The Material Flow Committee (MFC) knew that there were many problems associated with this process and that they had to change. The people involved in this group were Sridhar Seshardi, who was the vice president of Process Excellence; Nick Gaich, who was the vice president for Materials Management; Candace Reed, who was the director of the Sterile Processing Department (SPD); and Joan Rickley, who was the director of the OR. The first step that was taken by this committee was a pilot project called the “Early Morning Instrument Prep.” This development would involve a neurosurgery nurse coming to the hospital in the early mornings to make sure that all supplies and instruments were where they would be required for neurosurgery. Another aspect of this project was to “Provide early data into possible sources of problems” (p. 5). Once the MFC had reviewed the data that came back from the “Early Morning Instrument Prep,” they decided the Hospital would greatly benefit from hiring an Implementation Specialist for Healthcare (ISH). The ISH is a firm that has a specialization in
TARGET POPULATION • Adult patients on ventilators in the intensive care units (ICU) IMPLEMENTATION RECOMMENDATIONS: For successful implementation and better outcomes: • Adequate qualified medical staff must be present in all critical care areas caring for mechanically ventilated
We then load trolleys with the necessary paperwork and go from patient to patient, checking which paperwork needs replenishing and noting down what time physiological measurements etc. need doing and tidying the bed areas.
a. Insert a central line to give intravenous fluid to a dehydrated client. b. Use sterile technique when changing dressings on a new surgical site. c. Intubate a client whose oxygen saturation is 92%. d. Prescribe aspirin for a client who presents with an acute myocardial infarction ANS: B The only intervention identified within the scope of nursing practice is to use sterile technique. Central line insertion, intubation, and prescription are functions of the physician.
The purpose of this journal is to reflect on my experience and skills gained during my clinical placement at Ben Taub Hospital. On my first clinical day, I was excited and nervous at the same time. My first placement was in the PREOP/PACU area. I was assigned to help a patient who had been in the PACU area going on 2 days. Normally, once the patient comes from surgery they are only in the PACU area for a short period of time before they are discharged home or given a bed in another area of the hospital. This particular patient still had not received an assignment for a bed. The physicians would make their rounds to come check on him daily. The patient was a 28-year-old Hispanic male, non-English speaking, he had a hemicolectomy. He had a NG tube, urinary Foley catheter, and a wound vac. My preceptor had just clocked in and she needed to check on the patient’s vitals and notes from the previous nurse. Once she introduced me to the patient and explained while I was there, she then asked me to check his vitals. (Vital signs indicate the body’s ability to regulate body temperature, maintain blood flow, and oxygenate body tissues. Vital signs are important indicators of a client’s overall health status (Hogan, 2014). I froze for a quick second. I have practiced taking vitals numerous of times and I knew I could do it correctly. I started with the temperature first, when I was quickly corrected on a major mistake I had made by my preceptor. I HAD FORGOT TO WASH MY HANDS and PUT
RAFT Task 1 Executive Summary By Cindy Granger December 1, 2011 Mission: To implement a corrective action plan in the area of Communication for Nightingale Community Hospital as required for Joint Commission Compliance. Corrective Action Plan: Standard: UP.01.01.01: Conduct a Preoperative Verification Process. At the present time Nightingale
ability of patients and assist them if needed to ensure the quality and hygiene of all patients. With
“They hold sterile instruments, anesthesia equipment, medicines, drapes, gowns, catheters, and a handheld unit allowing clinicians to obtain a hemogram and measure electrolytes or blood gases with a drop of blood. FSTs also carry a small ultrasound machine, portable monitors, transport ventilators, an oxygen concentrator providing up to 50 percent oxygen, 20 units of packed red cells, and six roll-up stretchers with their litter
These guidelines provide nurses with the most up to date regulations to keep their patients safe. Some of the guidelines include; with the administration of all medications or blood products the nurse should use two patient identifiers (such as name, DOB, MRN, and blood band), label all medications and solutions to reduce or eliminate medication errors, and prevent hospital acquired infections by providing Foley care, central line care, performing hand hygiene, etc.(“National Patient Safety Goals,”2015).
Our role is to make sure we are completing forms thourghly and submitting all required documentation, as well as codes regarding the patients diagnosis. This information is necessary in order to prove why the equipment is necessary for the
The emergency lights light up the hallway as the ambulance pulls in, everybody's hearts are racing but composure is held, that bay door opens and the EMT’s rush in doing chest compressions while steering the stretcher with precision the patient is safely transferred to another bed, the CPR continues and another team takes over all with the intent to save this life. This is a brief description of the teamwork involved in emergency medicine. This is the typical thoughts one may have about an emergency situation, but what they don’t realize is all the teamwork involved in medicine in general. I chose to do my career investigation project on becoming a Physicians Assistant.
Suppose there is a patch call with a patient exhibiting chest pain and the ambulance is five minutes out. In this case, the room is equipped and prepared with all the essential needs for the chest pain patient upon their arrival in the ambulance. After the patient has arrived, the primary nurse on duty receives a report from the Emergency Medical Technician (EMT) that accompanied and provided initial care to the patient in the ambulance. At the same time, the secondary nurse and ERT become technical, or hands on. The patient is administered oxygen, cardiac monitors are placed, an EKG is administered, locks and labs are drawn, normal saline is administered, and a urinalysis is taken along with the patients’ blood glucose level. Each of these tasks is initiated prior to the Emergency Room Medical Doctor (MD) seeing the patient, or at the same time. Emergency
4. The physician needs to insert a chest tube. What are your responsibilities as the nurse?
Description of responsibilities Upon arrival, I have the responsibility of updating the white board within the unit activity room. On this board, the activities that are being held that day are posted along with its location and time. I have also begun to write a “fact of the day” on the
The three major life-breathing concerns for a patient is a disruption of the airway, breathing, and circulation. When a patient goes into cardiac arrest due to pre-existing conditions or trauma, an EMT will initiate the steps of cardiopulmonary resuscitation (CPR) and hopefully using an available automated external defibrillator (AED). However, some patients due to having a terminal illness, age, or personal choice does not want to be resuscitated or have