Evidence Based Practice: A Case Study

The performance of all this nursing skill will prevent patient complications such as hospital-acquired infections. Scenario Analysis Questions PCC What priority problem(s) did you identify for Rashid Ahmed? What information led to identification of the priority problems? Mr. Ahmed was diagnosed with dehydration and hypokalemia, which required close checking on his vital sings, input and output. As well constantan respiratory, neurological and cardiovascular assessments.

In order to combat this, a nurse must find ways to increase human dignity while also decreasing the likelihood that an infection will be acquired by the patient. The use of an indwelling catheter is a known threat to human dignity and can cause urinary tract infections. The use of intermittent catheterization, allowing the patient to be involved in the decision to insert or remove a catheter, and educating the patient on catheterization can increase human dignity while decreasing cases of catheter associated urinary tract

Respect: Even though Patients are hard to deal with on duty, nurses have to provide care with respect. Patients have to be treated the way the nurses would like to be treated. It 's crucial for the nurse to keep in mind that the patient is in clinical setting take delivery of care. A professional nurse is organized to treat all patients with the respect and dignity. Caring is a foundational value in the nursing profession.

The first factor is the duration of how long the catheter will remain in the patient. Septimus and Moody state, “The major contributing risk for developing CAUTI [Catheter Associated Urinary Tract Infection] is the duration of the urinary device is present” (Prevention of Devise-Related Healthcare Associated Infections). Duration is important because catheters create a direct portal inside a patient. This portal will establish a perfect incubation site for bacteria or infections in the tubing and the patient. The second factor for catheters is the sterile insertion.

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.

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.

Also, as a Medical Assistant you have to respect a patient’s culture when you’re in care for them ask questions and be prepared if the patient needs someone else present at the time. Another way to show professionalism is making sure all doors and windows are closed in each exam room to have privacy towards the patient. Understanding and following facility’s policies concerning the physician during a skin examination is also very important. The number one professionalism is always having respect not just for the patient but also for the physician and yourself. I personally have sensitive skin.

One of the most important roles of a nurse is the patient advocate and work environments. During a patient hospitalization or visit, there are many things that can affect their life which could result in a negative outcome. These issues can be noted as verbal, physical and psychological. It is the role of the nurse to prevent these issues from occurring. Preventing of verbal, physical and psychological harm from happening to the patient is also considered of promoting quality and safety in the health care system.

So, what is the definition of health care associated infections? They are infections that patients acquire while being hospitalized to receive treatment for their conditions either medical or surgical. Many of the HCAIs are preventable. In the modern healthcare, there are many types of invasive procedures that is used to treat patients to help them recover, also some devices are used, and all can be a potential risk for transmitting an infection to the patient while receiving the treatment. Instruments used during surgery can be a source of Infection, catheters are a source of urinary tract infections, and ventilators are a source of respiratory tract infections.

For example; in hospital settings, the nurse have to contact patients routinely and be exposed to their blood, urine, saliva, mucus, stool, secretions, excess moisture, dental plaque, wound, equipment use during surgery, and pus that may contain infectious pathogens. It is important for the professionals to

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.

McHale and Tingle (2007), stated that it is a legal and ethical principle for practitioners giving care to patients to have a valid consent before starting treatment. This will show that the patient’s rights are being respected and it is a fundamental of good practise as recommended by HCPC, (2015). Haynes, et al., (2009) mentioned that WHO Surgical Checklist will provide efficient planning of and it will minimise errors thereby providing safe and effective patient care. The ECG and Blood pressure monitors were the put on Sibert by the author whilst the anaesthetist was preparing the drugs. Sibert was having a General Anaesthetic.