Each hospital has a specific policy and procedure protocol for every patient related procedure etc. These protocols vary form hospital to hospital yet their main purpose is to provide specific details on how they want the procedures performed. It is important to provide a rationale along with current research as to why certain procedures need specific details. I will be including what current evidence based practice suggest and what Santa Clara Valley Medical Hospital’s policy suggest is the proper protocol for seizure precautions. Evidence based practice is important in health care because the roles of nurses and doctors is to keep the patients safe while treating them and helping them recover in the hospital. It is a …show more content…
VMC uses padding for three to four side rails placed in the upright position to prevent injury to the patient, they are not considered a danger as stated by Banner Health in 2011. Banner health mentioned that Medical immobilization that inhibits a patient’s mobilization to prevent injury of falling out of bed is considered restraint use in a non-violent situation. The potential hazards associated with seizures contribute to a higher standardized mortality rate for patients with epilepsy compared to the general population. (Carlson, C. 2009-2015). Numerous studies have examined the potential benefits of video-EEG monitoring for the patients, families and healthcare system in terms of
It allows the nurse to be better educated with the care that he or she is providing in order to improve the outcome of the patients health. Evidence-based practice is also important in order for the nurse to prevent errors in the patients care. This allows more productive time to be geared toward the care of the patient instead of using past techniques that may prove counterproductive (Houser, 2013).
When many people think of epilepsy they think of someone falling on the ground shaking and jerking uncontrollably and the thought makes them uncomfortable. Some believe bystanders should put a wooden spoon in the mouth of the one having a seizure and hold them down. These are both misconceptions. Most people think that epilepsy and seizures are the same, this information is also incorrect. Epilepsy is an often misinterpreted disorder. To better understand the disorder and the lives of people with Ep more information and education is needed.
Pressure ulcers occur over bony prominences when skin is compressed for long periods of time, affecting the blood supply to certain areas, leading to ischaemia development (Waugh and Grant, 2001). Compression of skin is caused by pressure, shearing and friction, but can also occur due to pressure exerted by medical equipment (Randle, Coffey and Bradbury, 2009). NICE (2014) states that the prevalence of pressure ulcers in different healthcare settings in December 2013 was 4.7%, taken from data available for 186,000 patients. The cost of treating ulcers can vary depending on severity from £43 up to £374 (NICE, 2014). Evidence based practice skills are essential in nursing as it allows the best available evidence to be used to improve practice and patient care, while improving decision-making (Holland and Rees, 2010). I will be critiquing two research papers; qualitative and quantitative, using a framework set out by Holland and Rees (2010), and will explore the impact on practice. Using a framework provides a standardised method of assessing quality and reduces subjectivity.
First, avoid injuries keep the patient from falling and prevent any further head injuries until the seizure stops. Second, record what the patient is experiencing. Information will be very important for the patent neurologist. If breathing seems sufficient note the patient's response, apply oxygen and place the patient on his left side to allow any excretion to drain, never place anything in the mouth of the seizing patient.
Next, it is important for the caregiver to protect the patient from injury during a seizure episode. This protection will help to ensure that the person having the seizure will fall and be guided gently to the floor. It is essential to move anything that might cause further injury to the person during the seizure. If the patient is already on the floor, do not try to hold the person down or move the person because that can cause further injuries. Turning the patient on their side during a seizure will help keep their airway clear of any fluids that they may produce during the seizure. After a seizure episode, the aide will check to see if the person has any injuries or if the person is having trouble breathing. If there is an obstruction in the airway they can use their fingers to clear the mouth of vomit or saliva. It is possible that the person may be sleepy or confused about where they are once they come out of the seizure, but the caretaker will need to stay with the
Epilepsy is not what you think. It is a complicated disease, a disease that doesn't just affect one type of person or age. Over fifty million men, women, and children cope with this disease daily. Epilepsy is a mysterious disease to those who are unfamiliar and uneducated about the disease. Many people have preconceived notions about Epileptics. Researching the topic thoroughly, the five preconceived notions I explored have been proven to be false.
Evidence based Practice allows for there to be a relationship between the care of patients and the best practices available. In order to achieve this relationship EBP combines a few key components in the clinical setting to enhance decision making to provide the best care possible. These key components are:
Evidence-based practice is important because it let nurses know what they are doing, why they are doing it and how they can do it well. Also, evidence-based practice is a process of professional learning, even in training the nurse must know how to ask the right
Nurses have many responsibilities. Providing safety and the highest quality client care is one of the top priorities. The collective goal for the Quality and Safety Education for Nurses (QSEN) is to educate nurses and future nurses to constantly refine their knowledge, skills and attitude to provide the highest safety and quality to their patients (Cronenwett et al., 2009). Evidenced-based Practice is one of competencies written by QSEN. This is a process which involves the healthcare provider to efficiently and effectively collect appropriate data and research activities to provide optimal healthcare to the patients (Cronenwett et al., 2009).
The ECT was being administered in theatre in the general hospital. In advance of the treatment the clients vital signs were checked and it was confirmed that consent was given. The client was then transferred to theatre. Present in the room was the anaesthesiology team, ECT nurse, surgical nurse, psychiatric consultant, registrar, psychiatric nurse and student nurse. Initially the client was hooked up to a machine to record her vital signs, anaesthetic and muscle relaxants were administered and the client was ventilated with 100% oxygen. Under anaesthetic the client has reduced capacity to breathe hence oxygen is administered, pure oxygen also reduces the deleterious effects on memory. Anaesthesia and muscle relaxants reduce the seizure threshold and the risk of injuries from motor activity during the seizure (Fink 2009). The client remained in the supine position, conductive jelly was applied bilaterally to the temples and the psychiatrist administered the electrical stimulus. The choice between unilateral and bilateral electrode placement remains
As every patient is unique and has his/her own condition, nurses and other health care providers need a source to follow as a guideline. Evidence based practice can be used as good guideline for health care provider, and it also can show different ways of care and their results. Evidence based practice has a huge role in the world of nursing profession. One of the biggest goals of nurses is to apply the evidence into their practice in a right way, even though a lot of nurses could not apply the evidence into their practice in the right way. ((Schmidt & Brown, 2015). Role of a professional nurse is to implement the evidence into practice in a right way, and create the right result from it. There are a lot aspects involved in evidence based practice
According to Lewis, Dirksen, Heitkemper & Bucher (2014), “Evidence-based practice is a problem-solving approach to clinical decision making. It involves the use of the best available evidence in combination with clinical expertise and patient preferences and values to achieve desired patient outcomes.” Using evidence based practice in nursing is extremely important, because evidence-based practice is the result of others trying a practice one way but needing to change some of the guidelines to make the practice safer and over all better for patients.
Evidence Based Practice is a principle that is centered on the improvement of patient care and outcomes, by introducing and researching current based evidence when making decisions for that patient. According to Johnston (2016), “Health-care practitioners are increasingly being encouraged to implement research evidence into practice in order to ensure optimal patient outcomes and provide safe, high-quality care”. Throughout the course of this class, whether it be from researching about Evidence Based Practice, or the implementation of nursing care delivery models, patient care and the way we treat our patients is at the forefront of change. We know that change is necessary, now it is just a matter of how to implement that change into the healthcare
Itroduction: Evidence-based practice is an approach to medicine that uses scientific evidence to determine the best practice (Beyea & Slattery, 2006). As nurses perform their daily tasks they must continually ask themselves, “What is the evidence for this intervention?”. Nurses are well positioned to question current nursing practices and use evidence to make care more effective. In order to improve patients’ outcomes it is the responsibility of the nurse to transition evidence-based practice into the norm, through application of daily practice (Flynn Makic, Rauen, Watson & Will Poteet, 2014). Continual evaluation of current practice must be performed to ensure the use of evidence-based practice opposed to practice based upon tradition. The implementation of evidence-based practice standardizes healthcare practices and diminishes groundless variations within care. These variations lead to the production of uncertain health outcomes (Stevens, 2013).
Evidence-based practice is important because it lets nurses know what they are doing, why they are doing it and how they can do it better based on scientific research. Then evidence-based practice is a process of professional learning, even in training the nurse must know how to ask the right questions, how to critically appraise evidence, how to make clinical decisions and how to solve the clinical problems. Then the evidence-based practice is not only required for the nurses to have knowledge but also the nurses need to use this knowledge to identify evidence to inform practice and how you might subsequently assimilate this