Jo's problem by Mr. Tom which could have had bigger repercussions in the end depending on the phobia's severity. Effective communication coupled with team work is the basis for the delivery of high quality services and patient safety care. Failures in communication are one of the main causes of inadvertent patient harm. As an anaesthetic nurse trainee being confronted with unexpected scenarios out of my comfort zone is an enrichment for my knowledge and practice. In this particular situation, I can conclude that Mrs. Jo could have had a better approach regarding her phobia and her level of anxiety, from the onset of her pre-assessment with Mr. Tom.
The opioids epidemic interventions are essential to prevent prescribed opioids abuse, promote safe prescriptions for individuals and decrease mortality rates. Furthermore, the goals in practicing safe and regulated medicine, enables the individual who needs opioids analgesics to control their pain and suffering. Implementing interventions to this issue would include holding health care professionals accountable for misconduct, educating and evaluating physicians, pharmacists, and monitoring prescribers to apply state laws and regulations. A collaborative approach to regulate, educate and monitor is inevitable for effective outcomes! Consequently, many physicians may possibly be hesitant prescribing opioids drugs to prevent penalties.
In response to these tragic events, activists have introduced many best-practice approaches to minimize these occurrences. One instance is a new cleaning checklist developed from culture methods from other industries to reduce the risk of Staphylococcal infections. Another best-practice approach is the invention of a Pyxis medication dispensing unit, which is a form of medication management that includes barcode technology. This provides another safety check for the nurse as it implements the five rights of medication administration, and minimalizes any further medication errors. As the years have passed, technology plays a significant factor in improving patient safety.
How might the ANA code of ethics and the Nurse Practice Act help to guide Josepha? The legal and ethical issue that Josepha has to use is. He has to know how to discuss the issue he has with the higher or manager of the head nurse. It is good to communicate the issue you have with the managers instead of felling bad thing about them. As I read the “Team STEPPS makes strides for better communication”, some of the tools like; (SBARQ) is used in many organizations, especially during patient hand-offs.
Alcohol withdrawal changes patient’s state of mind and can cause verbal or physical abuse. Therefore, a knowledgeable nurse will implement skills in promoting patient and individual safety. Strategies such as sedation, restraints, sitter, or security at the bedside can be implemented before the escalation of work place violence occurs. Furthermore, a nurses attitude towards this patient matters in order to de-escalate anger. An angry or confused patient must be a handle wisely with proper nursing intervention.
(Claffey, 2018) The best way to reduce the risk of medication errors is to enquire about which orders wouldn't be appropriate to give to the patient based on their condition. (Claffey, 2018) In addition to successfully completing a physical assessment on the patient, the practitioner must also view the patient holistically, and always report near-miss medication errors. (Claffey, 2018) Given that nurses are the ones administering the medication, they should be able to justify as to why the patient is receiving the drug and if it is safe for the patient to be given that specific dosage. (Claffey, 2018) As technology evolves, having an electronic entry for medication may perhaps help reduce the risk of many errors in a busy environment. (Claffey,
Patients requiring large volumes of fluid and/or diuretics anticipated producing large outputs. Assisting in healing open stage II sacral or perineal wound in the incontinent patient to prevent further skin breakdown. For patients who will require a period of prolonged immobilization, due to broken bones, procedures and other medical complications. When inserting foley catheters the CDC (2009) strongly recommends performing hand hygiene. Hand hygiene must occur immediately before and after insertion and with any manipulation of the catheter device or site.
INTRODUCTION Patient entering into the healthcare setting often hae their expectation and hope of receiving prompt and uptimal ealthcare services delivered in a professional way, and that any complication that may arise as a result of their illhealth or treatment plan will be promptly identified and treated appropriately. Therefore, complications and deaths from treatable complications, which are preventable clearly reflects the failures of the system of care that patients have placed themselves. Failure-to-rescue is indeed a new concept growing in popularity as a eans of measuring hospital quality of healthcare services. This concept has been utilized as a measure in various medical and nursing publications, hospitals and other institutions involved
It increases the stress level, pain, financial burden and prolongs stay to the patient in hospital due to inflammation. Nurses are aimed to prevent the patient from complications, but here nurses are causing the complications and pain due to their ignorance and malpractice. According to Dychter, Gold, Carson, and Haller (2012) nurses should aware that the complications of intravenous cannula, which are done due to infusions can significantly affect health care costs. Complications of IV therapy are costly in terms of patient quality of life, morbidity, mortality, and treatment expense, specifically when there is a prolonged hospital
Patients have rights to make decisions about their treatment or refuse medical intervention. Patients make advance directive including a living will or Do Not Resuscitate (DNR) Order ahead of time regarding the end of life issues. If a patient chooses to leave the hospital against medical advice, he or she can be discharged. Also, the patient can participate in decision making during nursing care in hospitals. “Patient participation in decision making in the implementation of nursing care was found to be higher in practical aspects of care, covering essential patient needs (personal hygiene, rest and sleep, and feeding)” (Kolovos, Kaitelidou, Lemonidou, Sachlas, Sourtzi, 2014, p. 154).
This team implement a specific guidelines for workers to help prevent the transmission and spread of infection through isolation and other healthcare habits. Much of this information is giving through training and educational programs given by the educationol departments. An example of guidelines that are essential for the healthcare worker are specified Hand washing is one of the most effective methods in prevention of the spread of infections. Depending on the type of care being provided there is a different hand-washing protocol indicates. For example, with routine care in the hospital,
or Methicillin-resistant Staphylococcus aureus (MRSA) hand washing with warm soap and water is more effective in destroying bacteria then the use of alcohol based antibacterial foams. Through this research I was able to further understand the importance of hand washing as well as incorporate my research into my every day
With the use of EHR comes the opportunity for patients to receive improved coordinated care from medical professions and easier access to their health data. The author identifies views about the problems of EHR and the legislation. Health care professionals understand and accept the obligations under the Privacy and Security, patient’s information can still be at breached if those involved in patient health do not make sure that their information is secured. There is an increased risk of privacy violations with EHR if used improperly. Even though there are legislations in place to protect patient’s information, data still can be easily accessed either intentionally or accidental by using improper security measures.
Because the severity of cystic fibrosis may vary from person to person, patients work closely with their doctors and have a treatment tailored to their own unique circumstances. According to the National Heart, Lung, and Blood Institute, the goals of cystic fibrosis treatment is “preventing and controlling lung infections, loosening and removing thick, sticky mucus from the lungs, preventing or treating blockages in the intestines, providing enough nutrition, and preventing dehydration” (INSERT NHLB CITATION HERE). In the traditional cystic fibrosis care model; it is recommended that a patient visit a cystic fibrosis care center at least quarterly during the year. At the care center, respiratory cultures are obtained, dual-energy c-ray absorptiometry is performed, chest x-rays, lab work for blood, and a complete spirometry evaluation is done (INSERT LIVE LONGER ARTICLE CITATION). Patients with cystic fibrosis might also partake in chest physical therapy, which is therapy in which your chest and back are pounded constantly with a device or hands in order to loosen up the mucus in the lungs so that the mucus can be coughed out.
Hi Nicole, as a nurse, I am responsible to protect my patients. One of the ways I protect my patients is by properly washing my hands, utilizing hand sanitizer when washing hands is not an option or available. Using gloves in addition to personal protective equipment and sterilizing equipment and surfaces will decrease the risk and spread of the influenza virus. It is so important as a nurse that I always educate my patients as well as their family members regarding health promotion, in order to reduce the spread of not only the influenza virus but bacterial infections as well. Majority of my patients are immunosuppressed therefore their risk of getting sick from the flu can progress into a deadly virus (Groeneveld, 2009).