laboratory capacities and poor adherence to the guidelines. Consequently, the rules are not followed well, since some hospitals do not have adequate facilities for handling patients.
The Weaknesses of the Policy in Mexico
The weaknesses include variations in compliance with guidelines given in the ICU due to unavailability of skilled staff and resources for data collection and analysis.
How the social determinants of health impact the global health issue
The social determinants of health include poverty, the culture of safety, leadership, and the environment. Effective leadership works with staff to overcome the barriers in fighting CLABSI. On the other hand, the organization’s commitment to safety found across all levels is critical in dealing with CLABSI (Wright et al., 2018). For instance, the willingness of the stakeholders to provide resources necessary to address patient safety. The poverty in the low-income areas has a substantial impact (Vilar-Compte et al., 2017). For instance, the mortality and morbidity are higher in the areas of low income compared to the areas of high income in the country.
How the United States’ government addressed cost, quality, and access to the global health issue
The National Health Safety Network was developed as a surveillance system to control the disease.
How the Mexican government addressed cost, quality, and access to the global health issue
The Mexican government adopted the International Nosocomial Infection Control Consortium model in dealing with the diseases. It has also implemented the interventions like audits and feedback using cheap technology. The costs involved in treating one patient ranges from $29000 to32912 per patient.
How the United States health policy impacted the health of the global population
The policy on education has increased the nurses’ competency in handling the patients. This has significantly decreased the rate of CLABSI. Hand hygiene has also contributed to the reduction of CLABSI.
How the Mexican health policy impacted the health of the global population
Aseptic and infection control methods have greatly reduced the spread of organisms to a single patient. This prevents the repetitive transmissions that contribute to an outbreak among numerous patients.
The Potential Impact of the Health Policy on the Role of Nurse in the United States
The education policy has increased the nurse’s ability to eliminate the errors and risks associated with treating vulnerable patients such as chronic patients. From the ICU, the nurses are well prepared to deal with the disease.
The Potential Impact of the Health Policy on the Role of Nurse in Mexico
The education policy has increased the nurse’s ability to eliminate the errors and risks associated with treating vulnerable patients such as chronic patients. The nurses are well prepared to deal with the treatment and prevention of the disease infection.
How Global Health Issues Impact Local Healthcare Organizations and Policies in the United States
The local healthcare has been trying to keep up with the policy guidelines in reducing the errors and risks involved in medication. For example, practicing hand hygiene and educational training has enabled the nurses to offer quality treatments and has significantly reduced cases of CLABSI.
How Global Health Issues Impact Local Healthcare Organizations and Policies in Mexico
The local health has been doing its best to reduce the variations with the compliance guidelines. For instance, it has employed skilled and expert personnel to ensure that everything is up to date with the best treatment procedures.
General Notes or Comments Regarding the Health Policy in the United States
Policies should be backed by science, led by stakeholders, guided by metrics, and supported by management in order to help reduce or control global health challenges. The key to achieving the wonderful results that each nation desires is to implement the policies and maintain excellent compliance.
General Notes or Comments Regarding the Health Policy in Mexico
Devoting more resources to the healthcare system should be embraced and supported by the government. This is to ensure an excellent solution to the health issue. Managing CLABSI would be a significant milestone since the money channeled to it would have been used to foster significant economic development in the country.
References
Lutwick, L., Al-Maani, A. S., Mehtar, S., Memish, Z., Rosenthal, V. D., Dramowski, A., & Bearman, G. (2019). Managing and preventing vascular catheter infections: A position paper of the international society for infectious diseases. International Journal of Infectious Diseases, 84, 22-29.
Patel, P. K., Gupta, A., Vaughn, V. M., Mann, J. D., Ameling, J. M., & Meddings, J. (2018). Review of strategies to reduce central line‐associated bloodstream infection (CLABSI) and catheter‐associated urinary tract infection (CAUTI) in adult ICUs. Journal of hospital medicine, 13(2), 105-116.
Pearson, E., Byrne-Davis, L., Bull, E., & Hart, J. (2020). Behavior change techniques in health professional training: developing a coding tool. Translational Behavioral Medicine, 10(1), 96-102.
Vilar-Compte, D., Camacho-Ortiz, A., & Ponce-de-León, S. (2017). Infection control in limited resources countries: challenges and priorities. Current infectious disease reports, 19(5), 1-7.
Wright, M. O., Decker, S. G., Allen-Bridson, K., Hebden, J. N., & Leaptrot, D. (2018). Healthcare-associated infections studies project: an American Journal of Infection Control and National Healthcare Safety Network data quality collaboration: location mapping. American journal of infection control, 46(5), 577-578.