Retrieved October 27, 2015, from http://www.medscape.com/viewarticle/778505_3 Sheila, R., & Cynthia, T. (2014). Nursing Diagnosis Reference Manual (9 th. ed.). Wolters Kluwer Health| Lippincott Williams & Wilkins. Taylor, C., Lillis, C., Lynn, P., & LeMone, P. (2015). Fundamentals of nursing (8th
Objective One During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach.
Thank you for your sharing. It is a very nice post. I understand more on how the nursing-sensitive indicators work with your appropriate example. For my understanding, “nursing-sensitive indicators” work like as a meter. The low meter reading represents something such as inefficiency or low score.
A family nurse practitioner (FNP) is a member of the health care team who provides quality and cost-effective care to patients across the lifespan, from newborn to old age. They provide care in various healthcare settings such as outpatient clinics, hospitals, community health centers and public health departments. They focus on disease prevention, health and wellness promotion. The FNP empowers patients through patient education and partnerships in clinical treatment decisions (Hamric, 2014; “Nurse Practitioner,” 2014). How does one become an effective Family Nurse Practitioner?
Each year, the goals are analyzed and if necessary, updated. The 2016 National Patient Safety Goals aim to: 1) Improve the accuracy of patient and resident identification; 2) Improve the effective communication of caregivers; 3) Improve the safety of medication use; 4) Improve the safety of clinical alarm systems; 5) Reduce the risk of health care associated infections; 6) Organize identification of safety risks evident in patient populations; and 7) Set universal protocol for preventing wrong site/procedure/person surgeries (TJC, 2016). These safety goals are mandated so that medical errors are reduced and patients are given the best quality care possible. Some of the steps nurses can take in association with these goals include: using at least two patient identifiers to ensure correct patient treatment and reduce patient misidentification; making timely reports of critical test and diagnostic results; maintaining accurate patient medication information, and labeling all medications and containers removed from original containers; quickly responding to medical equipment alarms, and maintaining their upkeep; following hand hygiene guidelines, and using evidence-based practices to prevent infections due to multi drug-resistant organisms, surgical sites, or indwelling catheters; identifying patients at risk for suicide; and ensuring that sites are correctly marked for surgery through marking the procedure site and undergoing a verification process (Cherry & Jacobs,
Week 9 Overcoming Factors That Impact Informatics Initiatives DB Main Post Informatics impacts the healthcare setting, through the implementation of EHRs. A nurse informaticist not only manages the implementation of technology but follows guidelines set by ANA. Growth in nursing is moving forward as technology is erupting on the scene. The purpose of this paper does nurse impact leadership change for nurses moving into nursing informatics. Can implementation of technological transformation the care of patients, and components of ANCC Magnet health care set?
First, it is important to define what it means to be an “Advanced Practice Nurse” in the state of Indiana before we can look at the stipulations set. It is defined as a registered nurse who is currently holding: knowledge acquired from a formal, and organized institution of learning, and additionally, clinical experience, or a stated board approved equivalent.
In less acute circumstances, long term outcome of understaffing can also be detrimental to patient condition. Often, when a staff member is overwhelmed with the workload, nursing actions which are perceived less critical may be pushed to the back burner. Debilitated patients may not be turned and repositioned resulting in hospital acquired pressure ulcers, which not only affects patient outcome, but also taxes the hospital
Great job on your post, you made some really good points and subjections to help prevent safety issues related to nurse fatigue. In addition, Middaugh (2016), states that according to the ANA, “nurses and employers have a joint responsibility to reduce risks from nurse fatigue and help create a work-life balance”. In fact, during one of my rotation, I heard a nurse complaining of been tired after working 2 days on the row and was on her third shift back to back. She was supposed to be off that day but another nurse couldn’t be at the hospital so she was called in to replace that nurse.
In studying Registered Nursing one will find that they have to be compassionate and want to care for others. Registered Nurses assist physicians with suffering patients of any medical condition. They help to decide the patient’s medicine, treatment, recovery, and educate the them and their families on post-medical treatment. They need to have bedside manner, and be able to prepare patients for surgery. Registered Nursing careers range anywhere from critical care, oncology, mental health, to an everyday school nurse.
What particular value will the nurse representative bring to the board unique and different from that already presented? Nursing provides the highest amount of patient contact care, providing care at the bedside throughout out the patient’s entire stay in the hospital. Fran Roberts, Ph.D., RN, FAAN, makes an excellent point when she describes a nurses perspective of a hospital from the inside out, offering a view that no other healthcare provider can (Roberts, 2014). Dr. Roberts goes on to explain that this unique perspective provides insight that no other board members can bring to the table, such as what it 's like to work short staffed, at what point patient safety becomes compromised, and experiences that no one can offer other than another nurse (Roberts, 2014).
The nursing informatics course has taught us the importance of the utilization of electronic charting system in the health care field. This system helps facilitate effective communication among clinicians in the health care field. However for that to happen, we must practice what this course has though us, which is good and proper nursing documentation. The electronic charting system allows multiple clinicians to have access to patient information in real time with the help of the internet, however for this information to be helpful we need to practice good and proper nursing charting.
Its main core is the selection of the best evidence based approaches of dealing with the SSIs and grouping them into a list that can be effectively implemented by nurses. The use of intervention processes or pathways in healthcare is effective in promoting compliance since it promotes integration of practices and procedures (Lutfiyya, et al. 2012). The selected surgical EBP interventions already implemented include comprehensive patient profiling (consideration of the urgency, patient conditions, and other risks to SSIs), use of prophylactic antibiotics, appropriate skin care (antiseptic skin preparation and hair clipping), and maintenance of perioperative temperature. My proposed quality improvement compliance checklist will be adapted to all surgical standards and areas of needed improvement. Individual nurses will complete the checklist monthly to be compared to quality data.
When considering and discussing vulnerability, it is important to immediately acknowledge that any person entering a healthcare setting for treatment and care puts themselves in a vulnerable position. However, the perception of vulnerability greatly differs from person to person dependant on experience and individual factors (Phillips, 1992). As such there is a continuum of vulnerability that encompasses a myriad of factors such as potential, circumstance, permanence and inevitability (Copp, 1986) As a nurse, it is vital that we consider, understand and assess all factors relating to the patient with regards treatment and advocacy in relation to their care plans and beyond. Vulnerability refers to the difficulty or inability of an individual to cope with external risks and shocks to their person or their circumstances. Combined with internal factors, such as a feeling of helplessness, a patient will be unable to cope without damaging loss; where loss is defined as someone who becomes physically, mentally or emotionally weaker as a result of these internal and external factors (Chambers, 1989).
With a nurse shortage, patients are not getting the best quality care they should be getting. Archive stated that hospital nurse staffing, is a matter of major concern because of the effects it can have on patient safety and the quality care patients deserve. Nursing-sensitive outcomes is an indicator of the quality care and can be defined as variable patient or family caregiver state, condition, or perception responsive to nursing intervention. Some unfortunate patient outcomes potentially sensitive to nursing care are shock, urinary tract infections (UTIs), pneumonia, longer hospital stays, upper gastrointestinal bleeding, failure to rescue, and 30-day mortality. Research has focused on negative rather than the positive patient outcomes for the simple reason that adverse outcomes are more likely to be documented in the medical record.
