Hand washing. Why I don't wash my hands between each patient contact.
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Biomedical subjects
Publications and source records attributed to A Weeks.
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The justification for and the training, responsibilities, and contributions of two clinically oriented pharmacy technicians are described. A proposal outlining the clinical services being provided by pharmacists at a 650-bed medical center and the need for technical assistance was developed and approved. Two clinical technician positions were created to replace one of two eliminated pharmacist positions. Each of the technicians hired had worked successfully in several traditional pharmacy technician roles. The technicians were trained for specific roles and cross-trained in the basic functions of each other's roles. The technicians made rounds with the pharmacists to learn how to evaluate patients and interact with physicians and nurses and were required to demonstrate competence in deciding which patients required further evaluation. One technician focuses on providing direct clinical service support, and the other works primarily as a clinical administrative assistant. Half the technicians' time is spent performing services previously performed by pharmacists. In addition, the technicians track outcomes and provide clerical and data-management assistance. The technicians are responsible for screening and tracking approximately 400 patients per month on well-established services and 400 per month on two new monitoring services. The technicians have helped develop a medication-error tracking program. Clinically oriented technicians freed up pharmacists' time by collecting routine clinical data and managing clinical projects; through protocol-based screening and outcomes tracking, the technicians have helped to implement new clinical services and evaluate existing ones.
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Six months after a comprehensive socialisation scheme began, a prospective controlled study was carried out. The patients were tested in three practical sections - Cooking; Maintenance of Home and Clothing; Other Skills (eg. form-filling); and with a Questionnaire. Forty-eight members of an experimental group received socialisation training after initial testing. They and the 20 controls who did not undergo training were re-evaluated three months later. There was no significant difference between the groups in their initial scores. On retesting, the experimental group showed a significant improvement in Cooking (p less than 0.001), Home Maintenance (p less than 0.001) and the Questionnaire (p less than 0.05). Analysis of the inter-group differences showed significant superiority of the experimental group in Cooking (p less than 0.05) and Home Maintenance (p less than 0.05). It is suggested that such a socialisation scheme be considered for inclusion alongside other rehabilitation services in psychiatric hospitals. The emphasis on a high staff-to-patient ratio and the breakdown of each task into smaller steps emerged as essential elements in the training programme.
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Behaviour problems in pre-school children can be significantly improved by professionals experienced in child behaviour modification techniques. Reported disobedience, temper tantrums and poor concentration in hyperactive children aged three to three-and-a-half years improved significantly in a treatment group, following eight home visits by research health visitors working in a child and family guidance service.