...Case Study Pulmonary Tuberculosis Nursing Management 1 PULMONARY TUBERCULOSIS CATEGORY I, PLEURAL EFFUSION RIGHT ON TREATMENT, STATUS POST CHEST TUBE THORACOTOMY INSERTION Nursing Management of a Pulmonary Ward Patient Having Pulmonary Tuberculosis Category I, Pleural Effusion Right on Treatment, Status Post Chest Thoracotomy Tube Insertion S, J, S. Our Lady of Fatima University, Quezon City Nursing Management 2 Nursing Management of a Pulmonary Ward Patient Having Pulmonary Tuberculosis Category I, Pleural Effusion Right on Treatment, Status Post Chest Thoracotomy Tube Insertion Private P, A.B., a 25 year old male, single. He finished second year college (Bachelor of Science in Education). He lives in Barangay Monbon Irosin, Sorsogon City. Five months Prior to Admission, patient began to experience dry cough, general body malaise, back pain, low grade fever in the afternoon, hoarseness of voice and restlessness. At first, patient took solmux and amoxicillin three times a day for three days. The signs and symptoms still persisted. He sought consult to the Commission Army Station Hospital, Lucena City and underwent another chest x-ray and had nebulization to liquefy secretions. He then was advised to go home. His immediate superior (official) advised him to go to the Armed Forces of the Philippines Medical Center due to unavailability of a pulmonologist in the area. He then was transported via ambulance and was seen in Emergency Room and chest x-ray was...
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...Implementation of Evidence-Based Practice Sheila Wright Submitted to Sharon Mooney, RN, MSN in partial fulfillment of NR 460R Evidence-Based Practice in Nursing Regis University April 9, 2010 Implementation of Evidence-Based Practice Throughout history, nursing practice has experienced change. Florence Nightingale initiated the greatest change in nursing in the mid-1800’s when she gathered data regarding the morbidity and mortality of soldiers (Chitty & Black, 2007). Nightingale recognized there was a need for change to improve patient outcomes. Her determination to provide the best possible care, based on the evidence she gathered, has inspired a profession. Today, the process of using research to care for patients is referred to as evidence-based practice. The purpose of this paper is to define and explain the importance of evidence-based practice, discuss qualitative and quantitative research studies which affect medical-surgical areas, and barriers preventing research utilization and how they may be overcome. Definition of Evidence-Based Practice There are numerous definitions of evidence-based practice (EBP). EBP is defined by Boswell and Cannon (2007) as, “A research-based, decision-making process used to guide the delivery of holistic patient care by nurses” (p. 340). Cope (as cited in Chitty & Black, 2007), defines EBP as “using the best available research findings to make clinical decisions that are most effective and beneficial for patients”...
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...Nursing Management 1 PULMONARY TUBERCULOSIS CATEGORY I, PLEURAL EFFUSION RIGHT ON TREATMENT, STATUS POST CHEST TUBE THORACOTOMY INSERTION Nursing Management of a Pulmonary Ward Patient Having Pulmonary Tuberculosis Category I, Pleural Effusion Right on Treatment, Status Post Chest Thoracotomy Tube Insertion Bumolo, Olimpia T. Torres, Pauline Bianca G. Our Lady of Fatima University, Quezon City Nursing Management 2 Nursing Management of a Pulmonary Ward Patient Having Pulmonary Tuberculosis Category I, Pleural Effusion Right on Treatment, Status Post Chest Thoracotomy Tube Insertion Private P, A.B., a 25 year old male, single. He finished second year college (Bachelor of Science in Education). He lives in Barangay Monbon Irosin, Sorsogon City. Five months Prior to Admission, patient began to experience dry cough, general body malaise, back pain, low grade fever in the afternoon, hoarseness of voice and restlessness. At first, patient took solmux and amoxicillin three times a day for three days. The signs and symptoms still persisted. He sought consult to the Commission Army Station Hospital, Lucena City and underwent another chest x-ray and had nebulization to liquefy secretions. He then was advised to go home. His immediate superior (official) advised him to go to the Armed Forces of the Philippines Medical Center due to unavailability of a pulmonologist in the area. He then was transported...
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...Rio Hondo College Associate Degree Nursing Program Master Text List Summer Fall 2014 |Course |Text |Edition |Author |ISBN |Publisher |Req / Opt | |ADN 151 |Student Handbook |Current |ADN Program | | |Required | | |ADN 151 Syllabus |Current |Faculty | | |Required | | |Fundamentals of Nursing: The Art and Science of Nursing Care 2011. |2011 |Taylor, Lillis, LeMone ,|9781451130591 |Lippincott, Williams & |Required | | |Bundled with Skills Modules DVD ISBN 9781451118285 | |Lynn | |Wilkins | | | |Any Medical Dictionary | | | | |Required | | | | | ...
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...JMJ Marist Brothers Notre Dame of Dadiangas University College of Nursing S.Y. 2011-2012 1ST Semester ------------------------------------------------- LESSON PLAN: PANCREATIC TUMOR ------------------------------------------------- In partial fulfillment of the requirements in RLE A - 104 Submitted to: Lodar Escobillo, RN, MAN Clinical Instructor Submitted by: Ruffalyn Joyce Doroteo Kate Penelope Dalid Mica Allaine Durana BSN 4A July 20, 2011 Topic: Pancreatic Tumor Objective | Contents | Time allotment | Strategies of teaching | References | Evaluation | At the end of 2 hours of discussion, student nurse should be able to: * Review the anatomy and physiology of the pancreas. | * The Pancreas’ * Location * Size * Functions | 10 minutes | Question and Answer portion | Tina Sanders. The Essentials of Anatomy and Physiology, 5th edition. Taiwan. F.A. Davis Company. ©2003. | The students are evaluated by actively participating in the discussion. | * Learn about Pancreatic Tumor | * The Pancreatic tumor: * Definition * Etiology * Signs and symptoms | 30 minutes | Discussion proper | * Brenda G. Bare, et. al., Medical – Surgical Nursing, Volume 1. 12th edition. Wolters Kluwer Health, Lippincott William & Wilkins. * http://www.pancreatic-tumors.com/ | | * Identify the following diagnostic test involved. | * Liver function test * Pancreatic biopsy * Computed tomography and Ultrasonography | 20...
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...com/downloads/hcs-449-week-2-individual-assignment-personal-action-plan/ For More Courses and Exams use this form ( http://hwguiders.com/contact-us/ ) Feel Free to Search your Class through Our Product Categories or From Our Search Bar (http://hwguiders.com/ ) How healthcare has changed in the last 10 years The healthcare industry has made some dramatic changes in the past 10 years, and these changes have impacted patients and healthcare workers. Health care has gone through a major restructuring period. Some of the key changes were moving from hospital based care to care being provided on an outpatient basis and in nursing homes or managed care facilities. Many medical procedures are now being performed in non-hospital settings, like a physician’s office, patient’s homes, or separate outpatient clinics or surgical centers. Most of these changes were implemented to reduce the number of hospital beds needed and the reduce the length of a hospital stay. There changes were considered the first step towards reducing cost in the healthcare field. TO DOWNLOAD COMPLETE TUTORIAL HIT PURCHASE BUTTON HCS 449 Week 2 Individual Assignment Personal Action Plan Get Tutorial by Clicking on the link below or Copy Paste Link in Your Browser https://hwguiders.com/downloads/hcs-449-week-2-individual-assignment-personal-action-plan/ For More Courses and Exams use this form ( http://hwguiders.com/contact-us/ ) Feel Free to Search your Class through Our...
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...Qualitative Analysis of Central and Midline care in Medical/Surgical setting. The key words for the study are central line bloodstream, infection, medical-surgical, phenomenology and qualitative. The study identified medical-surgical nurses having a limited understanding of the complexities involved in the prevention of central line-associated bloodstream infections (CLABSIs). The study was conducted to thoroughly look at the phenomenon of central line care to develop an understanding of the experience as relates to nursing care. The design that was applied for this particular study is a qualitative phenomenological framework. This design was preferred due to the amass of information, which was necessary if a diversified range of response was to be obtained. Through the use of this design, respondents would be free to express their experiences without being restricted to yes or no questions. According to Morrison, it was the best design to be applied for a study of this nature considering the sensitivity of the phenomenon under study. The setting takes place in a seasonally fluctuating 400-600 bed community hospital located in Southwest Florida. To increase reliability of results, the researchers in this study decided on this particular hospital with a purpose of obtaining information during times when there were many patients in the hospital and times when there were few patients in the hospital. A sample of 15 full-time, medical-surgical, registered nurses, 8 working the day shift...
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...Bachelor of Science in Nursing Hospital Pakar Sultanah Fatimah Muar 3rd September- 23 November 2012 Clinical Planning BSN July 09- Clinical Practice VI Roster | Clinical Learning Outcome | Clinical Plan Activity | 3rd-Sept- 12 OctoberGroup 3: - 4 BSN with 7 DIN studentsWeek 13rd -7th Sept Week 210th-14th SeptGroup 1: - 4 BSN with 7 DIN studentsWeek 317th- 21st Sept Week 424th-28th SeptGroup 2 : - 4 BSN with 7 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...
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...Claudia and her two brothers visit Mr. Gordon daily since he has been hospitalized. Mr. Gordon has not been eating well since the surgery and has lost 3 pounds. Mr. Gordon has type 2 diabetes and is on oral antihyperglycemic medication. Before he came to the hospital, Mr. Gordon was able to only ambulate for short distances. He has orders to get up in a chair twice a day. Joan, a student nurse, is caring for Mr. Gordon this morning. She has reviewed his medical record and is now ready to start caring for him. Joan assesses Mr. Gordon using the Braden Scale and determines that his score is 12. What does this score indicate about Mr. Gordon’s pressure ulcer risk? Joan is assessing Mr. Gordon’s skin and notices that he has a 3 cm blister and a shallow crater on his buttock. Mr. Gordon winces when Joan palpates the area. How should Joan stage this area? A. Stage I pressure ulcer B. Stage II pressure ulcer C. Stage III pressure ulcer D. Stage IV pressure ulcer Rationale: Mr. Gordon has drainage coming from his surgical incision, and his dressing needs to be changed. What assessments of the incision should Joan perform while changing? Answer: Rationale: Claudia asks Joan what she can do when she takes him home to help prevent more pressure ulcers. How should she answer? Answer: Rationale: Elvis Baker, a 65-year-old black male, is being admitted to the preoperative suite for a colon resection for removal of a tumor. Mr. Baker is a retired coal miner. He has...
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...Standardization of Nursing Protocol for Cardiac Arterial Bypass Patients Abstract Evidence-Based Practice (EBP) is an important factor in determining medical courses of action. Nurses have long used tradition rather than evidence in making decisions about beside care; to convince them to switch practice, it is useful to draw a comparison between the efficacy of these disparate routes. Our study designed a research question based on the PICOT model for the cardiac floors and designed procedures using the Kotter and Cohen’s Model of Change. In order to study the effect discussed in our PICOT question, a web search was conducted and the quality of each pertinent study reviewed. Introduction In the nursing staff of an adult Cardiac Surgical Care unit, how does the buy-in from the staff for Evidence-Based Practice (EBP) changes in a new Coronary Arterial Bypass Graft (CABG) pathway affect the decreases in infection rate among this patient population when compared to the old way of delivering patient care through nursing tradition in a six month time frame? The formation of a guideline for practice in nursing is not a new occurrence; books and manuals have been a reality for many years. However, in the past these resources lacked the evidence for standards of care, which traditionally have been based on professional consensus and tradition. The Joint Commission has recognized processes that can be measured regarding patient outcomes and care in order to meet standards for Medicare...
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...and energetic Registered Nurse seeking a position that will expand my nursing education, skills and knowledge and utilize it to reinforce the facilities operation. I excel at delivering premier and compassionate patient services while organizing and completing multiple tasks at once. I present a calm collaborative approach to solving problems, working with patients, and keeping a sometimes hectic environment operating smoothly and efficiently. CREDENTIALS RegisteredNurse, New Jersey Board of Nursing Basic Life Support, American Heart Association Advanced Cardiac Life Support, American Heart Association IV Therapy Certification, American Heart Association Feb 2016-May 2018 April 2016-2018 April 2016-2018 April 2016-2019 EXPERIENCE Registered Nurse Preadmission/ Pre-op/PACU Orthopedic & Pain Management Advanced Surgical Center, Fort Lee, NJ • • • • • • • • • • April 2016-Current Obtain and review all patients preadmission tests Evaluate all documents of admission as a preparatory measure Assess patients admitted for surgery and start IV as ordered Plan accurate nursing care plan in preoperative unit Administer preoperative medications as ordered maintaining time and records Effectively communicate pertinent information to physician’s and coworkers Perform extensive postoperative assessment on patients recovering from anesthesia Manage postoperative pain and surgical site Administer postoperative medications as ordered Determine patient...
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...MARICOPA COUNTY COMMUNITY COLLEGE DISTRICT PATIENT PRIVACY GUIDELINES For MCCCD Health Care Integrated Educational System The Maricopa County Community College District has cooperative agreements with over 500 agencies for the clinical training of its students enrolled in all health-care fields and programs. To ensure that MCCCD students, faculty, and staff involved in those programs understand the patient privacy requirements of those clinical sites and of applicable law, including the Health Insurance Portability and Accountability Act of 1996, MCCCD offers this guidance for those persons to ensure compliance with those requirements. Note that the discussions, uses or disclosures discussed below encompass written, verbal, or electronic communications. |DO’S |DON’T’S | | | | |Do sign the MCCCD Faculty/Staff/Student Confidentiality Agreement before |Don’t discuss, use or disclose any patient information while in the | |any involvement in a clinical program. |clinical setting unless it is part of your clinical assignment. | |Do attend MCCCD training or in-classroom clinical instruction on |Don’t remove any record from the...
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...currently growing rapidly. We have never seen such a high demand in the medical field in our history. With such a high demand for healthcare services and facilities there are many renovations, and many new facilities being developed and many more needed to help the health f our ever growing population. Renovations are done to help maintain a standard of high performance for medical staff. As technology grows so des our need for system updates, training and maybe even larger area for some of the larger high tech machines. The end result is that we will need to build a new facility in our area. The facility will need to be 2 stories tall, and cover a total square footage under 20,000. The new building will be equipped with our top technology, a server room will need to be located on any floor except the lower level. There must be a minimum of 20 patient rooms, with at least two nursing statins on each floor. There is a requirement for 2 fire exits on each floor, with at least 5 fire extinguishers on each floor. Each rom must contain the basic supplies for nursing staff; gloves in sizes S, M, and L, masks, alcohol swabs, sharps container, bed pads, trays, and any other material used daily by nursing staff that is safe for rom storage. Staffing needs will require a total of 2 managers 1 health care administrator, 4 supervisors, 6 lead workers, 5 doctors (ne n call 24/7 alternating through a cycle) and 15 nursing staff. Each room must contain a bed for patients, a countertop area for...
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...information, resulting in potential errors, have been on the rise at Pelham Medical Center. In the past, the primary nursing staff was giving verbal report to oncoming nurses at the nursing stations. There are many disadvantages to this practice. Verbal report at the nursing station is distracting with so many nurses talking at the same time and is frequently interrupted by other staff, call bells, and family members. There are also potential HIPPA violations when reporting on patients within earshot of other people who are not involved in that patient’s care. The patients and their family members or care givers are not directly involved in the report and hand off process (Gregory, Tan, Tilrico, Edwardson, & Gamm, 2014). Pertinent information was being reported incorrectly or not reported at all. Physician orders were being missed and not completed. All of these events, collectively, have adversely affected patient safety and overall patient satisfaction. Patients and their families do not like to feel that the primary nurse does not know the “whole picture” or has an incorrect understanding of the plan of care. In an effort to reduce potential errors, increase communication between staff and with patients and their care givers, and increase patient and nursing satisfaction, the nursing administration of Pelham Medical Center decided to implement bedside shift report on the medical-surgical unit. This change has been implemented and is mandatory practice, barring exceptional...
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...Linking Patient Satisfaction with Nursing Care ------------------------------------------------- Abstract ------------------------------------------------- This paper explores the linking of patient satisfaction with nursing care from three measurement instruments to include the BERNCA (Basel Extent of Rationing of Nursing Care) scale for rationing of care, the RPPE (Revised Professional Practice Environment) scale to explore nurses’ perceptions of their work environment and the Patient Satisfaction scale. This article suggests that there is a correlation between the variables among the organization and environment, care rationing and patient satisfaction that influence patient outcomes. (Papastavrou, Andreou, Tsangari, and Merkouris, 2014). It defines that rationing of nursing care appears as an organizational difficulty, associated with the way nurses perceive environmental constraints of practicing their profession and it is linked with patient outcomes such as patient satisfaction from nursing care. (Papastravrou, et al, 2014). ------------------------------------------------- ------------------------------------------------- Keywords: Nursing care, Rationing, Patient satisfaction, Professional environment ------------------------------------------------- ------------------------------------------------- ------------------------------------------------- ------------------------------------------------- ------------------------------------------------- ...
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