week 6 DQ 2 reply (3)
if you could please answer to the following classmates with 100-150 each reply . should you have any questions do not hesitate to ask. thanks
My proposed EBP involves the utilization of SSC for breastfeeding and newborn/parental bonding. This is going to be accomplished in part by implementing staff and patient education on its importance and benefits for the newborns and their families. The main aspect that’s changed as I’ve thought through/researched this proposal more is the “timing” of this education for our patients, especially our Hispanic patients. As I’ve mentioned previously, most of our Hispanic patients receive their prenatal care in our OB clinics, so early and ongoing educaton is especially important in this patient population to help overcome their apparent cultural tendency to simultaneously breast and bottle-feed. Therefore, the natural place to start this educational process would be during the prenatal period, so coordination with these clinicians would be important to help ensure success of this proposed project. Providing laminated posters on the SSC intervention in our L&D rooms is another idea I thought of to supplement my verbal teaching for our patients. I realized as I went through this process, that a more hands-on, direct approach was necessary and that it’s important to take advantage of all our “teachable moments” with our patients as much as possible, that is being aware of when they’re most motivated and receptive to recieving the teaching.
My EBP is focused on preventing falls and keeping the patient safe. The number one thing nurses do is assess the patient and when it comes to fall risk we should slack off. The current fall risk scale is 4-5 questions and it isn’t very good. At first my EBP was more focus on the proper staffing to help prevent falls but as nurses we know we won’t ever have that. So, I had to figure out a more likely plan. So, I thought about the assessment process. The top 80% of falls are people over the age of 65. (Callis,2016) The age should be one of the main fall risks. If the person scores high enough then we start implementing certain things depending on the risk category they fall in. Once the assessment goes to affect it will be self-explanatory. Nurses will just have to follow a step by step process and depending on the score the nurse will start certain things. The staff will just have to be educated on the new process and when to start certain safety steps to keep the patient safe. Falls cost the hospital a lot of money each year and one fall could cost up to $20,000 depending on the injury that occurred. With some falls are impossible to stop but other can be prevented if the right assessments are done.
Callis, N. (02/01/2016). “Original Article: Falls prevention: Identification of predictive fall risk factors”. Applied nursing research (0897-1897), 29,53.
Burns, E. R. (09/01/2016). “The direct costs of fatal and non-fatal falls among older adults—United States.”. Journal of safety research (0022-4375), 58,99.
The issue at San Joaquin General Hospital Intensive Care Unit is an increased number of hospital acquired pressure injuries that increases cost, length of stay, and mortality. While observing the culture and practice of the staff, I can see barriers that prevent the interventions needed to provide the best care.
My proposed solution starts with staff education through NDNQI on identifying pressure injuries correctly (Sandra Bergquist-Beringer, Davidson, & Cuddigan, 2019). Many nurses admit to not feeling comfortable with staging pressure injuries. Second, a policy change is needed that states any transfer of caregiver requires a 2-person full skin assessment with documentation in the electronic medical record (EMR). The current policy is vague and has not been updated since the implementation of Cerner (EMR). Lastly, introduce interventions that will help prevent or minimize pressure injuries that currently exist in the organization such as floating heels, positioning wedges, and specialty mattresses. Most of the products within the organization have vendors that will come and educate staff on proper use. Proper use of equipment is essential in prevention.
I have come to this conclusion through countless hours of observations and viewing the EMR documentation. I have also spoken to staff and received great feedback on what they feel is needed to increase their practice and improve patient outcomes.
Sandra Bergquist-Beringer, P. R., Davidson, J. M., & Cuddigan, P. R. (2019). NDNQI A Press Ganey Solution. Retrieved from Pressure Injury Training Modules: https://members.nursingquality.org/NDNQIPressureUl…
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