RTT Task 1 Shawna Setzer Western Governors University Nursing-Sensitive Indicators In the given scenario involving Mr. J’s hospital stay it is important to integrate nursing- sensitive indicators in delivering quality patient care. Every patient has the right to receive the appropriate care without causing harm. Mr. J was starting to develop pressure sores related to being in restraints, and when his daughter pointed out the areas to the CNA she didn’t realize the severity of the problem and report them to another care giver to assess the red areas. The CNA also did not reposition Mr. J onto his side to relieve pressure to that area of the body. Nursing indicators such as education on unnecessary use of restraints and not repositioning the patient every two hours, are failures to deliver quality care.
The preceptor has a job to ensure the new nurse is competent with skills to provided adequate, safe nursing care to patients. The preceptor has to wear many hats with the new nurse such as role model, educator, friend, confidant, and socializer. The preceptor must observe the new nurse and evaluate the skills of the nurse. Ideally the preceptor will explain a process or skill, demonstrate it, and then watch as the new nurse demonstrates as it is performed independently. Precepting involves a commitment on both the preceptor and the new nurse.
ANS: A Hospitalization is justified when the patient is a danger to self or others, has dangerously decompensated, or needs intensive medical treatment. The incorrect options do not necessarily describe patients who require inpatient treatment. DIF: Cognitive Level: Comprehension REF: Pages: 72-74 TOP: Nursing Process: Planning MSC: NCLEX: Safe, Effective Care Environment 2. A patient is hospitalized for a reaction to a psychotropic medication and then is closely monitored for 24 hours. During a predischarge visit, the case manager learns the patient received a notice of eviction on the day of admission.
We could bring up the case as a sample to demonstrate what we are discussing about. However, adding a question to prove our point is not recommended in academic writing. The subject line information to identify the situation has to be included on the head of the memo. In addition, clarity, correctness, and courtesy are very important and they represent for our efforts. The memo should be clearly written and organized in direct order, beginning with the objective and then systematically and covering the vital bits of information (Rentz, 2008).
A good tip from the mentor would have been on organization like using a checklist and ensuring room availability. To ensure that the hiring process is less stressful all manuals should be frequently reviewed and kept up to date. Doing so would include checking for the proper amount of all materials needed for the orientation session and that all manuals were not missing any pages. In this case it was obvious that there was no sense of organization, time management, or physical preparedness for the future
While they focused on her physical rehabilitation they did not aim to improve Jenny’s understanding of the use of insulin and informing her of the possible reasons as to why the insulin had caused her body to go into shock. This clinical oversight is clear as five days after her discharge she was readmitted after a fall down a flight of stairs after injecting insulin. The Hypothetico-Deductive reasoning model (Higgs, Ajjawi, McAllister, Trede & Loftus, 2008, p. 136) places emphasis on the management of a health problem as part of a clinical reasoning process which should include the provision of information so the patient is better informed and so the chance of future admittance due to reasons of a similar nature is greatly
Then only I understood that patient is running an event of SVT. Even though we were successful in reviving the patient, he had to be transferred to ICU for a day. This incident always reminds me that if I was trained to think critically and quickly on my feet as a BSN is trained, I could have avoided the Rapid Response Code event. Thus, I believe earning BSN would help me to think critically if such situation shall arise. As one can see, there are several differences in competencies for ADN and BSN nurse.
Systematic Approach to Client Care Discuss how the assessment and planning of care activities influence the delivery of holistic and individualised care. The admission into hospital of a patient is routine for hospital staff, but forms a major event in people’s lives (Perry and Tullo 1995). Scrambler (2002) suggests it is often a source of anxiety and stress. Within the day case unit (where I am currently on placement) there is a unique opportunity presented to nurses to provide holistic, patient-focused care from pre-admission to discharge (Hodge 1999). Restoring wholeness is a legitimate goal of nursing, and so the term 'holistic' from the Greek 'Holos' meaning whole or complete, is a very appropriate way to describe what health professionals aim to do (Ewles and Simnett 2003).
Malcovich of this patient’s presentation early on in her visit allowed him to investigate the details of her health and psychiatric history. He was also able to check laboratory and test results and have complete access to up-to-the-minute patient care notes. This allowed him to begin contemplating patient management options. St. Theresa’s, unfortunately does not offer inpatient psychiatric services. Therefore, once medically cleared, we have to rely on inpatient psychiatric facilities or group homes like the one Dr. Primrose runs to ensure that these patients remain safe while, in this case, initiating prescriptions to manage medical and psychiatric issues and gathering resources that will be necessary for this patient to regain her independence.
They monitored the patient very closely. I called my charge nurse who has a degree of BSN. My charge nurse decided to have the patient transferred to ICU where they monitored patient very closely. This situation really contributed critical thinking of BSN nurses