...DIN studentsWeek 51st-5th Oct Week 68th-12th Oct15 October-23 NovemberBSN July ‘09Ward 5 Surgical/Eye/ENT Clinic15 Octo-26 OctGroup 1-7 StnGroup 2- 8 StnWard 10 Medical /Hemodialysis29 Oct-9NovGroup 1-7 StnGroup 2- 8 StnOrtho Clinic/Physio Clinic12 Nov-16 Nov ( Holiday)19 Nov-23 NovGroup 1-7 StnGroup 2- 8 Stn | Hospital OrientationWARD 17Pediatric WardBSN Clinical Practice VI AN 3320 * Clinical Learning Objective: 1. Provide individualized quality care to all assigned clients following the nursing process 2. Perform management and organizational ability during the provision of nursing care 3. Apply critical appraisal skills to evaluate the available evidence which underpins practice 4. Plan health promotion activities for clients and family to maintain appropriate behaviors to attain or maintain health 5. Integrate significance of research in clinical practice to achieve best patient outcomesSpecific Objectives: * Plan timely execution of nursing task in the ward * Perform independent learning through self-study and reflective practice * Effectively use up to date information through electronic access of literature and searching database * Critically evaluate an aspect of service delivery that can influence the quality of healthcare system * Utilize assessment, benchmarking audit and quality assurance tools effectively * Incorporate evidence based interventions in healthcare delivery and meeting health inequalities...
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... July 28, 2013 Research Summary and Ethical Considerations “Nursing Staff’s Awareness of Keeping Beds in the Lowest Position to Prevent Falls and Fall Injuries In an Adult Acute Surgical Inpatient Care Setting” Huey-Ming Tzeng, Chang-Yi Yin, Allison Anderson, and AtuI Prakash Background: In medical care centers and in hospitals a major concern is falling of inpatients from their bed. This problem becomes more serious while dealing with old age patients in care for acute surgical or post op care. Presented study has addressed these issues and suggested that most of these fall related injuries [Anderson, Boshier and Hanna (2012)] could be prevented by examining the factors which could be controlled and applying measures to control them. Also those factors which could not be controlled measures to prevent them according to need of individual and specific medical setting should be applied. This study is very important and significant to nursing practice as according to Quigley and associates (2007) has pointed out that severity of injuries due to fall could be minimized with the help of an interdisciplinary team of which nurses are most important part. It help the nurse to provide the education how to prevent from fall and any serious injury through the falling time. On other hand it helps the nurse to aware the nurse about the proper bed position to prevent from fall and helps to prevent the injury in old age patients, because staff nurse know about the patient’s...
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...g) Monitoring includes availability and content of medical records. h) Monitoring includes infection control activities. i) Monitoring includes clinical research. CQI.3 The organisation identifies key indicators to monitor the managerial structures, processes and outcomes Objective elements • Monitoring includes procurement of medication essential to meet patient needs. • Monitoring includes reporting of activities as required by laws and regulations. • Monitoring includes risk management. • Monitoring includes utilisation of facilities. • Monitoring includes patient satisfaction. • Monitoring includes employee satisfaction. • Monitoring includes adverse events. • Monitoring includes data collection to support further study for improvements. • Monitoring includes data collection to support evaluation of the improvements. CQI.4 The quality improvement programme is supported by the management • Objective elements a) Hospital Management makes available adequate resources required for quality improvement programme. b) Hospital earmarks adequate funds from its annual budget in this regard. c) Appropriate statistical and management tools are...
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...awareness on the room display boards is “Maslow’s Hierarchy of Needs”, students are asked to interpret this information, discuss & describe how a nurse needs to apply it as professional activity during working hours, keeping in mind OH&S & the level of safety & security. Included in Maslow’s Hierarchy & displayed as a pyramid connecting on thing to the one above are self actualisation, esteem, belongingness & love, safety & physiological needs. For the first case study you have to apply Maslow’s Hierarchy of Needs to Mrs Wall the 80 year old with history of MRSA, diagnosed early dementia & dysphagia. Also discuss the risks for the attending nurse, the client (Mrs Wall) & any others whom could be at risk, like her husband, Bill. Part of the work to be done for week 3 is describe & compare the art of nursing & the science of nursing. We are to evaluate how art & how science is applied for case study with Mrs Greentree, what factors could have been changed to make the scenario better for the client & the nurse providing assistance/ care....
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...introduction of the emergency department of health sector according to the secondary data that we collected. We also discussed the techniques, strategies and standard operational procedures i.e. SOP’s according to which emergencies should operate. Moreover we also discussed emergency ethics that are the first and foremost base to determine how the doctors are expected to behave with the patients and handle their problems. We have also conducted a primary research by observing and interviewing patients to fill out the survey questions. We have also included overviews of the journals taken from the health institutes in countries like USA, and Europe. It will help us get an insight on how these countries emergency departments are operating. The case study on dengue has been...
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...Restorative Care Training for the Certified Nursing Assistant Trainer Manual TABLE OF CONTENTS Introduction Making the Most of the Training Making the Most of the Lesson Plans Making the Most of the Activities Trainer Preparation Welcome Module Activity T1 Welcome to the training Activity T2 Common Rules to Follow Activity T3 Successful Completion Activity T4 You will learn Trainer Preparation Module one Module one Trainer Preparation Module two Module two Trainer Preparation Module three Module three Trainer Preparation Module four Module four Appendix A Feeding Assistance Appendix B Fall Prevention Page T3 Page T3 Page T3 Page T4 Page T5 Page T7 Page T7 Page T8 Page T8 Page 7a Page 8 Page 27a Page 28 Page 35a Page 37 Page 104a Page 105 Page 114 Page 123 T2 Restorative Care; Training for the Certified Nursing Assistant Introduction Welcome to the program Restorative Care. This is the trainer manual used by trainers to teach nurse assistants and home health aides about caring for the person with Restorative issues. This manual accompanies the student manual, Restorative Care. This training is activity based. Participants are encouraged to share in the training process, to talk about relevant experiences if they choose and to ask questions. Making the Most of the Training Program Use this training manual as a guide for training individually or in groups. If you train on an individual basis it will be more effective to brainstorm with them than to use the...
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...I. Course Prerequisites: II. Course Description: NURS 101, BIO 311, CHEM 107/170 This course introduces the student to the scientific principles of foundational concepts, theory and technical skills. Concepts that frame the curricula are introduced: caring behaviors, communication, culturally congruent care, ethical frame work, legal aspects, critical thinking, leadership, research and professional nursing role. Using simulated labs, computer programs and videotapes, the student will develop and master selected psychomotor skills. III. Required Text(s) Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2012). Fundamentals of Nursing (8th ed.). St. Louis, MO: Mosby/Elsevier. ISBN: 9780323079334 Perry. A. G., & Potter, P. A. (2009). Clinical nursing skills and techniques (7th ed.). ISBN10:0323052894 Wilkinson, J.M. & Ahern, N. R. (2009). Prentice Hall nursing diagnosis handbook with NIC interventions and NOC outcomes (9th ed.). Pearson: Upper Saddle River, NJ. 1 IV. Recommended/Supplemental Text or Reference Material Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2012). Study guide: Fundamentals of Nursing (8th ed.). St. Louis, MO: Mosby/Elsevier. ISBN: 9780323084697 American Psychological Association (2010). Publication manual of the American Psychological Association ( 6th ed.), Washington, DC: Author V. Course Objectives: Upon completion of this course the students will be able to: 1. Use scientific rationale to demonstrate basic psychomotor nursing...
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...In this case study it follows an 89-year-old man named Mr. Chestnut, who was admitted into the hospital for complaints of pain in his head. The associated system with this case study is the neurological system, which is the system in the human body that deals with a network of nerves and cells that send messages from the brain and spinal cord to the rest of the body (Mandal, 2013). Based on this case study a SOAP note, which consists of a subjective data, objective data, an assessment, and a plan, will be created to help identify and assess the condition of the patient. Subjective: The patient, Mr. Chestnut, is an 89-year-old male, who was admitted into the care facility with his caregiver/family member, complaining of pain in his head. The patient states that the pain began two days ago, and has been fluctuating...
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...of nursing care.” ("Nursing Sensitive Indicators," 2015) Understanding the indicators is an important piece of nursing, not only to assist the patient, but the patients loved ones as well, to ensure quality patient care. In this particular case, had the 2 nurse understood the reasoning and data behind the Pressure Ulcer Rate and Restraint indicators, and communicated the necessity to report any pertinent findings the CNA may discover in the nurse’s absence, the CNA would not have dismissed the reddened area over the patient’s lower spine and would have immediately informed the nurse of the finding. Upon returning the patient to bed, the CNA would have also known not to place the patient back in bed on his back and reapply the restraints. Instead, would have had the patient lay to one side and stressed the importance, to the patient and family member, of frequent turning, to reduce the chance of pressure ulcers. Quality patient care can only be achieved with teamwork and open communication. The discussion of pressure ulcers in hospitalized patients has become an increasing issue with more attention to the prevention of such since the early to mid-1990’s. The Centers for Medicare and Medicaid Services (CMS) state that stage III and stage IV pressure ulcers occurring during admission are considered preventable (Zaratkiewicz et al., 2010). While the gentleman in our case scenario represented what would be considered a stage 1 pressure ulcer, with proper quality care and training...
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...Running head: SPINAL CORD INJURY CASE STUDY 1 SPINAL CORD INJURY CASE STUDY 2 Abstract This spinal cord injury case is about my 50 year old brother named Kevin that fell off our mother’s roof and fractured his vertebra at the T5-T9 level. He is now a paraplegic that has come to live with my family. What is his functional level to this day? What are the capabilities and functional limitations for someone with this paralysis? These are some of questions that will be addressed in this study. A person with a spinal cord injury needs some assistive devices to enable them to be somewhat mobile. A wheelchair and a new device...
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...Describe the current nursing practice. An instrument specifically designed to aid health care workers evaluate the dangers of pressure sores that a patient faces is called the Braden Scale. After assessment, the victim is categorized depending on six aspects: capability of physical activity, hydration and nutrition status, capacity to alter position, the ability to respond after sensing discomfort related to pressure, shearing or exposure of the skin to friction during locomotion, and skin exposure to moisture. If the overall score is lower it means the risk of pressure sore is higher (Changing Practice, Changing Lives: 10 Landmark Nursing Research Studies, n.d). Prior to this Change, Skin assessment was based on non- formalized risk assessment which varies with each clinical practice. 2. Discuss why the current nursing practice needs to be changed Using non-formalized risk assessment in Predicting pressure ulcer resulted in non-uniformity and personal clinical judgement which varies from one person to another. Using Clinical judgement is more effective where the staffs are experienced and their experience assist in appropriate predictability, but with novice staff, the use of clinical judgment is inappropriate. In a multisite trial, Braden scale was tested by clinics bringing together skilled nursing facilities, Veterans Administration or VA medical centers and hospitals providing tertiary care. Of those who took part, none had experienced pressure sores earlier. Nurses evaluated...
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...Case Study James Morasco College of Southern Nevada – Nursing 211 Clinical Professor Judith Alewel, MSN, RN October 15, 2012 Introduction AV is a 57 year old male whom presented to the Emergency Department of Valley Hospital Medical Center in Las Vegas, NV on September 7, 2012 with the classic signs and symptoms of a left-sided middle cerebral artery (MCA) infarct and was admitted to the medical intensive care unit (MICU). These signs included left sided facial drooping, non-reactive left pupil, right sided weakness in the upper and lower extremities, and the inability to speak. Along with the signs and symptoms of the stroke, a 12-lead EKG revealed that he also has atrial fibrillation. The initial computerized tomography (CT) scan of his brain revealed nothing, but a subsequent MRA (magnetic resonance angiogram) concluded that he did, in fact, have an occluded branch of the left MCA that eventually converted to become hemorrhagic and he was admitted to the MICU. The MRA also found a persistent left trigeminal artery, which is insignificant to his presenting disease process. Along with all of this, a two dimensional echocardiogram revealed some significant hearts problems that will be discussed later. I cared for this patient during the clinical shift on September 18, 2012. History and Physical The only history and physical that was available in this patient’s chart was some narrative comments from his daughter notated by the physician, and this is most likely due to...
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...RTT 1 Task 1 Marci Berry Western Governors University RTT 1 Task 1 Many factors come into play when determining what contributes to quality care of patients in a healthcare setting. The use of nursing sensitive indicators assists healthcare workers in providing the highest quality of care possible to their patients. When these indicators are used, and followed by those providing care, higher standards are met, allowing for patients to receive a much higher quality of care while being involved in the healthcare system. A. Nursing Sensitive Indicators By learning and understanding nursing sensitive indicators, a nurse is given the opportunity to identify factors that may affect the quality of care being delivered to a patient. In the scenario given, Mr J., a 72-year-old rabbi with dementia, has fractured a hip following a fall in his home. He has been given pain medications, which have made him sleepy, but he is still able to communicate effectively. Mr J’s daughter has come to visit, and found him lying in his bed, on his back, restrained. The first nursing sensitive indicator that could be implemented by the nursing staff is regarding the use of restraints. The use of restraints in this case is most likely unnecessary. Although the patient has previously been diagnosed with dementia, he is able to recognize his daughter upon her arrival, and notify her of his need to use the restroom. Regarding the use of restraints, patient restraint should be considered when...
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...and grafts are raised with care before transplanting.Advantage of raising seedlings in nursery 1. It is very convenient to look after the tender seedlings 2. It is easy to protect the seedlings from pests and diseases 3. Economy of land usage (duration in the main field is reduced) 4. Valuable and very small seeds can be raised effectively without any wastage 5. Uniform crop stand in the main field can be maintained by selecting healthy, uniform and vigorous seedlings in the nursery itself.Preparation of nursery Selection of site 1. The nursery area should be nearer to the water source 2. Generally, the location should be partially shaded i.e. under the trees. If not, artificial shade is to be provided 3. It should be well protected from animals 4. Proper drainage facilities should be provided.Selection of soil A medium textured, loam (or) sand loam soil is preferred. Soil should be rich in organic matter. Soil depth should be preferably by 15-25 cm.Types of nursery bed a) Flat bed b) Raised nursery bedPreparation of raised nursery bed Selected soil should be worked well to break the clods. Weeds, stones and stubbles should be removed. Height of the raised bed should be 10-15 cm with a width of 1m and length may be according to the requirement and conveniences. Two parts of fine red earth, one part of sand and one part of FYM can be incorporated to each bed to improve aeration and fertility of the soil. Before preparing the bed, the soil should be drenched...
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...DO1-136-I ARAVIND EYE HEALTH CARE OPERATIONS Original written by professor Ángel Díaz Matalobos at IE Business School, Juan Pons, Motorola Spain. and Stephan Pahls, University Hospital, Basel. Original version, 15 June 2010. (R.L. 19 January 2012). The authors acknowledge the generous support of Aravind while conducting the field research. Published by IE Publishing Department. María de Molina 13, 28006 – Madrid, Spain. ©2010 IE. Total or partial publication of this document without the express, written consent IE is prohibited. INTRODUCTION Improving efficiency in health care is an acute issue. In the developed world this is due to increases in costs and quality issues (Aptel and Pourjalali, 2001; Spear, 2005); Western Europe currently spends 9% of its GDP on health care, and, if the trend continues, will spend over 20% by the year 2050 (Drouin et al., 2008.) In the developing world on the other hand demand exceed capacity; it was estimated that in 1997 over 12 million people were blind in India from cataracts, while a further 3.8 million new cases are developed each year, and current capacity for surgery is far below this level (Thulasiraj et al., 1997.) Better health care operations are clearly required to deal with issues of ageing population, increased costs and unmet demand. One case that provides clues to such means is Aravind, the largest eye care provider in the world, with over 2.5 million operations performed and 20 million patients treated in...
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