* Assess patient’s pain level and administers appropriate pain relief measures. * Maintains patient’s safety(airway, circulation, prevention of injury) * Administer medication, fluid and blood component therapy, if prescribed. * Assess patient’s readiness for transfer to in hospital unit or for discharge home based on institutional policy. 2. Identify priority nursing care to prevent potential complications following this type of surgery.
Nurses play an important role in the prevention of pressure ulcers. By recognizing the incidence of pressure ulcers as a nursing sensitive indicator, nurses can develop and follow skin care plans to aid in prevention. In this situation, if
Evaluation Plan Beauty Sama Grand Canyon University NRS-441v Instructor: Dr. Joyce Morrison (Drj) Evaluation Plan The writer’s PICO question will change the policies and procedures in the hospitals in ultimate goal to reduce CAUTI in patients. This change will affect the outcome of patient care, with that in mind there is great need to evaluate the plan, making sure that although it is an administrative interventions all areas of this change is examine for patient safety. In the proposed solution, there are independent variables (see Appendix A) in the research are; materials used for catheterization, policies and procedures for catheter insertion and removal, and nursing and professional staff. The dependent variables,
Indicators of structure are measures by the supply and skill level of nursing staff as well and the education and certifications of the nursing staff. Indicators of the nursing process are nursing assessments, interventions and RN job satisfaction. Patient outcomes that are determined to be nursing sensitive are those that improve if there is a greater quantity or quality of nursing care (e.g., pressure ulcers, falls, and intravenous infiltrations). (American Nurses Association, 2014) NDNQI: National Database of Nursing Quality Indicators. There are some patient quality and safety measures which have been shown through research to be significantly affected by nursing care or “nurse-sensitive” measures.
Initial Priorities At the beginning of his shift, Mr. Young identifies several problems that need attention. 1. Which client situation requires the most immediate intervention by the charge nurse? A) New onset ST segment elevation is observed on the telemetry monitor of a client admitted with angina. CORRECT This electrocardiogram (ECG) finding indicates ischemic changes which require immediate client assessment and management to prevent myocardial damage.
Patients health condition will be discussed as needed to assure maintenance level of knowledge. Patient will be monitored for adverse side effects and therapeutic benefit of medication. Evaluation Nurse will monitor patient for side effects. Patient will verbalize sighns and symptoms to report to MD/Nurse Patient will take medication as prescribed Patient will manage social and workplace goals with optimal
A root cause analysis is necessary to investigate the causative factors that led to the sentinel event. The errors or hazards in care in the Mr. B scenario will be identified. Change theory will be utilized to develop an appropriate improvement plan to decrease the likelihood of a reoccurrence of the outcome of the Mr. B scenario. A Failure Modes and Effects Analysis (FMEA) will be used to project the likelihood that the suggested improvement plan would not fail. Lastly, key roles nurses would play in improving the quality of care in the Mr. B scenario will be discussed.A.
My practice placement is with the district nurses based in a busy surgery in a suburban area. I discovered that one of the nurses had an interest in continence management, and that part of her remit was to try to avoid unnecessary catheterisations. It was explained to me that this was achieved by the use of the bladder ultrasound scanner for diagnostic purposes- in other words to see exactly how much urine was in the patients bladder. It was also explained that the only other alternative to this technique was to actually catheterise the patient to assess the post voidal urine measurement. It now appeared to me that this clinical skill would be useful to use for this module essay as it encompasses many of the core themes- for example, communication, record keeping, clinical decision making and professional judgement.
As Dr. Campinha-Bacote constructed model, it evolved five different areas: cultural awareness, cultural knowledge, cultural skills, Cultural encounters, and Cultural desire. In this paper I will further demonstrate my understanding of the cultural competence in the above aspects. Cultural awareness, has been described as “the deliberate cognitive process in which healthcare providers become appreciative and sensitive to the values, beliefs, life ways, practices, and problem solving strategies of clients’ cultures” ( Camphina-Baconte, P204). In this process, health care provider, conduct self-examination of one’s own biases towards other cultures and the in-depth exploration of one’s cultural and professional background. The example of the process in this course was that on the assignment # 2, Exploring Your Cultural Background.
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.