Dr. Sharon Van Sell and Ionnanis A. Kalofissudis have examined the complexity of nursing as a profession. As theorist, they discuss the integrity of nursing while nurses give holistic care to their patients. They examine the nurse as an individual and as professional (Van Sell and Kalofissudis, 2010). Nurses have become coordinators of care, healthcare coaches, and navigators of the healthcare system. With the national initiative to improve the access of quality care, nursing is a multidimensional system of patterns that influences multiple facets of individuals and organizations. It is constantly evolving to meet the needs of patients, healthcare systems, and society as a whole (DeNisco and Baker, 2016, p.16). As nurses work …show more content…
The program should include the side effects of antibiotic usage leading to diseases such as Clostridium Difficile (C. Diff) or a “superbug” antimicrobial resistance (CDC 2017). Examining oncology patients’ prophylaxis therapy individually. Asking question such as: what is the patient disease process; is the patient suffering from Graft versus host disease; why is this patient receiving an antifungal medication. The answers to these question will initiate the proper antimicrobial therapy. If a patient comes in acute care with viral bronchitis, all factors have to be considered before administering antibiotics that may not work in this individual …show more content…
These guidelines need to include: the correct administration, recommended dosages and correct time interval between dosages. According to the recommendations for pharmacies provided by the CDC: “Dose optimization includes dose adjustments based on therapeutic drug monitoring, optimizing therapy for highly drug-resistant bacteria, achieving central nervous system penetration, extended-infusion administration of beta-lactams, etc.” (Core Elements of Hospital Antibiotic Stewardship Programs | Antibiotic Use | CDC, 2017). These recommendations also states: “Leadership support is critical to the success of antibiotic stewardship programs greatly enhanced by the support of other key groups such as department heads, laboratory staff, Infection preventionists and hospital epidemiologists, and nurses.” The use multidisciplinary medical teams will help ensure the patient’s medical care is a holistic