Competency In Nursing

(POC) documentation is the ability for clinicians to document specific computer-generated standardised nursing care plans-may support nursing care plans and support nurses POC documentation is meant to assist clinicians by minimizing time spent on documentation and maximizing time for patient care. in their administrative work((kurashima et al,(2008)...documentation(Gunningherg et al. 2009).Clinical information while interacting with and delivering care to patients. The type of medical devices used is important in ensuring that documentation can be effectively integrated into the clinical workflow of a particular clinical environment. The pivotal tool that can help us to fulfil the responsibility is Electronic documentation (journal of medicine 2010).

Introduction Improving quality of care in the healthcare system begins with the patients. According to the Institute of medicine, (IOM), the deaths per year that were caused by medical errors were estimated between 44,000 to 98,000. Medical errors are common to occur in today’s complex healthcare system, even though, hospitals and all other healthcare organizations regularly provide in-services to their staff and train them in regards to new changes in the healthcare. In addition, the health care system also provides counseling to patients who are affected by the errors and to their families afterwards. Still, medical errors still continue to occur.

This topic is serious and is important in my everyday functions as a nurse. My ultimate goal is to do a research study on this subject in the future. Landers, Abusalem, Coty, and Bingham (2012), shows that patient’s hands are full of pathogens after just days in the hospital. These pathogens are making the patients and their families at risk for HAIs. Education is imperative to preventing and reducing their risk factors for getting HAIs.

Pressure ulcer development causes increased costs to the medical facility and delayed healing in the affected patients (Thomas, 2001). Standards and guidelines developed for pressure ulcer prevention are not always followed by nursing staff. For example, nurses are expected to complete a full assessment on new patients within 24 hours at most acute-care hospitals and nursing homes (Lahmann et al., 2010). A recent study on the causes of pressure ulcer de... ... middle of paper ... ...quest.com/docview/ 195968886?accountid=14472 Berwick, D. M. (2002). A user's manual for the IOM's 'quality chasm' report.

These principles include the quality improvement working as systems and processes, concentrating on the patient and his or her needs, team effort, and focusing on the statistics. The first principle was for the improvement to work as systems and processes. This just means that the organization that desires to make improvements must recognize that the resources and activities that are carried out are put together to enhance the quality of care in the facility (U.S. Department of Health and Human Services, 2011). The organization uses the knowledge and input from nurses and connects the knowledge to activities and procedures that are carried out on a daily basis. The data from putting the two together is used to improve the care provided in the hospital.

This pain can radiate to the right shoulder and... ... middle of paper ... ...be provided practical discharge instruction and information about pain management, wound care, returning to daily activities and following up with their primary-care physician. This paper has focused on patient care after treatment for cholecystitis. As a nurse working in a medical-surgical unit, effective perioperative assessment and well-managed postoperative care can contribute to a successful outcome for the patient. Works Cited Baldwin, S. (2008). Gallbladder disease: imaging and treatment.

There is a great need for nursing interventions regarding polypharmacy, including medication reviews also known as “brown bag”. As nurses obtain history data and conduct a patient assessment, it is essential to review the patients’ medications and ask open-ended questions regarding all types of medications in which the patient is taking. In addition, the patient assessment is also an opportunity for the nurse to inquire about any adverse reactions the patient may be experiencing resulting from medications. Nurses are in a unique position to provide early detection and intervention for potentially inappropriate medications and its associated adverse drug reactions. Project Purpose PICO Question: Among the elderly patients receiving care at Cary Medical Center on Med/Surg, who are currently taking multiple medications due to comorbidities, would reviewing medications at each provider visit reduce polypharmacy and its associated adverse reactions?

After the operation the doctor said that they had gotten all of the cancer and that she would recover. After the hysterectomy, my aunt had to go through chemotherapy to make sure that the cancer did not grow back. She went to Staten Island University Hospital cancer unit to have the treatment. She went once a week for six hours. They gave her a chemical known as Taxol or taxane.

Actually, clinical decision support systems have been crucial in helping advanced practice nurses to make informed decisions and provide quality health care. Definition of these Systems: Clinical decision support systems can be described as interactive decision support systems computer software that are designed to help physicians and other practitioners in the health care system with decision making duties like the determination of diagnosis of patient information. These systems offer physicians, patients, staff, and other health care professionals with knowledge and individual-specific information that are competently sorted or provided at suitable times to improve the quality of health care (“Clinical Decision Support”, n.d.). Generally, clinical decision support systems incorporate various tools that assist in improving decision making in the medical workflow. The ability of these tools to enhance decision making is attributed to their provision of computerized alerts and reminders to health care providers and patients.

Executive Summary There is opportunity to improve the quality of health care in Jones Hospital. Information technology (IT) offers the potential to address the organization’s most pressing dilemmas: care fragmentation, medical errors, and rising costs. The leading example of this is the electronic health record (EHR). An EHR, as explained by HealthIT.gov (n.d.), is a digital version of a patient’s paper chart. It includes, but is not limited to, medical history, diagnoses, medications, and treatment plans.