The hospital's motto states superior service equals quality outcomes. The hospital believes that the strength of the staff and the relationships with partners in the community will ensure positive results (Rutland Regional Medical Center, 2016). The hospital functions as an open system and responds to feedback from internal and external sources. The core values of the organization guide the change process to guarantee the maintenance of relationships, partnerships, and the hospital's survivability (Collins & Porras, 1996). Responding to negative feedback will ensure the hospital continues to evolve and change for the betterment of the community (Meyer & O’Brien-Pallas, 2010).
55). When Wanda asked this writer whether nurses have read the guideline, she was shocked that six of the nurses that I interviewed had not read it. She agreed when I made the comment that the guideline needs updating and the nursing staff, especially nurses, need training when it comes to wound assessment in order to promote optimal care and improve the documentation so that we can more closely adhere to the CMS guideline. I can say that the facility’s wound assessment guideline needs changing, not only with the inclusion of references, but also in ensuring that the references included are evidence-based. There will be perceived barriers to change, such as the lack of EBP knowledge, nurses’ attitudes towards EBP, and the administration’s support (Melnyk & Fineout-Overholt, 2014).
Used of BCMA had attributed to improved staff, patients’ satisfaction and the most important is improved patients’ safety. Thus, I would suggest and recommend my hospital management to considerate in implementing this new technology for future
Likewise in healthcare, oncoming staff generally does initiate not patient care delivery until a hand off process occurs. “Communication failures are increasingly being implicated as important latent factors influencing patient safety in hospitals.”(Sutcliffe, 2004, p. 187) Parker (1996) reports, “the nurses handing over had direct knowledge of the patient and were able to convey idiosyncratic and personal knowledge of the patient. This is a crucial element in professional nursing practice. The nurse can report on clinical judgments and can be held accountable for the judgments made” (Parker, 1996, p. 25) Critical evaluation of nursing actions can be evaluated and considered to be either continued or discontinued based on the rationales for the action and the patient outcome. In 2005, the Australian Council for Safety and Quality in Healthcare published a literature review of clinical handover and patient safety.
Its withdrawal was a logistical nightmare for many large cardiology practices faced with the need to notify patients that they would need to obtain a different prescription (AHA, 1998). Bayer Pharmaceutical Division has announced its decision to withdraw Baycol (cerivastatin) from the U.S market following reports of rhabdomyolysis, a severe muscle adverse reaction than can sometimes have fatal consequences. The FDA has agreed with and supported this decision (WHO, 2001)
It is through this that an appropriate nursing plan care is used. For example, in the decreased cardiac output, heart sounds and blood pressure should be monitored. Veri (2013) asserted that murmurs in the heart sounds may indicate a valvular incompetence. Further, chronic blood pressure may be elevated and as a result, profound hypotension may occur (Vera, 2013). In the case study, I have observed that barriers to teaching and learning include a lack of knowledge about the disease itself.
Patient Teaching: The Follow Up Phone Call Ebenezer Queen University of Pittsburgh School of Nursing Patient Teaching: The Follow Up Phone Call Many people believe that patient care ends once the patient is discharged and has left the hospital. Patient teaching can help enhance the effectiveness of the care that has already been given by ensure the patient understands their role in the partnership that is their care. It can help decrease hospital readmissions, cost of continued care, and help the patient heal more effectively. Inadequate patient teaching can cause patient noncompliance. This can cause infective medication use (from the patient not knowing when or how to take medications), reoccurring infections (from the patient not knowing how to clean themselves or do proper wound care), or it can even cause death (from a patient not knowing when to alert a healthcare professional due to symptoms that could indicate something lethal).
Hem dilution: donating your own blood during surgery. Immediately before surgery, some of your blood is taken and replace with IV fluids. After surgery, your blood is filtered and returned to you. This process dilutes your own blood so you lose less concentrated blood during surgery. The disadvantage of this process is that only a limited amount of blood can be removed, and certain medical conditions may prevent the use of this technique.
Nurses, equipped with knowledge and skills, are positioned to contribute and lead the changes that are occurring in the health care environment. The IOM Future of Nursing report (2010) emphasizes the importance of nurses to lead the transformation and assume a leadership role in meeting the demands of the changing health care system of America into a high-quality and affordable delivery of health care. Furthermore, the movement toward evidence-based practice (EBP) creates a quality-improved health care environment in cost-effective services (Gillam & Siriwardena, 2014). Nurse leaders in their strategic position in building and investing a supportive culture for EBP facilitates optimum patient health outcomes (Melnyk, Fineout-Overholt, Gallagher-Ford, & Kaplan, 2012). The success of health care reform does not solely rely in the hands of nurses, but it is a unified contribution of health care professionals, policymakers, and public and private health sectors to work together in their full scope of practice to achieve toward a common
The effect of the IoM report on nursing practice majorly on primary care intends to put more consideration on two vital areas. The areas comprise of health and the patients' well being. The health of patient is very important as it takes care of an individual's immediate needs because it offers services to patient with chronic illnesses. The well being of patient in other words public health, offers a wide spectrum of services to the community for healthy living standards. These two areas aim at providing as well as improving people's health hence reducing the cost incurred by the health care provider and the patient.