ASSIGNMENT: DASHBOARD ANALYSIS AND NURSING PLAN

TOPICS IN CLINICAL NURSING

2 DASHBOARD ANALYSIS AND NURSING PLAN THE DATA COLLECTED FROM WITHIN A HEALTHCARE FACILITY AND SURVEYS SENT OUT TO PATIENTS ENABLES A HEALTHCARE FACILITY TO IMPROVE ITS CARE DELIVERY TO PATIENTS. 1 THE INFORMATION COLLECTED IS FORMATTED INTO A QUARTERLY DASHBOARD WHERE GOALS ARE SET FOR EACH QUALITY INDICATOR AND THEN INTERPRETED IF THE FACILITY MET THOSE GOALS. THROUGH THE USE OF DASHBOARDS AND QUALITY INDICATORS, PROACTIVE DECISIONS CAN BE MADE BASED ON ACTUAL EVENTS OCCURRING, RATHER THAN CHANGING THE PLAN OF CARE BASED ON ASSUMPTIONS. THE DASHBOARD IS EFFECTIVE IN DETERMINING PARTICULAR AREAS IN WHICH IMPROVEMENTS WOULD BE BENEFICIAL TO NOT ONLY THE CARE OF THE PATIENT, BUT THE OVERALL MORALE OF THE HEALTH CARE FACILITY. THE DASHBOARD IS ALSO HELPFUL IN STRATEGIC PLANNING, WHERE THE ASSESSMENT OF PERFORMANCE CAN BE UNDERTAKEN (TOMLINSON., 2013). THE PAPER ANALYZES AREAS WHERE THE FACILITY EXCELS AND DETERMINING STRATEGY TO IMPROVE NEGATIVE PERFORMANCE BY UTILIZING EVIDENCED-BASED PRACTICE.

AFTER CAREFULLY ANALYZING THE DATA PRESENTED IN THIS WEEK’S DASHBOARD, COMMUNICATION BETWEEN THE NURSES AND THE PATIENTS EXCELS. NURSES DEVELOP A GOOD RAPPORT WITH THE MAJORITY OF THEIR PATIENTS AND GIVE THOROUGH EXPLANATIONS OF THE CARE PROVIDED. HOWEVER, NURSES’ PROMPTNESS AND ATTENTION TO DETAIL A NEED TO BE AN AREA

SafeAssign Originality Report https://class.waldenu.edu/webapps/mdb-sa-BBLEARN/original…

2 of 8 12/24/19, 12:05 AM

ADDRESSED TO IMPROVE PATIENT OUTCOMES. THUS, IT COULD ALSO BE THE RESULT OF NEGATIVE DATA REFLECTED ON THE DASHBOARD THAT REPRESENTS PATIENT SAFETY MEASURES SUCH AS FALLS, PRESSURE ULCERS, MISLABELED SPECIMENS, AND UNCONTROLLED PAIN. PATIENT SAFETY IS CRUCIAL IN THE PLAN OF CARE AND, IF NOT CAREFULLY ADDRESSED, COULD LEAD TO ADVERSE EVENTS AND OUTCOMES.

Nurses need to focus on details to minimize the chances of errors, ensure efficiency, preventing injuries, provide a good impression, and analyze information. Emphasizing on the improvement of details enhances tasks’ performance accuracy. It is essential to avoid errors during treatment to ensure quality services to all patients. 1 CAREFUL MANAGEMENT OF DETAILS INFLUENCES GENERAL EFFICIENCY AND SUCCESS IN THE HEALTHCARE FACILITY. Error minimization also leads to the satisfaction of the patient. 1 BY DEVELOPING A NURSE-PATIENT RELATIONSHIP, YOU CAN ADDRESS NEEDS AND CONCERNS OF THE PATIENT, AS WELL AS PICK UP ON DETAIL-ORIENTED CUES THAT WILL NEED IMPLEMENTATION FOR EVERY PATIENT TO MAINTAIN A BALANCE OF TRUST AND COMMUNICATION DURING THE PATIENTS STAY.

THE ATTENTION OF DETAIL LEADS TO PATIENT SAFETY. THE LEADERSHIP SHOULD DEVELOP PATIENT SAFETY THROUGHOUT THE HOSPITAL. Leadership plays a crucial role in building and developing a culture. This created safety culture reduces hazards since the main emphasis is on processes of care (IHI, 2017). The organization’s managers should take the responsibility of creating a conducive working environment by being role models. For instance, they should;

SafeAssign Originality Report https://class.waldenu.edu/webapps/mdb-sa-BBLEARN/original…

3 of 8 12/24/19, 12:05 AM

· Ensure patient safety as health care facility priority · Offer education to the hospital staff concerning the dedication to reduce errors witnessed in medication processes · Strengthen proactive methods for reducing care errors · Incorporate patient safety priorities into the new treatment models of all relevant organization processes and functions Many quality indicators fall into the category of patient safety, such as medication errors or adverse events, pressure ulcers, falls, restraint use, nosocomial infections, VTE, etc. 1 VARIOUS TOOLS CAN BE SET IN PLACE TO ENSURE ADEQUATE MONITORING OF THESE AREAS TO PROTECT THE PATIENTS AND THE FACILITY. CONDUCTING A THOROUGH HEAD-TO-TOE PHYSICAL EXAMINATION ON ADMISSION IS A HIGH PRIORITY. PATIENTS COME INTO THE HOSPITAL, AND WE TREAT THEIR SYMPTOMS, HOWEVER, MANY TIMES THERE MAY BE AN UNDERLINING PROBLEM THAT NEEDS TO BE ADDRESSED TO ENSURE AN OPTIMAL OUTCOME AND PATIENT EXPERIENCE. A FULL PHYSICAL ASSESSMENT GIVES YOU A THOROUGH PICTURE OF THE PATIENT’S CONDITION.

THE BEST PRACTICE WOULD BE CONDUCTING A FALL RISK ASSESSMENT AND A SKIN RISK ASSESSMENT ON EACH PATIENT EVERY SHIFT OR AS NEEDED IF THERE HAS BEEN A CHANGE IN THE PATIENT’S CONDITION. WITH A FALL RISK ASSESSMENT, IT CAN DETERMINE WHAT INTERVENTIONS NEED PUT IN PLACE TO ENSURE PATIENTS ARE FREE FROM PHYSICAL INJURY WHILE IN OUR CARE. THE FALL RISK ASSESSMENT WE USE AT OUR FACILITY IS SIMILAR TO THE ONE PRESENTED BY JOHN HOPKINS, CALLED THE JHFRAT (HOPKINS MEDICINE, 2017). THE FALL RISK ASSESSMENT APPROACH ADDRESSES VARIOUS VICTIM SAFETY INDICATORS SUCH AS;

SafeAssign Originality Report https://class.waldenu.edu/webapps/mdb-sa-BBLEARN/original…

4 of 8 12/24/19, 12:05 AM

· AGE AND HISTORY OF FALLS WITHIN SIX MONTHS · ELIMINATION OF BLADDER AND BOWEL (URGENCY, INCONTINENCE, AND FREQUENCY) · MEDICATIONS (ANTICONVULSANTS, ANTIHYPERTENSIVE, HYPNOTICS, LAXATIVES, SEDATIVES, PSYCHOTROPIC, AND DIURETICS,) · USE OF PATIENT CARE EQUIPMENT (A IV INFUSION, A CHEST TUBE, INDWELLING CATHETER, AND IV INFUSION) · MOBILITY (UNSTEADY GAIT OR NEEDS ASSISTANCE) · SENSATIONS (A DECREASE IN HEARING, AND VISION) · COGNITION (IMPULSIVE BEHAVIOR, SEDATION, OR ALTERED MENTAL STATUS) IF THE PATIENT SCORES GREATER THAN SIX, THEN THEY ARE REQUIRED TO WEAR FALL RISK SOCKS, FALL RISK BRACELETS, AND BED/CHAIR ALARMS ARE PUT IN PLACE. THIS FALL RISK ASSESSMENT IS A GREAT TOOL AS WE CAN REASSESS IT MULTIPLE TIMES THROUGHOUT THE DAY TO ENSURE THE SAFETY OF THE PATIENT AND DECREASE THE RATE OF FALLS ON OUR DASHBOARD TO IMPROVE QUALITY INDICATORS. IT ALSO SHOWS THE PATIENTS THAT WE ARE CONCERNED FOR THEIR SAFETY AND ARE PUTTING ALL MEASURES OF SAFETY IN PLACE TO ENSURE A POSITIVE OUTCOME.

ANOTHER BEST PRACTICE TOOL WE CAN UTILIZE WOULD BE THE SKIN RISK ASSESSMENT FOR COMBATING AND MANAGING PRESSURE ULCERS. 3 A CLINICALLY VALIDATED TOOL IS THE BRADEN SCALE THAT PREDICTS PRESSURE SORE RISK. The tool also permits health practitioners to confidently score the level of risk of a client for pressure ulcer development. 1 THE TOOL MEASURES A PATIENT’S FUNCTIONAL CAPABILITIES THAT LEAD TO EITHER HIGH INTENSITY OR REDUCED TISSUE TOLERANCE FOR PRESSURE.

SafeAssign Originality Report https://class.waldenu.edu/webapps/mdb-sa-BBLEARN/original…

5 of 8 12/24/19, 12:05 AM

HIGH LEVELS OF RISK FOR ULCER PROBLEM IS ASSOCIATED WITH LOWER LEVELS OF FUNCTIONING (NLM, 2013). The Braden scale employs different categories to establish skin risk of a patient, such as exposure to moisture, physical activity, meaningful response to pressure-based discomfort, nutrition, and friction and shear risk, regulation, and control of body positions. 1 A SCORE OF 18 OR BELOW ALERTS THE NURSE THAT THE PATIENT MAY BE AT RISK FOR PRESSURE AREAS, A SCORE OF 9, AND BELOW INDICATES THAT A PATIENT VULNERABLE TO AREAS WITH HIGH PRESSURE. INTERVENTIONS FOR TREATMENT SHOULD AVAILED TO PREVENT PRESSURE ULCERS FOR AT-RISK PATIENTS. The nurses should;

1 · INSPECT THE PATIENTS’ SKIN ON EACH SHIFT · MANAGE MOISTURE ON THE SKIN SURFACE · CONDUCT A SKIN RISK ASSESSMENT OR AS NEEDED IN CASE OF A CHANGE IN A CLIENT’S CONDITION · MINIMIZE PRESSURE TO BONY PROMINENCE BY REPOSITION PATIENT EVERY 1-2 HOURS · INCREASE NUTRITION INTAKE AND HYDRATION (IF THE PATIENT IS UNABLE TO CONSUME THESE ORALLY THEN INTRAVENOUS METHODS NEED TO BE IMPLEMENTED). BY COMPLETING EACH OF THESE STEPS FOR ALL PATIENTS, IT WILL PREVENT SECONDARY DIAGNOSIS AND PROLONGING OF PATIENT STAY.

4 · MAINTAIN SKIN INTEGRITY TO INCREASE THE PATIENT’S OUTCOME AND SATISFACTION THROUGH THE USE OF QUALITY INDICATORS AND DATA COLLECTION, WE CAN IMPROVE OUR PATIENT SATISFACTION AND THE CARE WE DELIVER DAILY. 1 BY UTILIZING THE BEST PRACTICES TO MAINTAIN PATIENT SAFETY AND RECOGNIZING THE NEEDS AND CONCERNS OF OUR

SafeAssign Originality Report https://class.waldenu.edu/webapps/mdb-sa-BBLEARN/original…

6 of 8 12/24/19, 12:05 AM

PATIENTS, WE CAN ACHIEVE HIGH STANDARDS. WE MUST REALIZE THAT PERFECT SCORES ACROSS THE DASHBOARD IS UNREALISTIC. 4 HEALTH CARE AND EVIDENCED-BASED PRACTICES ARE ALWAYS CHANGING, AND THE CARE WE ARE PROVIDING IS BECOMING MORE ACUTE. 1 BY CONTINUING OUR EDUCATION AND HAVING OUR PATIENT’S SAFETY AS OUR NUMBER ONE PRIORITY, WE WILL CONTINUE TO EXCEL IN THE HEALTH CARE CONTINUUM.

Reference

Hopkins Medicine. (2017). 1 FALL RISK ASSESSMENT: JHFRAT. 1 THE JOHNS HOPKINS UNIVERSITY, THE JOHNS HOPKINS HOSPITAL, AND JOHNS HOPKINS HEALTH SYSTEM. Retrieved from: 3 HTTP://WWW.HOPKINSMEDICINE.ORG/INSTITUTE_NURSING /MODELS_TOOLS/FALL_RISK.HTML

INSTITUTE FOR HEALTHCARE IMPROVEMENT. (2017). 1 PATIENT SAFETY PLAN. St. 1 FRANCIS HEALTH SYSTEM: St. 1 JOSEPH MEDICAL CENTER. Bloomington, Illinois. Retrieved from: 3 HTTP://WWW.IHI.ORG/RESOURCES/PAGES/TOOLS /PATIENTSAFETYPLAN.ASPX

NATIONAL LIBRARY OF MEDICATION. (2013). Braden Scale. 1 NATIONAL INSTITUTES OF HEALTH, HEALTH & HUMAN SERVICES. Retrieved from: 1 HTTPS://WWW.NLM.NIH.GOV /RESEARCH/UMLS/SOURCERELEASEDOCS/CURRENT /LNC_BRADEN/ TOMLINSON, P., HEWITT, S., & BLACKSHAW, N. (2013). 1 JOINING UP HEALTH AND PLANNING: HOW JOINT STRATEGIC NEEDS ASSESSMENT (JSNA) CAN INFORM HEALTH

SafeAssign Originality Report https://class.waldenu.edu/webapps/mdb-sa-BBLEARN/original…

7 of 8 12/24/19, 12:05 AM

AND WELLBEING STRATEGIES AND SPATIAL PLANNING. PERSPECTIVES IN PUBLIC HEALTH, 133(5), 254-262. Retrieved from: 4 HTTP://DX.DOI.ORG/10.1177/1757913913488331

SafeAssign Originality Report https://class.waldenu.edu/webapps/mdb-sa-BBLEARN/original…

8 of 8 12/24/19, 12:05 AM

0 replies

Leave a Reply

Want to join the discussion?
Feel free to contribute!

Leave a Reply

Your email address will not be published. Required fields are marked *