Nursing Risk Assessment Paper

Reflect upon the clinical problem that you have identified in your area of nursing practice (as identified in Module 1). Critically appraise the research and summarize the knowledge available on the clinical problem.

Every field of occupation requires each position to operate under a variety of different tasks and responsibilities. Depending on the work that is to be completed, sometimes, delegating certain tasks to those who are well-trained and competent to finish it plays a major role ensuring what needs to get done is completed. In the nursing field, registered nurses are tasked with many responsibilities that need to be finished in order to guarantee that patients are getting the quality care they need and are healing effectively. Part of the responsibilities of a nurse is to delegate tasks to unlicensed assistive personnel (UAPs) and licensed practical nurses (LPNs). In order to properly delegate tasks to these workers, the registered nurse needs to follow the five rights of delegation provided by the National Council of State Boards of Nursing (NCSBN) (n.d.): (a) right task, (b) right circumstance, (c) right person, (d)

Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients. In addition, she is most frequently assigned any change of shift admissions. While she understands that she is part of a team, she often feels that the consistency of the inequity of these assignments is not fair. She is self-aware of how this is affecting her. As she starts her shift today she is again assigned to the

Ms Anna Liza D. Fernandez demonstrates excellence in the execution and balancing of leadership and management roles in the perioperative unit. Maintains the highest personal performance standards and reflect the successful integration of the VISN Network plans and strategic priorities, VA Program Office programs, and the local Medical Center goals and core values. Her leadership was recognized not only in the local medical center but also with the VISN as she was awarded VISN8 FY14 Quarter Supervisor. Ms Fernandez assumes the role of Nurse Manager of the Operating Room, and has been providing coverage to other NMs of the Surgical Nursing Team, as well as assisting the Chief Nurse of Periopeartive in providing needed coverage in during

Bedside reporting assist nurses with a chance to improve patient safety and increase patient collaboration in the arrangement of care. There is also less care correlated to inaccurate or deficiency of information because the report process includes actual patient apparition. Increased staff approval with bedside reporting supports teamwork and supports accountability.

Nurse Bedside Shift Report Implementation Handbook Submitted by Manju Bhattacharya Table of Contents Introduction --------------------------------------------------------------------------------------------------------------------1 Overview of the Nurses Bedside shift Report strategy ----------------------------------------------------------------1 - What is the Nurse bedside shift Report tool? ---------- -------------------------------------------------------------------2 --------------------------------------------------------------------------------------------3 Rational for the nurse bedside shift report strategy --------------------------------------------------4 What is the evidence for nurse bedside shift report? Set aims to implement Set aims to implement Nurse Bedside Shift Report -----------------------------------------7 Identify the logistic report for your hospital-------------------------------------------------------------------------------8 Decide how to use and adapt the tools in this strategy------------------------------------------------------------------9 Implement and evaluate the nurse bedside shift Report strategy Report strategy -------------------------------10 Train staff ---------------------------------------------------------------------------------------------------------------------10 Conduct bedside report Conduct shift report----------------------------------------------------------------------------10 Get feedback from patient nurses and family--------------------------------------------------------------------------11 Case Study on Nurse Bedside Shift Report Nanavati hospital -------------------------------------12 References

Appendix D contains ten sentences in which my transferable, content, and stylistic skills were applied to an experience which occurred in my life. This is exercise 6-4 in the textbook. My transferable skills included “coached”, “listened”, “helped”, and even “evaluated”. It would seem as though I should be in a profession where listening, helping and evaluating are all integrated into a day’s work. By being a physician, I would be “coaching” patients, in a sense, by directing and guiding them back to their normal health state. I would listen to the everything the patient has to say about their injury and then properly evaluate the injured area. Patients care about being listened to, and having their expectations met. In Appendix D, “individuals”,

“Systematic prevention programs have been shown to decrease hospital-acquired pressure ulcers by 34% to 50%” (ICSI, 2003). It is critical to identify all the risk factoEarly detection of risk status is critical because timely interventions can be designed to address specific risk factors. When the patients first get admitted to the hospital, an admission risk assessment is usually performed. In the assessment, nurses consider patient’s age, medical history, medications and prior history of pressure ulcers. These factors play an important part in providing the nurses with initial information about the patient. In addition, there are many tools that have been using to assess the risk of pressure ulcers such as the Braden Scale, the Norton Scale,

Galt, K.A., & Paschal, K.A., (2011). Foundation in patient safety for health professionals. Sudbury: Ma. Jones and Bartlett

It is my responsibility to have admission and continued reviews done promptly and accurately to determine whether the patient meets medical necessity for inpatient or outpatient status. I review all patients’ charts, especially those in an observation status. They are reviewed frequently and in real-time to ensure they are actively being managed and in the correct status. Observation patients are given priority in order to catch patients that may be discharged. Collaboration continues with the physicians and if there is a question about status, the chain of command listed above is followed. Once, receipt of the Notice Act has been provided to the patient, and the patient signs or refuses to sign, a copy is made for the patient and a copy is scanned into the Electronic Medical Record (EMR). A Utilization Review note is documented in the EMR. After this process is completed, there is continued collaboration with the physicians, care coordinators and discharge facilitators to ensure patients receive quality efficient care as they transition through the continuum of care whether that is being discharged home or admitted as inpatient. As a member of the Health Care Management Team and UM, RN I can help improve the organization’s position by working with the physicians and helping them by providing education and real-time assistance in determining the correct status of the

monitors the surgical process to determine risk factors working with the Quality department. The Safety Officer works closely with this Department in preparing and documenting quarterly reports to Administration. As such, the Quality department documents data trends. These trends are compared with safety reviews and risk identification. In turn, these risks of occurrences are managed. The Quality department will implement a continued process improvement if the facility is below set benchmark. This influences the implementation process for safety standards. These reports monitor infections that may have a detrimental effect on patient care. This includes detecting source and preventive measures. The data also tracks frequency or deviation

The venue will be progressive care unit and the medical-surgical unit since both units come under same Nursing director and education nurse. Acceptance from the leadership team and main stakeholders is important to begin the project. This author will discuss about the importance DVT prevention and problems to follow to DVT protocol with the nursing director. This author will use the evidence from the literature reviews to convince how important to prevent this never event. With the support of nursing director, this author can discuss the problems and solutions with management team, finance department, risk managers, quality care team and the nursing staff to obtain adequate support and understanding of the project. There is a nurse educator for both units and she can act as single point of contact nurse case manager from Monday through Friday. The charge nurse will be responsible for night shift and weekends to follow the pilot study. This will avoid appointing any new staff member and save additional costs. Nursing director will be the supervisor of the proposed project and she should get weekly reports from nurse case

Hospitals admit patients all over the United States (US) every day. Generally, the public regards hospitals as safe places to receive the care they need. Patients and families perceive nurses as being trustworthy and hard workers that dedicate their lives to caring for the sick. Utilizing Patient Safety Indicators (PSIs) can assist hospitals to achieve the best patient outcomes, deliver safe, quality care, and prevent adverse events. The purpose of this paper is to define the purpose of the PSIs 90 and role in healthcare today. Discuss how the pressure ulcer PSI can guide the care of the patient within the healthcare environment. Debate how the pressure ulcer PSI is used to improve evidence-based

Nurse-nurse handover or bedside handover has been proposed as to increase patient and their family involvement in their care. In carrying out the change to bedside reporting, the adaption of Spradley’s 8-step model in conjunction with Lewin’s 3-step model of unfreezing, moving and refreezing provides for a successful and smooth transition (Kassan & Jagoo, 2005). In part of the recognition of the existing problem, full understanding of issues undergoing patient quality care and satisfaction was communicated through with the Voice of the Patient Advisory Council and the Premier Patient Experience Steering Committee which reported lack of satisfaction of patients and their family members in regards to their knowledge of their

Case study of Mrs. A thought her admission to a acute ward, demonstrated the skills that are needed to care for her.