Structure is measured by the staff: amount, skill-level, and education or certification. Process indicators measure the facets of nursing care, such as assessment and intervention. Outcome indicators refer to patient outcomes that are affected by nursing care and are considered nursing-sensitive if directly affected by the quantity or quality of the nursing care (ANA, 2013). Through understanding of nursing-sensitive indicators and integration into daily practice, the staff caring for Mr. J could have been more aware of potential issues that interfere with patient care. Knowledge of the increased risk for pressure ulcers and the need for frequent turning and off-loading of pressure points could have allowed the staff to prevent the one forming along Mr. J’s spine.
Pain management in patients with opioid abuse. Topics in Advanced Practice Nursing eJournal, 7(1). Retrieved from http://www.medscape.com/viewarticle/557043 Lachman, V. (2009). Ethical Challenges in Healthcare: Developing your moral compass. New York, NY: Springer.
Scope The proposed plan includes a detailed assessment of methods, personnel requirements, training (including costs), feasibility, and expected results. Proposed Plan This plan takes into account the needs and complaints of our patients, as well as the suggestions made by our phlebotomy and nursing staff members. Phases Excessive needlesticks can be reduced in three phases: (1) Training phlebotomy staff to draw from heparin locks safely and efficiently (2) Changing any protocol that might inadvertently cause more needlesticks to be preformed than intended (3) Shifting responsibility for blood draws out of heparin locks to phlebotomists from the nursing
Nursing Care of Patient with Gastrointestinal Alterations (continued) Evolve Case Study DUE – IBD; Cirrhosis Lewis: Ch.39, 43 (975-982), 44 (1017-1029, 1030-1036) Silvestri: Chapter 56- Do related questions HESI Patient Review: Gastrointestinal Health Problems Module- Mrs. Barker HESI Patient Review: Hepatic-Billiary Health Problems – Mrs. Bella 5 M 7/20 III. Promoting Neuromuscular Health - Nursing Care of the Patient with Neurological Alterations Evolve Case Studies DUE – Myasthenia Gravis; Parkinsons’s Disease Lewis: Ch. 56, 59 (1428-1439) Silvestri Chapter 66- Do related questions 6 TH 7/23 IV. Promoting Renal Health – Nursing Care of the Patient with Renal Alterations Evolve Case Studies DUE – Chronic Kidney Disease Lewis: Ch.45, 47 Silvestri: Chapter 62- Do related questions 7 M 7/27 V. Nursing Care of the Patient with Oncologic
Problem Statement Nurses play an important role in preventing pressure ulcers. The development, progression, and regression of pressure ulcers are linked to early prevention and awareness of the nurses caring for the patient. Previously conducted studies have identified a break in the care trajectory of the patient. The article, “Factors of Importance to the Development of Pressure Ulcers in the care Trajectory: Perceptions of Hospital and Community Care Nurses” discusses the weak point in the care trajectory using a qualitative design study. Understanding this weakness through the perception of the nurses can improve patient outcomes; this is the research problem in the study.
N3561 Physical Assessment Student_____________________________________________________ ____ Date___________________ Patient initials_______________________________Medical diagnosis_________________________________ BP__________HR_______R__________T________O2Sat_______w/O2? Y/NReported?Y/N Time______To whom? __________ | BP_________ HR________R_________ T_________O2 Sat_______ w/O2? Y / NReported?Y/N Time____To whom? __________ | NeuromuscularMotor functionGait / balance | Neurological/PsychologicalLOCAffect /MoodSpeech PupilsLanguage spokenVisual acuityHearing | | | | | Skin/ Oral mucosaColor/edemaBony prominencesIncisions, dressings& drainageSurgical drains | CardiovascularHeart/apical Peripheral circulation
In Monitor Alarm Fatigue: An Integrative Review, research evidence was broken down into themes including: effect of excessive alarms on staff, nurse’s response to alarms, alarm sounds and audibility, technology to reduce false alarms, and alarm notification systems. Non-research evidence revealed strategies to reduce alarm desensitization. Cvach concluded the article with evidence-based practice recommendations for technology manufacturers, hospitals, and caregivers. One nursing intervention recommended was to adjust alarm parameters so that they are customized to each individual’s actual needs. This intervention ensures that the alarms are valid and that they will provide and early warning to potential critical situations.
This essay will examine the methods of pain assessment and whether nurses tend to underestimate patients’ pain or lack of adequate pain management is provided due to the medical orders for pharmacological means. The essay will also discuss the physiology of pain and the effect of different pain management strategies in relation to pain physiology along with the issue of effective pain management in adults and children and how effective pain management will be achieved. Pain assessment is an essential method to providing effective post-operative pain management and in the general promotion of patients’ comfort. However, despite the increased awareness and knowledge of pain assessment, Horbury and colleagues (2005) suggest that nurses continue to underperform pain assessment not only in the post-operative patients but also in other hospitalised patients. Moreover, this is indicative to be one of the most problematic aspects of achieving optimal pain management (Nash et al, 2001, p.180-189).
Nursing Documentation and Malpractice Law HCS/545 Health Law and Ethics May 31, 2010 Mary Nell Cummings Nursing Documentation and Malpractice Lawsuits Proper medical documentation can prevent liability issues and malpractice lawsuits. The focus on my paper will concentrate on nursing documentation and malpractice lawsuits. I presently work for a home health care agency. The entire staff throughout the company was recently informed of increased Medicare denials and possible lawsuits as results of inadequate documentations. A series of education training of documentation was implemented to help reduce episodes of Medicare payment denials and self-protection through adequate documentation.
Educational Plan NUR 590AB Educational Plan Educational Plan Evaluating the survey responses and forming a need assessment indicated that an educational plan to assist the Emergency Room staff with identifying stress and nursing burnout is necessary. The following will outline the objectives and contents of the information to be included in the educational plan. 1. List learner objectives a. List topic areas to be covered and provide outline handout of content to staff with estimated time frame and teaching method.