P- Among Nurses and Physicians in an orthopedic surgical unit I- does the use of the SBAR format to communicate C- compare to non SBAR format O- To identify the problem in communication and its effect on patient and ways to solve the problem. According to Flicek article multiple barriers exist that hinder nurse- physician communication. A continuous flow of interruptions and multiple patient handoffs affect the ability of nurses and physicians to connect effectively, and establish a trusting and collegial relationship (Tschannen et al., 2011). Time is also a major factor in communication breakdown. Because nurses a n d physicians can independently busy, finding time to communicate properly becomes a pressing issue (Burns, 2011).
This paper addresses the effects of nursing interventions on the prevention and management of intensive care unit (ICU) psychosis. ICU psychosis (or ICU delirium) is a sudden onset of confusion, lethargy, hallucinations, and distress during an ICU stay. ICU psychosis is distressing to the patient, family, and nursing staff, and can result in detrimental health outcomes. ICU psychosis is relatively unstudied and untreated, yet highly prevalent in the ICU (Idemoto, 2007). With the implementation of the Confusion Assessment Method in the ICU (CAM-ICU), it is now estimated that 87% of all ICU patients experience delirium (Dimensions of Critical Care Nursing).
Prevention of medication errors is an ongoing initiative in the field of nursing. Medication errors jeopardize a patient’s safety, which results in vast costs to correct the effects of the error and it could potentially prevent the reimbursement from insurance companies to the hospital. Often times the nurse is the only person to catch an error with a written prescription or the incorrect dose sent to the nursing unit from the pharmacy. As a result, it is usually the nurse’s responsibility to speak up when an error is identified rather than administering a medication due to the mere fact that an order was written by the physician. While there are many medication errors which occur in the hospital setting, most of those errors, however occur after a patient has been discharged to home (“Severe Harm and Death,” 2016).
The wide ranges of medications on the market provided have similar names, packaging and possibly come in more than one dose, thus, pharmacists and nurses have to take special care when giving treatment to wards and patients respectively, since these provide higher incidence of medication error. This is why double checking is very important even though sometimes both parties are restrained with time, workload and interruption. Nurses play a key role in the course of medication administration, and therefore they must be active in the avoidance of medication errors (Aiken et al., 2002, Benjamin 2002, cited by MRAYYAN et al., 2007).Although each and every hospital has policies and protocols these may still be violated due to a number of reasons, including interruption, distraction, disruption and many activities to take care of at the same time whilst administering medication. It is never over-emphasized to promote the importance of the 5 rights. The 5 rights are right drug, dose, patient, route and time of which can be easily neglected due
As the number of medication errors continues to rise daily, I believe the need for continuous advocacy at government level for safer medication administration policies and systems are in desperate need. And who better than nurses to advocate for these needs. Since nurses are in an ideal position to influence and demand change, I would collaborate with other fellow nurses to call, set up meetings or writing letters to government officials addressing the prevalence and effects of medication errors. I would also request for safer medication administration system or software that are user friendly. Lastly I would reach out to the Board of Nursing about nurse’s license revocation after an error is committed and request for lesser punishment instead
The results are summarized in the paper. Clinical Question The problem this paper addresses is whether the nursing staffing ratio has any part in patient care left undone. The significance of this problem is that the neglected care can lead to several serious patient safety issues. Many medical errors happen due to the inefficient delivery of care in the hospitals. According to the statistics in the article, “A recent systematic review of
This dilemma demonstrates how easily ones nursing practice can be significantly altered. This dilemma also exemplifies how one complex dilemma in patient care, can impact on legal, ethical and professional issues for nurses. These issues interface with each other in substantial ways. Nurses must be prepared for these inevitable challenging situations (Tang, 2011). The author must consider the legal, regulatory, ethical,
An interdisciplinary team of nurses, physicians, pharmacists, administrators, quality resource management staff, and if possible Six Sigma black belts participates in the analysis of the medication reconciliation process and its vulnerabilities. The team develops a plan to eliminate errors by following a flow chart to revise and pursue the established goals. In general, communication failures lead to errors in the administration of medications, in the doses or in the method of using a drug. In fact, Six Sigma approach is fundamental for the safety of nursing homes since many medications increase the patients’ risk of
However, as the struggle to maintain inmate satisfaction scores with human right advocates, rapid critical thinking decisions making is essential, therefore many organizations are adapting to a decentralization model. The pros of decentralized method of our nursing unit provides quality, effective medical treatment within the prison. This plan implements the goals of the DOC organization. Centralization philosophies support decisions from a top level down, this would not support the autonomy of the nurse who is medical responsible for human life behind the gate alone to make life saving choices. While cons of decentralizing can create competition among senior nurses and misinterpretation standards differently, pros to carry out the goal to treat and preserve human life does not waver.
Introduction Burnout syndrome is common in the healthcare field. Burnout syndrome has been research by many, many of the research has been geared towards nurses to determine how prevalent burnout syndrome is. Emergency care nurses face vast challenges related to the care that is demanded by the patient. The amount of stressors and burnout syndrome are linked, the more stressors the nurse is exposed to the higher the risk for burnout syndrome becomes. Burnout syndrome has an adverse effect on the organization, the nurse, and the patient.