This article main purpose is to provide evidence of the importance and application of standardized terminologies in the Nursing practice. A patient care scenario will be used to identify how NANDA, NOC, and NIC elements are applicable. Data, information, knowledge, and wisdom (DIKW) framework will be used to create the patient care scenario. Standardized Nursing terminologies are used by most of healthcare settings as part of Electronic Health Records, and represent nursing data, information, and knowledge that can be stored in the electronic systems to be used as a reference by health care professionals. Scenario A female is referred to home health services for skilled nursing evaluation, and observation.
This can be described as one nurse taking care of x-amount of patients. If the nurse has four patients, then the nurse-to-patient ratio is 1:4 on that unit (Kaissi, 2010, para. 1). Problem There has been some controversy over the need to change how hospitals staff their units. The controversy could be referenced as conflict.
Lastly, key roles nurses would play in improving the quality of care in the Mr. B scenario will be discussed.A. Root Cause AnalysisA root cause analysis (RCA) is “a process for identifying the basic or causal factors that underlie variation in performance, including the occurrence or possible occurrence of a sentinel event” (Cherry & Jacob, 2011, p. 442). The participants during the root cause analysis would be the emergency room physician (Dr. T.), the Mr. B’s LPN and RN (Nurse J) during the time of the sentinel event, the emergency room nurse manager, and the chief nursing officer (CNO) of the hospital. These members would meet in a root cause analysis meeting to discuss the causative factors that created Mr. B’s sentinel event. The first step in a root cause analysis on the sentinel event that caused Mr. B’s death is to gather the data surrounding the situation.
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.
Part A:- 1. From an Enrolled Nurses perspective discuss the use of bed rails in the hospital and nursing home, in relation to restrained patients and safety. Consider the ANMC decision making framework for your response. The Enrolled Nurse is and has the capacity to utilize under the National Competency Standards for the Enrolled Nurse, decide the use of bed rails for safety of the patient and potential use for restraint and risk to patient, staff or others. However, under these policies, the EN must notify the Registered Nurse (RN) on duty and the RN will make the final decision.
Ms Orem began her career with a nursing diploma from the Providence Hospital School of Nursing in Washington D.C. sometime in the 1930’s. Ms Orem continued her education until she received her Master’s Degree in 1945. During this time she worked in the operating room, emergency room, private duty setting, pediatric and medical nursing units and eventually became a director. She became interested in improving the quality of nursing in general hospitals in her state and subsequently became a consultant to the office of education and it was during this time period that she developed and published Orem’s Self Care Deficit Theory for the first time in the “Guides for Developing Curricula for the Education of Practical Nurses”. In 1976 she received an Honorary Doctorate of Science from Georgetown University.
Nursing is governed by many laws and breaching of these laws may result in legal implication. However, looking on the clinical narrative below whereby Brett and I on our routine shift at Wogan hospital, this paper will identifies the potential/actual ethical dilemmas on what had happened that day and then it will discuss the legal implications that Brett would face. The course of action in regard to this narrative will be described on the basis of four major ethical nursing principles, laws that governing nurses, and the ANMC code of conduct and code of ethics for nurses. “I am a registered nurse working in a 24 bed medical ward in Wogan Hospital. Brett Wilson also works there.
The structure indicators are related to nursing staff characteristics such as the skill mix, experience, certification and education of the nurses. The process indicators are those that measure the interactions of health care personnel and the patient such as nursing assessments and interventions. Moreover, RN job satisfaction falls under the process. Nursing Sensitive patient outcomes are the desired or undesired changes that are impacted the most by nursing care such as patient falls and pressure ulcers. Nursing-sensitive indicators are important to use to achieve optimal nursing care.
Frequently Asked Questions Roles of State Boards of Nursing: Licensure, Regulation and Complaint Investigation What is the role of state boards of nursing? State boards of nursing are government agencies charged with regulating nursing practice. The boards protect the public by ensuring that standards of nursing practice are met and nurses are competent in their practice. Typical powers and duties of a board of nursing include: • Interpreting and enforcing the state nurse practice act • Administering nurse licensure by overseeing exams to grant licenses and taking action against licenses of nurses who have exhibited unsafe nursing practice • Accrediting or approving nurse education programs • Developing nursing practice standards
A Comparison of the Professional Roles of Nurses In this paper, the nurse’s unique role in providing inter-professional care, patient care quality and safety, cost effective healthcare, and care to diverse patient populations will be investigated. A Certified Registered Nurse Anesthetist (CRNA), J.W. and a Nurse Educator, M.,H., were interviewed, their roles as nurses were analyzed using provided protocol to discuss the difference between research and quality improvement, also how informatics affect the quality of patient care. The two specialties based on the individual interviews will be compared and a copy of both interviews will be incorporated into the paper. Lastly, a reflection of findings will be discussed as to how nurses could contribute the information from the two interviews into their own professional growth and development.