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Pressure ulcer prevention research studies
A reflective journal on pressure ulcer preventions and treatment
A reflective journal on pressure ulcer preventions and treatment
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Objective Criminal thinking "I am going to end up dead or wind up in prison for a very long time if I don’t change my thinking. " I will learn pro-social ways of interacting with others and speak about my thinking errors in group weekly. Inter MRT, CBT, & Didactic This counselor will facilitate a weekly MRT group to address the client’s criminal thinking patterns and use CBT based curriculum in group therapy daily.
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.
The NPSG and the Joint Commission survey have a positive relationship with each other. Implementing and achieving the NPSG would in turn lead to a possible good survey results due to the facility implementing steps to make the care that the patient is receiving safe. There can be serious consequences for a facility is the facility is not meeting the patient safety goals. Multiple tools are out there to help the facility assess the readiness for the Joint Commission survey. There are multiple actions that this author could put in place to make sure the organization is ready for the survey and to make sure the organization passes the survey.
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,
It is defined as а standard group of criteria to recognize if the person has а disease or not. Standardized case definitions information will be used to compare the University of Chicago Medicine with other facilities (benchmarking), to monitor the infection rate over time, and to evaluate the effectiveness of the Clostridium difficile prevention strategies. There are two national Clostridium difficile surveillance that is used in acute care setting, the National Health Safety Network (NHSN), а division from the Center for Disease Control and Prevention (CDC), and the Clinical Practice Guidelines from the Infectious Disease Society of America (IDSA) and the Society for Healthcare Epidemiology of America (SHEA). The University of Chicago Medicine will use the NHSN for national comparison (benchmarking). In case of plan failure, the University of Chicago Medicine will repeat the same steps of plan objectives as а plan B and auditing each step to make sure that plan is applied
Secondary prevention. According to Greiner .et al., (2015), primary health care providers, specifically pediatricians can deliver best care by initiating full screening and assessment of the foster care child. Knowing the health status of the children and informing the foster caregiver of the situation is detrimental in preventing unforeseen health issues. Secondary prevention focuses on tackling the current health need of the foster children and ensuring specialized care accessibility.
Primary prevention is considered true prevention. Typically, this includes education for a population so to minimize their risk of developing a disease or decreasing the chances of an accident, otherwise avoidable by an adequate knowledge base. For Asperger patients, there is not primary prevention techniques available, as researchers do not know what causes it. It is far more likely for us to see secondary prevention related to Aspergers.
Providing care for hospitalized patients can be both stressful and demanding. Nurses often find themselves overwhelmed with the number of tasks they are expected to complete. Due to the large amount of patient care tasks, many nurses forget to implement orders or educate patients on important prophylactic treatments. All hospitalized patients are at an increased risk of developing a venous thromboembolism, no matter the reason for their hospitalization (The American Heart Association, 2017). Venous thromboembolisms pose great risks and are a substantial source of morbidity and mortality to hospitalized patients.
Patient safety experts have demonstrated that “patient safety increases when teamwork and collaboration skills are taught and empowered; when teamwork and collaboration are not present, medical errors will result” (Creasia & Friberg, 201, p. 348). As a nurse, it is imperative to collaborate with other interdisciplinary members in health care and also strive to research and implement evidence-based practices. Evidence-based practice is necessary to “ensure the highest quality of cost-effective care and the best patient outcomes” (Fineout-Overholt, 2011, para. 16). With a collaborative and innovative attitude on safe health care practices, an increase in patient safety and effectiveness of care will
The information presented clearly which bullet points emphasize the important details in a clear format that readers can understand thoroughly. Furthermore, current nursing-related research supports the information presented in the brochure. This brochure can benefit most to individuals who are in hospitals including patients, health care workers, patient’s visitors, and hospital housekeeping workers. Actually, everybody can use this information to protect themselves and others from illnesses and infections. Of course, this information increases patient’s safety because it can prevent infection and acquire it.
Primary prevention is education, consultation, or crisis prevention. The purpose is to prevent people from starting a disorder in the first place. They are usually used for people who are identified as at-risk for negative situations, or reactions. Examples would be programs like Planned Parenthood, or Midnight Hoops. Secondary prevention is that which is to minimize impacts by people already affected by certain disorders.
As I stated previously, when I first began my nursing journey, CAUTIs, CLABSIs and pressure injuries were commonplace. I did not like them, but I knew they happened. Now, my hospital sets limits to the number of event that can occur and those numbers are quite low: 1 CLABSI, 1 CAUTI, and 8 HAPIs for the year,
Today our clinical group participated in the hospital’s wound prevalence day where we helped the wound nurse do head to toe skin assessment to the patients who are not/at risk for developing pressure ulcer and do HillRom/CALNOC study checking the quality of the bed mattresses. In the early morning, we spent our day first thing by reviewing as many charts as possible and filling out the forms needed for the study. Nurse Brittany, the wound nurse, assigned the participants into teams which included one nurse with at least two students to various units. My two other classmates and I were assigned with Samantha, RN to do the prevalence study at Med-Surge and ICU unit. Some of the tasks we did as a group comprised of: assessing the patient; checking the mattress’s condition; counting how many layers of linen the patient uses; checking heels if they are offloaded; noting if patient has secure foley catheter; marking the mattress “G17” for good and “B17” for bad; educating the patient and family on prevention
A nosocomial infection which is also called hospital acquired infection Nosocomial” term can be defined an infection acquired in hospital via a patient who was admitted due to a disease rather other than that infection. (Mayon &White et al, 1988).Hospital acquired infections are known to result in marked morbidity and conformist to cause or contribute to nearly 80,000 deaths annually in the united status.(Jarvis, 1996).Health care professionals are constantly expose to microorganisms. Which can cause serious or fatal infections.(Twitchell, 2003). Nurses are frequently uncovered to different infections during the course of implementation of their nursing activities. ( Kosgeroglu, Ayranci, Vardareli, & Dincer, 2004).
Overview of the article: In many countries in the world nurses are doing aseptic procedure in general ward site, but different in practice has been report and evidence shows that the principles support aseptic technique are not understood, the aim of this article is doing a survey to know if the nurses are understanding the mean of aseptic technique and procedure and to know if they are confident when applying it and there is an opportunity to update their knowledge and skills regards the aseptic procedures and are they competence, So what they did they select randomly 10% sample of registered clinical nurses employed on acute surgical and medical wards in each hospital that they responsible of doing and applying procedure which requires