Trace the “chain of infection” and identify an error of one of five (5) significant actors. Suggest two (2) actions that could have been taken by that actor to break the chain of infection and alter the outcome of the young patient who ultimately died from the infection.

Partnering to Heal Teaming up Against Health Care Associated Infections

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.

Trace the “chain of infection” and identify an error of one of five (5) significant actors. Suggest two (2) actions that could have been taken by that actor to break the chain of infection and alter the outcome of the young patient who ultimately died from the infection. See the list below identifying the significant actors involved in the incident.

Actors:

Kelly – Family Caregiver (significant)
First Nurse – Dena – Nurse at Desk (significant)
Second Nurse – Nurse Caring for patient (significant)
Third – African American Night Nurse (significant)
Manuel – Medical student (significant)
Janet – Infection Preventionist (not significant as did not physically contribute to chain of infection.)
Nathan – Unit Director (not significant as did not physically contribute to chain of infection)

Attending Physician (not significant as did not get report of patient change or physically contribute to chain of infection)