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. Proper education of all staff, nurses and aides alike, could have helped the CNA assisting the patient to identify the redness earlier and begin appropriate interventions. Another issue that could have been prevented through knowledge of indicators is the unnecessary use of restraints. If Mr. J’s mental status was such that he required additional safety measures, the need to adjust staffing to allow more direct care and observation of the patient could have been identified. Both the pressure ulcer
Assessment and Care Planning for the Adult in Hospital Care planning is the most important aspect of holistic care even though it is highly underestimated and often neglected. A holistic assessment involves looking at the individual as a whole rather than their illness. By doing this we can form a balance between the nature of person and the environment they are in. Holistic assessment will help to identify individuality, personality and spirituality (Makienen et al, 2003). More often a nursing assessment is based on the medical side of the patient rather than the holistic approach.
Retrieved from http://www.ana.com Documentation is a primary emphasis in nursing informatics, because quality care depends on effective communication. Since healthcare providers communicate primarily through the notes they write in a patients chart, nurse informatics improve the speed, timeliness and accuracy of patient charting, giving health workers more up-to-date, complete information leading them to make better decisions about patients care. Nursing Informatics (2008, December 31). Retrieved from http://www.ExploreHealthCareeers.org I believe that informatics in nursing improves communication among the care-givers involved with the patient care in a timely manner, decreases medication errors with the scan the patient-scan the medication system and it decreases waste with-in the hospital due to been able to link supplies used to patient data and increases patient satisfaction and improves care because the nurse can spend more time doing patient care instead of patient hand written
Integration of Evidence-Based Practice into Professional Nursing Practice Chamberlain College of Nursing 351: Transitions to Professional Nursing Spring and 2010 Integration of Evidence-Based Practice into Professional Nursing Practice “It is not enough to do your best, you must know what to do, and THEN do your best.” –W. Edwards Deming. Introduction As medical treatment and technology advances, health care is constantly changing, ultimately affecting the treatment and prevention of diseases. Health care has turned to the use of evidence-based practice to provide the care that research has shown to provide the best outcomes (Troseth, 2009). Evidence-based practice (EBP) provides the research and information of how to deliver the best patient care, and can be integrated into the delivery of nursing care.
(American Nurses Association, 2015). In Mr. J’s scenario nursing sensitive indicators were ignored which lead to negative outcomes of family dissatisfaction. When proper education of use of restraints and increasing mobility are in place the patient will heal faster with less negative outcomes. In order to increase quality care for patients and increase patient and family satisfaction a hospital can gather information from each nursing unit for sensitive indicators that lead to patient outcomes. One area of concern is the ratio of RN’s per patient and also this a correlation between patient care and job satisfaction.
RTT Task 1 Western Governors University A. Nursing Sensitive Indicators As the medical field becomes more-and-more complex, it is crucial that the nurse does not overlook the day-to-day needs of the individual patients. It is very important that the nurse as a professional does not become so bogged down with the medical aspect that one loses touch with the patient as a person. What may seem very minute to the nurse, can be of great significance to the patient. If the nurse is not sensitive to these minute needs, it can cause the patient to be unable to trust the medical team meeting the needs, and understanding the importance of more serious issues.
As nursing has progressed, theory has played a large role in defining the professional practice and identifying the standards to providing consistent, measurable practice among the profession. A basic definition of the term theory is given by Streubert & Carpenter (2011) as “a systematic explanation of an event in which constructs and concepts are identified and relationships are proposed and predictions made”. Nursing theories are the basic concepts that define nursing practice. It is why nurses do what we do. During any given shift, nurses are using several theories in ensuring that patients’ needs are being met and proper care is given to ensure the best possible outcomes.
RTT1 - Organizational Systems and Quality Leadership Western Governors University RN-BSN Pre-Licensure Program The situation with patient Mr. J is quite frightening to say the least. There are multiple issues at hand here that put the patient’s health in jeopardy. As nurses, we have an obligatory responsibility to protect our patients and to practice the principle of beneficence. Having an understanding of nursing-sensitive indicators is crucial in preventing the development of hospital-associated injury and increased mortality/morbidity. These are principles instilled in us throughout nursing school, and guide nurses in our practice.
Effectiveness affects the healthcare quality because with the science and knowledge needed to prevent CLABSI, it continues to occur more than it should. It lies in the healthcare staff’s hands to be able to prevent CLABSI from occurring and use of effective science and knowledge to maintain sterile technique when inserting a catheter. Patient centeredness is affected by central line infections because the healthcare staff is not fully giving their quality of care to the patient when inserting a catheter, maintaining
There are several errors that can occur during the billing and coding process. There are possibilities of claims being coded wrong or even denied due to coding errors, errors associated to billing or medical necessity errors. Claims are denied for medical necessity are due to services reported because they do not meet professional medical care standards. To assist the staff in avoiding these implications it is important to ensure that the medical staff is aware of the most up to date information on medical billing and coding software. To avoid errors and mistakes it is very important to keep up with new and deleted codes.