Introduction. Development of Deep Vein Thrombosis (DVT) in hospitalized patients is fatal, but preventable. DVT and subsequent Pulmonary Embolism (PE) can be affected by surgical and non-surgical patients. Early assessment and interventions are important to prevent DVT in acutely ill patients. he working staff are unaware that DVT during hospitalization is a ‘never event’ and its consequences. There is no supervision is taken place on this issue. Solution. Upon investigating about the non-compliance with the DVT guidelines, this author found out that lack of knowledge, lack of monitoring and busy schedule of nursing personnel are the main reasons behind it. This author conducted a research on importance of DVT prevention and how to improve …show more content…
The venue will be progressive care unit and the medical-surgical unit since both units come under same Nursing director and education nurse. Acceptance from the leadership team and main stakeholders is important to begin the project. This author will discuss about the importance DVT prevention and problems to follow to DVT protocol with the nursing director. This author will use the evidence from the literature reviews to convince how important to prevent this never event. With the support of nursing director, this author can discuss the problems and solutions with management team, finance department, risk managers, quality care team and the nursing staff to obtain adequate support and understanding of the project. There is a nurse educator for both units and she can act as single point of contact nurse case manager from Monday through Friday. The charge nurse will be responsible for night shift and weekends to follow the pilot study. This will avoid appointing any new staff member and save additional costs. Nursing director will be the supervisor of the proposed project and she should get weekly reports from nurse case …show more content…
It is JFK model risk assessment tool which includes every risk factors of the DVT. The JFK model risk assessment tool evolved through an evidence-based research and it proved that this model is working better than other models to assess the risk factors. Providing a valid and reliable tool for measuring the risk for DVT or PE in hospitalized patients will enable nurses to intervene early in patients at risk. Basing DVT risk assessment on the evidence provided in this study will assist nurses in becoming more confident in recognizing the necessity for interventions in hospitalized patients and decreasing risk (McCaffrey, R.,et.al. 2007). The table below is the DVT risk assessment tool made by this author based on the JFK model for the proposed
Implementation will need to increase by medical staff to decrease disadvantages
Objective One During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach.
According to Chisholm-Burns et al., deep vein thrombosis (DVT) is the result of venous thromboembolism (VTE) and can lead to pulmonary embolism, (PE). Deep vein thrombosis (DVT) is the result of a clot (blood that aggregates together) situated in a deep vein of the lower extremities (National Library of Medicine -PubMed Health, n.d.). Pathophysiology of DVT
Intro: Develop an introductory paragraph describing the practice improvement issue of interest The development of a PICOT question. This project explores the evidence-based approach to improving the rates of ventilator associated pneumonia in intubated intensive care unit patients. Ventilator associated pneumonia is defined as the development of pneumonia in a mechanically ventilated and intubated patient within 48 hours before the onset of pneumonia as per the Center for Disease Control and Prevention.
With public health concerns continuing to grow as more people are affected by DVT each year, pharmaceutical
5. Is low-dose unfractionated heparin more effective that a low-molecular-weight heparin such as enoxaparin or dalteparin? These background questions are significant to providing evidenced based patient care in the prevention of DVTs while in an acute care setting. These questions on the topic of how often Lovenox injections are required to be therapeutic versus how often heparin needs to be injected and the resulting patient satisfaction during the hospital stay. With the emphasis on patient satisfaction and the government guidelines for preventable hospital acquired problems, finding a solution to DVT prevention is important for nursing.
This is important evidence because it gives us conditions and results of what can happen if patients get lower quality care. Patients’ are not having enough time getting checked up by a nurse, and nurses would miss some diagnostics. Patients are getting sick because of the poor care they are receiving from nurses. The care patients can get is affected by a nurse shortage, “Nursing workload definitely affects the time that a nurse can allot to various tasks. Under a heavy workload, nurses may not have sufficient time to perform tasks that can have a direct effect on patient safety.
ABSRACT Clinical practice guideline having much importance to improve the patient care outcomes and safety from complications. Nurses role as health care provider, depend on multi-disciplinary knowledge and experience to use of clinical practice guidelines to promote their nursing practices. Nursing staff adherence to clinical practices guidelines is help in improving patient safety in hospital. The purpose of this study is exploring the factors that promotes and inhibit adherence to clinical practices. This research based on systematic literature review and quantitative evaluation of research results.
30 patients pre-implementation and 30 patients post-implementation were surveyed. Nursing staff on the unit were also invited to participate in the surveys as well. Patients and nursing staff felt that bedside handoff had a positive impact on care. Pothier, D., Pedro, M., Mutuzua, M., Alison, S., (2005). Pilot study to show the loss important data in nursing handover.
Acute pain can be described as being mild to severe and can last for weeks and up to six months. This type of pain stops when the actual cause of the pain has been treated properly or alleviated. According to the National Center for Health Statistics (2006) “approximately 76.2 million, one in every four Americans, have suffered from pain that lasts longer than twenty-four hours and millions more suffer from acute pain.” An important aspect of patient care is pain control which can be accomplished by a multimodal approach. This narrative will review the best practice and guideline of multimodal techniques for the management of acute pain.
It taught me about the compliance of risk management for fall and the consistency of skills required based on the standard of nursing practice so that as a nurse, it will help us to improve our quality of care and keeps risk management skills updated. Besides, it taught me about how to be a careful nurse at the same time try to fulfill the patient’s needs. Decision making is important. As a nurse, we need to think the rationales before you provide your care to or for the patient. Risk management do help us decrease the nursing liabilities, but it also remind us to always follow the protocols and principles of nursing practice or on the other words ‘not to break’ it.
The ABCDE framework is used in conjunction with the Early Warning Score tool for assessing critically ill patient (Lees & Hughes, 2009). In Mnazi Mmoja Hospital setting nurse always keep seriously ill patient near to nurses station for the purpose of close observation and monitoring of vital signs. However nurses sorting the
Patient care is affected immensely during nursing shift changes. A lot of the time necessary care requirements are unmet. The purpose of this research paper is to determine if the missed care episodes are due to the nursing staffing issues. A literature search on the topic of staffing ratios was conducted. The results are summarized in the paper.
( Williams 2004 ). also , wasted nursing care had important impact on nurse-reported counter events such as hospital acquired infections, patients taking error medications or dosage , and more accident of patient falls causing injury. The quality of care on the basis of nursing care insufficiency was also explored and indicated that a important relationship presented between quality care and patient safety ratings . ( Schubert et al 2012 ) . However , Nursing clinical rounds lead nurses to interact with patients, respond to their interest , and adjust the unsatisfying conditions.
Patient’s care is classified based on unit, there are specialist clinics to care for specific cases such as Ear, Nose and Throat clinic, Ophthalmology clinic, Urology Clinic etc. Nurses are at the fore front of coordination in the area of patient care, the contribution of registered nurses to patient care coordination have been an integral part of the nursing profession. As a nurse we are saddled with the responsibility of planning care, guiding the patient and families through the process of care, educating them at discharge from acute care and always doing their best to improve the continuity of patient’s care through all settings and care