I know this week you had a hard time finding a guideline that suited your PICOT question. Although you couldn’t find an article reviewing alcohol-impregnated caps understanding how to prevent intravascular infections definitely relates to your topic. In your summary I wish you have discussed some of the major recommendations. Other than that I believe you did a great job on this assignment. One item I thought was interesting was how the guideline discussed umbilical catheters. I honestly had never heard of this before, so it was a learning experience for me. “Umbilical venous catheters should be removed as soon as possible when no longer needed, but can be used up to 14 days if managed aseptically” (National Guideline Clearinghouse, 2011).
According to Smithson, Walmart can expand its markets to new and emerging markets especially in the third world countries, which can significantly increase its revenues. Secondly, the company can reform is employment practices and improve the quality standard and in doing so, attract more customers and improve its brand image. On the other hand, the company faces threats such as the rising healthy lifestyle trend I that the company in most cases does not provide customers with healthy goods. At the same time, the company can capitalize on this aspect and increase its revenues. Aggressive competition from other discount retailers such as Target creates a great threat to the company (Smithson, 2015).
Grady improves the health of the community by providing quality, comprehensive healthcare in a compassionate, culturally competent, ethical and fiscally responsible manner. Grady maintains its commitment to the underserved of Fulton and DeKalb counties, while also providing care for residents of metro Atlanta and Georgia. Grady leads through its clinical excellence, innovative research and progressive medical education and training.
Strengths for Duquesne University would be that it is nationally ranked number 115. This is a number that can beat many competitors and creates benefits for those that attend. Classes that have fewer than twenty students is 40.9% and classes that have fifty or more students is only at 9%.. (http://colleges.usnews.rankingsandreviews.com/best-colleges/duquesne-university-3258/rankings). Duquesne is located in Pittsburgh Pennsylvania and is known to be one of the top places to live in the country. Pittsburgh is considered the most livable and resilient. There is a young crowd that could be an interest for young adults, also this city is considered to be the third safest cities in the states (https://fitt.co/pittsburgh/pittsburgh-best-city/). Religious values are what many people look for to keep that connect they have with their beliefs, having these values instilled in the curriculum could be a benefit view for parents and students.
The topic that I chose is interventions used to reduce catheter-associated urinary tract infections (CAUTI). This type of infection is acquired from the use of a urinary catheter while in the hospital. According to the Institute for Healthcare Improvement, urinary tract infections are responsible for 40 percent of all hospital-acquired infections annually, with 80% of these hospital-acquired infections caused by use of indwelling urinary catheters. When any type of tubes or catheters are introduced into the body, it serves as a medium for infection. Urinary catheters are used during surgery to prevent injury to the bladder.
Hinkle, J., Cheever, K., & , (2012). Textbook of medical-surgical nursing. (13 ed., pp. 586-588). Philadelphia: Wolters Kluwer Health
This book covers a broad range of topics yet can be divided into 6 sections: anatomy and physiology, essential skills and best practice guidelines, management of common problems, babies and mothers with special needs, public health issues and complementary feeding. Maria Pollard writes with a student friendly style discussing and presenting evidence based care in each of these areas in an undaunting manner. The structure and presentation remain consistent throughout the book with clear learning outcomes identified at the beginning of each chapter. This immediately engages with the reader and highlights the main aspects to be discussed. With each topic that Maria Pollard discusses she provides thought provoking scenarios, short quizzes and encourages group discussion and reflection. Again this highlights Maria’s background in education as the use of reflection is the trademark of good practice today.
In conclusion, venepuncture for babies in the radiology department requires the nurse to be equipped with due knowledge, skills and training. It is also essential to highlight and address other factors surrounding the procedure as the ones mentioned in this discussion. At the end of the day, a multi-disciplinary team always co-exist for every patient’s need and it is inherent for each to perform the duties associated in a competent manner. It is also just to conclude no person is indispensable and nurses therefore must take on new courses and training to assume new duties.
Policies and procedures are guidelines that are instituted and followed by organizational staff to perform skills or interventions safely and proficiently. Examined below is the policy and procedure for nursing staff to obtain blood cultures via central catheters. Also mentioned below is the survey of five unit nurses performing this procedure and possible deviations taken from the current Salem Hospital policy. Possible reasons of not following an institution’s policy and procedure guidelines, consequences of not following evidence-based practice, and proper response when discovering unsafe practice are also researched.
Brunner, L.S. & Suddarth, D. S Textbook of Medical- Surgical Nursing, 1988 6th ed. J. B. Lippincott Company, Philadelphia
As an UConn graduate, I strive to practice UConn School of Nursing PRAXIS – professionalism, respect, accountability, excellence, integrity and service. Two weeks following the orientation on postpartum unit, I knew taking care of four mother-baby couplets overnight was not going to be an easy job at a level I trauma center, where we care for the sickest of the sick. After a thorough plan of care for each patient and tailoring it to their needs for the night, I felt more confident in my skills and time management. It wasn’t until I got a call from a 14 hour post-op c-section patient at 0455 complaining of dizziness, lightheaded, blurry vision and “feeling hot”, who an hour ago was walking to the bathroom, breastfeeding baby and eating with no complains of pain. I left my workstation behind to discover a pale, diaphoretic patient with low blood pressure. I froze. Screamed for resident down the hall. Rapid response team and more professionals were there in no time while I stood by my patient holding her hand, echoing the story to residents and attending MD I’ve told previously. After twenty minutes of stabilizing the patient and diagnosing at bedside with ultrasound and abdominal x-ray, the patient suffered internal hemorrhage from tubal ligation site. She was rushed to operating room. Speaking to her husband was even harder. I froze again. I sat on my knee, held his hand and cried with him. In
Time out was done by the anesthesiologist, the circulating nurse, the surgeon, and the scrub tech all pausing before the surgery and verifying the patient’s name and date of birth, the procedure being done, the site and location on the body in which the procedure was being done, and documented the count of all the equipment the scrub nurse had before surgery to compare to after surgery. 5. The patient’s privacy was protected and respected throughout the whole surgical procedure. The staff was very professional and I felt I learned a lot from them during my OR experience. 6. A sponge count is when the scrub nurse counts the sponges that are unused before the surgery she relays this to the circulating nurse and it is documented. After the surgery the count is redone to make sure that there are no sponges left in the patient. 7. The circulating nurse documents the information and signs the chart in the operating room. From pre-op to the operating room the nurses in pre-op gave off report to the circulating nurse by SBAR. From the operating room to PACU the anesthesiologist went with the patient and handed off the patient’s condition and information to the nurse in there. 8. There were no ethical or legal issues that were raised during my observation in the whole surgical process. 9. I learned how the whole operating procedure works from start to finish, all the legal paperwork involved, and how the team interacts and helps each other out to give the patient a safe and
test whatever it's a bad effect or not. So when it used on humans, we
Osborn, K. S., Wraa, C. E., Watson, A. B., & Holleran, R. (2014). Medical-surgical nursing: preparation for practice (2nd ed.). Boston: Pearson.
The SWOT analysis is a useful tool for identifying our personal strengths, weaknesses, opportunities, and threats to our plans and goals. According to a “Fuel My Motivation” article (2010), this analysis considers internal influences that can positively or negatively affect our ability to achieve our goals. The internal factors are our strengths and weaknesses. Also considered are opportunities and threats, which are external influences that can have a positive or negative impact on the ability to achieve our goals. I will share how the self-assessment instruments and self-exercises in this course have contributed to assessing and understanding my strengths and weaknesses. I will also discuss techniques I will use to leverage my strengths and understand my weaknesses. In addition, I will consider opportunities that I can take advantage of and the threats that can possibly impede my progress.
Luckily, I am very comfortable with patients, which made providing care very easy. I was not afraid to go into other patient’s rooms if they rang for help. I would try my best to help the patients; however, if I needed help I was not afraid to ask a fellow student or nurse on the staff. It is very important to be able to talk to patients and work as a team with fellow coworkers as it made the job easier. On the other hand, I need to go over mother and baby assessments to become more familiar with both. I was able to complete the assessments; I now need to do so in a timelier manner while ensuring I do not forget any key areas. Lastly, it is vital that I continue to go over patient teaching prior to clinical. Being comfortable with the patients made the teaching easier, though I need to become more familiar with all the material that needs to be taught.