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Implementation of a Nursing Screening Protocol for Clostridium difficile

      BACKGROUND: Challenged with elevated healthcare-onset Clostridium difficile standardized infection ratios, a community hospital implemented a nurse driven screening protocol to aid in prompt identification of at risk patients. Early identification of Clostridium difficile cases has been identified as a best practice measure. It allows for prompt treatment of the patient and immediate containment measures to prevent the horizontal transmission of the disease. The objective of this project was to utilize the nurse's assessment skills in development of a nursing screening protocol for early identification of laboratory identified Clostridium difficile events as defined by the National Healthcare Safety Network. A decrease in healthcare onset standardized infection ratio and increase in community onset frequency was anticipated with protocol use.
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