Official Training Research Articles

Psychiatry residents’ perceptions of competence acquisition, training programe compliance and clinical supervision in the Spanish psychiatry training system

IntroductionThere are differences in the training curricula of medical specialists in different countries. The opinion of the doctors in training on how they acquire competencies and carry them out is of great importance. In our case, we asked ourselves what were the perceived shortcomings in psychiatric training.ObjectivesThe main objective of the study is to describe the opinion of psychiatry residents in Spain on the acquisition of competencies, compliance with the training programme and quality of clinical supervision.MethodsThis is a descriptive, cross-sectional, mixed (quantitative and qualitative) study. Based on previous bibliography and the ministerial order of the official training programme, an online survey was prepared, which was disseminated telematically through the residents’ representatives of the National Commission of the Speciality of Psychiatry of the National Council of Health Sciences Specialities.ResultsA total of 109 responses were obtained, with representation from all the Autonomous Communities of Spain. Graph I shows the opinion of the psychiatry residents as to which competencies they feel are less developed at present, with the competencies related to psychotherapy standing out in first place with great importance. In terms of compliance with the training programme, the parameter most in line with what was established was the average number of shifts, with an average of 4.26 shifts per month. However, 11.7% of residents do not take compensatory rest after on-call duty as required by law. Moreover, the rotation times established by the BOE are not complied with in 38.5% of the hospitals. With regard to the rotations that the residents feel should increase their rotation time, the child and adolescent psychiatry and dual pathology rotations stand out (graph II). Finally, with regard to the supervision process, only 22.90% of first-year residents are always supervised in person during their rotations (graph III).Image:Image 2:Image 3:ConclusionsOur study reflects the belief on the part of the resident physicians that further training in psychotherapy (45.7%), psychogeriatrics (10.6%) and dual pathology (8.5%) would be necessary. The fact that only 11.7% of the participants stated that they did not take compensatory rest after on-call duty seems to us to be an improvement over what was initially expected. There are other less reassuring data, such as the fact that only 22.9% of first-year residents report having continuous supervision. We consider that the results found follow the trends observed in studies carried out in residents from other countries. We stress the need to carry out a greater number of studies with a broad population base in which to find the failures that psychiatry residents themselves perceive in their training.Disclosure of InterestNone Declared

FITUR KESALAHAN PENGGUNAAN EJAAN DALAM SURAT DINAS DI UNIVERSITAS

This study aims to get an overview of the features of spelling errors in the preparation of official letters and to find out the factors that cause written language errors in official letters at one of the universities in Medan City. The procedure of this study uses a qualitative descriptive analysis procedure. The data collection method in this study is in the form of a documentary method. The information analysis method uses language error analysis procedures, namely information identification, information classification, and determining the frequency of errors. The source of information for this research is in the form of official letters written at one of the universities in Medan City. Research information in the form of written language that contains spelling errors. The research results show that there are errors in the use of spelling, and these errors are listed in interlanguage errors, such as language transfer and transfer of training. The low ability of the Indonesian language writer of the letter is the cause of language errors. The results of this research can help other agencies to pay more attention to the use of the Indonesian language, and it is considered important to hold official letter-writing training by authorized institutions.

Technology Learning in Early Childhood Education, Case Study in Taiwan

The purpose of this research is aimed to find out how technology can have a significant positive impact on the children in Taiwan, which enhances their engagement and learning motivation. This study has principally used the TPACK theoretical framework to give the participants a self-evaluate how their perceptions of their teaching have fared, as well as how their comprehension and understanding connect to the teaching of technology. The present study utilizes questionnaires and interviews to the private schools’ teacher and principal in Taiwan Hsinchu. Since the COVID-19 pandemic, the majority of teachers and students have adapted to and are accustomed to engaging in technology activity, which means that young children are increasingly communicating and interacting through technology, which has now become the new normal. Nevertheless, the majority of kindergarten and primary school teachers, lack official and professional training in technological expertise, according to this case study in Taiwan, notwithstanding the fact that this might have a detrimental effect on children's development and future careers. Main findings were: 1) Technology learning can help the improve students’ self-learning ability and learning motivation, 2) Teacher’s technology knowledge can significantly effect on children’s’ learning outcome; 3) Taiwanese Teacher confronting huge challenge in teaching with technology. Identify what professional ICT training for teachers is necessary. This research has Kindergarten teachers must develop their personal character and cultural connotation in addition to their professional theoretical understanding. Therefore, the teacher's knowledge of information technology must be strengthened in order to provide students with accurate, reliable, and superior information on technology learning.

I. DÜNYA SAVAŞI YILLARINDA SİVAS DARÜLMUALLİMİN-İ İBTİDAİ MEKTEBİ VE MEKTEPTEN MEZUN OLANLARIN DURUMU

Eğitim bir toplumun veya bir devletin gelişebilmesi ve ilerleyebilmesi için en önemli araç niteliği taşımaktadır. Nitelikli eğitim olmadan başarı sağlanması, refah düzeyinin artması, üretim yapılması veya güç kazanılması oldukça zordur. Keza eğitim insanların hayatında tarihin başlangıcından bu yana her zaman ehemmiyetini korumuştur. Farklı coğrafyalar, farklı etnik gruplar ve inanışların bulunmasından dolayı eğitimde hiçbir zaman tek sistem veya birlik düşünülemez. Bu sebeple her toplum kendi inançlarıyla bağdaşan bir eğitim metodu uygulamaya gayret göstermiş ve böylece birçok eğitim modeli teşekkül etmiştir. Eğitimin önemini kavrayan ülkeler gelişim sağlamış ve diğer ülkeler tarafından eğitim modelleri örnek alınmaya başlamıştır. Türk Devletleri de genel olarak inanılan dine uygun olarak eğitim-öğretim faaliyetlerini sürdürmüştür. Eğitim alanında yapılan yenilikler bazı zamanlar büyük fayda sağlasa da bazı zamanlar topluma ciddi anlamda zararlar vermiştir. Özellikle 19. yüzyılın ikinci yarısından itibaren ikiliklerin çıkması, eğitim sisteminin köklü değişikliklere uğraması ve bu süreçte savaşların da yaşanmasıyla Türk Toplumu ciddi anlamda yıpranmıştır. 
 Osmanlı Devleti’nde eğitim sistemi ve müesseseleri cumhuriyet dönemine kadar birçok kez değişime uğramıştır. Bilhassa 19. yüzyıldan itibaren önemli ıslahatlar yapılmış ve modern anlamda birçok mektep açılmıştır. İlk ve orta okul düzeyinde mekteplerin çoğalmasıyla acilen öğretmene ihtiyaç duyulmuştur. Nitekim 19. yüzyıldan önce resmi olarak öğretmen yetiştiren kurumlar mevcut değildi. Öğretmen ihtiyacı genel olarak Medrese mezunlarından karşılanmaktaydı. Zamanla medrese sistemindeki bozulmalar ve talebe sayısının artmasıyla nitelikli öğretmen bulmak zorlaşmaya başladı ve yetersiz kaldı. Bu eksikliği gidermek maksadıyla 1848 yılında resmi olarak ilk öğretmen okulu açılmıştır. Öğretmen okulları kısa bir zaman içinde vilayetlerde de tesis edilmeye başlamış ve zamanla sayıları artmıştır. Bunlardan bir tanesi de ilkokula öğretmen yetiştirmek üzere Sivas’ta açılmıştır. Ancak 20. yüzyılın başlarında Osmanlı Devleti’nin girdiği savaşlar yeni yeni kurulan ve gelişmeye başlayan mektepleri ciddi anlamda etkilemiş bulunmaktaydı. Özellikle I. Dünya Savaşı’nın başlamasıyla seferberlik ilan edilmiş ve mali sıkıntılar yaşanmıştır. Ayrıca birçok geçici kanun çıkarılmış, talebe ve muallimlerden bazıları askere çağrılmış, bazı eğitim kurumları kapatılmış veya ara vermek zorunda kalmıştır. Sivas Darülmuallimin Mektebi’nde öğrenim gören talebeler ve mezun olan öğretmenler de bu savaştan etkilenmiştir. Kimisi silah altına alınmış, kimisi vefat etmiş, kimisi de esaret altına düşmüştür. Ancak yaşanan olumsuzluklara rağmen faaliyetlerini devam ettiren bir mektep profili çizmiştir. Savaş başlamadan önceki yıllarda mezun olan öğretmen adaylarının da birçoğunun öğretmenlik mesleğini icra edemeden cephelere çağrılması ve sonrasında bu öğretmenlerin yaşadıkları, eğitim tarihimiz açısından oldukça önemli bir yere sahiptir. 
 Bu çalışmada, Sivas’ta öğretmen yetiştirmek üzere açılan Darülmuallimin-i İbtidai Mektebi’nin, I. Dünya Savaşı öncesindeki genel yapısı ve işleyişi hakkında özet olarak bilgi verildikten sonra, I. Dünya savaşı yıllarındaki faaliyetleri, talebeleri, mezunları ve önceki yıllarda mektepten mezun olan birçok muallimin akıbeti hakkında bilgi vermek amaçlanmaktadır. Söz konusu dönem ile ilgili Osmanlı arşiv belgeleri ve diğer yardımcı kaynaklar kullanılarak bilgiler sunulacaktır.

ANALYSIS OF THE IMPLEMENTATION OF THE SISKEUDES APPLICATION AS A TOOL IN FINANCIAL MANAGEMENT IN CIKEMBAR VILLAGE

This study aims to find out how the application of the siskeudes application as a financial management tool in cikembar village using qualitative research methods with a descriptive approach, and the results of this study the researchers found that there were several obstacles experienced by the cikembar village government, namely the operator of the siskeudes application which had long been out and replaced by new employees and not from their main duties so that their implementation is not optimal, plus the new village employees have never attended official training regarding the operation of the siskeudes application and the benefit of this research is to inform the Cikembar village government about several potentials that will make village financial management is not optimal

Psychological Defense Mechanisms of Military Service Members as a Personality Stabilization Regulatory System for Combat Mission Effectiveness

ABSTRACT This study's objective is to explore the psychological defense mechanisms of Ukrainian service members as a regulatory system for personality stabilization that influences combat mission effectiveness. The study was carried out during 2019–2020. The respondents were 270 military personnel of the ground forces, who had gained experience in the Anti-Terrorist Operation hostilities in the East of Ukraine in 2017–2020. We used psychodiagnostic methods such as the Lifestyle Index by Plutchik, Kellerman, and Conte; Lazarus’s Coping Test; and Leontiev’s Meaningful Life Orientations Test. Our work confirmed our research hypothesis that psychological defense mechanisms as part of the regulatory system of personality stabilization predetermine the effectiveness of the combat missions performed by military personnel of special branches. Military psychologists can use the results during their official training (psychological training and psycho-corrective measures) in order to acquire among the troops the required effectiveness in combat. Defense mechanisms will also contribute to the observance of military ethics, not least when faced with military immorality on the part of adversaries.

Knowledge, Attitudes, and Practices (KAP) Regarding Hepatitis B Vaccination among Healthcare Workers in Mongolia

Background: Mongolia is no exception and experiencing the burden of HBV among the population. In the last decade, the prevalence of HBV among the relatively healthy population of Mongolia has ranged between 11.8 percent and 10.6 percent, and acute cases are between 1.7 and 1.1 per 10,000 people. We aimed to determine healthcare workers (HCWs) knowledge, attitude, and practices regarding HBV prevention compared to vaccination coverage. Methods: This cross-sectional study was conducted among HCWs from the selected sites through multi-stage sampling. The study involved 1135 HCWs, including medical doctors, nurses, clinicians in both surgical and medical specialties, laboratory technicians, and other staff working in all departments from primary and referral levels in 36 healthcare facilities in two urban and four rural provinces of Mongolia. Participants who consented to the study completed a standardized self-administered questionnaire between July and Dec 2019. Results: Most participants (82.0%) were born before 1992 or before starting a birth vaccination against HBV in Mongolia. The mean age of the participants was 38 years and the participants’ median employment year in the health sector was seven years. Most participants were medical doctors (29.1%) and nurses (28.0%). Five questions explored HCWs’ knowledge about hepatitis B virus infection and prevention, and the correct response ranged between 15.6% and 95.4%. 2.8% of the respondents answered five questions correctly. Men, those with higher levels of education, those over the age of 30, soum family health center HCWs, and doctors and senior medical professionals answered many questions correctly, which is statistically significant. 98.9% of respondents believe that HCWs should vaccinate against HBV. The younger the age (%), management professionals, and service staff are confident in vaccines. A significant difference between age groups, perception of HBV infection, and formal attendance to the official training positively relate to vaccination coverage. Specially survey respondents who knew about the adverse effects of overdosing, learning about total doses of the vaccine, and the effectiveness of the hepatitis B vaccine were more tent to have full doses of the HBV vaccine. Knowledge and working conditions are increasing factors in receiving full doses of the HVB vaccine. Conclusion: The overall knowledge of HBV and its vaccination is fair among the HCWs; however, there is a need to intensify the training on some of the details and increase the training frequency at the workplace. Attitude and practice on infection protection and vaccination are still essential to be promoted among the HCWs. The low level of vaccination coverage is relevant to the level of KAP among the HCWs of the country.

Impact of COVID-19 infection control and prevention measures on physical-sports activity among adolescents in a rural population.

Abstract The aim of this study was to analyse the changes related to the practice of physical-sports activities (P-SA) in adolescents owing to COVID-19 infection control and prevention measures. A total of 259 students (mean age=13.98±1.61 years) from a high school gave information on their physical-sports habits during the first year of the pandemic. The results showed a clear association between P-SA prior to the establishment of the state of alarm with P-SA practised after, and during the new normality. Also, a sporting club's membership was positively related to P-SA. Logistic regression analyses indicated that the duration of official training was the factor that most explained P-SA levels after confinement and during the new normality. In relation to post-confinement P-SA, males were more likely to practise more P-SA than females, but during the new normality, this factor was no longer significant and living with a family member at risk and the practice of individual sports became more important. These findings show that membership of a sporting club and commitment to training mitigated the negative impact of these health measures. Guidelines to ensure the maintenance of P-SA in adolescents should be established if similar situations are repeated in the future.

POSITIVE HUMAN RIGHTS OBLIGATION OF STATES AND THE USE OF AUTONOMOUS WEAPON SYSTEMS DURING LAW ENFORCEMENT OPERATIONS

Autonomous weapon systems are artificial intelligence-based, modern weapon systems that can identify and destroy targets without meaningful human intervention. In this article, human rights violations that may occur in case of widespread use of autonomous weapon systems in law enforcement operations in the near future will be examined and the positive obligations of states will be determined. States' positive human rights obligations in line with the United Nations, Basic Principles on the Use of Force and Firearms by Law Enforcement Officials, can be listed as weapon selection and the duty of precaution, the official training of law enforcement officers, procedural obligation, the right to explanation and the right not to be subject to completely automatic decisions. The research results of this article offer that, in line with the existing case law of human rights courts, autonomous weapon systems cannot comply with the positive obligation on the right to life.

The new robotic platform Hugo™ RAS for lateral transabdominal adrenalectomy: a first world report of a series of five cases

Robotic assisted surgery is the most rapidly developing field of minimally invasive surgery. Its wide diffusion has led to the development and standardization of robotic-assisted approaches also for adrenalectomy. In this study, we present the first five robotic-assisted lateral transabdominal adrenalectomies performed with the new Hugo RAS™ system (Medtronic, Minneapolis, MN, USA). After an official training course of the surgical team, five consecutive patients scheduled for unilateral adrenalectomy, underwent robotic-assisted operations in our institution. Patients that were candidates for partial adrenalectomy were excluded. A description of the operating theatre, robotic arms and docking setup is provided. Four female and one male patient underwent lateral transabdominal adrenalectomy, three for lesions on the left side and two on the right. Median lesion size was 3.9 cm (range: 30–90) and preoperative diagnosis was Cushing’s syndrome in three patients, an adrenal cystic lesion and a pheochromocytoma. The median docking time was 5 min (range: 5–8) and the median console time was 55 min (range: 29–108). Procedures were performed without intraoperative complications and no conversions or additional ports were needed. System’s function and docking were uneventful. Based on our initial experience, adrenalectomy with the Hugo™ system is feasible. This study provides technical notes for other centres that wish to perform robotic-assisted adrenalectomies with the Hugo™ RAS as well as general information and our preliminary insights on this new platform.

Pharmacy technician training in Mongolia: Past, present, and future

The first official training of pharmacy technicians started in 1926 in Mongolia and pharmacy technicians were the only national pharmaceutical staff till the first national pharmacist graduated in 1954. Pharmacy technicians have played a valuable role in pharmaceutical care and service in Mongolia for the last century, which is still maintained nowadays. As of June 2022, one public university and one private medical institute implemented a pharmacy technician curriculum in Mongolia, and 512 pharmacy technicians had graduated in 2016-2020. Graduated pharmacy technicians are eligible to work in a community pharmacy, hospital, or pharmaceutical industry after being registered. They can also further their studies to get a B. Pharm. degree with an additional three years of training. As of 2020, a total of 2009 pharmacy technicians worked in Mongolia, 807 of them were employed in Ulaanbaatar and 1556 pharmacy technicians worked in the community pharmacies.

Multimodal object tracking by exploiting appearance and class information

In this work, we study the method exploiting natural language network to improve tracking performance. We propose a novel architecture which can combine class and visual information presented in tracking. To this end, we introduce a multimodal feature association network, allowing us to correlate the target class with its appearance during training and aid the localization of the target during inference. Specifically, we first utilize an appearance model to extract the target visual features, from which we obtain appearance cues, for instance shape and color. In order to employ target class information, we design a learned lightweight embedding network to embed the target class into a feature representation. The association network of our architecture contains a multimodal fusion module and a predictor module. The fusion module is used to combine features from class and appearance, yielding multimodal features with more expressive representations for the subsequent module. The predictor module is used to determine the target location in the current frame, from which we associate the class to the appearance. The class embedding module thus can learn appearance cues by exploiting the back-propagation functionality. To verify the abilities of our method, we select the official training and test splits of the LaSOT with annotated images and classes to perform experiments. In particular, we analyze the imbalance in the samples and employ a class validator discriminator to alleviate this problem. Extensive experimental results on LaSOT, UAV20L and UAV123@10fps demonstrate our method achieves competitive results while maintaining a considerable real-time speed.

Endoscopist Characteristics and Polyp Detection in Colonoscopy: Cross-Sectional Analyses of Screening of Swedish Colons

Endoscopist Characteristics and Polyp Detection in Colonoscopy: Cross-Sectional Analyses of Screening of Swedish Colons

The present circumstances of pediatric practice by family physicians in Japan: Cross sectional research.

In Japan, pediatric primary care has often been provided not by general practitioners, but by specialists. Although official pediatric training of general practitioners started in Japan in 2018 no studies to date show the extent to which Japanese general practitioners are committed to pediatric care. We conducted a questionnaire survey on pediatric training and current pediatric practice for family physicians certified by the Japan Primary Care Association. Of 1067 Japan Primary Care Association certified family physicians, 288 (27%) responded to the survey. More than 90% had received at least 3 months of pediatric training. Family physicians who completed 6 or more months of pediatric training provided significantly more pediatric care (p=0.005). However, nearly 40% were currently not involved in pediatric care. Japan Primary Care Association certified family physicians are treating acute and chronic common diseases as well as diseases that may intersect with other departments. However, most respondents indicated there are not many opportunities to learn systematically about the care of these diseases. In Japan, general practitioners are still not actively involved in pediatric care, but they treat patients with diseases that make it difficult to determine the most appropriate department to see and a wide range of age groups. It will become increasingly important to provide learning opportunities and better training environments in these areas with related organizations.

Evaluation of Body Composition in CrossFit® Athletes and the Relation with Their Results in Official Training.

CrossFit® is a high-intensity sport that combines weightlifting, gymnastic skills, and cardiovascular exercises. To find the anthropometric references that define the optimal body composition, it is essential to first find an optimal body composition for one’s physical preparation. The objective of this study is to describe the anthropometric characteristics of 27 Spanish CrossFit® athletes, 19 males aged 39 years old (24–44) and 8 females aged 28 years old (23–40), and how these characteristics influenced their performance. The athletes performed the Fran, Cindy, and Kelly workouts, establishing minimum marks, and the CrossFit Total workout to assess maximum strength. Significant differences were not found in time and repetitions between sexes in skill training, although there was a positive correlation r = 0.876 (p < 0.001) between muscle mass and the Total CrossFit result. We can conclude that the CrossFit® athlete has a low amount of fat mass and a small relative size, which is an advantage when training with bodyweight exercises, and a high muscle mass that provide benefits when strength training. In addition, despite executing movements from a multitude of disciplines, the physical demands for lifting heavy loads resulted in the anthropometric values of athletes being more similar to elite weightlifting athletes than in other sports.

진료지원인력의 양성화 및 합법화 고찰

Every year, South Korean medical field is undergoing significant shortage of residents, especially in the field of surgery. Therefore, hospitals hire physician assistants(PA) to cover for short-staffed physicians and increase the quality of medical care. PA’s perform medical checkups, surgery assistance, prescription, anesthesia, and directing nurses to aid physicians. Foreign nations like the United States and Canada produce highly skilled PA’s via official PA training programs and standardized license exams, and PA’s are allowed to perform limited medical practice. However in South Korea, lack of legal basis for PA’s eligibility, training program, and range of allowed medical practice causes social problems like unlicensed medical care and medical accident. South Korea’s objective for PA program is significantly different from that of the United States and Canada. In those countries, purpose of PA is to aid and cover for primary care, whereas South Korean PA program is used for remedying surgeon shortage problem and hospitals’ business purposes, such as cost reduction and treatment time saving. This study criticizes implementing a new occupational field based on foreign PA policy will cause numerous problems and limits due to the difference of purpose. Therefore, establishing a new management&amp; operating system for medical support persons considering patient safety, supply of health medical manpower, medical field requirements and characteristics of different medical institutions will be a realistic solution. Tasks for PA’s should be categorized and trained accordingly so that PA’s quality increases. Also, appropriate reward system, athority, and eligibility of PA’s are required according to their experience and ability. Registered nurse(RN) in South Korea is recognized as professional medical personnels that went through systematic education. This study suggests improvising RN program and utilizing it will be a efficient and realistic alternative solution for this problem.

The new surgical robotic platform HUGOTM RAS: System description and docking settings for robot-assisted radical prostatectomy.

To date, robotic surgery in urology is well established all over the world. The newest platform on the market is the HUGO™ RAS system, developed by Medtronic. In this paper we provide a brief description of the system and describe our system set-up and surgical approach with this new platform in our initial experience of robotic radical prostatectomy (RARP) series. After an official training, seven consecutive patients affected by localized prostate cancer underwent RARP with HUGOTM RAS system at our Institution. A description of our surgical approach and docking setup is provided. Docking and console times were reported for all precedures together with main suggestions to facilitate the use of this new system at the beginning of the experience. Our operating room setup has shown to be safe, effective, and easy replicable. During our series, operative times appeared to be easy reproducible and comparable to those obtained with daVinci system. No major system faults and conflicts between robotic arms were observed after the first procedure. Our surgical approach and system configuration for performing RARP with the new HUGO™ RAS system appears to be safe, efficient and easy reproducible.

Digital care work at public libraries: Making Digital First possible

Claims of becoming the first, the best, and the most digitized are standard rather than outstanding in most public-facing digitalization agendas and strategy documents of countries in the Global North. These grand narratives of digitalization need translation through concrete practices by sometimes unexpected actors—in this case, librarians. This article develops the notion of digital care work based on 18 book-chapter-length essays by active librarians based at Swedish public libraries. It illustrates that librarians are central to the process of translating digitalization into reality; they have become ambassadors of digitalization not only by fostering digital skills and competences in workshops and official training sessions but also, we argue, through a specific form of digital work, namely, digital care work. This kind of gendered work, which is typically carried out alongside the official tasks and assignments of librarians, is of low prestige and often involves affective aspects, such as emotions of shame and uncertainty.

The Road to High Level Disinfection and Sterilization Competency in Ambulatory Clinics

Background In 2020, our organization added an infection prevention role for approximately 250 affiliated ambulatory clinics. A rounding assessment tool was developed and initiated. During this initial rounding, it was discovered that several locations were not performing High Level Disinfection on endocavity ultrasound probes, and those that were performing the HLD, were not following manufacturer's guidelines. Upon further investigation, similar findings were discovered for both HLD of endoscopes as well as sterilization using tabletop autoclaves. There was no official training or competency program in place for any of these processes in the ambulatory clinics. Methods First, a gap analysis was performed. Data was collected on the current processes and a complete device inventory was created. A cluster analysis was performed and revealed the infection rate among potentially affected patients over the last 3 years to be within the expected range. A 3rd party infection control consultant was brought in to validate and verify our proposed plan of creating new processes, educating staff, and developing a sustainable competency program. Results Broken processes were immediately halted and corrected. Three competency programs were developed and implemented for HLD and Sterilization, which included online modules, webinars, hands-on training (for endoscopes), and a competency check-off. This involved 175 staff members in almost 50 clinics across the state and only one IP. New logs were created and distributed to the practices as well as supply lists of necessary items to maintain compliance. Conclusions At the time of this abstract, 64% of staff had completed the competency training and were checked-off. Those who are unable to complete it by the deadline, will be unable to perform that skill. This will be a required annual competency moving forward. In 2020, our organization added an infection prevention role for approximately 250 affiliated ambulatory clinics. A rounding assessment tool was developed and initiated. During this initial rounding, it was discovered that several locations were not performing High Level Disinfection on endocavity ultrasound probes, and those that were performing the HLD, were not following manufacturer's guidelines. Upon further investigation, similar findings were discovered for both HLD of endoscopes as well as sterilization using tabletop autoclaves. There was no official training or competency program in place for any of these processes in the ambulatory clinics. First, a gap analysis was performed. Data was collected on the current processes and a complete device inventory was created. A cluster analysis was performed and revealed the infection rate among potentially affected patients over the last 3 years to be within the expected range. A 3rd party infection control consultant was brought in to validate and verify our proposed plan of creating new processes, educating staff, and developing a sustainable competency program. Broken processes were immediately halted and corrected. Three competency programs were developed and implemented for HLD and Sterilization, which included online modules, webinars, hands-on training (for endoscopes), and a competency check-off. This involved 175 staff members in almost 50 clinics across the state and only one IP. New logs were created and distributed to the practices as well as supply lists of necessary items to maintain compliance. At the time of this abstract, 64% of staff had completed the competency training and were checked-off. Those who are unable to complete it by the deadline, will be unable to perform that skill. This will be a required annual competency moving forward.

Evaluation Of Infection Control Planning And Prevention Program Implementation (IPC) At Royal Prima Hospital In 2022

As of 2018, a new standard was applied, namely the National Standard for Hospital Accreditation (SNARS) Edition I. IPC is included in the group of Hospital management standards so that a good IPC organizing system can improve the quality of hospital services. The purpose of this study was to assess the IPC of SNARS Edition I. This study used qualitative analysis methods. Specifically, it is comparative descriptive research with a case study design. The object of this research is the implementation of the IPC program which is assessed through surveys and direct observations using the reference of SNARS Edition I. Respondents in this study amounted to 12 people. The search results obtained a PC score of 39.8%. The IPC Team Organization has not been socialized and has not established the IPC program so that surveillance records only run as in the previous year without a report being made to the leadership. The trend of incident cases knowing the management and implementation of the Program with SSI infection tends to increase. Of all the members of the IPC Team, only two members (18.18%) received official IPC education and training from outside the hospital. Existing IPC regulations need to be revised and completed, especially related to infection risk management which will have an impact on improving facilities and infrastructure. The implementation of the IPC program at the Royal Prima Hospital in Medan has not yet reached the graduation rate based on SNARS Edition I.