Expert answer:12-15 Page Synthesis Project Paper
Solved by verified expert:Need to complete a 12-15 page synthesis project paper on the standardization of sterile processing of dental instruments and equipment. I have attached the guidelines which includes the grading rubric as well as some helpful information about the project. Please use the guidelines and rubric to ensure all required grading criteria are met.
synthesis_project_guidelines___grading_rubric.doc
synthesis_project_topic___helpful_information.docx
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Synthesis Project Guidelines
Fall 2017
The synthesis project is a comprehensive project for an organization. This can be a quality
management project or a change project. The project will include statement of the problem,
findings and application, goals and objectives, overview of the organizational culture (including
organizational, environmental, epidemiological, and any other culture-related issues),
implementation, identification of the role of the nurse leader, evaluation of project, and
appropriate references. The project will be presented in written format through a major paper.
Synthesis Project: Paper
The paper will be evaluated on how well the 3 criteria of content, writing, and format are
addressed. See grading rubric below for details of the requirements.
Synthesis Project: Paper Grading Rubric
CONTENT EVALUATION (225 points)
CRITERIA
EXEMPLARY
Project
Project is completely
description
clearly & accurately
described. (30-33
points)
Objectives
Objectives are clearly
identified, including
measurable goals &
deadlines. (24 points)
Literature
review
Literature review is
clear, accurate, &
current. (33-36 points)
Organizational
Culture
Culture is completely
clearly & accurately
described. (33-36
points)
Strategies are clear &
specific. (33-36 points)
Implementation
strategies
Role of the
Role description is clear
Chief Nurse
& specific. (27-30
Executive
points)
Evaluation of
Evaluations are clear &
project
specific. (27-30 points)
implementation
& effectiveness
WRITING EVALUATION (45 points)
Opening
Catchy opening
introduces the main
idea. (9 points)
Connection of
ideas
All ideas are logically
connected. (9 points)
COMPETENT
Project is partially
accurate &/or
complete. (28-32
points)
Objectives are
identified, including
mostly measurable
goals & deadlines. (2023 points)
Literature review is
usually clear,
accurate, & current.
(28-32 points)
Culture is partially
accurate &/or
complete. (28-32
points)
Strategies are usually
clear & specific. (28-32
points)
Role description is
usually clear &
specific. (22-26 points)
Evaluations are
usually clear &
specific. (22-26 points)
Opening introduces
the main idea. (7-8
points)
Ideas are usually
connected logically.
(7-8 points)
DEVELOPING
Project is not
accurate &/or
complete. (22-27
points)
Objectives are
identified, including
some measurable
goals & deadlines.
(15-19 points)
Literature review is
sometimes vague,
sometimes accurate,
or not current. (2227 points)
Culture is not
accurate &/or
complete. (22-27
points)
Strategies are vague
or not focused. (2227 points)
Role description is
vague or not focused.
(18-21 points)
Evaluations are
vague or not focused.
(18-21 points)
UNSATISFACTORY
Project is not
addressed. (0 – 21
points)
Opening does not
adequately introduce
the main idea. (5-6
points)
Ideas are sometimes
connected logically.
(5-6 points)
Opening does not
introduce the main
idea. (0-4 points)
Objectives are not
identified. (0 – 14
points)
Literature review is
not present. (0 – 21
points)
Culture is not
addressed. (0 – 21
points)
Strategies are not
evident. (0 – 21
points)
Role description is
not evident. (0 – 17
points)
Evaluations are not
evident. (0 – 17
points)
The majority of
ideas are not
logically
connected. (0-4
points)
Conclusion
Grammar
Language
Conclusion connects to
the introduction & is
complete & adequate.
(9 points)
All sentences are
mechanically
(punctuation, spelling,
capitalization) &
grammatically correct.
(9 points)
Vocabulary is
consistent &
appropriate for the
intended audience. (9
points)
FORMAT EVALUATION (30 points)
Reference
References are
citations
consistent & citations
reflect APA 6th style. (9
points)
Reference list
Reference citations &
list match consistently.
List is in APA 6th format.
References provide a
comprehensive review
of the state of the
science. (9 points)
Headings &
other APA
requirements
Title page
Level headings are
consistently used to
mark assigned content
areas for the paper.
APA 6th format is
consistently used
throughout the paper.
(6 points)
Title page is clear,
accurate, and in APA 6th
format. (6 points)
TOTAL POINTS – 300 points possible
Conclusion is
complete & adequate.
(7-8 points)
Sentences are usually
mechanically &
grammatically correct.
(7-8 points)
The closing of the
paper is incomplete
or inadequate. (5-6
points)
Sentences are
sometimes
mechanically &
grammatically
correct. (5-6 points)
Vocabulary is usually
consistent &
appropriate for the
intended audience. (78 points)
Vocabulary is
sometimes
consistent &
appropriate for the
intended audience.
(5-6 points)
References are usually
cited or sometimes do
not reflect APA 6th
format. (7-8 points)
Reference citations
and list usually match.
or List is usually in APA
6th format. References
mostly provide a
comprehensive review
of the state of the
science. (7-8 points)
References are
usually cited, but do
not reflect APA 6th
format. (5-6 points)
Reference citations
and list sometimes
match or list is not in
APA 6th format.
References usually
provide a
comprehensive
review of the state of
the science. (4-6
point)
Level headings are
usually used to mark
assigned content
areas for the paper.
APA 6th format is
sometimes used
throughout the paper.
(4-5 points)
Title page is mostly
clear, accurate, and in
APA 6th format. (4-5
points)
The paper ends
without closing. (04 points)
Many sentences
are not
mechanically &
grammatically
correct. (0-4
points)
Vocabulary is
inconsistent &
inappropriate for
the intended
audience. (0
points)
References are not
cited. (0-4 points)
Reference citations
and list do not
match or list is not
in APA 6th format.
References do not
provide a
comprehensive
review of the state
of the science. (0-5
points)
Level headings are
not used to mark
assigned content
areas for the
paper. APA 6th
format is not used
throughout the
paper. (0-3 points)
Title page is not
present. (0-3
points)
Synthesis Project Topic:
Developing a Developing a Standardized Dental Sterile Processing Protocol.
Background Information:
A recent Failure Modes and Effects Analysis (FMEA) performed by the Quality Management Department
at St. Paul Medical Center (SPMC) revealed a lack of standardized sterile processing of dental
instruments and equipments (the main dental department and outlying dental clinics all have different
protocols for processing sterile dental instruments and equipments). The FMEA was in compliance with
The Joint Commission’s leadership standard LD.04.04.05 which requires at least one FMEA or proactive
risk assessment every 18 months. It is an assessment of how well the organization is doing at
maintaining compliance with standards. It is intended to prevent potential risk or process failures before
they occur. To complete this analysis, the Department of Quality Management (DQM) which facilitated
the FMEA formed a FMEA Team made up of Patient Safety Specialists.
The dental sterile processing was chosen by the Command Executive Board (CEB) because:
–
–
It is an area of high vulnerability.
Risk to patient safety: Improper sterilization practices can lead to patient harm; healthcare
acquired infection, increased length of stay and readmission.
Potential risks and hazards embedded in the current process and structure of care identified.
Sterilization practices are not standardized and are not consistent with guidelines and
recommendations of the Association for the Advancement of Medical Instrumentation (AAMI),
The Center for Disease Control (CDC), and the Joint Commission (TJC).
Developing strategic interventions that will eliminate or minimize the risk and hazards to
prevent adverse effects from occurring.
Goals
–
Improve the efficiency and processes involved in dental sterile processing.
Establish quality practices that meet sterilization evidenced based standards.
Expand and enhance communication in the work areas.
Develop a competent workforce through ongoing education.
Provide technology and environment conducive to optimal outcomes.
Findings (4 main areas):
Sterilization Process:
–
Lack of ownership and responsibility for the supervision of dental sterilization activities
organization-wide.
Sterilization practices inconsistent organization-wide.
Lack of consistent application of evidence-based guidelines for infection control and
sterilization.
–
Lack of monitoring of everyday practices by leadership
Inconsistent audit process.
Staff Competency:
–
No accurate record of competency process across the organization has not been maintained.
Lack of an on-going competency and training of front-line staff and those with oversight for
sterilization processes.
Noted pattern that staff with responsibilities for sterilization process do not know the “why”
associated with task(s).
Inventory Control:
–
Lack of standardization of inventory
Incomplete inventory control process.
No system for tracking usage and life expectancy of equipment or repair and maintenance.
No monitoring system for tracking Instructions For Use (IFU) for compliance.
Communication:
–
Briefs and huddles not being done in all areas; lack of inclusion of all staff and failure to address
patient safety issues.
Lack of communication in departments regarding events, lessons learned, changes, equipment
needs, etc…
Underreporting of Patient Safety Reports (PSR) secondary to an underlying perceived belief that
it is punitive.
Actions Taken:
The following are some of the corrective actions taken as part of this synthesis project to standardize
the Standard Operating Procedures (SOP) for the sterilization of dental equipments and instruments.
Sterilization Process:
•
–
Standardization of competencies, training and equipment
Standardize hand piece machine used for cleaning
Standardize sterilization wrap
Daily checklist revised.
Initiate weekly review by clinic manager of daily duties.
Developed standardized log for reporting variations and issues with temperature and humidity.
Increase monitoring of quality assurance (QA) practices.
•
–
Revised SOP to include:
Responsibilities in daily practice related to sterilization
Emphasis on infection control, sterilization process, use of IFUs.
–
Updated organization’s Infection Control guidelines by adding High Level Disinfection (HLD) and
Infection Control risk assessment.
Staff Competency
–
Updating staff competencies to meet requirements by 1 Oct 2017 to be in line with
requirements by TJC, AAMI.
Implement dental sterile processing training with annual competency reviews.
Consider incentive program for staff certification in sterile processing.
Inventory Control
–
Instrument tracking; Improve current manual system and recommend upgrading to Censitrac
system
Maintenance & repair; consider one centralized service contract. Ensure training is included in
contract when purchasing to ensure updated training and monitoring efficiency of equipment.
Instructions for Use; Place OneSource on infection Control site. Recommend upgrading to
Censitrac to include features such as reprocessing records, updating device IFUs, and staff
management tools.
Communication
–
Implement and ensure daily briefs and huddles are performed in all areas.
Quarterly staff meetings (more frequent updates as needed)
Formation of frontline group and point of contact for each department to provide support and
help resolve day-to-day issues.
…
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