Ebp Quality Improvement

March 7, 2018. #10. C-3 INFECTION PREVENTION AND CONTROL 1. I choose this competency because as a nurse working with different diagnosis/diseases it is imperative that we have knowledge of how best to prevent and control transmission of pathogenic micro-organisms by demonstrating knowledge and apply exposure precautions as

Communication about patient safety can be categorized into: prevention of errors and responding to effects caused by errors (adverse effects). The use of effective communication techniques amongst health care team can help in the prevention of errors, whereas ineffective communication contributes immensely to its occurrence. If ineffective communication contributes to an unfavourable event, then better effective communication skill must be applied to achieve the most favourable or optimum patient safety. There are different approaches and techniques in which healthcare personnel can work to improve patient safety and they include both verbal and the nonverbal communication as well as effective use of appropriate communication technologies.

This paper will outline the instance of improper perineal care observed during a clinical shift, the appropriate actions that followed, the importance of proper perineal care, and the lessons learned from this

Lots of health care services, including certain procedures, are now performed in an outpatient setting, such as ambulatory surgical centers, which increases the risk of acquiring an infection, as the outpatient setting usually have a much less oversight and infection control compared to a hospital

A Medication error is defined as any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is under the control of the health care professional, patient, or consume. Therefore, any form of error that arrives within the healthcare system is deemed unacceptable. Now by understanding what a medication error entails, nurses are better able to place emphasis on how to prevent medication errors. It is important to prevent as many errors as possible when administering medications. Hospitals that accommodate high numbers of medication errors receive less funding and support by fellow agencies.

The role of a rapid response team is to perform a quick, but thorough assessment on a deteriorating patient and provide intervention in a timely manner. The RRT can only do a timely intervention if the afferent team recognizes the need for activation. Therefore, it is important to educate the team with recognizing abnormal vitals or even altered mentation as a reason to activate the team. Many hospitals also have Early Warning Systems that identify any triggers to alert the team, and nurses should periodically review these to optimize patient outcomes. Sometimes, nurses have to overcome any barriers that lead the team from delaying to activate the team.

In being able to efficiently and effectively identify these changes, appropriate medical intervention can occur quicker which can help to reduce overall mortality and morbidity. This goal, and experience with identifying a change and initiating intervention quickly, taught me just how valuable the head-to-toe assessment really is. I know that when I finally practice as an RN on my own, I will assure that I always have this baseline assessment down

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

However, considering the cross-infection risk, dressings changes are carried mostly out in the patient ward. Speaking of the ideal criteria for optimal analgesia for burn dressing changes we have to ensure that there are adequately staffed and safe environment in which to care for sedated patients. The control for severe acute pain due to nociception (inflammatory response) while painful dressing change is applied (i.e. dressing removal, wound cleansing) should be alleviated by titrating analgesics agents to individual requirements. One must avoid over sedation during and following the dressing change, but always ensure enough post-procedural analgesia by considerably amount of pain assessment and monitoring of vital signs. The ideal analgesia method also need to reduce prolonged fasting as little as possible while adequate nutrition and hydration are important for the healing process.

It also clarifies nursing values and development and allows for accountability. It involves patients in co-ordinated nursing care (Feo and Kitson, 2016). The Roper, Logan and Tierney model helps nurses to focus on patient care by following the fundamental rights of maintaining independence of the ADL’s without diminishing dignity. Recognising that their knowledge, attitudes and behaviour may be influenced by biological, psychological, sociocultural, environmental and politico-economic factors and respecting their decisions in such. Overcoming and preventing illness to maintain independence is the nurses key focus in delivering patient care which follows the direction of the RLT model of nursing (Roper, Logan and Tierney, 2001).

As the new HIM department quality coordinator, my duties and responsibilities will includes enforcing collaboration across the entire organization with multidisciplinary team members that consist of Nurses, allied health professionals, Physicians, and major departments. The function of HIM coordinator will also include providing ongoing education to members of the HIM department in the areas of billing, coding, and release of information, medical record transcription and maintaining data integrity. The HIM quality coordinator should report directly the HIM director and the organization’s Chief Information Officer. The first process in addressing the numerous issues that is plaguing the HIM department will involve the review of the department

There will also be a new sub-committee formed that will include the referral coordinator to manage the continuous quality improvements to these processes and I will recommend that Mrs. Brown also be included to avoid delays addressing patient issues. The Referral Committee will also review the current policies for referrals and make recommendations to improve the referral system and determine if effective communication exists between physicians and the referral

Quality Improvement Data Intravenous therapies are at times a necessary evil in the clinical setting today, I have never met a patient that was excited about receiving an intravenous line for medical therapies. The insertion of an IV is traumatic, painful, and intimidating in many clinical situations; there is no better way to destroy the trust your patient has in you after many failed IV attempts and even more seriously phlebitis related to a poor IV insertions. IV therapy is needed for procedures, medication administration, fluid resuscitation, and body nutrition. IV therapy is a necessary component of the medical management of many illnesses, but before that we need to have competent staff initiating IV therapies to ensure patient safety.

Today I worked in operatory. One of the dentists really took to me and now she uses me as her main assistant. So now I'm usually always in the operatory, assisting in procedures. It was actually a nice gesture of her to use me as her primary assistant. She told me that before I had come along, she was pretty much doing all of the procedures alone.