An Evidence-Based Protocol to Improve Treatment Compliance and Decrease Time-to-Treat for Employees Exposed to Infectious Diseases
MetadataShow full item record
Publisher:The Ohio State University
Series/Report no.:The Ohio State University. College of Nursing Doctor of Nursing Practice Final Document Projects
Abstract Problem: Employees who are exposed to infectious diseases are not screened and treated in a timely manner. Barriers with screening and treatment protocols are concerning and need addressed. Purpose: The purpose of this project was to create an evidence-based protocol to improve efficiency and treatment compliance among employees at a large, Midwestern medical center who have been exposed to infectious diseases during work hours. The intervention focused on changing the point-of-care from a central Employee Health location to on-site screening. Methods: The literature search revealed that removing barriers and making it more convenient for employees to be screened and treated after an exposure event should improve overall compliance and screening rates. Having the Employee Health nurses conduct the screening on-site would remove a technical barrier presented when staff leaving their work area must report to a remotely located Employee Health unit for screening. Findings: The pilot project was implemented following a large Meningitis exposure affecting over one hundred and five hospital staff members. Implementing on-site screening improved the overall compliance of health care workers seen within the optimal time frame. The percent of health care workers who were never screened decreased dramatically from 53% to 2%. Although there was a delay in initially identifying the presence of the disease causing the number of health care workers seen within the three day time frame to decrease (32% in 2016 compared to 17% in 2017), 94% of exposed employees were seen within three days of identification and within the recommended treatment timeline. Recommendations: Changing the process from a centralized location to an on-site location was successful for this project. Screened employees provided overwhelmingly positive feedback about this new process.
A three-year embargo was granted for this item.