Some of the databases that were searched for information about my PICOT questions were not directly related to patients in long-term care facilities. The Databases that were searched included CINAHL, National Guideline Clearing House, Ovid, and EBSCO, articles related to my PICOT was found on National Guideline Clearing House and Ovid. Some of the key words that were used during the search were Hendrich II fall risk tool, fall in Long-term care facilities, Geriatric falls, fall prevention and predicting fall. National Guideline Clearing (www.guideline.gov) produced about ten results directly related to the content in the PICOT question and CINAHL had thirty nine results.
During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach.
The Edmonson Psychiatric Fall Risk Assessment Tool (EPFRAT) to have higher sensitivity in assessing fall risk in the geri-psychiatric population (Edmonson et. al, 2011). This project of EPFRAT will let the progress of a fall risk prevention protocol to provide the safest environment and best quality of care possible for the geriatric psychiatric inpatient.
Recognizing, acknowledging, and understanding medication safety is important when administering medications. Understanding which medications are high-risk ones, being familiar with the medications being given, remembering the five most important rights when administering medications, communicating clearly, developing checking habits, and reporting the medication errors will lead to safe outcomes for the residents. However, errors do occur from a lack of experience, rushing, distractions, fatigue, doing too many things at once, not double checking, poor communication, and lack of team work. It is not only the staff that commit errors, but also the work environment that contributes to the medication error. Two examples are poor reporting systems
When reading The Way We Fall, I felt a range of emotions. Whether it was anger from a characters death or fear for a character in danger I experience emotions throughout most stories. This story set me on somewhat of a rollercoaster. It is not a fast paced action novel with evil around every corner yet it still kept me hook. Most survival stories do that to the readers. Although the story was slow paced the writer seems to have been able to make the reader feel for a character the second they have been introduced. Take Tessa, a friend of Kaeyln who is usually quiet and makes sure to think
The elderly in nursing home are at an increased risk for falls, more than any other area. An average of 5% of all persons over the age of 65 reside in nursing homes. On average, over 1,800 people over the age 65 fall while in nursing homes every year and 20% of all fall related deaths occur from falls while living in nursing homes (Centers of Disease Control & Prevention, 2012).
Safety provi¬sions are interpreted to protect patients from illnesses caused in the course of medical treatment as well as to provide hygienic and injury-free experience in the health care setting. Special provisions exist for safety in pharmaceuticals, blood supply, infectious disease treatment and diagnostics, and mental health services, among others. Ethical codes for doctors, nurses, and other health care workers contain provisions applicable to the patients’ right to safety. Medical errors and other actions that fail to meet safety standards can carry civil, criminal and administrative penalties
literature review and includes a post fall assessment (PFA). Post fall huddles (PFHs) are discussed within the Fall Prevention Program, however, they are not consistently used. The PFA currently captures information discussed in the literature including intrinsic and extrinsic factors and includes the physical attributes of the patient, and extrinsic environmental factors. In a cyclic process, patients are assessed for fall risk. If a patient is found at risk, he/she is placed on the hospital’s “Fall Prevention Protocol.” Any change in status triggers the need for a reassessment of fall risk. Once a patient is determined to be at risk for falls and is placed on the “Fall Prevention Protocol,”
Getting out of bed is one of the dangerous things that the elderly patients do when they are admitted in the hospital. Study conducted by Ambrose, Paul & Hausdorff, (2013) on patient falls reveals that a majority of falls in the elderly patients occur between 0700 and 1900, especially when they are getting out of bed to use the rest room. The cause of their falls is mainly due to unsteady gait, memory loss, confusion that comes with age.
In this case, “Medical error kills Hopkins Cancer Patient” by Erika Niedowski, the error was the failure of a planned action to be completed or intended and the use of a wrong plan for instance overdosage of potassium to achieve an aim. These errors were preventable and may not have caused the harm. Preventable adverse drug events and their causes and contributing factors had caused stopped Brianna Cohen's heart. Hence, this is a sentimental event because this unanticipated event resulted in death to a patient, not related to the natural source of the patient's illness. Therefore, the threat and error management model should be used to determine both training needs and organizational strategies to improve the management of threats to safety.
An ineffective communication can lead to errors in patient’s misdiagnosis and even medication on admission, during hospital stay, and after discharge, and whether these errors were potentially harmful. Medication use is potentially dangerous. Polypharmacy is increasing, and makes it harder to keep track of side effects and interactions and of potentially inappropriate drug combinations. “The risk of serious consequences, hospitalization, and death due to medication errors increases with patients’ age and number of medications (Scand J Prim Health Care, 2012)”. For example, the GP is supposed to monitor the patient's regular medication, but does not always do so. Lack of monitoring and keeping track of patients’ medication use is a main cause when a patient is given inappropriate drugs. When the nurse fails to communicate successfully with patients, it costs. It costs in unnecessary pain, in avoidable deaths, in poor health outcomes and in the prolongation of
When you are writing a story, the situation can be affected extremely just by changing the point of view. You could use a soccer player falling and breaking his leg as an example. If you write-through the point of view of the soccer player, he would explain the pain and
Teamwork builds up the ability of nurses and other healthcare providers to implement higher quality and a more holistic care. In this essay, firstly, I am going to discuss about teamwork in nursing. Secondly, I am going to talk about the importance of teamwork within nurses and other healthcare providers. Thirdly, I am going to discuss about the benefits of having teamwork and proper delegation needed among nurses. And lastly, using Singapore nursing board, code of ethics and professional conduct that direct to this clinical situation. I will also discuss on how this clinical situation could be done differently.
Safe medication administration is a big aspect of nursing care, because if medications aren’t given safely, then it can lead to some serious adverse effects to the patients. There are many things that can go wrong, and that’s why nurses have to be very careful when handling and giving medications. Nurses can make mistakes, and give the wrong med, give it to the wrong person, or even give too much or too little of the drug. Careful medication administration can lead to not making big mistakes that can lead to hurting others.