Once a patient has been admitted to a particular ward, it is the responsibility of the Medical and Senior Nursing team to develop a monitoring system tailored to each individual patient in relation to their specific medical needs. The policy “Recognition and Response to Acute Illness in Adults in Hospital” outlines the responsibilities of all staff involved in the recording of physiological measurements (North Tees and Hartlepool NHS Foundation Trust 2012). The observations must be recorded in the in the Physiological Track and Trigger Chart, and carried out by other healthcare staff such as Healthcare Assistants at the intervals specified on this chart. The Physiological Track and Trigger Chart, utilises a system in which all measurements are given a score between 0 and 3, the higher the overall score is the clearer the indication of how unwell the patient is. This score is known as the Early Warning Score (EWS) and is used in order to ensure all staff can recognise and report when a patient is becoming more poorly.
The role of the nurse in the GI lab is performing a thorough head-to-toe assessment, along with obtaining prior medical history, and making sure consent and all documentation is completed before the patient goes in for their procedure. The nurses’ role intra-procedure is documenting, assisting the physician, initiating the time-outs, and giving report to the next nurse of what occurred, post diagnosis, and any new orders to the next nurse. Post procedure, the nurses’ role is to assess the patient, perform vital sign every 10 minutes until stabilized, give discharge instructions and do patient teaching. Nursing care is different in the GI lab than on a med/surg floor because you’re with the patient for an hour before they go for their procedure, and then discharging them usually after 45 minutes post procedure. While a med/surg nurse is with their patient for 12 hours.
CHF, STEMI and NSTEMI, ECG, Biomarkers, vital signs and pharmacotherapy. The effects and side effects of the medication used in the scenario will be explained, also the recording of the entire process. The importance of discharge planning and lifestyle changes will be addressed. Assessment is the foundation of nursing process and accurate data collection identifies the client's health status and how it helps nursing diagnosis. The patient's family, carers and their social circumstances also need to be regarded.
YIT1: Task 1 Personal Mission Statement Regulatory Agencies and Professional Nursing Organizations The functional differences between a regulatory agency and a professional nursing organization can be explained as follows. A regulatory agency establishes guidelines and rules related to the care of patients. According to Cherry & Jacob, there is an “emphasis revolves around performance measures of patient outcomes and results of practice patterns.” Giving “quality principles into health care regulatory standards and requirements”. (2011)(p. 450). This means that the agencies identify needs and improvement areas pertaining to the care of the patient to ensure standards throughout all hospitals and health care facilities.
• To ensure health and safety throughout the surgical procedure and to ensure all instruments, equipment and swabsare are accountable throughout the procedure. • Act as a link between the surgical team and other parts of the hospital so communication and management skills are needed. • In the recovery phase ODP’s are involved in all aspects of patient care in the recovery unit, including monitoring, supporting them and providing treatment until the patient has recovered. Then to assess the patient to evaluate whether they can return to the ward. • Then to evaluate all the three stages of the peri-operative care.
The people involved in the RCA should be the people involved in the scenario: the RN (Nurse J), the LPN, the physician (Dr. T.), the emergency room manager, and a figure from administration (Chief Nursing Officer?). These participants should conduct a RCA to determine the causative factors that lead to Mr. B’s sentinel event. The first step would be to gather data about the situation. Mr. B’s presentation, vitals, health history, lab values, pain score, medications he already takes, and medications he received (amount, dose, and times) during the conscious
Question 5: How do you facilitate patient-centered care in your practice? I will incorporate the information attained by utilizing the mission statement of the facility I work in to give me direction as to how I will treat my patients. I as a staff nurse can provide patient-centered care in my practice by participating in activities such as bedside reporting and utilizing the knowledge I have been taught by SBAR training and utilizing medication reconciliation to deliver concise, accurate communication between other interdisciplinary team members. These are several of the the tools I have at my disposal to focus on and deliver patient- centered care. Question 6: How is cost containment addressed
Health assessment is the orderly collection of information concerning the patient’s and client health status and also is the first step of nursing process. The overall purpose of health assessment is to identify variations from the normal state. The information will become a part of patient database. The health assessment database consists of the both subjective and objective information which alerts nurse to areas to be focused on during examination and support the subjective information given by client during the interview. Health assessment is an evaluation of the health status of an individual by performing a physical examination after obtaining a health history.
Evidence-based Task 3 Toni Annette Roberts Western Governors University Evidence-Based Task 3 This paper will describe an appropriate perioperative process or procedure and why it needs change. This paper will explain who determined the basis for the practice in the nursing area. This paper will explain the rationale for making the decision for the procedure. This paper will explain why the procedure is performed this way. This paper will provide an APA-formatted reference list documenting more than five sources used in the review.
This plan of care is implemented in collaboration with the patient’s physician and all health care providers involved (Naylor, et.al, 2004). The essential elements of the TCM are as follows: necessity of a transitional care nurse (TCN) with advanced knowledge and skills to provide care for the HF population, in hospital assessment and collaboration with team members, development of a care plan tailored to the patient, regular home visits by the TCN, ongoing telephone support, continuity of medical care in between hospital and primary care providers, accompany patient to first follow-up physician appointment, emphasis on early identification of early signs and symptoms to report, physician-nurse collaboration and a multidisciplinary approach (Naylor, et.al, 2004). The following proposal will be specific to IU Health La Porte Hospital implementation of a TCN within the Advanced Heart Care Transitional