It also provided the use of critical thinking and clinical judgment on how to prevent falls, support, and be accountable for a client professionally. The practical knowledge I have learned helped me become aware of assessing and assisting a client. As a nurse, our job is to provide “safe, compassionate, competent and ethical care” (p.8) and collaborate as an interprofessional team to deliver safe care and prevent risks from happening while offering quality nursing care (CNA, 2017). I will always provide the professional care under the code of ethics to promote health and wellness for an older adult and prevent risks from happening. As well as following the plan of care, use communication strategies, be aware, acknowledge, and accommodate individuals with different diseases such as with dementia, to promote fall prevention strategies (RNAO, 2017).
During a clinical shift, I would be responsible for providing care to patients with malignant hematological diseases, completing pertinent assessments and teaching skills, such as how to care for the mouth when experiencing mucositis and how to avoid infections. Self-reflection on Professional Practice All nurses registered in the general and extended classes are required to complete their self-Assessment every year. Self-Assessment is a self-directed, two-part process that results in a learning plan (CNO self assessment 2018). Through the process of self-assessment, you identify your areas of strength and learning needs (CNO
Lippi et al. stated that in any misleadingly assumed cases not promptly identified can produce serious harm to patients. In addition to SNB code of ethics, value statement 5, ensure that the safety of their patients is not put at risk by the commission or omission of any nursing care activity. Specifically in identifying patients and distinguishing the identity of patients with the same name. It is to ensure accurate identification in identifying the individual as the person for the treatment is intended of care.
Patient safety has received much recognition after the Institute of Medicine’s publication of “To err is to human: building a safer health system” , patient safety includes the avoidance, prevention and amelioration of adverse events emanating from health care delivery procedures and it comprises of systems of patient care, error reporting, and starting new systems aimed at reducing risk of errors in patient care as well as care functions which nursing has sole responsibility (Berland et al., 2012). The common media for the transmission of HCAIs are the hands of healthcare professionals, from patient to patient and within the care environment (Allegranzi & Pittet 2009). Patient safety is the ‘’patient’s freedom from unnecessary real or potential
Patient teaching is the most significant nursing intervention in the healthcare setting. Effective patient teaching is very important because it helps the patient to prevent or minimize complication and ensure quality outcomes. I believe, it important including patient teaching as routine nursing care because it increases quality patient care the healthcare setting. Another important thing I have noticed in the intra-operative room was maintaining the sterile field and managing the risk factors in the operative environment. Everyone who enters an OR wear personal protective equipment (mask, non-powdered gloves, gown and head covering) because in the OR patients are at risk for impaired skin tissue integrity, infection, anxiety, altered body temperature, and dehydration.
When a patient realizes what are the potential negative outcomes he/she may face with, it would not be problematic for him/her to set priorities. This is why involvement in decision making should be used in a doctor’s office for the patient to be adherent to medical recommendations. In addition, this strategy considers patients as experts in their experiences which, in turn, gives recognition to patients (Pawlikowska et al.
Maintaining patients safety reduces the risk of adverse events such as, accidental injuries, complications, disability and even death, resulting from healthcare management and the care a patient receives (Van de Castle et al.2004) (Patient Safety, 2014). The prevalence of adverse events within a facility are a determinant of the quality of care provided to patients and is an indicator of patient safety. These incidences not only effect the patient and staff but also financially burden the healthcare system (Kang, Kim & Lee,
Autonomous people are capable for decision making and problem solving. Loss of autonomy & independence is a real fear among older people. A nurse has the responsibility to encourage the older person’s autonomy in any way possible. This can be done by supervision and education of staff to listen & allow the person time to make choices and discussion with their relatives about what is occurring and in which way they can enhance the older person’s autonomy. Freedom:- The older people should have greater freedom of choice nation’s health care system.
Instead we should be advocating patients to practice healthy lifestyle and aware of any potential health risks in daily life. Prevention of diseases is of most importance, preventing infections by practicing basic hygiene can lower the burden to the entire health care system and prevent unnecessary expense of patients. Practicing healthy lifestyle such as exercising at least 30 minutes everyday and controlling diets can help to lower the risk of having chronic illnesses in the late years, which can ease a large portion of public hospitals. Other than that, doctors should also aware of any social or mental difficulties of patients, which may be the underlying cause or hindering factors for patients to comply with treatment. If doctors observe patients have financial or social difficulties, they can advocate patients to seek help from medical social workers, this is beneficial to both patients and the whole health care
This guideline has informed me of the precautions that should be in place to reduce the risk of falls for older adults who have a previous history of falls. The client’s recount of her fall made me realize how important these precautions are in the daily lives the older adult population because something as simple as handrails can prevent a client from suffering a painful injury and having a lengthy stay in a hospital. The RNAO guideline and the client’s experience has also enabled me to realize the importance of precautions health care providers take in clinical settings which not only work towards preventing falls and reducing the occurrence of fall related injuries, but also work towards saving