Rtt1 Task 1

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RTT1 Organizational Systems (V1 Undergrad-0313)-PA) 31 May 2015 Andrew Wallace Jr. A. Discuss how an understanding of nursing-sensitive indicators could assist the nurses in this case in identifying issues that may interfere with patient care. Nursing-sensitive indicators reflect the structure, process and outcome of nursing care. The structure of nursing care is indicated by the supply of nursing staff, the skill level of the nursing staff, and the education/certification of nursing staff. Process indicators measure aspects of nursing care such as assessment, intervention and RN job satisfaction. Patient outcomes that determined to be nursing sensitive are those that improve if there is a greater quantity or quality of nursing care. (“Nursing World”, 2013) A basic knowledge of the nursing-sensitive indicators and how it directly relates to and impacts both nursing and patient satisfaction could have improved patient family trust and overall delivered quality patient care. The use of restraints at times is medically necessary to prevent falls, dislodgement of medically required invasive devices and to prevent patient harm. Use of physical restraint should be used as a last resort; only used when less restrictive mechanisms have been determined to be ineffective; the use of restraint must be in accordance with a written modification to the patient’s plan of care; used in accordance with the order of a physician or licensed independent practitioner (LIP); must never be written as a PRN order; each order must be renewed every 4 hours, for adults up to 24 hours at which time a reevaluation by a LIP is required for reasons of violent or self-destructive behavior; each order of restraint use for nonviolent reasons must be renewed according to hospital policy; and restraint must be discontinued at the earliest possible time (“Use of Physical

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