Introduction. Development of Deep Vein Thrombosis (DVT) in hospitalized patients is fatal, but preventable. DVT and subsequent Pulmonary Embolism (PE) can be affected by surgical and non-surgical patients. Early assessment and interventions are important to prevent DVT in acutely ill patients. he working staff are unaware that DVT during hospitalization is a ‘never event’ and its consequences. There is no supervision is taken place on this issue. Solution. Upon investigating about the non-compliance with the DVT guidelines, this author found out that lack of knowledge, lack of monitoring and busy schedule of nursing personnel are the main reasons behind it. This author conducted a research on importance of DVT prevention and how to improve …show more content…
The venue will be progressive care unit and the medical-surgical unit since both units come under same Nursing director and education nurse. Acceptance from the leadership team and main stakeholders is important to begin the project. This author will discuss about the importance DVT prevention and problems to follow to DVT protocol with the nursing director. This author will use the evidence from the literature reviews to convince how important to prevent this never event. With the support of nursing director, this author can discuss the problems and solutions with management team, finance department, risk managers, quality care team and the nursing staff to obtain adequate support and understanding of the project. There is a nurse educator for both units and she can act as single point of contact nurse case manager from Monday through Friday. The charge nurse will be responsible for night shift and weekends to follow the pilot study. This will avoid appointing any new staff member and save additional costs. Nursing director will be the supervisor of the proposed project and she should get weekly reports from nurse case …show more content…
It is JFK model risk assessment tool which includes every risk factors of the DVT. The JFK model risk assessment tool evolved through an evidence-based research and it proved that this model is working better than other models to assess the risk factors. Providing a valid and reliable tool for measuring the risk for DVT or PE in hospitalized patients will enable nurses to intervene early in patients at risk. Basing DVT risk assessment on the evidence provided in this study will assist nurses in becoming more confident in recognizing the necessity for interventions in hospitalized patients and decreasing risk (McCaffrey, R.,et.al. 2007). The table below is the DVT risk assessment tool made by this author based on the JFK model for the proposed
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Deep Venous Thrombosis Prophylaxis; Lovenox vs Heparin On June 30, 2011, the Centers for Medicare and Medicaid Services (CMS) presented their final ruling on non-payment policies for provider preventable conditions (PPCs). One of the other provider preventable conditions includes the development of deep vein thrombosis (DVT) prophylaxis in any health care setting (Federal Register, 2011, p. 32817). Due to the significant cost of providing care for preventable conditions that are now not reimbursed through the CMS and many health insurance companies, hospitals around the country have implemented new policies to ensure patients remain free of venous blood clots during their hospital stay. The practice of injecting either Lovenox or heparin
Implementation will need to increase by medical staff to decrease disadvantages
30 patients pre-implementation and 30 patients post-implementation were surveyed. Nursing staff on the unit were also invited to participate in the surveys as well. Patients and nursing staff felt that bedside handoff had a positive impact on care. Pothier, D., Pedro, M., Mutuzua, M., Alison, S., (2005). Pilot study to show the loss important data in nursing handover.
The type of model of nursing care delivery used on my unit is a team nursing model. I am currently working on a 50-bed orthopedic unit in a level one trauma center. The unit is divided into 2 areas. One of the sides is for trauma patients and the other one is for elective surgical patients. One nurse assumes the charge nurse duties, including making staff assignments, managing call-outs, communicating with the patient care coordinator, and supervises problems and concerns for both areas of the unit.
According to Chisholm-Burns et al., deep vein thrombosis (DVT) is the result of venous thromboembolism (VTE) and can lead to pulmonary embolism, (PE). Deep vein thrombosis (DVT) is the result of a clot (blood that aggregates together) situated in a deep vein of the lower extremities (National Library of Medicine -PubMed Health, n.d.). Pathophysiology of DVT
This is important evidence because it gives us conditions and results of what can happen if patients get lower quality care. Patients’ are not having enough time getting checked up by a nurse, and nurses would miss some diagnostics. Patients are getting sick because of the poor care they are receiving from nurses. The care patients can get is affected by a nurse shortage, “Nursing workload definitely affects the time that a nurse can allot to various tasks. Under a heavy workload, nurses may not have sufficient time to perform tasks that can have a direct effect on patient safety.
Acute pain can be described as being mild to severe and can last for weeks and up to six months. This type of pain stops when the actual cause of the pain has been treated properly or alleviated. According to the National Center for Health Statistics (2006) “approximately 76.2 million, one in every four Americans, have suffered from pain that lasts longer than twenty-four hours and millions more suffer from acute pain.” An important aspect of patient care is pain control which can be accomplished by a multimodal approach. This narrative will review the best practice and guideline of multimodal techniques for the management of acute pain.
Patient’s care is classified based on unit, there are specialist clinics to care for specific cases such as Ear, Nose and Throat clinic, Ophthalmology clinic, Urology Clinic etc. Nurses are at the fore front of coordination in the area of patient care, the contribution of registered nurses to patient care coordination have been an integral part of the nursing profession. As a nurse we are saddled with the responsibility of planning care, guiding the patient and families through the process of care, educating them at discharge from acute care and always doing their best to improve the continuity of patient’s care through all settings and care
Patient care is affected immensely during nursing shift changes. A lot of the time necessary care requirements are unmet. The purpose of this research paper is to determine if the missed care episodes are due to the nursing staffing issues. A literature search on the topic of staffing ratios was conducted. The results are summarized in the paper.
Patient’s safety is essential during hospitalisation and it is everyone concern. It is because, hospital is a place where patients’ injuries are treated, not generated. However, unintentionally injuries may be happen while in the care in the ward. The challenge for nurses are to ensure safety while giving nursing care to them. Falls are the common accidents occurred in ward.
Dependent variable is care of critically ill patient while indipended variables are knowledge, practice of nurses and challenges of nurses on care critically ill patient in the ward. But here the researcher can base more on looking on knowledge and practice of nurses , if nurses is competent on assess by using ABCDE ie assess patient air way, breathing and circulation, and identify problem and able to intervene so these is help on maintain patient safety and lead quality care of critically ill patients. Also if nurses have knowledge of interpreting vital signs these can help nurses to identify patient who is deteriorating and intervene earlier, literatures show that nurses not only know to measure vital signs but also must interpret vital signs and act on
( Williams 2004 ). also , wasted nursing care had important impact on nurse-reported counter events such as hospital acquired infections, patients taking error medications or dosage , and more accident of patient falls causing injury. The quality of care on the basis of nursing care insufficiency was also explored and indicated that a important relationship presented between quality care and patient safety ratings . ( Schubert et al 2012 ) . However , Nursing clinical rounds lead nurses to interact with patients, respond to their interest , and adjust the unsatisfying conditions.
This incident makes me think that I was not aware of the patient’s need. I should expect the risk can happen to patient especially patient who can walk and need to go to the toilet. After this incident I reflected on my nursing practice and concluded that I need to be more aware to improve my nursing care for a better outcomes of the patients.
It taught me about the compliance of risk management for fall and the consistency of skills required based on the standard of nursing practice so that as a nurse, it will help us to improve our quality of care and keeps risk management skills updated. Besides, it taught me about how to be a careful nurse at the same time try to fulfill the patient’s needs. Decision making is important. As a nurse, we need to think the rationales before you provide your care to or for the patient. Risk management do help us decrease the nursing liabilities, but it also remind us to always follow the protocols and principles of nursing practice or on the other words ‘not to break’ it.
ABSRACT Clinical practice guideline having much importance to improve the patient care outcomes and safety from complications. Nurses role as health care provider, depend on multi-disciplinary knowledge and experience to use of clinical practice guidelines to promote their nursing practices. Nursing staff adherence to clinical practices guidelines is help in improving patient safety in hospital. The purpose of this study is exploring the factors that promotes and inhibit adherence to clinical practices. This research based on systematic literature review and quantitative evaluation of research results.