Abstract Sepsis remains one of the most deadly diseases in the country. According to the literature, a majority of sepsis cases filter though the Emergency department. The diagnosis and treatment of sepsis are complex and the barriers to improving these things are even more intricate but the fact remains that improvement of sepsis care begins in the ED. Early recognition of sepsis using the SIRS criteria followed by multidisciplinary rapid response diagnostic testing and treatment are the keys to improvement of sepsis care in the ED.
1-800-MALPRACTICE Website Sepsis Sepsis is a life-threatening and potentially fatal condition caused by the body’s reaction to an infection. Sepsis occurs when chemicals normally released in the bloodstream to fight infection trigger inflammation throughout the body. This can result in damage to multiple organs, which can cause organ damage and, in some cases, death.
The Gerontology Primary Care Nurse Practitioner competencies entail a combination of acute gerontology and primary care. In order to gain entry into this field, there is need to meet the requirements for an adult-gerontology care nurse practitioner. The competencies of this field are based on the APRN along with NP core competencies. Their scope of practice is based on patient healthcare needs. Their healthcare obligations tend to reflect the work of a national Expert Panel that entails a host of adults related to gerontology and acute care (Geetter, et al., 2013).
Quality of Advanced Practice Nurses An Advanced Nurse Practitioner (APRN) promotes a comprehensive angle to health care, making them a health care provider of choice for millions of Americans who need healthcare. APRNs offer an attractive mélange of clinical expertise combined with an eminence on health management and disease prevention. Nurses from all spectrums of training utilize evidence-based research that helps them guide their care/practice and helps improve patient outcomes. This same evidence based research allows an overview of the quality that the APRN partakes in; it is in this review of the literature that divulges why so many people are happy with the quality of care that APRNs provide. The American Medical Association may
Running Head: Sepsis 1 Sepsis: A Clinical Case Study Example Conestoga College Running Head: Sepsis 2 Abstract Sepsis is an inflammatory systemic response to infection. The symptoms are produced by the host’s defense systems rather than by the invading pathogens (Schouten et al., 2008). Sepsis is a frequent cause of admission to intensive care units (ICUs) and it
As a result, healthcare is shifting from management in an acute care setting toward prevention and wellness in a community-based primary care setting (Dickerson, 2014). This has created an enormous opportunity for the expansion and emergence of new roles for Advanced Practice Nurses (APRNs) and registered nurses (RNs) alike.
Critique of Systematic Research Review: Advanced Practice Nurse Outcomes 1990-2008: A Systematic Review Wendy College NR505 Professor Critique of Systematic Research Review: Advanced Practice Nurse Outcomes 1990-2008 Advanced Practice Registered Nurses (APRNs) have the qualifications and education have an increased scope of practice that allows them to to take on many positions due to their clinical expertise. Their preparation allows them to fulfill the responsibilities to their patients and to provide a far more services in practice that other nursing professions. With recent changes in medical reimbursements and the focus on patient-centered preventive care, nurses can take on the role of nurse practitioner, clinical nurse specialist, nurse anesthetist, or nurse midwives, among others and can play a more meaningful role in the future of health care delivery. APRNs expand the delivery of primary care by becoming apt providers that are hastily confronting the need for providing effective preventative care to the general public.
Executive Summary Proposal “Blount Senior Care Partners uses a team based approach that focuses on continuity, patient independence, and clinical excellence” (Blount Senior Care Partners, 2014). Blount Senior Care Partners provides care in an outpatient geriatric clinic, several assisted living facilities, rehabilitation and long term facilities within the community and during acute inpatient hospital admissions at Blount Memorial Hospital. Currently, the care of inpatient hospitalizations is exclusively managed by the physicians of Blount Senior Care Partners. However, the Adult-Gerontology Acute Care Nurse Practitioner (AG-ACNP) possesses the knowledge and skills to be a valuable team member of Blount Senior Care Partners in both the
As America’s aging population continues to grow, chronic illnesses become more apparent, and access to health insurance increases the community now finds that there is a significant shortage, but high demand, for health care providers. In 2010, the Affordable Care Act passed, with hopes to improve the quality of health care by providing affordable and accessible healthcare. As insurance rates decreased, the rate of uninsured individuals increased, producing a need for healthcare providers (Gutchell, Idzik, lazear, 2014). With a shortage of primary care providers in the health care system, advance practice registered nurses (ARPNs) stepped in to fill the increasing need. APRNs have been in practice for years, yet certain states have placed limitations and regulations against APRN practice. These regulations predominantly restrict APRNs from practicing to their full potential and
According to the National Institute of General Medical Sciences severe sepsis strikes about 750,000 people in the United States each year and kills an estimated 28 to 50 percent of those individuals. The most vulnerable populations for sepsis are the elderly and newborns. After completing the whole eleven segments, I learned that anyone with an infection may be at risk for developing sepsis. The whole scenario helped me how to screen for sepsis and how important is to recognize and respond appropriately to early signs of sepsis in hospitalized patients. Once sepsis is diagnosed, early and aggressive treatment can begin which greatly reduces mortality rates associated with sepsis. After completing the whole scenario I learned how to approach
Sepsis, a potentially life-threatening complication of an infection, occurs when chemicals are released into the bloodstream to fight infection. These chemicals trigger inflammatory responses throughout the body (Mayo Clinic Staff, 2016). Sepsis can be triggered by any type of infection: bacterial, viral, or fungal. Contrary to popular belief, sepsis is
The role of the Nurse Practitioner was the last of the advanced practice nursing role to appear in the United States in the 1960s and 1970s.This was in direct response to a shortage of primary care physicians able to provide healthcare coverage to rural areas. These shortage still exist in today’s healthcare system. The passage of Patient Protection and Affordable Care Act place emphasis on lowering the cost of healthcare, improving quality of care, and providing more access to healthcare. The agency of Health Resources and Services Administration Agency (HRSA) released a reports that an additional 15,162 practitioners were needed to meet their primary care needs of aging populations over the next decade (Reagan & Salsberry, 2013).
Effective sepsis management not only reduces patient morbidity and mortality, but it can substantially impact the financial status of the hospital by reducing the cost of care, length of stay, readmissions and ultimately increase reimbursement. By lowering
NP’s are specially trained to manage the complexities that coincide with the co-morbidities experienced by the aging population. In conjunction with the approach to care, the NP has also proven to be cost effective, has increased productivity, and yields improvement in decreasing length of stay and improving quality of life (QOL).
Gauer (2013) argues that treatment; within the first six hours of sepsis recognition reduces the risk of the in-hospitality mortality significantly. Early detection of sepsis is essential in saving lives. You have done a good job at identifying the underlying causes of the late recoginition of sepsis in the emergency room setting. Most importantly you identified which causes were most significant, which is vital because your action plan therefore, focuses on eliminating these causes. For example, on your fishbone diagram you identified “MD taking too long to put in order for fluids and antibiotics” as a barrier which coincides with your task, in your action plan to, “decide which standing orders to have the nurses put in” as part of a sepsis protocol. It is clear when reviewing your fishbone diagram and action plan, how your task will help assist in reducing the desirable outcome: delay in sepsis recognition and treatment. Good job!