Fecal Intervention Journal

It’s not simply the particular giving of the medications that fare up all the time. It is checking the medical record with the hand written prescriptions, grouping the varied medications and also the instrumentation for giving them, and ensuring all the patients safety measure are covered.

For the purpose of this assignment the chosen title is ‘structured skin care regimes based on cleanse, moisture and protect must be seen as an essential components in the prevention of incontinence associated dermatitis’ (Holroyd, 2015). Incontinence associated dermatitis (IAD) (see Appendix 1) results due to damage to the skin. The areas of skin usually affected include the perineum, perianal area, buttocks, inner thighs, sacrum, and coccyx. The damage occurs due to prolonged exposure to any form of moisture. This moisture exposure can occur from a variety of sources or causes –which includes faecal or urinary incontinence, highly exuding wounds, excessive perspiration and peri-stomal skin. The skin becomes erythematous, macerated, denuded, and inflamed following exposure moisture (Beeckman et al. 2011).

The nurse must verify the physician’s medication order, including the dose and time, and then the pharmacy is responsible for their own checks and balances via the BCMA system in order to complete the dispensing phase of the medication (Gooder, 2011). The nurse enters the BCMA system with a login and password and is able then to see a list of the virtual due list for a specific patient. The computer on wheels is then taken to that patient’s room and the five rights of medication administration begin. As nurses, we are taught to use the five rights of drug administration are (1) right patient (2) right medication (3) right dose (4) right route and (5) right time. By scanning the barcode on the patient’s hospital identification band, the nurse then asks for the patient to verbally state their name and date of birth, which can be verified by the nurse on the virtual due list and then choses the medication that are due for administration at that time. The medication is dispensed and the nurse is able to scan the barcode on the medication, the scanning triggers the automatic documentation of the medication given (Kelly, 2012).

Crohn's disease is a chronic inflammatory bowel disease characterized by an inflammation immune response to tissue that causes redness, swelling and pain of the digestive or gastrointestinal tract.

The project will be presented in detail and the importance of the need for a change in our current practice. The future objective will be providing this information to the South Carolina Labor and Licensing Board for review and possible inception. The power point presentation would provide information about medication errors, the on-going issues, the failure to keep medication administration safe and the purpose to standardize appropriate practices that will be made aware to all non-licensed facilities under the Lutheran Homes of South Carolina umbrella. The MED Tech training will be made available to current med techs and new hires that are Certified Nursing Assistants or Medical assistants with at least a year of patient care skills on our Health Care Academy websites where the staff has unlimited access. This will health, promote the knowledge, understanding and importance of medication administration in the correct manner while maintain safety for all

In this essay I will be discussing the current recommendations for large bowel screening, to diagnose bowel cancer, including those categorised as high risk. I will also be discussing the role of imaging in the initial diagnosis and the subsequent follow up.

In the article, Poop Pills Sound Gross, but Cure Serious Gut Infections, by Associated Press, doctors have found a way to put healthy people's poop into pills-and these pills are now being used to cure serious gut infections. In the article it states that, “Half a million Americans get Clostridium difficile, or C-diff, infections and about 14,000 die.” This was when poop pills were not invented yet and they had treatments that were very uncomfortable and very pricy. They did get rid off the bad bacteria in that area, but it destroyed the healthy, good bacteria and could cause reinfections of C-diff. C-diff is an infection in our bodies that gives us issues when we go to the bathroom. The, one time treatment created by Dr. Thomas Louie

Tammy, I would agree there is a major difference between knowing how to perform a specific skill and knowing how to perform that skill effectively. I think it is great that you offer new nurses to your department an extensive orientation and training. Wound vac care can be tedious, depending on the wound, requiring much training and then follow-up training to ensure it is being performed correctly. The surrounding skin appearance of a wound bed is a good indicator of correct wound vac application. Your expertise in wound care with precise skin barrier methods prevented further complications with this already painful wound. When patients get, frustrated or are having a lot of pain related to a treatment or procedure, many times they will refuse

It is very important that when a patient needs a dressing changed that it is performed correctly and sterile. The first and foremost important step in any procedure is to perform proper hand hygiene. Next, obtain all necessary items on a Mayo stand. Most items involved in dressings are within a dressing packet that is enclosed until it needs to be used. The patient should be in a comfortable position while the procedure is being done with the area with the dressing on a supported area. The next most important step in any procedure for the medical assistant is to apply gloves. When removing a dressing, loosen the tape and pull from both sides toward the wound. Immediately, place the dirty, soiled dressing into a biohazard waste bag without touching

D daily inspection, date on the dressing, documentation this is a very important step not just for the nurse caring for the patient at the moment but other healthcare team members. Daily inspection of the site should be done to prevent damage or further damage if there was to be an issue with the site. Putting dates on the dressing is also important because the dressing should be changed every 7 days to prevent infection and break down of the dressing. Documentation is also key in insuring patient safety, what time the IV was inserted, the gauge, IV fluids and how the patient responded to the procedure.

My primary goal of getting a practical experience in pharmacy was to develop the knowledge and skills to actively participate in patient care, improve self-confidence, approach any task with an open mind, and having eagerness to learn what the rotation has to offer. I participated and attempted all the tasks that were assigned by my preceptor throughout my rotation. A very first activity I learned to perform was counting medications properly before pharmacists dispense them. While working on this task, I also learned to change the manufacturing number and do the partials for medications. Although it seemed like a very simple task, it requires attention, fast pace, and accuracy. Most of the errors in the pharmacy occur due to incorrect medication, dosage strength, or dosage form while filling so it is critical to pay attention to small details. Furthermore, my preceptors allowed me to perform vaccinations from the very first day which helped me develop one-on-one interactions with patients and improved my knowledge on administrating and recommending different vaccinations to patients. Since pharmacists hold a great source of information on vaccinations and they are easily accessible in neighborhood, pharmacists play a prominent role in prevention and safety of public health. When I heard news of my preceptor’s participation in flu clinic at the Village of Hanover park, I offered him my help for several hours. After administrating vaccines continuously

The next time he decided that to administer insulin. Clinical assessors required to make professional judgements in interpreting what the minimum acceptable levels of competence are in respect to professional standards. These judgements are frequently made with in the role relationship of that of a mentor cum assessor to a student (Stuart 2005). As it is a skill involved, I found it was difficult for him to memorise all the step and rationales. I explained about my experience when I was a student nurse and concept of learning through practice. For students learning during clinical practice is a complex activity. The student has to contend and learn to deal with complex, unstable and uncertain worlds of practice (Schon 1987). With on going support I facilitated learning environment to practice the procedure under supervision

The NICE (2014) policy details examples of care pathways in the management of fecal incontinence, which can be viewed online as they are subject to update in response to changes in the evidence base However, in terms of chronic fecal incontinence in the elderly, it is probably more pertinent for community nurses to focus on the long term strategy recommendations: Give advice on the preservation of dignity and, where possible, independence, Offer psychological and emotional support, possibly including referral to counselors or therapists if it seems likely that people’s attitude towards their condition and their ability to manage and cope with fecal incontinence could improve with professional assistance, Perform at least a 6-monthly review

Use the medical software for proper documentation of patient care, including medications given, nursing procedures,