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Wgu Rtt 1 Task 1

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RTT 1 Task 1
Mr. J, 72-year-old, retired rabbi
Mild dementia, Fx right hip s/p fall
Receiving pain medication, drowsy
Restrained in bed, even when slightly sleepy. Restraints reapplied with family present.
Dtr notices red, depressed area over lower spine (CNA blew it off, “it will go away”)
Diet: Regular, Kosher, chopped meat
Given pork chop (nurse notified supervisor, supervisor notified kitchen supervisor, kitchen supervisor notified kitchen staff) Kitchen staff apologized to dtr. Dtr asked nurse, who blew itoff.

Nursing Sensitive Indicators….Discuss how an understanding of nursing-sensitive indicators could assist the nurses in this case in identifying issues that may interfere with patient care. (pressure ulcers, patient satisfaction, “paucity of scientific evidence linking nursing with hospital patient outcomes”, nursing-sensitive performance measures are processes and outcomes – and structural proxies for these processes and outcomes {skill mix, nurse staffing hours} that are affected, provided, and/or influenced by nursing personnel, but for which nursing is not exclusively responsible. Patient-Centered Outcome Measures: Failure to rescue, Pressure ulcer prevalence, Falls prevalence, Falls with injury, Restraint prevalence (vest and limb only), Urinary catheter-assoc UTI rate. System-Centered Measures: Skill mix

Mix of nurses and unlicensed staff caring for patients in the acute-care setting • Total nursing-care hours provided per patient day • Nosocomial infections •Patient falls •Pressure ulcer rate •Patient satisfaction with overall care •Patient satisfaction with nursing care •Patient satisfaction with pain-management •Patient satisfaction with educational information •Staff nurse satisfaction

Nursing sensitive indicators reflect elements that have a direct influence of patient care outcomes. Some of the nursing sensitive…...

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