I chose this article based on the Authors current hospitals practice. The application of foam dressings on all surgical patients with a low Braden score and/or patients with long surgeries.…
Some of the interventions that can be taken to help minimise the risk of pressure ulcers occurring in those that are at risk, one method is to that the individuals is position is changed on a regular basis, another is to use a pressure relieving device such as a special mattress, bed frame, seat…
In California, nurses look for guidance to their professional body and to the nurse practice act, which is a set of laws that mandates the board of registered nursing to set out the scope of practice and responsibilities for Registered Nurses. The California nurse practice act recognizes the existence of overlapping functions between physicians and registered nurses but registered nurses are authorized to perform independent nursing functions related to “direct and indirect patient care services that insure the safety, comfort, personal hygiene and protection of patients.”(CA nurse practice act, 1995) In California, a registered nurse has a duty to insure safety and protection of her patients. Some of the verbiage in the act is broad and open to interpretation, and it could be argued to what extent they apply in this case. The practice act further clarifies this expectation by stating; a registered nurse ‘acts as a client’s advocate, by giving the client, the opportunity to make informed decisions about health care before it is provided’. (California code of Regulations Title 16) All of these state laws make it clear that nursing is…
The NPUAP website has the ability to be a good start for clinicians in the battle of the bedsore. Sullivan & Schoells, (2013) further credit the information given by the NPUAP by stating, “guidance provided by such organizations as the Institute for Healthcare Improvement, National Pressure Ulcer Advisory Panel, and AHRQ has resulted in successful implementation of bundled evidence-based practices throughout the United States.” It is clear that the information on the NPUAP website is not only valid, but it is based on best practice and is evidence based. Nurses dealing with patients that are susceptible to pressure ulcers are doing themselves and their patients an injustice by not utilizing the tools that the site has to offer. Nurse educators, and wound nurses will find this site especially valuable and would be able to change practices and policies if needed based on the information the site provides. Another nice feature of the site (especially for the busy consumer researching medical information) is the link to Medline and the description it gives of the usefulness of evidence based…
It is the RN responsibility to delegate nursing tasks to other team members like the LPN/LVN and the nursing assistant. These task should follow the legal parameters established by professional nursing organizations in the scope of practice and standard and defined by the state of its nurse practice in addition to the institution policy (Cherry & Jacob, 2014).…
The National Patient Safety Goals require health care organizations to focus on specific priority safety practices, many involve nursing care…
As part of your treatment plan, your care team will discuss with you the best way to prevent pressure ulcers. This will be based on your individual circumstances.…
Knowing the prevalence, one could consider the actions leading up to the good and bad outcomes, compare the two to determine contributing factors, then put together a plan of action to prevent bad outcomes from occurring. The data collected on the unit could then be shared throughout the hospital to have better outcomes and a greater patient satisfaction score overall. Through this process, healthcare workers could learn to prevent nursing-sensitive indicator, such as pressure ulcers, by turning or repositioning patients at least every two hours. Being proactive throughout the hospital will reduce the number of hospital acquired pressure ulcers and help the healing process of those that were present upon admission. This also aids in a better patient satisfaction…
The role of a nurse is to perform assessments of the patient's health status upon admission to the hospital, and over time to check on the patient to see how he/she is responding to the intervention/ plan of care. This is because the nurse spends the most time with the patient in the hospital setting providing around the clock care. Also, the nurse is responsible for implementing the doctor's orders (such as medication, labs, and catheters). It is important that the nurse assesses safety of doctor's orders before she or he implements it. Another role of a nurse is to think critically using that data from assessment to help with making decisions about the actions that are needed taken to care for the patient. Nurses focus on trying to meet patients' needs (emotional, physical, psychological, social, and spiritual). In the healthcare team, the nurse advocate for patients to promote optimal health. Additionally, the nurse serves as the patient’s educator and coach on issues around lifestyle choices, coping with a diagnosis, or understanding warning signs and symptoms of emerging problems before they are discharged from the…
Therefore, identification is the most current best practice recommendation. The most common tool used for identifying patients at risk for developing pressure ulcers is the Braden Scale. However, “quantification of the relationship between Braden Scale score and nursing interventions indicates the need for a more comprehensive and fundamental approach” (JAN, 2010). The Braden Scale is divided into six categories: sensory perception, moisture, activity, mobility, nutrition, and friction and shear. A score of 18 or less indicates that the patient is at risk for pressure ulcers. The rationale for these recommendations is that identifying a patient upon admission for being at risk allows the nurse to begin a prevention plan as soon as identified. The nurse needs to implement interventions to prevent the formation of a pressure ulcer. If the practice of identification upon admission is not followed, prevention is delayed and pressure ulcer formation begins. This causes the patient unnecessary pain, increases their risk for infection, and extends the hospital stay. Pressure ulcers are easier to prevent than to…
The nursing profession requires an individual to be alert, watchful, and prepared. They must monitor patients closely. Concentration and attentiveness declines when a nurse is overloaded with work. Nurses who become fatigued from the work overload can become a danger to themselves and their patients. Medication errors and pressure ulcers are common results from fatigued nurses. Medication errors happen a lot when a nurse loses the ability to concentrate and focus. Pressure ulcers are a result of poor nursing care which can be caused by fatigue. A nurse may be so fatigued by the end of her shift that she does not properly position a patient. Basic care is sometimes put on the back burner, or is delegated to less qualified staff. As well as providing basic nursing care, a nurse must also give report, check patients orders, medications, and labs, all in one shift! This leaves little time to create or maintain a relationship with a patient. Often times, nurses are assigned five or more patients to take care of in one shift. Nurses become stressed from the pressures of the job, and decide to leave the profession all…
The Nursing Practice Act is a profession within the health care sector focused on the care of individuals, families and communities so they may attain, maintain or recover optimal health and quality. The scope practice includes, but is not limited to care and counseling of patients. The provisions of care supportive to or restorative of life and well-being. It is the exercise of appropriate nursing judgment. The promotion of health and prevention of illness and injury. It is the conducting and documenting comprehensive assessments and evaluations of patients and focused nursing assessments. The documentation of nursing interventions and responses to care in an accurate, timely, through and clear manner. It is the executing medical regiments including administering medications and treatments prescribed by a licensed or otherwise legally authorized prescriber (Alabama Nursing Practice Act, 1993)…
There are four elements of ethical issues regarding patient care such as, attentiveness, responsibility, competence and responsiveness. Attentiveness involves nurses being able to recognize the needs of the patient and their families. The development of a close relation between nursing staff and patient through receptibility helps the nurses to be receptive to what the patients need. A nurse has the responsibility to care for their patients and be a support system for their patient. A nurse must exhibit competence while caring for their patients. Nurses must be able to provide individual care. They are obligated to provide care of a patient based on their physical needs, psychological, cultural and religious needs of the patients and their families. Nurses have a duty to ensure that the patients’ needs are being met. If the patient is responding to the nurse in a positive to the treatment that is received. The American Nurse Associations’ provision 3 states that a nurse advocates for the patient, promotes and protects the rights, their health and safety for the patient. Nurses are held accountable and responsible for making good decisions to provide the best care for the patient (American Nurse Association, 2015). Facilities that…
Kleinpell, R. M., Hudspeth, R., Scordo, K. A., & Magdic, K. (2011). Defining NP scope of practice and associated regulations: Focus on acute care. Journal of the American Academy of Nurse Practitioners, 11-18. http://dx.doi.org/10.1111/j.1745-7599.2011.00683x…
The general duties and responsibilities of a registered nurse are as follows. Maintain accurate and detailed reports on each patient as they are responsible for one or many other patient’s. One has to also administer a patient's medications and check for reactions to the medication or for any side effects. They must report any serious symptoms to the patient's Doctor. A Registered nurse must be able to do any sort of modification to the patient's health care plan in case the patient does not responded well to the previous plan. Nurses must prepare their patients for any type of treatment or surgeries and have them ready to go. They may also teach their patients about how to self-care themselves and teach them healthy habits. With all those responsibilities comes long hour shifts. The hours may vary and also the shift that the choice can determine the hours they work whether it’s night shift or day shift.…