Gap Analysis Paper 1. Conducting a needs assessment: According to Kaufman, & Ingrid (2015), a need assessment is a systematic process for investigating the current practices and to determining the best practices. A gap analysis is a strategic tool to help an organization to understand where the company is and where you would like to see the business be. Furthermore, a gap analysis is the present state of doing something to a desired state, and to learn the steps to undertake to improve that state. During my clinical preceptorship at New York Presbyterian Hospital, many patients that came into the hospital with urinary retention a catheter was inserted to determine the amount of urine in their bladder or post-void residual (PVR). Many patients later developed pain and a urinary tract infection or Community Acquired Infection secondary to frequent cauterization. Therefore, the gap identified was related to a knowledge deficit of the current practice that inserting a …show more content…
Learning Objectives: Upon completion of training of the Bladder Scanner, the staff will be able to: 1. Discuss the indication of the Bladder Scanner and contraindications associated with the Bladder Scanner. 2. Verbalize how does the Bladder Scanner decrease catheter -associated infection. 3. Demonstrate the steps in setting up the Bladder Scanner. 4. Demonstrate how to use the Bladder Scanner to measure PVR. 5. Verbalize how the Bladder Scanner reduces the need for catheterization. 6. Discuss and assess patient/family knowledge of the Bladder Scanner. 7. Instruct patient of the signs and symptom of urinary tract infection. 8. Demonstrate the steps in cleaning and maintaining of the Bladder Scanner.
The last step of dissection made them trace the vas deferens to the urinary bladder. As a final step to the whole lab, the lab groups then removed all dissection pins, cleaned the dissection tools, placed the Neovison vison in a
I took the Kaplan Integrated test for NUB 440(Medical Surgical) and these were the remediation topics that emerged from the questions I answered incorrectly: multiple sclerosis, lidocaine, peritoneal dialysis, Parkinson’s disease, hip fracture, pneumothorax, prednisone, type 2 diabetes, detached retina, buck’s traction, closed head injury, transesophageal echocardiogram, benign prostatic hypertrophy, cystic fibrosis, glomerulonephritis, cardiac dysrhythmias, thyroidectomy, pressure ulcer, intracranial tumor, cataracts, hepatitis A, stroke, epilepsy, somogyi effect, pancreatitis, meningitis. During my review and analysis, I discovered that I changed 6 incorrect answers to correct answer which was to my advantage. In addition, I changed 1 correct
• Wearing a catheter at the moment. • District nurse visits once a week. He was recently in hospital for the catheter change as it was infected.
During the time of assessment the patient was awake in her bed with a sitter by her bedside. TACT asked patient demographic information and patient responded by yes to having the correct address,date of birth, and name. At the beginning
The challenge still lies in the severe under-reporting of urinary incontinence issues. After all, seniors cannot get help if nobody knows there is a problem. If your senior loved one may be having trouble with urinary incontinence, it is important that they have their situation investigated. A full third of overactive bladder issues may be linked to lower urinary tract infections. Not only could the bladder problem be quickly reversed with a UTI treatment, but the pain and discomfort of the UTI would be addressed as well.
If you run out of catheters and are forced to hold urine longer than you should, you can cause damage to your bladder or get an infection. Therefore, once you know the size and type of catheters you need, you want to buy supplies for a week or month at a time and refill your stock before your current supplies run low. Think of them just as you would prescription medication. You don't want to run out. In addition to the catheters, you'll also need other supplies.
Justina Toland- Tennant Unit 4 Assignment Chapter 4 Exercises and Review Chapter 4: Exercise 4.26 #4 49521 Hernia repair, inguinal, incarcerated Chapter 4: Exercise 4.31 #4 50920 Fistula, closure, ureter cutaneous Chapter 4: Exercise 4.34 #10 54322 Hypospadias, repair, one stage, meatal advancement Chapter 4: Exercise 4.37 #8 58956 Hysterectomy, abdominal, total Chapter 4: Exercise 4.41 #4 61312 Craniotomy, evacuation of hematoma Chapter 4: Exercise 4.43 #8 67700-RT Incision and drainage, abscess, eyelid Chapter 4: Review: Coding for Facility # 12 11305-LT Shaving, skin lesion Appendix C: Case Number #9 52630 Prostatectomy, transurethral 9. 52601 Prostate, excision, transurethral; or Prostatectomy,
The physician, during your exam, may ask you to close your eyes, pinch your nose, and exhale. After these exam, the physician may recommend a urinalysis, bladder diary, and post-void residual measurement. An urinalysis is when a sample of urine is checked for signs of infection , traces of blood, or any other abnormalities. A bladder diary is a recording of your intake and outtake. Post-void residual measurement is when you are asked to urinate for the physician and the urine is measured.
A mock survey is an investment in the facilities ongoing readiness. The knowledge they gain from the process and the changes make, not only bring them closer to survey success, but help achieve the ultimate patient safety goals. To reduce doubt and confusion, the educational packet for each clinician included a direction sheet outlining the purpose, the unit assignments, the time frame, the steps to follow in the process, contact persons for questions and a list of attachments for references. (Seigel, H.; Bileschi, C.,
There are four types of surgery procedures that may be done. Transurethral resection is the most common surgical procedure. This procedure is done with a cytoscope, which is a thin lighted tube inserted into the bladder through the urethra. A tool with a small wire loop on the end
Before any of these surgeries, you will either be put to sleep or given an epidural anesthesia. After, while still under anesthesia, a catheter will be placed in your penis to help drain the bladder for about 2 or 3 weeks while healing. Like with all things you do, there are risks. Heart attack, stroke, blood clots may appear in the leg that may travel to your lungs or an infection where the incision was
Introduction This essay will reflect on my personal experience, skills, and knowledge gained from my studies and practice of undertaking blood pressure (Bp) whilst completing my professional placement. Bp may be defined as a force of blood against vessel walls in the body, consisting of systolic and diastolic pressure measured in millimeters of mercury. (Waugh and Grant, 2016) Systolic pressure occurs when the hearts left ventricle contracts and forces blood into the aorta causing a heightened atrial pressure, while diastolic pressure refers to complete cardiac diastole, this is when the aortic valve closes and pressure is at its lowest between beats, blood moves into smaller corresponding vessels and the heart rests.
During these past weeks at the Archbold ER, I had the opportunity to put into practice many of the content learned in class. This included but was not limited to the proper placement of a Foley catheter using sterile techniques, insertion of an NG tube, and assessment of patients. Even though I attempted to complete some of my initial goals for this internship, I noticed that I couldn’t complete a few of them due to lack of time and lack of experience in the field. Therefore, some of my goals that I’ll need to address during the following three weeks include improve my assessment skills, have better communication with my patients, and improve my questioning to get a better understanding of the cause that brought them in. One the most beneficial
Stress urinary incontinence after hysterectomy for benign gynecological disease Introduction: Urinary incontinence (UI) has been defined by the International Continence Society (ICS) as: “the complaint of any involuntary leakage of urine” or as: “urine leakage seen during examination”. UI is due to the fact that bladder pressure remains lower than urethral closure pressure and incontinence may result from bladder or urethral impairment; when closure pressure is lower than bladder pressure, leakage occurs.4 These type of symptoms lead to a broad range of quality of life impairments from minor discomfort and embarrassment to severe damage to function and quality of life. Lack of ready information, embarrassment and fear of complex treatments
As a nursing student, I need to ensure I am performing my tasks, including perineal care, to the highest standard, and addressing areas of concern that I observe during my shifts. As mentioned by Marshall & Bailey (2008), incontinence can greatly impact the quality of life of a patient, as well as increases their risk of potential perineal skin breakdown. Improper perineal care following incontinence can lead to painful skin irritation, UTIs, and pressure sores. Frequent monitoring, and management of incontinence are the first steps in appropriate management. Seeing as I was diligent in observing and reporting the incident of improper perineal care, I was able to follow these crucial first steps in preventing a potential UTI in this geriatric patient.