I am a registered nurse and currently hold an associates degree. I am actively enrolled in TESU working towards my Bachelors of Science in Nursing (BSN) which is the degree most employers seek when hiring nurses. Once I have earned my BSN, which will be in the summer of 2016, my plan is to then take certain certification courses. I am very passionate about learning wound, ostomy and incontinence care (WOC) and will take the classes and state exams I need to earn my certification shortly after graduating TESU. Wound, ostomy and incontinence care needs are growing, especially in the home care setting, and this will allow me to apply for positions that are more tailored to what I wish to specialize in. In an article published by Lippincott, Williams & Wilkins, a study was done on the outcomes of wound healing on home health care patients, which reported that wounds cared for by a WOC nurse resulted in 78.5% of wounds healing compared with 36.3% when care was provided by general staff nurses (Westra, Bliss, Savik, Hou, & Borchert, 2013, p. 135, 136). …show more content…
One of these is called a Wound Vac. Wound Vac’s allow for the continuous negative pressure therapy which is needed in wounds that are either too deep or that produce a lot of drainage. The vac helps to draw the drainage out and away from the patient’s skin, while preventing infection at the same time. Wound vac’s used to be quite large and cumbersome but nowadays they are much smaller and lighter and patient’s are able to be mobile if necessary, while still connected to the machine. The wound vac now slips into a small pouch that the patient can slip over their shoulder and move about as they need on a daily basis. Years ago this patient would have been hospitalized and unable to move from their
Evidence based practice is a big part of the medical field and what we as nurses use to take care of patients in the hospital. An example would be the sterilization technique of catheterization and the importance of pericare before inserting a catheter into a patient. Sterilization technique ensures that there is no introduction of bacterial agents that may cause serious infectious such as sepsis, and death. Even if a nurse is using the best devices, it does not matter without proper sanitary care (The Fight Against UTIs Continues, 2011). Pericare is an essential component of caring for a patient with a catheter.
A nurse practitioner takes the place of a physician when there's a gap in the amount of doctors available at a hospital or clinic. The nurse will examine patients, order tests and prescribe medications like a doctor would. A nurse will support disease prevention with patients as well as focusing on wellness and a change in bad lifestyle habits. Between the two levels of schooling the practitioner needs, you'll be able to assess your interests and get some experience before deciding on a career path. https://www.bls.gov/oes/current/oes291171.htm Step 1: Become a Registered Nurse Courses to become a registered nurse would include some of the same courses needed to become a physician.
He used catgut ligatures and silk threads to tie arteries during amputations instead of cauterising the wound. This was very effective but what Pare didn 't know was that the catgut and the silk threads were not sterile and infections often happened . Pare’s book ‘Work’s of surgery’ was published
In the review of the literature regarding National Patient Safety Goals and the reduction of healthcare associated infections by the implementation of evidence-based practice, one article addressed the education of patients and family to prevent catheter-related bloodstream infections (Dela Cruz et al., 2012). MD Anderson Cancer Center Infusion Therapy Team places 600 central venous catheters (CVC) and PICC’s and 100 implanted ports each month at their facility (Dela Cruz et al., 2012). Volume like this has lead to an extensive formal education program to assist the patient and family with care and maintenance of their CVC to reduce the number of catheter-related bloodstream infections (Dela Cruz et al., 2012). The education program consists
Introduction This teaching plan focuses on educating caregivers the signs and symptoms of infections associated with Peripherally Inserted Central Catheter (PICC) and training them in the methodologies of performing PICC dressing aseptically at their residence. It will be delivered as a workshop which is voluntary. The workshop is aimed at the primary caregivers of patients who have PICC as part of the medical care, from Singapore General Hospital (SGH), inpatient medical oncology ward. It will be taught by Registered nurses primarily from Oncology department who are equipped with the essential knowledge and competency skills for performing PICC dressing. This workshop will be taught using Evidence Based Practices followed by SGH as it uses the best evidences available and the clinical proficiency needed for the care of patients (Ramis, Chang, and Nissen, 2015).
The value of inter- and interprofessional collaborative practice as a DNP nurse and how it may impact my role. With the healthcare transformation occurring around the world, a partnership relationship between a doctor of nursing practice and doctor of philosophy-prepared nurses continues to develop. According to Ford, (2009), doctorate of nursing practice (DNP) plays an important role to play in the always changing health care system. According to the Institute of Medicine (IOM), the United States, nursing has the largest number of health care workers. With the current growth in health care, Advance practice nurses (APNs) will be taking up leadership roles, collaborating with other health care professionals to improve health care access and promote quality care.
Once the team meets together they will set up a plan for the pressure ulcers of the building; this will all take place in the facility. They will decide what forms to use for measurement and documentation, proposed treatment options and positioning devices that will be needed. “Try to establish a specific team, where each week the same members see the patients so that progress can be monitored most effectively and seamlessly” ( Vinayagasundaram, Halpin & Sullivan 2009). Once all teams are agreeable the study will begin to take place. The wound care nurse will need to complete weekly wound measurements the same day each week, preferable on Tuesday.
In health care settings like hospitals and other care facilities like nursing homes and rehabilitation centers, pressure ulcer is identified as a vast evil. Prevention of pressure ulcer has been a greater distress to the healthcare industry. It affects patient’s lifespan and it is a grander concern for the hospital as the treatment of a pressure ulcer is way expensive. Critically ill, bed bound and aged patients are at greater risk to develop a pressure ulcer due to inability to turn and reposition by themselves. Moreover, the patients with dementia and underprivileged diet with inadequate fluid intake are more prone to pressure ulcers.
As a Registered Nurse in the Paediatric Unit, there are a number of official bodies that guide professional practice. One of which is the Australian Health Practitioners Registration Agency (AHPRA). AHPRA regulates the professional practice of the Registered Nurse. Nursing and Midwifery Board of Australia (NMBA) and the National Registration and Accreditation Scheme (National Scheme) are separate enteritis working to support the National Law. When Registered the Nurse is then answerable to the National Law (AHPRA).
In the 1840s, operations had turned out to be more regular. But, numerous patients kicked the bucket from contamination taking after surgery. Irritation and suppuration happened in every single inadvertent injury after surgery, and all the more so when patients were dealt with at the healing facility instead of at home by a meeting specialist. The reason was obscure, yet it was accepted to be something noticeable all around. Accordingly, wounds were vigorously dressed or washed with water to keep the let some circulation into; operations were a final resort.
The problem is that the discharge process on my orthopedic surgical unit is long and drawn out with really no organization to it. The doctors do not place discharge orders by a certain time, making it difficult to get our new surgical patients in their rooms. The doctors also do not always have all their discharge instructions in the discharge summary, and then this causes delays in the timing of the discharge. Proficient and timely discharge has an impact on patient satisfaction levels. The goal would be to have the doctors place a discharge by a certain time, so that the patients can be discharged earlier making them happier and allows for other new surgical patients to get a room faster.
Heads the Surgical team in ensuring the safe movement of sterile supplies; monitoring of appropriate temp and humidity in the OR Core; and facilitating a smooth transition to operational process. Facilitates the movement of sterile supplies from the OR suites and IR/Cath Lab to the OR Core. Monitored the execution of process efficiently minimizing the risk of compromised supplies and eventually wastes. Ms Fernandez directs nursing, cath lab team, logistics and EMS in addressing concerns and employing appropriate communications and actions. This resulted in the absence of compromised supplies, surgical and procedural cases were conducted as scheduled after the project.
I have always admired nurses from a young age. I used to look at them as mother figures for the patient who they help nurse back to health. It is not until I got older I realized just how much responsibility that is. When I was 7 years old my father suffered a major stroke, he was hospitalized for months. The hospital and section that he was in did not allow children on the floor.
The circulating nurse also initiated the time-out. During the time-out, the circulating nurse said the patient’s name, the surgery that the patient was getting, and the limb in which the surgery was being performed on. The other health care professionals agreed that it was the right patient, right site, and right procedure. Throughout the surgery the circulating nurse continued to ensure the safety of the patient by watching the surgical staff and making sure that the sterile field was not contaminated. This nurse’s role also included gathering materials for the surgeon, throwing away trash, and keeping the environment comfortable for the staff.
Appropriate patient and family education Patient and family education is imperative in order to avoid recurrent and new ulceration. Position changes should be frequent to avoid stress on the skin and minimize pressure on vulnerable areas. The following approaches can prevent pressure ulcers: - Wheelchair patients: Shift the body weight frequently and lift the body up if possible. Use a cushion (gel, foam, air) to ensure proper position. - Bed confined patients: Reposition frequently, using devices if indicated and allow caregivers to assist with bed linens to reduce friction and shearing.