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DVT Case Study In Nursing

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Introduction. Development of Deep Vein Thrombosis (DVT) in hospitalized patients is fatal, but preventable. DVT and subsequent Pulmonary Embolism (PE) can be affected by surgical and non-surgical patients. Early assessment and interventions are important to prevent DVT in acutely ill patients. he working staff are unaware that DVT during hospitalization is a ‘never event’ and its consequences. There is no supervision is taken place on this issue. Solution. Upon investigating about the non-compliance with the DVT guidelines, this author found out that lack of knowledge, lack of monitoring and busy schedule of nursing personnel are the main reasons behind it. This author conducted a research on importance of DVT prevention and how to improve …show more content…

The venue will be progressive care unit and the medical-surgical unit since both units come under same Nursing director and education nurse. Acceptance from the leadership team and main stakeholders is important to begin the project. This author will discuss about the importance DVT prevention and problems to follow to DVT protocol with the nursing director. This author will use the evidence from the literature reviews to convince how important to prevent this never event. With the support of nursing director, this author can discuss the problems and solutions with management team, finance department, risk managers, quality care team and the nursing staff to obtain adequate support and understanding of the project. There is a nurse educator for both units and she can act as single point of contact nurse case manager from Monday through Friday. The charge nurse will be responsible for night shift and weekends to follow the pilot study. This will avoid appointing any new staff member and save additional costs. Nursing director will be the supervisor of the proposed project and she should get weekly reports from nurse case …show more content…

It is JFK model risk assessment tool which includes every risk factors of the DVT. The JFK model risk assessment tool evolved through an evidence-based research and it proved that this model is working better than other models to assess the risk factors. Providing a valid and reliable tool for measuring the risk for DVT or PE in hospitalized patients will enable nurses to intervene early in patients at risk. Basing DVT risk assessment on the evidence provided in this study will assist nurses in becoming more confident in recognizing the necessity for interventions in hospitalized patients and decreasing risk (McCaffrey, R.,et.al. 2007). The table below is the DVT risk assessment tool made by this author based on the JFK model for the proposed

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30 patients pre-implementation and 30 patients post-implementation were surveyed. Nursing staff on the unit were also invited to participate in the surveys as well. Patients and nursing staff felt that bedside handoff had a positive impact on care. Pothier, D., Pedro, M., Mutuzua, M., Alison, S., (2005). Pilot study to show the loss important data in nursing handover.

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With public health concerns continuing to grow as more people are affected by DVT each year, pharmaceutical

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This theory can address inter-professional communication problem that is occurring by using assertion and confidence to show the team the importance of this process. Therefore, Nurse Witte should first communicate with the physicians. She will need their cooperation before she can implement any new protocols. Once she has the physicians in agreement with an appropriate critical care pathway, she can then consult with dietary and the home health

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According to Chisholm-Burns et al., deep vein thrombosis (DVT) is the result of venous thromboembolism (VTE) and can lead to pulmonary embolism, (PE). Deep vein thrombosis (DVT) is the result of a clot (blood that aggregates together) situated in a deep vein of the lower extremities (National Library of Medicine -PubMed Health, n.d.). Pathophysiology of DVT

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Intro: Develop an introductory paragraph describing the practice improvement issue of interest The development of a PICOT question. This project explores the evidence-based approach to improving the rates of ventilator associated pneumonia in intubated intensive care unit patients. Ventilator associated pneumonia is defined as the development of pneumonia in a mechanically ventilated and intubated patient within 48 hours before the onset of pneumonia as per the Center for Disease Control and Prevention.

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4.1 Summary In this quantitative cross-sectional study the researchers have carried out an investigation on the links between dependent variable (DV) (these included risk assessment, skin assessment within 24 h of admission, pressure reducing mattress (PRM) and planned repositioning in bed) and independent variables (IV) ( i.e. Hospital and unit type, nursing staff and workload, and patient characteristics) in 2 healthcare setting in Sweden [one general (350 beds) and one university (1100 beds) hospital]. The university hospital developed a PUP plan. The general hospital did not have this in place, however they had a higher percentage of nurses carrying out direct patient care (62.8% vs 52.8) and nurses in the general hospital had more experience.

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Solutions offered – selected solution and rationale for this decision: Other than the medical treatment other solutions offered to prevent this fall strategy. More attention was given to the patient safety. Hospital structure was changed to the patient centered. This hospital structure change is very much required because elderly patients are more comfortable with their known environment and due to age they are not ready to accept the change. To make elderly patients more comfortable to the hospital conditions, it is required to change structure of the hospital.

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Acute pain can be described as being mild to severe and can last for weeks and up to six months. This type of pain stops when the actual cause of the pain has been treated properly or alleviated. According to the National Center for Health Statistics (2006) “approximately 76.2 million, one in every four Americans, have suffered from pain that lasts longer than twenty-four hours and millions more suffer from acute pain.” An important aspect of patient care is pain control which can be accomplished by a multimodal approach. This narrative will review the best practice and guideline of multimodal techniques for the management of acute pain.

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The focus has to go back on doing no harm to the patient. Shifting the mind set to protect the patient instead of the organization is essential for the improvement of quality care and reducing complacency. Staff will have to be focused on what could go wrong, no matter how many times they have performed the task. This way of thinking is going to have to be entrenched into the staff. There has to be processes in place that everyone follows.

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ABSRACT Clinical practice guideline having much importance to improve the patient care outcomes and safety from complications. Nurses role as health care provider, depend on multi-disciplinary knowledge and experience to use of clinical practice guidelines to promote their nursing practices. Nursing staff adherence to clinical practices guidelines is help in improving patient safety in hospital. The purpose of this study is exploring the factors that promotes and inhibit adherence to clinical practices. This research based on systematic literature review and quantitative evaluation of research results.

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It taught me about the compliance of risk management for fall and the consistency of skills required based on the standard of nursing practice so that as a nurse, it will help us to improve our quality of care and keeps risk management skills updated. Besides, it taught me about how to be a careful nurse at the same time try to fulfill the patient’s needs. Decision making is important. As a nurse, we need to think the rationales before you provide your care to or for the patient. Risk management do help us decrease the nursing liabilities, but it also remind us to always follow the protocols and principles of nursing practice or on the other words ‘not to break’ it.

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Dependent variable is care of critically ill patient while indipended variables are knowledge, practice of nurses and challenges of nurses on care critically ill patient in the ward. But here the researcher can base more on looking on knowledge and practice of nurses , if nurses is competent on assess by using ABCDE ie assess patient air way, breathing and circulation, and identify problem and able to intervene so these is help on maintain patient safety and lead quality care of critically ill patients. Also if nurses have knowledge of interpreting vital signs these can help nurses to identify patient who is deteriorating and intervene earlier, literatures show that nurses not only know to measure vital signs but also must interpret vital signs and act on

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( Williams 2004 ). also , wasted nursing care had important impact on nurse-reported counter events such as hospital acquired infections, patients taking error medications or dosage , and more accident of patient falls causing injury. The quality of care on the basis of nursing care insufficiency was also explored and indicated that a important relationship presented between quality care and patient safety ratings . ( Schubert et al 2012 ) . However , Nursing clinical rounds lead nurses to interact with patients, respond to their interest , and adjust the unsatisfying conditions.

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