Monitoring the TAT is one of the most important part of laboratory services. It is considered as the key performer indicator and many clinicians used it to judge the quality of a laboratory. In many critical care laboratories unsatisfactory TAT is a major source of complaints and it directly delays the patient treatment process. To improve the TAT in critical care laboratories, implementing the appropriate corrective measures are always important to maintain the quality assurance and provide the quality patient care.
Among the various recommendation that decrease the critical care laboratories TAT, using the electronic patient logbook will drastically decrease the laboratory TAT. According the research done by Chauhan, Trivedi, Patel & Haridas (2014) indicate that use of electronic patient log book will reduce the TAT of whole blood hemoglobin, sodium, arterial blood gas from 43 minutes to 33 minutes and potassium and lactate from 42 min to 31 minutes with no significant change in the
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By the help of sample monitoring screen, status of each sample received in the lab can be easily determined and technologist can process the sample in the order it was received in the lab. According to the research done by Fei, Zeng, Wang, Zhong & Wang (2015) indicate that more than 80% of the laboratories that used the TAT monitoring screen will maintained the target goal of their sample TAT. This monitoring screen helps to monitor the time status of each action done by technologist such as receiving time, total processing time and the time at which results were release by the lab. Similarly, it also helps to calculate daily electronic notification status, comprehensive sample status summary and calculate 24 hours TAT status report for maintaining the TAT of each sample in the critical care
On account of theses limits other tools that are more efficient, objective and accurate are necessary to enhance acute hospital care. The National Institute for Health and Clinical Excellence (NICE 2007) have highlighted the importance of a systemic approach and advocated the use of EWS to efficiently identify and response to pa...
One of the pivotal roles of a nurse is the ability to recognise patient deterioration. The skill of identifying crucial elements of deterioration and acting appropriately is fundamental for positive patient outcome. A vital skill performed primarily by nurses is the act of respiratory rate measurement. This skill is performed in addition to five other physiological parameters, which form a basis for a scoring system. The scoring systems commonly used are known as NEWS (National Early Warning Score) and EWS (Early Warning Score). As many adverse events are preceded by a period of time where by the patient exhibits physiological dysfunction, there is often time to correct abnormalities. This has significance for nurses, as they are responsible
During an incorrect count, the scrub nurse should notify the surgeon immediately, and the count should be completed again (Phillips, 2013). The circulating nurse should check the floor, trash, furniture and the entire operating room (Phillips, 2013). The scrub nurse should check the mayo stand and the drapes (Phillips, 2013). The surgeon will check the wound and surgery field (Phillips, 2013). The immediate supervisor should be notified and should check the count and help the team with the search (Phillips, 2013). If the search is unable to find the missing item, then the surgeon will decide whether or not to close the wound before an x-ray is taken. In any case of an unresolved count, an x-ray should be completed before the patient exits the operating room (Phillips, 2013). This x-ray will show if any item is still in the patient (Phillips, 2013). An incident report should be completed by the circulating nurse and documentation should be made on the operating room record even
Following the proper guidelines for reducing the risk of transmission of TSEs in a clinical setting, the risk has been greatly reduced. As mentioned before no iatrogenic transmission from a medical instrument has been recorded since 1976 since following the standard guidelines. In an experiment by Amin et al., they examined the risk of transmission of vCJD via contact tonometry. They outlined that transmission could be further reduced by using larger volumes of washes for extended periods of time and also adding wiping between washes (16). This could help in the future to completely eradicate TSE transmission completely by increasing sterilisation methods. Proper training on all aspects of transmission of TSEs through medical equipment and proper sterilisation methods should be updated just to keep staff up to date to prevent the risks of TSEs transmission.
Improves access to patient data. This is much easier and faster than paper files which can be easily lost or misplaced.
chartings in the medical record of a patient, taking the patients vitals and reporting abnormal to
The nurse must take five minutes at most to complete the MSAAT and has to make sure everything is complete for accurate
When starting off the day I did use the 60 second assessment tool to ensure there were no abnormalities with my patient. I looked for any IVs the patient many of had, there was one but no fluids were attached. I also looked for urine output from the patient because the patient did have a catheter in place. I also checked to ensure safety precautions were in place because the patient was a fall risk, the reason why he was here in the first place. I think this tool can for sure help to pick out the priorities of your patient with just a quick glimpse.
The purpose of this experiment is to determine the absolute configuration of an unknown chiral secondary alcohol using the competing enantioselective conversion (CEC) method. This method uses both R- and S- enantiomers of a chiral acyl-transfer catalyst called homobenzotetramisole (HBTM), in separate parallel reactions, and thin layer chromatography to identify the stereochemistry of the secondary alcohol, whether it be an R- or S- enantiomer. Quantitative analysis was performed using a program called ImageJ after the appropriate picture was taken of the stained TLC plate. The molecular structure of the unknown alcohol was identified using 1H NMR spectroscopy by matching the hydrogens to the corresponding peak.
I was informed by a fellow classmate that my patient’s oxygen flow meter was turned off. I provided safety to my patient by monitoring the flow meter; making sure that it is turned on while doing focus rounding on my patient. Also, making sure my patient’s oxygen saturation stays within normal range, and that the patient is not in any respiratory distress.
Another responsibility of our RRT is that they do “computer rounding”. During their computer rounding, they look at each unit to see how many patients are on the unit, check to see if patients are on the correct precautions, and also to identify any acute changes that the primary nurse has missed or has not addressed. One way they are notified of an acute change is by an assigned Rapid Response Number. Anytime a patient has a low, high, or any type of critical value vital sign, lab result, or radiology result, the system alerts the RRT and if a patient is assigned a number 5 or higher, rapid response has to immediately contact the primary nurse. As a floor nurse, sometimes it can become hectic caring for a heavy patient load and sometimes things can be missed, vital signs can be incorrectly entered, or it is possible a nurse is not aware of situation. I know personally I was recently contacted because a multi-care tech (MCT) documented a patient’s oxygen saturation as 79%. RRT immediately contacted me and questioned me about the result. At the time, I did not know of oxygen saturation level because I was still doing my medication pass and was not notified by the MCT. Thankfully after re-checking the patient and speaking with the MCT, we actually realized the MCT charted 79% instead of 99%. However, if it was correct, hopefully the swift and immediate action taken
According to Joint commission “a recent Globe investigation found that, from January 2005 to June 2010, 216 hospital patient deaths nationwide were linked to issues with patient monitor alarms. In many cases, medical staff failed to notice the alarm or take immediate action to help a patient in distress.” When the post ox is not in use to turn off the parameter on the monitor. Next step would be to place the monitor on standby when patient is off the unit to prevent the constant alarming. Retraining of the nurse to the monitor to help trouble shot can benefit the patient as well as the nurse to help them to be more proficient in their task. Small changes can lead to a better outcome for patient safety. The pilot will take place in ICU with all nurse educated on the process along with the doctors. Two monitor will be as to voluntary to monitor the alarms and the response time. Data will be collected for two weeks and reevaluated to ensure that Patient safety is first and foremost maintain. All information would be shared with nurses, management, Doctors and
During the care of patient ensuring safety and quality is one of the biggest challenges in health care setting across the world. As I had worked as a Nurse Team Leader in an acute care set up, I believe that harm prevention is one of the fundamental aspects while providing care to patients as it leads to increased morbidity and mortality rate with economic burden. Center for Disease Control and Prevention (2011) reported 80,000 catheter related blood stream infections occurring annually in US hospitals leading to increased hospital stay, patient suffering and expended financial resources. Now days, patient safety has been very much recognized as priority target of any organization In order to gain trust of patient by achieving the standards
They have a nurse-run extended hour clinic that treats common illness. They use the rapid test to rule out or to help diagnosis thing such as strep infections, pregnancy, flu, diabetes or even cardiac issues by utilizing an EKG machine (Bicki et al., 2013, p. 1042–1049).
Westgard, J. O. (2013). Perspectives on Quality Control, Risk Management, and Analytical Quality Management. Clinics in Laboratory Medicine, 33(1), 1-14.