Reflective Analysis: The Importance Of Monitoring IV Line
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The said in-service has been awarded with a TMS code number making it an official educational course for perioperative staff. Resolution also leads to formulation and implementation of Debriefing checklist, Nursing Documentation Audit Checklist, and Code Blue Team Scrubs High Accessibility
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Your research question is one most nurses have questioned at some point in their career. I have felt the feeling of annoyance and dread when starting my shift and realizing that my elderly patient has an IV that was placed 4 days ago, and per policy it must be changed today. Sticking the patient again for a new IV seems cruel when the old is still functioning correctly. Many times, I have questioned if the benefits really outweigh the risks of starting a new IV simply because the old is expired.
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CAM-ICU Quantitative Analysis Critically ill patients admitted to the Intensive Care Unit (ICU) are at an increased risk for developing delirium. A prevalence is seen with acute brain dysfunction, such as brain attacks, and increases morbidity and mortality rates. The Confusion Assessment Method for the Intensive Care (CAM-ICU) is an assessment tool utilized by critical care nurses to evaluate and distinguish the development of delirium in ICU patients. Implementing CAM-ICU will provide a consistent assessment tool for the detection of delirium, allowing for early recognition, and decrease adverse effects created by delirium in critically ill patients. CAM-ICU in critical care CAM-ICU is an effective assessment tool in the early recognition of delirium.
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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.
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So now that he was unable to get IV access, he had to obtain an intraosseous infusion (IO). Upon insertion of the IO, you could hear the drill perforate through the tibia. Through the access, Narcan was administered. The advance support provider then took over to establish an advanced airway. He was asking for certain equipment and I can remember feeling my adrenaline pump through my veins, it was really a mix of
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Ernest Codman’s attempt to implement an “end result system” responsible for monitoring patient health for one year post treatment as a way to ensure care and improve future treatment protocols radically transformed medical care standards. His contributions could be noted through the following records: -Hospital correspondence: highlights Codman’s attempts to change hospital standards through visitations and discussions as well as the lack of record keeping at the time. -Patient Data and Research: displays Codman’s effort to standardize record keeping -Patient
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While participating in the “Deteriorating Patient” simulation, learning to complete a Situation, Background, Assessment, and Recommendation (SBAR) report while caring for a deteriorating patient was the most challenging task to complete. After receiving report and beginning the initial interaction with the patient, my confidence level was on a steady rise. Everything seemed to flow well and initiating conversation while building a rapport with the patient was also very easy to complete. Once the patient started to deteriorate, I found myself becoming unorganized and my thoughts were racing. Though I was managing the situation very well, I called for a charge nurse because I realized I needed help.
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If so, how would your patient care change? ` The performing of a higher quality in the treatment of Rashid Ahmed’s case will require the presence of less errors. As priority, I will wash my hand as soon enter the patient room and put gloves while measuring the patient output. In addition, I will assess the IV site for any redness, swelling, infiltration or drainage before the medication administration. The performance of all this nursing skill will prevent patient complications such as hospital-acquired infections.
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One method that will be essential for this writer’s proposal of adding ADCs to the current standard central line care and maintenance bundle (CLCMB) is to obtain and measure CLABSI rates and CL days on each unit 6 months prior to and post ADC implementation because it will allow a baseline comparison and trend analysis (Marschall et al., 2014). Another method will be performing a pre and post ADC implementation audit CLCMB documentation compliance using the adult intensive care unit (ICU) paper flow-sheet and the electronic health record (EHR) for non-ICU adult acute care units. Currently daily visual CLCMB compliance audits are already performed; however, an updated form that includes the ADC intervention will be needed to track compliance post implementation. In addition, the data from 6 months prior to the initiation of the ADCs will be retrieved for comparison. A pretest will be given to all staff that work with CLs to establish a baseline of staff awareness, knowledge and understanding of CLABSIs as well as current components of the CMB for CLABSI prevention and proper documentation.
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Not only do you need to focus on the wellbeing of your patient, but the patient
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An example includes respecting the decision when a patient refused to take lactulose because it made him have frequent bowel movements. In EPIC, we would chart patient refused the medicine resulting in providing patient-centered care. For quality improvement, the unit has data on how many infections have occurred with central lines and utilize benchmarks and evidence-based practice guidelines to prevent infections. For instance, I had to perform proper hand washing and scrub the hub for at least 30 seconds with alcohol pads to prevent infections in patients who have intravenous lines.
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According to Julia Wood (2004), “communication is a systemic process in which individuals interact with and through symbols to create and interpret meanings. However, Sheppard (1993) suggests that, in the nurse–patient relationship, communication involves more than the transmission of information; it also involves transmitting feelings, recognizing these feelings and letting the patient know that their feelings have been recognized (M, 1993)”. It is a two way process. The patient conveys their fears and concerns to their nurse and helps them make a correct nursing diagnosis.
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While, reading the article "Some Lessons from the Assemble Line ", I think the main point of this article is to compare working at a plant to college. According to Baaksma “Working can put stress on your body and going to college seems much easier to do” (17). Andrew Baaksma wants his readers to think about the importance of college and how simple it can be to get up and go to classes vs how stressful it can be getting up and going to work at a plant. I think Andrews views of college and work life to be true. I see it for myself, this is one of the reasons why I decided to go to college.
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Since this is my patient, I am informed with her case and can see the changes that have occurred. Since there isn’t a rapid response team
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Patients are normally, confused when they are in an unfamiliar situation and their life has been changed. It’s very important that the nurse and care professional can acknowledge and value their concerns and help them to adapt the new surroundings, show more respect and to make Ashely feel
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