MEMO From: Joshua A. Burger (Gibbs), Phlebotomist, Genesys Regional Medical Center To: Office of Susan K. Kolka, Hospital Administrator, Genesys Regional Medical Center Subject: Excessive needlestick complaints and proposed corrective action 11/11/2009 Introduction Statement of Problem Inpatients of Genesys Regional Medical Center are complaining of excessive needlesticks during their stay at our facility. After receiving dozens of complaints, policy changes were made to allow the patients to receive a heparin lock as standard procedure, but the complaints continued. To promote patient comfort, safety, and well being, the hospital needs to take immediate action to reduce the number of needlesticks that our patients must endure
* 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.
Chochinov, 2007 (cited in Cornwell & Goodrich, 2009), states simply that compassion is ‘a deep awareness of the suffering of another coupled with the wish to relieve it.’ Pediatric patients and their families are highly sensitive to the compassionate nature of health care professionals and a successful therapeutic relationship with them depends on the sensitive, compassionate care offered by the nurse. This paper will discuss why communication, family centred care and compassion are necessary and important qualities for a nurse to possess when working with pediatric patients and specify some of the challenges a nurse may meet in providing these. Communicating with Babies and Children Nursing children and babies requires a highly skilled and sensitive approach to communication. The developmental age of the pediatric patient needs to be considered when determining the best ways to
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.
Work Based Learning Project NURB 275. The following piece of work adheres to the Nursing Midwifery Council (NMC) (2008) Code of Conduct, with either fictitious names being used or omitted to protect confidentiality. Abstract This report will discuss the implementation of a change related to a cardiovascular ward. The change comes in the form of an information leaflet to raise awareness to the patient and their family about the importance of maintaining a good well balanced nutritional intake and how this affects wound healing. There is evidence to suggest that giving clients written information helps to reduce anxiety and therefore improve healing, give empowerment and increase satisfaction (Little et al, 2004)).
A patient presenting with a head injury can pose a lot of complications and the nurse needs to assess and monitor the patient thoroughly. Management of traumatic brain injury focuses on stabilisation of the patient and prevention of secondary neurologic damage due to high intracranial pressure. Assessment of the brain injury hinges on evaluation of the Glasgow coma scale, GCS and examination of the pupils (Chesnut, 2006, p.1). Nurses make important clinical decisions everyday and these decisions have an effect on the patient’s healthcare and the actions of other health care professionals, as the emergency department treats patients with various complex needs nurses need to rely on sound decision making skills and assess monitor and
A paediatric nurse in a healthcare setting provides reinforcement at each step of the process. For example, when a child is having to get a blood test done and is afraid and refusing to do so calmly, the nurse will look for a positive behaviour and then gives the patient immediate reinforcement by saying, “you are such a big boy, well done!” or “you did an excellent job with that!”. Another time the behaviourist theory is used in health care includes when patients are recovering from alcoholism, they are given a drug that when mixed with alcohol produces undesirable physiological effects such as nausea and vomiting. This helps the patient associate the alcohol with the horrible effects, making the need and wants to drink alcohol less and less desirable. Cognitive learning theorists believe that learning is an internal process in which information is integrated into one’s cognitive structure.
The importance goes further to the core of the problem focusing on the nurse and evaluating what is needed to be done in order to educate this patient group. The research problem involves nurses who are not comfortable discussing end-of-life issues with their patients and is identified in the first few paragraphs of the article. This is a significant problem nurses and doctors can educate, manage and monitor for these chronic patients. The purpose is not clearly stated in the study, but is inferred within the abstract of the article as well. Patients and families dealing with potential end-of-life issues is a very common problem in health care today.
Adult Branch 4 Promoting Integrated Care This essay will discuss and critically analyze a nursing intervention used in practice placement. Discussion will include the knowledge underpinning practice and the evidence base for the clinical intervention. It will examine what the evidence base states should happen and what actually happened in practice. The clinical intervention chosen to reflect on within this essay is care of a patient requiring feeding via a nasogastric (NG) tube due to dysphagia. This is a condition in which the action of swallowing is difficult to perform (Royal Marsden, 2008).