Shift Assessment In Nursing

I will summarize each outcome for the Nursing Informatics specialty. For the intent of this paper I will use outcome and competency interchangeably. The first outcome means the ability to gather healthcare information across the continuum of care; combine and utilize the information gathered to develop a process. Finally execution of that process to evaluate its ability to improve the quality of the healthcare environment. Healthcare managers are constantly assessing patients and collecting information.

The geography, in this case, includes social, national, social, global and even beyond (Alligood, 2014). The environment also includes aspects such as societal values, beliefs, morals, expectations and customs. Additionally, the environment is an energy field in the mutual process that incorporates the human energy field and conceptualized as a nursing arena whereby the nursing client comes across aesthetic beauty, threats to wellness, lived experience and caring relationships regarding health care (Dossey, 2010). As noted with the environment the nurses are urged to take heed of several processes that are likely to affect human health and these includes cultural, historical, developmental, physical, political economic and psychosocial processes (Polit & Beck,

Clinical examinations offer significant chances for nurses to identify a suitable therapy association with their clients. Hence, the examination is seen as both interpersonal and intellect based activity. Assessments of sick people involve several steps. Screening examination helps gather necessary facts, analyses them and later group them into useful information. Potential analyses combine all possible examinations that associate with available information about a patient.

Bedside shift reporting is used in many health care facilities to promote a beneficial handoff for both patients and nurses. This type of reporting is an important process in clinical nursing practice because it allows staff to exchange necessary patient information to guarantee continuity of care and patient safety. “Moving the change-of-shift handoff to the patient’s bedside allows the oncoming nurse to visualize the patient as well as ask questions of the previous nurse and the patient” (Maxon, Derby, Wrobleski, & Foss, 2012). The standardization of shift handovers was identified as one of the 2009 National Client Safety Goals from The Joint Commission (TJC).

There are times when after the patient is discharged from the hospital, the patient sometimes calls back to the nursing station with questions concerning their discharge medications or instructions. I believe if there was a hospital discharge hotline staffed by registered nurses for the patient to call after discharge, this would help make their transition easier from the hospital to at home setting. This will ensure the patient and family member questions are answered and more time has been dedicated to the patient or caregiver over the phone for help with discharge. “As a continuous process, discharge planning starts earlier and continues later and involves reaching out to both health care professionals and family caregivers along the entire continuum of a patient’s care” (Robeznieks, 2017, p. 40). Through this continuous process of discharge planning, this can help improve the quality of care rendered to the patient and lessen the chance of readmission to the

404). A competent nurse can “begin to see his or her actions in terms of long-range goals or plans” (Benner, 1982, p. 404). I believe in my nursing career I have reached this stage. When a patient comes in with a specific complaint, I can anticipate what will happen and what the doctor will order even before the doctor comes in to see the patient. For example I know a person that has a complaint of chest pain will need an electrocardiogram, troponin, cardiac monitor and depending on the patient medications, aspirin.

What is a CNA and How Can You Become One? Understanding the basics of what is a CNA, can help you decide better if this is the right profession for you. A certified nursing assistant or CNA has the main responsibility of helping patients with healthcare needs. A CNA is sometimes referred to as a nursing assistant, state tested nurse aid or a patient care assistant.

Yet, through the many years of consistent research and hit and missed occurrences, the nurses adopted Evidenced-based practice into their scope of practice. Through this method patients and healthcare workers are ensured that the best practices are followed pertaining to selected health problems. EBP is part of the nursing profession because it promotes safe and quality care for patients and their families based on reliable, proven studies. What are the roots/evolution of EBP in nursing?

Nurs 6050: Nurse as Leader in the Future Identification of the influence of nursing on important health care decision at all levels. Nurses have proven to be needed at the front of health care at every setting; the nurse usually first sees patients during a hospital visit, sometimes with doctors rounding, and before patients are discharge home, No matter the circumstances, a nurse has many influences on the patients’ health. One of the very important rules we have as nurses is to advocate for patients at all levels. Zomorodi and Foley state in their article “nurses should help individuals to clarify their values when making decision and to reach decision that uphold their reaffirming values” as cited in Gadow, 1980, p. 1747). Most of the time patients are left with health care decision that they may not even understands how to go about, the step to take in making the right decision.

There are a few research studies and related pieces of literature that concerns disaster preparedness of nurses. This important due to the fact that nurses is a big chunk in health workforce. Moreover, nurses are considerably the first-line health professionals in giving health care services. As such in times of disaster, preparedness on a personal and professional level is important. As a result, it will enable nurses not only to ensure safety, health and well-being of their client or patients but also themselves.

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.

*Use and disclosures: We use and disclose health information for many different reasons. For some of these uses or disclosures, we need your prior specific authorization such as: • uses and Disclosures Relating to Treatment, • to obtain payment for treatment, • for health care operations such as evaluating the quality of health care services that received or evaluate the performance of the health care professionals. • providing patient PHI to our accountants, attorneys, and consultants who perform services on behalf of our patients. Other Uses and Disclosures That Do Not Require Your Authorization are: • Disclosures required by federal, state or local law, judicial or administrative proceedings, or law enforcement such as information about victims of abuse, neglect or domestic

The data I collect to answer the question, “Is there a relationship to the number of hours a Registered Nurse (RN) works and patient safety?” will be data that contain several variables. Some of these variables will include: The RNs sleep/wake patterns, their mood, their amount of caffeine intake, hours worked, specific time of day, any overtime worked, etc. These variables will be submitted on the days that each RN works. In order to summarize a logical answer that has substance, I will need to use a data analysis technique that will be able to account for the numerous variables associated with the data collected. The linear programing also goes on to say that it aides in decision making about how to best use limited resources.

The CM department can gather information of all processes concerning the treatment, nursing, and after-treatment of the patients to perform better services for patients (Wulff et al., 2008). Concerning the new strategy implemented by RWTH Hospital, the margin between estimated bed time and actual bed time has been

1. What is your understanding of the Advance Directive for Healthcare and how does your facility (current or past) deal with the issue? There are two different types of Advance Directives, a Health Care Power of Attorney and a Living Will. An advance directive is a proactive legal document a patient fills out in advance making their wishes know in regards to complicated health care decisions in case they are unable to make the decisions for themselves for some reason. This document appoints a health care power of attorney to make the decision on the patient behalf if they are unable