Rashid Ahmed Case Summary

Hence, in this way, people were got used to with these hand hygiene markers. Hence, it is recommended for different healthcare facilities to give awareness to their healthcare administrators and health infection nurses to use hand hygiene markers in order to avoid nosocomial infection. This aspect will deteriorate the mortality and morbidity rate as well from the healthcare and among the patients since majority of the diseases are contagious and are travelled from either physicians or nurses to patients. This effect leads to more diseases among patients, nurses, administrators, and physicians as well. This aspect controls the committee and supply chain of the healthcare facility and hospitals to keep a watch on the health acquired infection.

 Avoid site of cannulation at joint area.  Dilute the intravenous medication with adequate volume of diluent follow protocol to prevent extravasation. -In some hospitals, their policy will require the neonates to be put on central venous line or peripheral- inserted central catheter if the long term parenteral therapy or hyperosmolar fluids infusion to prevent vascular injury and complication. Nurses should advocate for patient by recommend to consultant about needs of central

regular nursing rounds provide an opportunity to recognize patient needs by progress nursing procedures. Although hospitals worker various methods of rounds for hospitalized patients, the main components of all rounds are pain preventing, bathing, changing position, and environmental comfortable . (Meade, Bursell, & Ketelsen, 2006). In addition Nurse staffing in outside of NZ have been found to affirmative effect the quality and the number of life experienced by the persons , families, and communities they serve (Brown and Grimes 1995 ) . However , Heavy hard work (and as a result in less time spent with patients) has

Nurses being responsible for the final bedside check before transfusion, have the final opportunity to prevent a mistransfusion. An understanding and knowledge of the pathophysiology of transfusion reactions, symptoms and treatment is essential to safely administer and monitor transfusions

CONCEPT 5: NURSING ASSESSMENT OF RESPIRATORY SYSTEM This concept is taken from Block 4, Module 6 which is entitled as ‘Assessment of respiratory system’. The respiratory system comprises of different organs used in respiration. Respiration involves inhalation and exchange of oxygen and carbondioxide between living organisms and the environment. The organs of respiration include; the nose, pharynx, larynx, trachea, 2 bronchi, bronchioles, 2 lungs and muscles of breathing (the intercostal muscles and the diaphragm).

In order to correctly identify the right patient this addressograph should contain the patients name, address, date of birth and unique identity umber. On administration of medication these details should be cross checked between the patients’ armband and their drug kardex. These details should also be checked with the patient on admission to ensure that they are correct. To further protect the patient, their allergy status should be clarified and documented on the kardex. If the patient is unable to verify this for themselves a family member, carer or General Practitioner may be able to provide this information.

The informed consent process should be used as a patient safety tool, and the patient should be warned about material and foreseeable serious side effects and be told what signs and symptoms should be immediately. . Faculty systems must be redesigned, and seamless, computerized integrated medication delivery must be instituted by health care professionals adequately trained to use such technological advances. Handwritten prescriptions should be replaced by computerized physician order entry, a very effective technique for reducing prescribing/ordering errors, and an effective change would involve writing all drug orders in plain English, rather than continuing to use the elitists' arcane Latin words and shorthand abbreviations that are subject

Moreover, obtaining informed consent from the patient or legal guardian, the consent implies that the patient has sufficient information to understand nurses must witness patient was informed and signed and document in the patient chart because it is a way to ensure patient safety and reflect professional

If the patient is frightened, the post-op nurse will speak to him in a reassuring voice to calm him. They also regularly assess the patient’s vital signs, including heart rate, pulse, respiration and temperature. By checking pulse and heart rate, post-op nurses can ensure the patient remains stable and that they is coming out of the anesthesia as expected. They also ensure the patient stays comfortable, covering them with a blanket if they gets cold, a common side effect of anesthesia. In addition, they monitor the patient’s IV line and urinary catheter.

One such example would be, nurses have to frequently assess any change on patient’s condition and notify doctor immediately if there are changes. Delaying may increase the complication and makes it harder to treat. Other than that, nurses must document down all the information in accordance to approved standards of practice which includes evaluation of how treatments work, assessment, compliance, reaction of patient and communication. Evidence by charting can help to prevent liability in a malpractice suit. Lack of documentation can alter the nursing intervention, such as in the scenario which stated medication was not discontinued when the resident was at high risk for bleeding.

The expected outcomes are standards against which nurse judges if goals have been met. Evaluation of client response to nursing care requires the use of evaluative measure simply as the reassessment of patient symptoms. Vital signs and auscultation of breath sounds. Observation of client skill performance and discussion of how they feel. Lab results such as chest x-ray to confirm whether pneumonia diagnosis is still present.

Immediate Actions of the Medcial Assistant: Ease the person to the floor. Call for help immdeiatly turn the patient gently onto one side. This will help the patient breathe. Clear the area around the patient of anything hard or sharp. This can prevent injury.

Scope of Practice of the MA in the Emergency Base on the role of a MA until provider is able to treat/assess a patient I should help maintain a smooth-running emergency. I would assist by taking vital signs, maintain medical histories and prepare patients to see doctors, I would observe the patient and make them feel as comferable as possable. Make sure nothing is getting wrose and keeping the patient clam (Emergency Room Medical Assistant: Educational

I have used these assessments daily as a rehabilitation/geriatric nurse. These assessments are valuable to use for patients who might have compromise circulatory problems. This includes orthopaedic patients, medical history of PVD and DVT, and non-healing wounds. Peripheral pulses are hard to find in patients who are sick and dehydrated. I use the Doppler to find the pulses in the foot or ankles because they can be difficult sometimes in patients with circulatory problems.

Mr. Huffman is an 54 year old male who presented to the ED via LEO petitioned by his mother following being release from jail. Mother reported in petition her son has a history of mental illness and has been treated for the same. She continues to report in petition that Mr. Huffman has threatened family members and is a threat to himself and others. Before the assessment petitioner was contacted for collateral information. Petitioner states when asked when the last time she spoke with her son, "I haven't spoken to him since what happen in January.