With the transition from student to practicing registered nurse comes a change in scope and personal accountability (Mellor & Greenhill, 2014). Upon entry to practice, the graduate nurse is expected to meet the Nursing and Midwifery Board of Australia’s 10 National Competency Standards for the Registered Nurse which are encompassed by the four domains of professional practice; critical thinking and analysis; provision and coordination of care; and collaborative and therapeutic practice upon…
security with easy access to healthcare (Xiao-Ying & Pei-Ying, 2016, 2409). Moreover, the expert in clinical engineering Lipschultz (2014) insists that IT technology together with engineers developed biomedical equipment for HIT, such as apnea monitor, pulse…
The Problem of Alarm Fatigue Introduction: Enter any emergency room or hospital floor, and you will most likely find yourself accompanied with the sounds of beeps, chimes, and dings. Sounds are from the multitude of medical monitors and equipment being used to protect and keep patients alive. Alarms can be categorized as either physiological or technical. Physiological alarms are caused by a vital sign or patient conditions which has been deemed abnormal by the equipment or hospital. Technical…
For this patient centered experience paper, I interviewed a woman in her eighties who was admitted to the emergency room after experiencing some respiratory issues and had a pulse oximeter reading of below ninety. I will refer to this patient as “Mrs. Jones”. Mrs. Jones was admitted to a hospital in the suburbs of Philadelphia. She spent several days within this facility until she was healthy enough to return home. Mrs. Jones then tells me that this is where her daughter had all of her children…
Today during simulation, we had the chance to review Doris Bowman’s virtual simulation one-on-one with our instructor. Doris Bowman was the patient who had a hysterectomy done with a bilateral salpingo-oophorectomy under general anesthesia. I will go more into detail in the body of my journal/paper and explain the complications and postoperative care of a surgical patient. I hope you enjoy this simulation journal/paper, thank you! Doris Bowman During the virtual simulation we had the chance…
Barriers and Enablers When it comes to health literacy and older adults with cardiovascular disease, there are a few barriers that may prevent the successful outcome. The first barrier is not having the health information presented to them in a format that they can understand. Whether it be simple language or adapting the document to have visual aids which may provide a better understanding for them. Next, is not understanding how to navigate the system and knowing what is available. This…
Anatomic distortion at insertion site Coagulopathy Already existing intravascular devices SITES Internal juglar vein (IJV) Suvclavian vein ( SCV) Femoral vein MONITORING: – Essential monitoring required – electrocardiography (ECG) and Pulse Oximeter (SpO2). POSITIONING Aim of positioning during the procedure should be to maximize the diameter of vein and obtain maximum comfort. Most adequate position is Supine.…
The Policy problem A. Root Cause Analysis The scenario consists of a 67 year-old male arriving at the emergency room (ER) due to a fall. The patient exhibits increased respirations, edema in the calf, possible hip fracture, and pain ten of ten. Past history of elevated cholesterol and lipids, chronic back pain for which he takes medications of atorvastatin and oxycodone. Patient receives diazepam and hydromorphone, but is not monitored appropriately. Respiratory depression occurs along with…
feeding pumps, pulse oximeters, intraaortic balloon pumps, sequential compression devices, and beds.”(Reisenwitz) Every time you walk into a hospital the main noise you constantly hear are the alarm monitors. The nurses begin to technically not hear the sound anymore. These alarm monitors have become very dangerous for our hospitals. Alarm monitors can put patients safety in bad situations. “Since 1960, hospitals have become progressively noisier over time, leading to a false-alarm environment.…
night before the test 5. Instruct the client to void immediately before the procedure 6. Administer enemas as prescribed 7. Shave injection sites as prescribed 8. Assess and mark the peripheral pulses INTERVENTIONS: Post-Procedure 1. Assess vital signs and peripheral pulses 2. Provide bed rest and use of a sandbag at the insertion site for 4 to 8 hours 3. Assess the color and temperature of the involved extremity 4. Inspect the catheter insertion site for…