Describe a clinical situation where you were concerned (e.g., a higher incidence of falls, infections, errors, etc.) and where decisions were made to improve the situation. What sources of evidence were utilized to make the decision (e.g., personal experience, expert advice, etc.)?
During my recent time working at a rehab facility, I witnessed an increased incidence of residents infected with COVID-19. At first, the facility did not require nurses to separate admissions from residents or be quarantined for at least 14 days per CDC guidelines (Coronavirus Disease 2019 (COVID-19), 2020). There were raised concerns from numerous staff members about these regulations, but the administration did not pay close attention to these complaints. As a result, there was a rapid spread of COVID-19 infection which almost led to lockdown by state agencies and many hospitalizations. To improve the situation, new regulations were placed that prevented patients from acquiring infections. CDC guidelines were followed, and the number of patients infected with COVID-19 gradually decreased. Research suggests that inadequate circulation can lead to the rapid spread of aerosol particles in nursing homes and hospitals, leading to an outbreak (Ahlawat et al., 2020).
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