Assignment A This scholarly review will answer questions set out by Assignment A of PBNS 401 using evidence based sources. Information related to teaching, learning, the nursing process, advocacy, informed consent, legal terminology, and moral principles are all described with emphasis placed on these in the perioperative nursing environment. Teaching and Learning…
Implementing the appropriate prevention measure can prevent the occurrence of DVT formations and reduce mortality of hospitalized patients. Utilizing an evidence-based VTE prevention guideline and improving VTE prophylaxis rates for all medical and surgical inpatients is imperative in providing the best care for those who are unable to care for themselves. Nurses play a crucial role in preventing VTE, not only by implementing evidence-based care but also by communicating current research and recommendations regarding best care practices. VTE often is preventable through use of collaborative care pathways with the use of recommended protocols as part of safe nursing practice (Tietze & Gurley, 2014). Nursing staff can help by identifying process changes that can be instituted to prevent the failure of VTE prophylaxis implementation.…
1. Damage control principles in critical care The role of Intensive care unit in the poly-trauma context encompasses patient management and organ support; in other words, on-going physiology resuscitation. The goals of critical care are recognition and treatment of complications which ensue as a result of primary injuries (1st hit) as well as prevention, identification and management of iatrogenic injury (2nd hit). Permissive hypotension, hemostatic resuscitation and damage control surgery are the tools used in trauma-bay resuscitation.…
Evidence-based practice for quality improvement includes empirical evidence in conjunction with clinical knowledge and patient values direct the implementation of safety improvement initiatives and interventions are needed for health care decision making. The nursing profession greatly influence health care outcomes and provides expert opinion for improvement of patient care through their research findings within their practice. Throughout this paper I will discuss the age related challenges when providing care for older adults, review quality improvement initiatives and programs from different journal articles that utilizes the Quality Assurance and Performance Improvement (QAPI), discuss the physical and emotional challenges within the elderly…
The National Institute of Occupational Safety and Health recommends that assistive devices be used when the weight exceeds that limit (Zwerdling, 2015). Studies suggest hospitals lifting, turning, and repositioning are usually performed manually because of lack of assistive device. Nurses should use their judgement when it comes to lifting patients and ask for help when needed. Nurses could possibly harm their patients or themselves if they lift the patient without any…
Nurse Practice Act As a registered nurse, the most important responsibility to have is to the patient. The nurse is a trusted advocate, not only providing care, but also education and support that benefits the patient’s overall well-being. There is an obligation that registered nurses must maintain a safe and competent practice for every aspect of nursing and this is how the Nurse Practice Act becomes incorporated into the care. Many possibilities can arise in nursing and situations are never the same, thus, continuously creating new standards produced by laws. These standards are constantly changing due to the growth and demand of society and accomplishes protection for clients and the guidance of nurses in their practice (Russell, 2012,…
The long-term care community consisting of numerous fragile elderly individuals requires care from many departments. For this particular practice guideline, the two departments accountable for bedside reporting are the nursing department and administration. The director of nursing makes this new practice guideline very clear to all nursing and CNA staff at a routine mandatory conference. There is nothing unclear about this guideline as there was plenty of explanation and time for questions during the conference.…
In today’s dynamics of health care, nursing researchers play a significant role in joint partnerships with other health care disciplines to develop evidence-based practices that improve the care and outcomes of their patients (LoBiondo-Wood & Haber, 2014). The identification of a better way to practice patient care in my workplace has been discovered and descriptions of the steps required to implement this change are reflected upon. My organization encourages changes that promote the safety and quality of care of our clients as long as it is supported by the evidence. Nursing research, research utilization, and evidence-based practices are separate entities and in combination will provide the evidence that supports change to improve patient…
1. What factors predisposed Mr. W. to acute kidney injury? Some of the factors that caused Mr. W’s acute kidney injury are fever of 38.5° C, severe abdominal pain & nausea due to pancreatic inflammation with intra-abdominal ascites. One of the symptoms of ascites is infection which can cause kidney failure if not treated (ACG, 2013).…
Abstract Patient safety is the absence of preventable harm to a patient during the process of health care and considered the cornerstone of high-quality health care. Nurses play an important role in that vital care. Nurses need to know what proven techniques and interventions they can use to enhance patient outcomes.…
However, when reflecting upon this incident I found this was not the case. I was surprised how much self-doubt I experienced during the incident and I feel this was due to the fact I was inexperienced and new to the ward. I believe that although this was a very unfortunate incident for Mrs Clarke it was definitely a positive learning experience for me. Mrs Clarke’s dignity had been severely compromised throughout the incident and her wishes were not respected.…
Background and Significance of Problem. This paper will provide an outline to reduce falls by implementing education on the proper utilization of bed and chair alarms, and adequate communication between nurses and certified nursing assistants, rather than lack of education regarding fall tools and not utilizing standardized safety tools in a postoperative orthopedic surgical unit, where the fall rate have increased recently. To prevent patient injury and decrease falls nurses need to communicate with CNA’s at the beginning of their shift and give reports on high fall risk patients and the proper utilization of bed and chair alarm. Also, nurses must assess risks and act accordingly.…
Prevention of Inpatient Falls Patient falls remain the most common adverse event in acute care facilities, with 2%-15% of hospitalized patients reported to fall at least once. Falls can lead to pain, loss of function, fear of further falls and even death (Tanaka, Sakuma, Ohtani, Toshiro, Matsumura, & Morimoto, 2012). An increased focus is being placed on inpatient falls because of morbidity, mortality, increased cost of care, and lack of reimbursement (Cumbler, Simpson, Rosenthal, & Likosky, 2013). The National Database of Nursing Quality Indicators (NDNQI) defines a fall as “an unplanned descent to the floor with or without injury to the patient” (Miake-Lye, Hempel, Ganz, & Shekelle, 2013).…
Because the patient’s condition does not remain static, the nurse is required to kick off the implementation stage by reassessing the patient to check if the proposed interventions remain the most appropriate and revising the existing care plan if need be. The nurse will then organize the required resources such as personnel, equipment, and environmental availability and suitability. In addition to this, the nurse will ensure that the patient is comfortable and able to participate. To successfully implement the interventions, the nurse utilizes his or her cognitive, interpersonal and psychomotor skills to ensure professional delivery of compassionate and skilled care. The final stage of the NP is the evaluation stage.…
Abstract Dorothea Orem’s self-care deficit theory (SCDT) provides the framework for nurses when implementing an early mobility program within the intensive care unit (ICU) to decrease fall rates. The theory is composed of three sub-theories, self-care theory, self-deficit theory, and nursing system theory that when combined provides the ICU nurse with the ability to assess, develop goals, and implement nursing interventions to assist the patient in overcoming muscle deterioration while on bedrest and ultimately retain and gain strength to transfer self safely. A literature search was conducted to discover how SCDT was developed and transformed over the years and how it’s framework can provide the structure for an early mobility program.…