Free Essay

Med Surg Nursing

In:

Submitted By genecrossmetro
Words 431
Pages 2
There are eight things that I learned when reviewing the patient safety goals of 2008. The first important lesson that I learned was about improving the accuracy of patient identification. It is always important to use at least two patient identifiers when providing care, treatment or services. No matter how silly it may seem, having the correct patient is tantamount. The next patient safety goal is regarding how to improve the effectiveness of communication among caregivers. I found it to be critical to understand the proper way in which to transfer information from one person to the next. Having a standardized system for information sharing is a key part of patient safety. The third principle that I learned was in regard to improved safety of using medications. It is crucial to label medication containers, as well making an annual list of drugs that look alike or sound alike. Making sure that drugs do not get confused or mixed up is definitely going to keep patients more safe. Another concern regarding patient safety is the concept of reducing the risk of health care-associated infections. This can be achieved by maintaining a high level of hand hygiene and by closely monitoring unexpected deaths or major loss of function associated with health acquired infections. The subject of accurately and completely reconciling medications across the continuum of care is pertinent to keeping patients safe. In order to accomplish this, a process needs to be in place that will ensure current medications are compared with the medications that are ordered for that patient. Making sure that the patient’s medications are communicated to the next provider is an important part of this. It is an ever present challenge to reduce the risk of patient harm resulting from falls. To do so, it is recommended that we as health care providers implement a fall reduction program including an evaluation of the effectiveness of the program. Patient safety is a collaboration between the health care team and the patient themselves, that is why it is important to encourage patients’ active involvement in their own care as a patient safety strategy. The best way to do so is to refine and communicate the means for patients and their families to report concerns about safety and encourage them to do so. The final technique regarding patient safety is about how to improve recognition and response to changes in a patient’s condition. Each organization needs to set up a method that allows staff members to request additional help from a specialist when it seems like a patient’s condition is declining.

Similar Documents

Premium Essay

Nur 542 Family Value Paper

...Family Health Nursing and a Healthy Environment Family health nursing provides the “conceptual foundations of family nursing across the life span” (Garwick, 2002, p. 284). “The Family Health Nurse (FHN) concept was developed by the World Health Organization (WHO) in Europe in order to provide a means to strengthen family and community-oriented health services” (West and Macduff, 2006). WHO defines family health nursing as presenting a “key contribution within a multi-disciplinary team of health care professionals in the attainment of the 21 health targets” produced by the World Health Organization 21-policy outline. Family systems frequently change as the members of a family adapt to the stress that is inherent to illness and/or injury. Families adapt to the stress, making use of family resources and capabilities, but they often need help in making these adjustments (Servonsky and Gibbons, 2005). In aiding families, nurses employ care that is culturally competent care that uncovers a family’s personal story that reveals both the strengths and the deficits of a family, illuminating where they require assistance within a specific health care system (Servonsky and Gibbons, 2005). Denham (2003) points out that a great deal of nursing concentrates on the individual. However, it is the family and the home that should garner more attention from healthcare professionals because it is within the home "where health is learned, lived, and experienced),” as well as being the "niche...

Words: 1146 - Pages: 5

Premium Essay

Benchmarking Productivity in Nursing

...Benchmarking Productivity in Nursing is Useful Benchmarking is a quality improvement tool that determines who the best is, who sets the standard, and what the standard is. There are two main purposes for benchmarking. The first is to identify best practices to be applied in measuring and improving performance in an organization. The second purpose is to seek ways to improve the delivery of service through the efficient use of staff. For health care managers who are responsible for a variable expense cost center or department, maintaining appropriate levels of productivity is one of the greatest and ongoing challenges of the management process and requires constant research and advice regarding relevant productivity standards. Comparing one’s departmental operations with other successful operations of another organization is a useful source of benchmarking data and many health care managers depend on associates or outside consultants to provide data to assist in implementing new and effective strategies to improve staff productivity. There are three sources of productivity standards. The first source is internally developed historical standards where standards are based on past performances but do not provide information about relative efficiency. The second source is engineered standards where internal staff or outside consultants conduct a study of the work environment and define normal standards of productivity. The third source is a comparative group standard...

Words: 889 - Pages: 4

Premium Essay

Nurse Patient Ratio

...history, legislative regulations, controversial aspects and opinions MANDATED NURSE PATIENT RATIO How does it affect you and your loved ones? Nurse patient ratio for safe care means when the staffing between the nurses and the patients are safe to provide the care patients need to get well in the hospital or nursing homes. Why is this important? Several studies have shown that patients get well faster and safer when they receive more nursing care. Even more importantly according to Linda Aiken study (2003), mortality rates and staffing ratios are closely tied. Each additional patient per RN after four patients, chances of dying in the hospital is increased by 7%.Patient on a surgical unit with patient –RN ratio of 8:1 were 31% more likely to die within 30days than those on surgical units with ratios of 4:1.Studies have shown that more infections like UTI, pneumonia, shock or cardiac arrest increases when patients receive fewer hours of nursing care. Medication errors and unsafe hand washing techniques were found more in increased patient workloads. Unsafe staffing gave more job dissatisfaction, job burnout and more nurses quit or drove nurses away from nursing. This increased mandatory overtime and increased nurse...

Words: 3918 - Pages: 16

Premium Essay

Diploma vs Associates vs Bachelor Degree Nrses

...Diploma vs. Associates vs. Bachelor Degree Nurses Louanne Adkins RN Grand Canyon University: Nursing History, Theories, and Conceptua... June 6, 2015 I have seen and experienced a wide variety of differences among the 3 types of degrees available, diploma vs. associates vs. bachelors. Myself, as a three year diploma nurse, I believe that I encountered more of a “hands on approach” to clinical skills versus the “book smart” bachelor approach versus the combination program of the associate’s degree. My diploma program started day one with patient interaction, from vital signs to baths. I discovered the bachelors program was mainly book work until the fourth year, at which time clinicals were initiated. The current trend and future of nursing is having a bachelor’s degree. I believe that this is due to the greater exposure to management skills on a daily basis that nurses now face. Previously there was a direct line from the doctors, who made the decisions, to the nurses that did as they were instructed. As the nursing processed evolved, nurses were empowered and started becoming a patient advocate, this came as a direct route of the education nurses received. Nurses have come to earn the respect of their coworkers and doctors that they have worked with. I had the experience of starting my first job out of nursing school on a med-surg floor on second shift with two other new grads. One was an associate degree grad while the other...

Words: 852 - Pages: 4

Premium Essay

Communication in Nusring

...Effective Communication Techniques in the Health Care Team Preceptor Experience Week One In this assignment I will throw light on my first clinical week that I had to observe the effective communication skills on the med surgical floor. As I started my day, the charge nurse was assigning patients to the dayshift. As the patients were assigned, the nurses started their shift report from the night shift in the break room. In this report, they discussed the patients diagnosis, previous medical history, labs and all pertinent information about each assigned patient. On the med surg floor, we get the opportunity to experience all areas of patient care with patients coming from surgery, emergency department, direct admit, and transferred from other floors. The main focus on the med surg floor is providing a wide variety of patient care which includes taking vital signs every four hours, administering medications, treatments such as dressing changes and evaluation of all the treatments. The nurses have to interact with the doctors, respiratory therapists, physical therapists, pharmacists, laboratory and all members of health care team in order to give better patient care. After the shift report, the LPN gets the patients vital signs, the RN checks the patients lab reports, and calls the doctors to tell them about their patients abnormal lab values. The doctor gives a verbal order over the phone, which the nurse documents on the patients chart, and reads the order twice to the doctor...

Words: 683 - Pages: 3

Premium Essay

Nursing Management in a Changing Technology

...DEVON K. WILLIAMS 6649 Federal Hall Street Plano, Texas 75023 214 450 5578 or amala8799@aol.com |Objective: To be a part of an integral part of a dynamic health care team providing quality nursing care to clients and their families. | EDUCATION | Trinity Valley Community College, Kaufman, TX Associate Degree- Nursing -Expected 2012 | | Samuel Merritt College, Oakland, CA Master-Physician Assistant 2001 | | California State University, Hayward, CA Bachelor of Science - Biology 1999 | | | | | ADN Student Clinical Experience |Fall 2009 |Medical Center of Plano, Plano Texas. Clinical time split between telemetry floor and women’s services. | | |Obstetric Rotation – Labor & Delivery, newborn nursery, and postpartum rotation performed at Wilson N. | | ...

Words: 786 - Pages: 4

Premium Essay

Advanced Degree

...safe quality of care. The American Association of Colleges of Nursing stated “education has a significant impact on the knowledge and competencies of the nurse clinician.” (Fact sheet AACN). My choice to return to school is a direct reflection on my commitment to give the absolute best care possible. In my nursing career I have been privileged to work as both a floor nurse and a management nurse each requiring their own level of nursing and understanding of all aspects of patient quality. As nurses’ duties increase in difficulty and diversity, so must our knowledge base. The Tricouncil for nursing issued a “calling all RN/s to advance their education in the interest of enhancing quality and safety across the settings.”(May 2010). Advanced level nurses not only give excellent patient care increasing safety, but also serve as mentors and role model to new graduate nurses and ancillary nursing staff. This increases patient safety, allow the new nurses to grow in a positive learning environment and results in overall improved quality of care. Throughout the past two years I have worked as a pool nurse going to the various hospital departments improving my clinical skill and adding to by core of nursing knowledge. In that time I have met and worked with several of the advanced level nurses and have benefitted from their years or experience level of expert knowledge. In return when I charge on the Med – Surg floors I am able to return this back and teach our new entry level...

Words: 364 - Pages: 2

Premium Essay

Nurse Leader Interview

...has a great impact on its team. Leadership is not about position, but more so about how a leader influences others to create a difference or change. The style of leadership that a leader portrays is often not chosen; it is more of a developed set of traits that come from the beliefs and values displayed on a daily basis. While it can be argued that leaders are born not created, leadership styles can be evolved based on experience and knowledge of how to motivate others. This paper will discuss points from an interview with a nursing leader. Included in the discussion will be the perspectives by the nurse leader in regards to leadership style, leadership role, challenges faced, and the effects of formal and informal power on an organization. Nurse Leader and Leadership Style Christine Roller RN (C.R.) has been a leader within her organization for the last ten years. Currently, she is the Nurse Manager of a busy observation unit and a 37-bed med-surg unit. She is a dedicated leader whose core values are strong and are the foundation of her confident leadership ability. As a leader, she is respected by her peers for displaying integrity, approachability, trust, and partnership; as evidenced by her annual peer reviews. C.R. describes her leadership style as charismatic. A charismatic lead has a strong conviction about theirown beliefs, high self-confidence, and a need for power (Tomey, 2009). This closely resembles C.R. as she is highly valued and sought after in the organization...

Words: 1550 - Pages: 7

Free Essay

Entrance Essay

...I have been pursuing my nursing degree for over 20 years, and throughout my journey I have had to overcome many obstacles. I took a small fourteen year leave of absence to raise my children, moved around the United States several times, and have had to overcome many personal setbacks. But I have always maintained the same plan to accomplish my short term and long term educational and professional goals. I have very specific educational and professional goals. My first goal will be accomplished May 8, 2008, when I graduate from Austin Community College with my associate nursing degree. After graduation I hope to work on a NICU, Labor and Delivery, or a Med/Surg. unit within the Seton Family. In January 2009, I plan on attending the online Associate to BSN program offered by the Texas Tech Health Science Center. Shortly after I obtain my BSN I will continue on to pursue my MSN. I will eventually be certified in one of the previously mentioned specialty units, and will use my MSN degree to be an educator within the Seton Family of Hospials and/or the local area colleges. All of this will be accomplished while working and attempting to further my career with Seton. I believe God, my determination, and Seton will help me accomplish my goals. My first clinical rotation in nursing school was at Seton Medical Center, and I never left. The moment I stepped onto the 6th floor, I knew that I always wanted to be a part of the Seton Family. They were dedicated to each one...

Words: 315 - Pages: 2

Free Essay

Education

...Educational Preparation Nursing is not a profession everyone can get into due the extensive education requirements. There is a difference in knowledge and competency requirement for the Associates Degree in. The Associates Degree in Nursing courses are given at a college level and some programs that are included are English, Mathematics, Pharmacology, Psychology, Mental Health, OB, and Pediatrics. The sciences are a definite requirement which includes Microbiology, Anatomy and Physiology I and II and all include labs. With the associates degree program the individual has to have experience in med-surg and other clinical areas for at least one year. Once the individual has completed the associates degree requirements, which is usually between 60-72 credits, they can sit for the state boards called the NCLEX Exam and obtain an active license in the current state that they reside in. The Associates Degree Nursing Program is less costly compared to the Bachelor’s Degree Nursing Program so many take this route first and then continue with the Bachelor’s Program. The Bachelor’s Degree Program requires all the courses listed for the Associates Degree program, all the sciences, humanities, theory classes and 2 years of clinical practice. Leadership plays an enormous role in this program. Nurses are taught to understand the levels of nursing within public safety and health, knowledge to practice evidenced-based nursing, community care and health and researching many different...

Words: 469 - Pages: 2

Premium Essay

Advocacy

...Nurn 229 October 6, 2013 1. What are your hopes for your first professional registered nursing position? I hope that I obtain a job that fits in well with my interests, personal life, and has co-workers that have the same goals that I possess. I wan t o work with people that genuinely care for the patients and want to work as a team. 2. How flexible are you prepared to be, in the current employment climate? My first choice of a job would not be in the hospital setting. I am currently a home health nurse and I would like to continue in that field. I have considered working in a hospital setting if I have to. I would be open to working in a wound care center, on a heart care unit, med-surg, and even hospice. I would describe myself as moderately flexible. 3. What will you do if you are expected to perform skills you don’t feel trained to do? How about those skills that you have not practiced for a while? I would inquire about expected skills during the interview and orientation process. At that time I would ask for more training on the skills that I do not feel comfortable with. Upon arrival to the unit, if I was still unsure of my proficiency in a certain skill, I would ask an advanced or experienced nurse to observe me and give me feedback and/or tips on how to better complete the skill. References Cherry, B., Jacob, S. R., & , (2013). Contemporary nursing, issues, trends, & management. (6th ed., pp. 221-239, 406-420)....

Words: 278 - Pages: 2

Premium Essay

President and Ceo of May Enterprises

...Jesus Christ teachings. Teaching responsibilities: My current teaching responsibilities include: Syllabus creation and updates, Use of technology for enhancement of lessons to include: power point, Camtasia, Adobe captivate. Lesson plan to include: summary statement, questions, essay, projects, exam directives and monitoring. Monitoring of attendance and evaluation of assignments and grading. Effective use of: Blackboard, EDU, Peoplesoft or other platform for student documentation of course assignments to include not limited to: discussion questions, forums, interactive assignments, chat, course completion, evaluations and grading. Thirty years experience working actively as a registered nurse. Seven years experience working as nursing professor for several colleges such as: Seminole Community College, Valencia Communitya nd Cambridge Institute where I have taught as regular professor, hybrid...

Words: 378 - Pages: 2

Premium Essay

Leslie's Personal Development Career Plan

...University School of Nursing Sept. 5, 2014 Staff nurse to Nurse Manager/Nurse Educator I. Personal Goals i. Short-term goals i. Elliptical, power walk or go running 40 minutes 3 times a week to lose 15 pounds. This goal will be achieved by eliminating sugars, and processed foods/carbohydrates. This goal will be achieved by Thanksgiving 2014. ii. Obtain BSN at Jacksonville University RN to BSN online. This goal will be achieved by taking 2 classes per 8wk. session while continuing to work full time in current position at LAMPS. This goal will be achieved by October 2016. ii. Long-term goals i. Obtain MSN from Jacksonville University MSN program online specializing in in Leadership in healthcare systems and Clinical Nurse Education. This goal will be achieved by October 2020. II. Mentor: Kristine Menofee MSN, RN-BC III. Title/Name of chosen role: Charge nurse on Med/Surg/Onc. Unit and Administrative Supervisor 7p to 7a shift. i. Degree level: MSN in Leadership in Healthcare systems. ii. Role responsibilities i. Supervise nursing staff in carrying out clinical duties in all hospital units, coordinates unit staffing needs, and nursing function with other healthcare employee’s. iii. Licensure/certification i. Requirements to become a nurse manager, nurse supervisor and/or nurse educator is an active nursing license and the appropriate...

Words: 503 - Pages: 3

Premium Essay

Gi and Study Guide

...the pt below the pyloric sphincter. Special Indications – anorexia, orofacial fractures, head and neck cancer, neurologic or psychiatric conditions that prevent oral intake, extensive burns and those who are receiving chemotherapy or radiation therapy. Procedure for tube feeding 1. Patient position – 30-45 degrees position. Head remain elevated for 30-60 mins 2. Patency of tube – Tube should be irrigated with water before and after each feeing to ensure patency. 3. Tube Position – Placement of tube is checked before each feeing or every 8 hours with continuous feeings. Checking methods; aspiration and pH. 4. Formula 5. Administration of feeding – feeing are given either by gravity drip method or by feeding pump. 6. General Nursing Considerations – daily weight, accurate I’s and O’s. Blood glucose check. Complication Related To tube and feeding - Vomiting and or Aspiration - Diarrhea - Constipation - Dehydration ---------------------------------------- Central PN – is indicated when long term parenteral support is necessary or when the patient has high protein and caloric requirements. Peripheral PN – is used when; - nutritional support is needed for only a short time - protein and caloric requirement are not high. - The risk of a CPN is...

Words: 7940 - Pages: 32

Free Essay

Falls

...balance disorders, history of falls, decreased vision, altered cognitive status, or history of arthritis, heart attack, stroke, postural blood pressure changes, syncope, dizziness, or chronic lung disease), extrinsic (e.g., polypharmacy and use of certain medications known to increase fall risk [e.g., benzodiazepines, sedatives, neuroleptics, antidepressants, anticonvulsants, class I antiarrhythmics, and diuretics]), and environmental (e.g., inadequate lighting, slippery floors, lack of handrails, and inadequate nurse/patient staffing ratio. Research studies show that fall rates vary by clinical specialty area. One study reported departments such as OB/GYN and Pediatricts having no falls while the highest fall rates are in Med/Surg and skillee nursing...

Words: 259 - Pages: 2