Strategies to Minimize Falls in the Hospital Fall in acute care setting is being an ongoing problem. Many people come to the hospital for one thing but ended up staying a lot longer than expected because of a preventable fall. Most insurance will not pay for other problems that the patient acquired while receiving care in a hospital. Therefore, the hospital has to spend thousands of dollars for fall related injuries.…
Karen Soppe is a labor and delivery nurse at Finley Hospital in Dubuque, Iowa. On a regular basis she deals with women who are in some of the worst pain they have ever experienced in their lives and yet still have a wonderful outcome by having a baby. This can be very stressful at times because everyone deals with pain differently. Soppe explained that, “some are very quiet and say nothing, some scream and are very restless”. Helping women cope and get through this difficult time is essential.…
An Immigrant Women’s Experience in a County Hospital Shikha Ahuja Drexel University S.D. is a 38 year old immigrant female who was admitted to a community memorial hospital when she was nine months pregnant. S.D. went to the hospital clinic for a prenatal checkup on October 7, 2014. The nurse took her vital signs and all her vitals were normal except for the blood pressure. She had an abnormally high blood pressure reading. The physician admitted her as a precautionary measure.…
While Athletic Trainers want to provide the best care for an athlete with an acute cervical injury, it is important to stay up to date with current protocol changes. Evidence has shown that some practices have caused more harm to a cervical spine patient. In May 2014, the National Athletic Trainers’ Association (NATA) released an official statement pertaining to this issue. It serves as an extension to a long-standing position statement, which was released in 2009. The main focus of the official statement is to adapt to the changes made by EMS for prehospital care.…
Safe Staffing in Nursing The American Nurses Association’s State Government Affairs program monitors numerous nursing and healthcare related bills each year. They assess each bill for significance of relation to current healthcare issues and trends (American Nurses Association [ANA], 2015). One of the issues being addressed in 2015 is nurse staffing. This is not a new legislative issue, as it has been reviewed for several years now.…
Background Information A literature review of patient handoff, and communication gaps of patient information during intrahospital patient transfers. The communication of complete and accurate patient information can be challenged, because of increasingly fast-paced and complex health care environments. Patient Handoff refers to, the process of transferring primary authority and responsibility for providing clinical care to a patient from one departing caregiver to one oncoming caregiver. Caregivers include attending physicians, resident physicians, physician assistants, nurse practitioners, registered nurses, and assistant care providers (Patterson, & Wears, 2010).…
Equally important to infection control, patient falls that result in injury are prevalent patient safety issues. “Falls and fall injuries in hospitals are the most frequently reported adverse event among adults in the inpatient setting,” (http://nursingworld.org/). This common problem happens when a patient falls when they cannot walk on their own. They often get up to use the restroom and suffer a terrible injury (http://www.hospitalsafetyscore.org/). As a result, time in the hospital is increased and can lead to in permanent disability.…
According to the MSN program conceptual framework, a nurse detective uses clinical imagination along with science to evaluate deviations from the expected to prevent or control adverse reactions (WGU, 2013) To apply the role of “Nurse as Detective” I will apply the model element safety and quality. Working as a Clinical Coordinator on an Orthopedic unit I recognize how vital safety and quality are for patient care. Utilizing this element will reduce risks to providers, patients, and families by using analysis of effectiveness of systems that are in place, as well as individual performances. This can be achieved simply by applying the nursing process.…
Nurses enter the health-care profession out of compassion and a desire to care for others. They are sensitive to the needs of others. But nursing is one of the most demanding careers. Nurses deal with pain, suffering, and fear on a daily basis. Adding to the emotional challenge, is the physical demands of long hours and being on their feet all day.…
While reviewing possible articles for this assignment, I found some very interesting statistics that surprised myself, and my husband, who is also a paramedic. Normally you would think the typical work related injuries among EMTs and paramedics to be muscular or tendon related, as well as neck, back, wrist and knee related due to heavy lifting and moving. And yes of course, we did find these injuries, but there were more important issue that have been brought to light. Statistics reported from EMSWorld.com in their “Work-Related Injuries among EMTs and Paramedics in Western Turkey” (12.12.14) showed injuries surprisingly not related to the moving of patients as expected. Although this study was completed in another country, I feel the same types of injuries are begin reported here in the states.…
Proposed problem The problem being studied is poor nutrition and inadequate staffing, potentiates the development of bedsores in health care facilities by the elderly. Background and rationale for its significance a). Poor nutrition may lead to bedsores b). Inadequate staffing may potentiate the development of bedsores a. Poor nutrition may lead to bedsores…
Prevention of Inpatient Falls Patient falls remain the most common adverse event in acute care facilities, with 2%-15% of hospitalized patients reported to fall at least once. Falls can lead to pain, loss of function, fear of further falls and even death (Tanaka, Sakuma, Ohtani, Toshiro, Matsumura, & Morimoto, 2012). An increased focus is being placed on inpatient falls because of morbidity, mortality, increased cost of care, and lack of reimbursement (Cumbler, Simpson, Rosenthal, & Likosky, 2013). The National Database of Nursing Quality Indicators (NDNQI) defines a fall as “an unplanned descent to the floor with or without injury to the patient” (Miake-Lye, Hempel, Ganz, & Shekelle, 2013).…
When you think of the medical field most people’s minds automatically go to “Doctors”. However the majority of the medical field consists of the underdogs, like nurses and nursing assistants. Nurses particularly take on the great load of important work that doctors do not have the time to do. As well as nursing assistants take on lots of work that the nurse does not have time for. The evaluation will focus primarily on Registered Nursing and the entire process that comes along with the profession.…
They are highly skilled and educated individuals, scientists and innovators, who work in many different divisions, all for the best interest of their patients. They require a deep commitment to their work and patients as well as a compassion and love for those who he or she is caring for, always remembering that the patient is the top priority and their well-being is the center of all things they do. Registered nurses fulfill a number of duties and responsibilities including preforming physical exams and histories of the patients, administering medications, preforming wound care, provide emotional care, maintaining a hygienic and safe environment, (SOURCE), but also included in these duties are some that the general public may not be aware of or consider. One of the jobs…
Abstract Dorothea Orem’s self-care deficit theory (SCDT) provides the framework for nurses when implementing an early mobility program within the intensive care unit (ICU) to decrease fall rates. The theory is composed of three sub-theories, self-care theory, self-deficit theory, and nursing system theory that when combined provides the ICU nurse with the ability to assess, develop goals, and implement nursing interventions to assist the patient in overcoming muscle deterioration while on bedrest and ultimately retain and gain strength to transfer self safely. A literature search was conducted to discover how SCDT was developed and transformed over the years and how it’s framework can provide the structure for an early mobility program.…