Feedback: INCORRECT Another assessment should be completed before assessing for distention. C) Observe the color of the emesis. Feedback: CORRECT Since the client is vomiting, the nurse should first observe the color and appearance of the emesis for any obvious bleeding or other indications of risk to the client’s homeostasis. D) Ask about recent loss of appetite. Feedback: INCORRECT This information is not a high priority at this time.
Root Cause Analysis & Failure Mode and Effects Analysis Western Governors University Organizational Systems and Quality Leadership, RTT1 Task 2 The purpose of this paper is to examine the unfortunate sentinel even of Mr. B, who was a sixty-seven year-old patient brought to the emergency department by his son and neighbor after experiencing a fall. I will conduct a root cause analysis to help determine the causative factors that led to Mr. B’s sentinel event. In the process of completing a root cause analysis, I will discuss the errors and hazards of the care of Mr. B. Change theory will be utilized to develop an improvement plan to decrease the likelihood of a reoccurrence of this sentinel event. A failure mode and effects analysis will be used to project the likelihood that the process improvement plan suggested would not fail.
Unit Seven Workbook Assignment Chapter 12: Diseases and Conditions of the Reproductive System SYPHILIS A patient has been diagnosed with syphilis. The practice has printed instructions for patients diagnosed with this condition. The physician has instructed you to provide the patient with the printed information and to review it with her. How do you approach this patient-teaching opportunity? I would emphasize to the patient that with Syphilis infection, taking the prescribed course of antibiotics until completion is important.
Baraah Alardah Task 1 RTT1 Question: Discuss how an understanding of nursing-sensitive indicators could assist the nurse in this case in identifying issues that may interfere with patient care. In this case; I would like to define the nursing-sensitive indicators which correlate with Mr. J’s status. The nursing sensitive indicators in this scenario are falls, pressure ulcers and restraint use. The impact my knowledge influences the care I give to the patient promote me to offer safer environment to prevent falls. Provide adequate lighting to patient.
When the CNA ambulated the patient to the bathroom the family noticed a reddened area to the patients back and due to the lack of education of the CNA, this was not taken seriously. If the RN was assisting the patient, a skin assessment should have been done and prevention processes put in place to prevent any further breakdown. The condition of the patient’s skin at the time the patient was ambulated to the bathroom should have been documented and escalated to the provider. This would have been a Hospital Acquired Pressure Ulcer (HAPU) and is reported to the state as well as affects hospital reimbursement. Data collection is important to monitor the ongoing quality of patient care (American Nurses Association, et all, 1999).
An open skin lesion improperly managed can increase the risk of death and decrease the quality of life for nursing home patients (Richardson et al. 2012). Therefore prevention of the development of pressure sores is an essential component of nursing care for elderly patients in nursing homes. Strategies to prevent the development of pressure sores can be practically incorporated into everyday housekeeping, foot care, and nursing care routines in the nursing home. Housekeeping routines for elderly patients in nursing homes should have active protocols that minimize the risk of pressure ulcers (Richardson et al.
Health teaching is extremely important with patients with GERD to prevent reflux and complications. Develop a health teaching plan for your patient with GERD. Please note that all of the health teaching would also be relevant to the acute care of the client in the hospital. Highlight on your plan what should be included on your worksheet in the hospital, e.g. explain side effects of meds.-5 * Health Teaching for a patient with GERD would include: -Lifestyle modifications/Teaching the patient to avoid factors that aggravate symptoms.
They are different methods of soaps in the clinical area; it is the nurse role to decide whether social hand washing or aseptic hand washing or alcohol hand gel is the best method when treating the patient. (Jamieson 2007). Under the new “Zero Tolerance” if nurse do not wash their hands when treating the patients before or after any type of procedure, the nurse could automatically get sacked due to the rules of preventing the super bug set out by the Department of Health (DOH). (Irvine 2008). All nurses must understand and implement proper hand hygiene to prevent the transmission of bacteria and viruses in the hospital or any other health care environment.
This helps reduce the chances of providing unnecessary treatments or tests on a patient, and helps in diagnosis of a patient. You will also find encounter notes that are filled out by the physician, nurses and/or medical provider. These notes on this form help the physician, nurses, and medical providers to keep up to date on the last treatments, visits, and medications that were previously received. In these records you will also find consent and directives forms. These forms are for the patient to sign stating they acknowledge their rights under HIPPA and the Medicare acts.
I also have a duty off care to tell a senior member off staff (E.g staff nurse, sister/charge nurse) if I notice that there may be a problem with a patients health or anything I am concerned about. 2. Explain expectations about own work role as expressed in relevant standards. I am expected to Keep myself up to date with the latest off training and updates so I know the latest in skills development and practise off care. there are many different training opportunity to keep myself up to date with, I.e Infection prevention control, which in a hospital environment is extremely important to help prevent the risk off infection to both us as staff and the patients we provide care too.