1 Assess the patient’s clinical need for blood and when it is required. 2 Inform the patient and/or relatives about the proposed transfusion treatment and record in the patient’s notes that you have done so. 3 Record the indications for transfusion in the patient’s notes. 4 Select the blood product and quantity required.…
DOI: 12/23/2013. Patient is a 51-year-old female registered nurse who sustained a work related injury due to repetitive work. Per OMNI, she is initially diagnosed with strain to the knee patella. MRI of the right knee dated 10/9/15 revealed globular increased signal intensity is seen throughout the medial meniscus most consistent with intrasubstance degeneration; tricompartmental osteoarthritic changes; joint effusion; pre-patellar soft tissue edema, query contusion; and chrondromalacia patellae.…
First, the patient lost her life as a result of an avoidable error. Second, a competent nurse lost her license and was fired for her human error. Nothing was done by the hospital to try and learn form this mistake. Rather than investigate the factors that caused the event, such as over worked nurses and similar labels on drugs, the hospital placed blame on the nurse in order to try to avoid expensive lawsuits. Listening to Thao’s story made me fearful as a future nurse.…
Medical facilities need to step up and provide the staff that is needed to take care of the patients. Hiring more staff promotes safe nurse/ patient ratio, which decreases workload, and stress. They need to train all staff om the unit to run specialized equipment so the burden does not lay on one or two nurses. These are underlying factors which may have prevented this accident.…
The Grattan Institute strongly suggested the anaesthetic nursing practice must be taken into present day demand. The basic nursing practice in the anaesthetic nursing profession must rise from assistant to the anaesthetist to a nurse anaesthetist providing health care services focusing on the medical model of care. This will enable our anaesthetic nurses to help create solutions to our health care services by providing competent and affordable anaesthetic care services. Advancement of anaesthetic nursing practice will arrange a resolution to cut the cost of health care services, resolve the long waiting list specifically for patients who are waiting to have surgery and other diagnostic procedures where anaesthesia is required. The importance of adopting nurse anaesthetist in our health care system appeared to be an advantage to Australian health care.…
Even though the error did reach the patient, no harm was done. The error was never disclosed to the family, only the doctor. The nurse administered the Tylenol thinking the medication was on time. Once the nurse sat down the chart a safe guard alerted saying that the Tylenol was over the patient’s 24 hours limit.…
I selected the article of the Implementation of an Evidence-Based Patient Safety Team to Prevent Falls in Inpatient Medical Units from MEDSURG Nursing Journal written by Gwendolyn Godlock, RN and a Joint Commission nurse surveyor, Mollie Christiansen, RN and a clinical nurse officer, and Laura Feider, RN and a Dean, School of Nursing Science and Chief, Department of Nursing Service (Godlock, Christiansen, and Feider, 2016). Fall prevention for patients is medical facilities is a constant concern and continuous studies on prevention. Even through falls are accidental the outcome can range from no injuries to the death of the patient (Ignatavicius & Workman, 2016). The Joint Commission established a National Patient Safety Goal which…
Literature Review: Simulation Based Education in Undergraduate Student Nurses and Experienced Nurses in a Surgical Clinical Setting. Simulation is not technology but it is a technique that is used to replace or supplement real life experiences in an interactive way (Gaba, 2004). A simulation based method of education in the nurse clinical setting improves student learning enhances confidence and communication skills in learners, aids in recruitment and retention of nursing in the clinical setting, while protecting patient safety by allowing the learner to fine tune skills in a realistic setting before they must apply them to the patient (Mullen & Byrd, 2013). In Nursing as in many professions, limited resources and funds have made educators…
The Code for Nurses with Interpretive Statements (ANA, 1985) states that nurses as client advocates act “to safeguard the client and the public when health care and safety are affected by incompetent, unethical, or illegal practice by any person.” Incompetent nursing practice is measured against nursing standards, unethical practice is evaluated by the Code for Nurses, and illegal practice is identified in terms of violations of the law. Reporting Responsibilities and Guidelines If a nurse is aware of inappropriate or questionable practice in the provision of health care, concern should be expressed to the person carrying out the questionable practice. If indicated, the practice should then be reported to the appropriate authority within the…
Since then many strategies have been attempted to address patient safety. Regardless of these strategies, an estimated million lives have been lost in unsuccessful attempts to improve the safety of the healthcare system (Jewell & McGiffert, 2009, para. 2). While this incident did not involve some of the most common preventable medical adverse events. Still it affected the environment of safety in the facility.…
Nurses play a vital role in detecting potential complications in the maternal and neonate during and after a vacuum assisted delivery. Nurses have many interventions that can be put in place to reduce the use of VAVD such as, an upright lateral position to facilitate fetal decent, use of analgesia, and the administration of endogenous hormone and uterine stimulant oxytocin (Lacker, 2012). Nurses can also help to prevent the unnecessary use of vacuum devices during delivery by, encouraging the patient to delay pushing for two to three hours during the second stage of labor or until the urge to push is strong (Lacker, 2012). Maternal comfort should be assessed Preoperative assessments Nurses have the responsibility of performing thorough preoperative and postoperative assessments, which can significantly lower the risk of maternal and neonate complications (Lacker, 2012).…
Specialty Overview: Medical-Surgical Nursing The specialty I find particularly interesting is medical-surgical nursing. It is the single largest nursing specialty in the United States accounting for almost 1/6th of the nursing profession. A specialty organization in the medical-surgical nursing profession is the Academy of Medical-Surgical Nurses (AMSM).…
With rising health care costs and the high harm and mortality rate of hospital acquired infections nurses must continue to deliver their care based on best practice and available evidence. There is always a need to continually update practices to improve patient’s outcomes. Benchmarks have been set for state and national levels to be achieved by year 2020. Joint Commission and organizations, such as the Institute of Healthcare Improvement, have set quality improvement goals by implementing the Central Line Insertion and Maintenance bundle to reduce central line infections. Changing the way nurses care for their patients is vital for positive outcomes.…
The program outcome of use emerging patient care technologies and information systems to support safe and effective nursing practice, I have accomplished all these goals. I have operated, used, and assessed common hemodynamic monitoring used in the ED. I have also been charting all the patient assessments through the electronic data monitoring system, but I still need to ask my preceptor questions every once in a while how to chart certain information. I have also been reading orders that were put in for patients and have put in verbal orders from the physician. The program outcome of integrate leadership concepts, skills and decision making in the provision of high quality nursing care delivery in a variety of settings, I have accomplished many of my goals.…
Medical errors affect health of many people and unofficially is a third leading cause of death in the United States (John Hopkins Medicine, 2016). The error of omission in nursing and its contribution to patient outcomes was explored in this paper. An error of omission or missed care is a type of medical error when the care was not provided to the patient. The most commonly missed items of nursing care are delays in administering medication and missed elements of basic care such as mouth care, assistance with walking, turning, and bathing. The missed care has negative effect on patient outcomes such as decreased patient satisfaction, and increased risk of falls and adverse events.…