The CNS has an opportunity to change patient care through quality improvement initiatives. The first step is establishing a need for change or determining the problem (Duffy, Dresser, Fulton,2016, P143). Marge’s problem or concern was patients who were admitted with traumatic fractures were not having their Vitamin D levels addressed. There is concern that a deficiency in Vitamin D can contribute to patients having a traumatic hip fractures, or known as “fragile fracture”. Her goal was to establish a protocol that would address the Vitamin D levels of this patient population.
The process was started by collecting data from patient’s charts who had been admitted with a traumatic fracture. Auditing the what medications of patients admitted
The process was started by collecting data from patient’s charts who had been admitted with a traumatic fracture. Auditing the what medications of patients admitted