The term non-compliant patient refers to someone who does not take medicine according to prescription or fails to follow the prescribed course of treatment. The failure to comply can sometimes occur because the patient refuses to adhere to instruction by a healthcare provider.
It is difficult to deal with non-compliant patients due to the frustration of trying to help someone who has no concern about the effort and danger of failing to take medication according to prescriptions. Those who are not careful can lose their professionalism and rationality making it even harder to convince a patient on the need of compliance. An individual who is non-compliant feels more powerful and in control of the verbal interaction if the caregiver becomes emotional.1.How to Deal With Non-Compliant Patients
The first thing by a professional who is dealing with a non-compliant patient is to make the person understand the dangers of deviating from instructions by a medic. It is a bonus to make the person comply. These approaches guide professionals to deal with non-compliance.2.Determine the reason for non-compliance
It is simpler to find a solution for a patient has a reason for failing to comply than someone who is adamant. Nursing is a resourceful profession and the training together with experience can yield to alternative solutions.
Here are the frequency reasons for failing to comply with medical instructions that enable a nurse to determine if a non-compliant patient requires help or is just stubborn.
- Failing to get proper education and does not understand the medical issue and risks that might occur after failing to comply
- A condition in the patient like a mental condition or hearing disability that causes misunderstandings
- A patient does not have the money or insurance to pay for recommended tests, medications and treatments
- A patient thinks that treatment is uncomfortable, painful, embarrassing or a cultural taboo.
Other patients will stretch patience because they fail to comply deliberately and are unlikely to meet for these additional reasons:
- A habit of stubbornness without care for explanations that medical staff provide
- Lack of faith or trust in the health care facility, diagnosis and treatment.
After determining the reason for non-compliance, these steps will help to manage the patient especially when failure to comply was a stubborn action.3.Maintain rationality
It is essential to stay rational because losing your cool will cause a power struggle that does not guarantee a win by persuading the patient to change. An increase in frustration and irrationality by a professional makes the non-compliant patient more stubborn.
4.Explain the directive
Sometimes it might be wrong to assume that a patient knows the meaning of medical instruction. It might be that the person does not understand and deserves the benefit of a doubt by clarifying the importance of a medical directive.5.Place responsibility at the rightful place
The responsibility for refusing to comply with medical directions should lie with the patient, and a caregiver should not agree to shoulder the burden. For instance, a patient can insist on knowing the ways that a nurse can use to cause compliance. It is essential to inform him that there is no action to enforce submission but explain the medical consequences of failing to take medications or treatment and then he will carry the blame for the inaction.6.Set reasonable limits
Some non-compliant patients want to test the ceiling to see if the healthcare provider will budge and change the original instructions on medication and treatment. Setting reasonable limits and consequences is essential. The person will think that nothing will happen if he limits are unreasonable. You should be ready to enforce some results when setting the boundaries. The action could be something simple like telling the patients to leave the room, or you get help to remove them if they are not going to comply with treatment or medication recommendations. Enforcing the limits makes it simple to manage such persons in future because they know you will take action if they are unreasonable.
Charting and documenting when dealing with a non-compliant patient is very crucial because it will provide evidence if there is a future inquiry about a failure to complete treatment. It feels great when those who know how to deal with non-compliant patients succeed in changing their attitudes. However, it should not be a reason for self-blame when patients choose not to comply after an explanation on the need to change their stubbornness.
Self-diagnosis is a process by a patient to identify a medical condition without seeking medical help from a professional. The diagnosis could be from the knowledge that a person learns by reading medical resources on the internet, books, dictionaries or past personal experience. Other diagnose by identifying similarities in symptoms and medical signs to those in family members or friends who are suffering from a condition.
Nurses should accept that self-diagnosis is now a reality in the medical field. The most challenging aspect of managing patients who self-diagnose is to establish trust and a rapport. It is clear that such patients have meaningful information about infections that they learn from discussions with other people, the internet or publications. It is essential to develop strategies that simplify the management of a patient who self-diagnose if you are a nurse or healthcare provider.
Tips To Manage Patients Who Self-Diagnose1.Acknowledge the efforts by the patients
The first step is to make the patients who self-diagnose to feel that you appreciate their knowledge. Healthcare providers should get into the shoes of such patients to better understand what they are going through and to determine the better solution. Patients feel that someone is giving them the importance and validates their effort by acknowledging the trouble they took to research on their symptoms to the point of achieving a diagnosis.
2.Strike a friendly conversation
Communication is essential for an excellent healthcare provider-patient relationship. It is vital to approach the situation delicately even if a patient diagnosis is inaccurate. Start by acknowledging the valiant effort in an attempt to diagnose, articulate the correct diagnosis and demonstrate the common understanding. Explain the concept of differential diagnosis that occurs when different illnesses or injuries are present and show similar symptoms if applicable.
A friendly approach recognizes the effort of a patient is self-diagnosing but corrects the wrongs without arrogance or belittling the person. This method of dealing with a patient does not entirely discredit the self-diagnosis but states the similarity of symptoms between the wrong self-diagnosis and the correct diagnosis. Approaching the situation with an understanding enables a healthcare provider to develop trust and better rapport with a patient.
3.Encourage verbalization of the feelings
Patients tend to listen to, and trust medical staff who encourage a verbalization of their feelings and listen to them .It also helps to establish a rapport that makes a patient reveal information concerning self – a diagnosis which is helpful in narrowing down to a better potential diagnosis.4.Build on the shared information
The information by a patient provides an excellent opportunity to find something relevant from their symptoms if you can take time to achieve a good grasp of the things that a patient believes and understands. It is best to build on the information that patients share when it possible to add on to what you know about the symptoms and correct diagnoses.5.Suggest extra resources to guide the patients
Providing additional information increases knowledge by the patients and might guide them to correct some false assumptions. Health experts should advise the patients to find information from websites and other resources affiliated to healthcare institutions and medical centers to access more accurate facts on self-diagnosis. Data from such locations has undergone a thorough examination before publishing to ensure that they carry the most accurate and up-to-date information. It is vital to inform the patients that they should avoid sites that have excess adverts because the writers may have edited the information to meet requirements that favor the advertisers.
6.Educate the patients about dangers of self-diagnosis
More people are spending time on the internet finding information about medical conditions and some might assume that they are masters of their health. Healthcare providers must diagnose, treat and also educate the patients to prevent mistakes in future. Healthcare providers must act as the patient's advocate after assessment and diagnosis. It makes it part of their duty to inform the patients about the pros and cons of a self-diagnosis.
If possible, you should provide visual aids for the patients to achieve a better understanding of the things that they might experience when something about their diagnosis goes wrong. Patients who get accurate information from their care providers will minimize reliance on the internet and other media for self-diagnosis.
A critical care nurse (CCN) is a nurse with specialized training, knowledge, and skills to provide care to acutely ill patients. A CCN offers care to patients with healthcare demands that require close monitoring. A critical care nurse should take care of 1-3 critically ill patients at a time in an intensive care unit (ICU), but this is just an ideal number. The number of patients can increase beyond the three especially at places where staff shortage in rife. Someone who wants to offer critical care nursing should follow specific steps to attain the position.
Steps to Becoming a Critical Care NurseEnroll for a nursing program
The first step is for nurses to finish the nursing studies to become a registered nurse. It is a prerequisite requirement for critical care nurses to be registered nurses before they enter this specialized field of nursing. Most employers prefer critical care registered nurses (CCRNs) with a Bachelor of Science degree in nursing. Some start by getting an Associate's degree level, but it is essential for nurses who want to be CCNs to consider academic qualifications before writing their applications.Obtain licensing to become a registered nurse
Each state has it set of requirements for nurses to earn their registered nurse license. It is essential to visit the state board of nursing website at the state where you plan to practice and determine the eligibility requirements. Nurses obtain a license to practice after passing NCLEX-RN the (national council licensure exam for registered nurse).
Earn the relevant experience
Critical care nursing requires certification that nurses can only get if they have particular expertise in a critical care field. The period to gain experience in intensive care settings is also an opportunity for exploring desires to become a certified critical care nurse. Experience in critical care nursing is somewhat significant because it is a requirement that a nurse must fulfill before obtaining a CCRN certification.Get a Critical Care Registered Nurse Certification
Nurses who pass the licensure exam to practice become eligible for CCRN certification. Certification is not a requirement to work in the critical care settings, but many nurses in working environments choose to get CCRN training and credentials that they get through professional associations such as American Association of Critical-Care Nurses (AACN) in the USA.
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CCRN-E certification is available for registered nurses who work are roles where they monitor the critically ill patients through technologies from remote locations and cameras. CCRN certification is also available to those working in critical care environments and issues, but they do not provide direct patient care.
Nurses who take the AACN route provides training and certification test to RNs aspiring to become critical care nurses in the neonatal, pediatric or adult field. A nurse can fulfill the requirement by AACN for CCRN certification by choosing one of these options:
1.1,750 hours experience working as an APRN or RN offering direct care to acute/critical patients for the past two years. 875 of these hours should be from the most recent year before application.
2.Five years experience that includes a minimum 2,000 hours to work directly with the critically or acutely ill patients. I44 hours should be in the most recent year before the application.
After determining the eligibility, AACN informs the applicants about the fee they should pay to take a computer-based exam and get a CCRN certification that is valid for three years after passing the examination.CCRN Recertification for a Critical Care Nurse
CCRN recertification takes place three years after getting the first certification. CCNs should apply for recertification to maintain their eligibility for the role. Those applying to for recertification should have these qualifications in place.
1.Experience of 432 hours or providing direct care to critical/acute patients during the three-year certification period. 144 of these hours should be in the past 12 months before the renewal date.
2.100 units of Continuing Education Recognition Points in three categories covering areas of caring practice, diversified care, collaboration, and clinical inquiry.
3.Recertification candidates can also use the option passing a renewal exam instead of obtaining the 100 units of CERPs above.
Critical care nursing is a specialty that healthcare professional regard as a valuable practice in caring for patients with acute illnesses. It is a hectic career that suits staff nurses with interest to specialize in a high charged nursing specialty.
Nursing is one of the most challenging jobs, but it is still right to choose a specialty that will challenge career growth and flexibility. If you enjoy the ongoing change and challenges, a risk management nurse job could be the right fit. You should begin by knowing the qualification and responsibilities of the position.
What are risk management nurse jobs?
A risk management nurse delivers safe and trusted healthcare. The nurse should build a relationship with the patients and families to guide them through their treatment plan. The expectation for nurse risk managers is to keep providing the patients and families updates about adverse outcomes of the medical choices as much as possible. They update the patients without compromising or jeopardizing the welfare of hospitals.
For instance, a patient might suddenly terminate a treatment plan, and it will become the duty of a risk management nurse to assess the situation of a patient and let the person know possible consequences of the decisions. The nurse works to control the physical and financial issues relating to the patient and hospital.
A nurse risk manager needs advanced knowledge of modern practices and procedures because it is essential to have a mastery of the issues to inform patients about the things they should expect. Learning about modern practices also helps a nurse to recognize problems and risks. The role of a risk management nurse does not stop at the service to patients. At times the responsibility can extend to scheduling the nursing staff. It involves mentoring and supervising the nursing staff as necessary.
In an overview, the place where a nurse risk management works gives a specific assignment. In most cases, risk management nursing jobs might also include these duties:
Management of human and psychological factors in a health care setting
- Risk financing
- Incident and event management
- Handling general, financial and business aspects
- Overseeing the daily operations of an institution’s risk management program
- Claims and insurance management
- Ensuring that all the services that an institution provides comply with the regulatory requirements
- Examine and assess data to determine the potential loss
- Create, implement and evaluate risk management programs of an institution
- Examine and asses data to establish the potential loss
The tasks that a nurse earns will depend on the educational background. Nurses who need to learn the necessary skills can acquire them by practice or through education.
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How to Get Risk Management Nurse Jobs
Dozens of options are available for nurses searching for risk management jobs. It is a position that they can find at a wide range of organizations and settings. Besides clinics and hospitals, risk management nurse jobs are available in these settings:
- Consulting firms
- Government agencies
- Insurance brokers and carriers
- Long-term care
- Ambulatory care
- Office surgeries
A bachelor's degree in nursing is an essential requirement to apply for a risk management nurse job. Some employers require applicants at their institutions to have a master's degree. Particular course in nursing like psychology, pharmacology and behavioral science also count.
It is only a licensed nurse who can work in the risk management job. Licensure requirements vary at different states. it is essential to determine the conditions at the state where someone intends to work. Some places consider risk management nursing as an administrative job meaning that applicants should undergo further licensing procedures by the state.
Other Additional Skills for Risk Management Nurse Jobs
A risk management nurse job requires other skills besides nursing competence to enable those in the position to excel in the post. This job requires excellent planning and coordination skills. A risk management job is a role for someone who can work individually and a part of a team. Time management skills are also crucial as this is a role that takes plenty of time to evaluate programs, train employees and participate in staff meetings among many other things.
Do you need to advance your career? You might need to start taking additional continuing education. This education may include healthcare risk management programs or other interdisciplinary training that might cover relating areas like management and law. Continuing education is also necessary too for maintaining of a license.
Risk management nurse jobs are available at many institutions, but they require someone with more knowledge than nursing skills. It is a position for someone who can coordinate activities, train others and handle formal procedures relating to the job. It requires someone who can work in stressful situations and remain calm under the intense pressure.
A dog will become an emotional support animal (ESA) if it can take the basic obedience commands. A dog that cannot stay or sit properly after a command will have challenges in understanding instructions and will not provide the kind of emotional comfort that you expect it to provide. Start the training early and stick with the routine.
Taking commands is crucial and it might even require the help of a professional if you are not making progress in making the dog to learn obedience.
Steps To Train Your Dog to Be an Emotional Support Animal1.Start with simple steps
Start easy by teaching your dog these four most common commands.
Say each of these words in a level and a calm voice when practicing these steps with the dog. Use release words like good or ok when you are ready to signal the dog to break the pose.2.Follow the three Ds program.
Many dog training experts recommend training a pup should follow this three-step program on the first commands. It is a program that centers on these three D –words (Duration, Distance and Distractions) that come in handy during training of a therapy dog to be providing emotional support.a.Duration
Start by positioning the dog in a pose that you want and hold for about three seconds before you use the release work such good, nice, ok to show your approval. Increase this time gradually by few seconds after each interval until the dog learns to hold the command successfully on its own.
Move away from the dog slowly for about one step at a time to build its independence. Return to the starting position before your utter the release word.c.Distractions
Build a strong foundation in the first two steps before you start introducing distractions. When the dog masters them, it is time to add distractions like mimic real-life experiences or getting another person to talk or pass or do something that will distract. It is a vital step because an emotional support animal is likely to encounter different environment when living or going for a walk with you. It is essential for the dog to master your voice and the appropriate way of responding at any time. It is an integral part of building the bond.
You should teach a dog the emotional support on how to provide emotional support and care after it understands the standard commands.3.Sofa and paws command
Some treats help to coax a dog to get onto a sofa if it has not been doing it. Show the dog a gift and move it to the back of a couch as you excitedly call its name and add paws up. A reluctant dog might need rewarding for an extended time of getting rewards after climbing onto the sofa. You should also teach the "paws off" command for the dog to climb down from the sofa. You can begin by rewarding it until it masters the control.Practice
You should aim at getting the dog to place all four paws on a sofa if it is small in size and take a down position. A larger dog with a weight that you do not want to bare soul only put the head or front paws on the sofa after “paws up” command. Practice the "paws up" and off command until the dog understands the meaning and follows the instructions even without a treat or reward.4.Laying on the sofa
A dog will provide you with emotional support if it learns to lie along your body vertically with the paws on your shoulder and places its neck next to yours. The posture suits a dog that is small to medium size. A large dog should learn to put its paws across your legs or place his head on your lap when you occupy a sitting position.
Use the paws up command and down command to train the dog about the position to occupy when it is lying on your lap or vertically to you. Give the dog a treat when it takes the correct place to offer emotional support until it masters the command before issuing the paws down command. Back and forth training will teach the dog on how to apply pressure (shoulder or lap depending on its size) without expecting a food reward.5.Train the dog to identify signs of anxiety
Train the dog further after mastering the above techniques to determine when you are in a stressful situation by mimicking the symptoms that you experience at such moments. Practice it when you are calm and reward the dog after following the commands because it will learn the action to perform when you need it at times of anxiety.
Emotional support animals calm people in unique ways. Learning how to train your dog to be an emotional support animal is an essential step because it can provide affection and dedication during difficult times.
Scrubs are not just a work uniform, but they also represent a symbol of a profession. Another purpose of the scrubs is to ensure the safety of the patients through proper hygiene. The difficult task is to keep them clean without bacteria. It takes much effort especially for nurses who run a hectic shift.
Nurses have much responsibility to prevent compromise of patients’ health by ensuring that they wash their scrubs properly and disinfect them. Disinfection of scrubs cannot be on dirty linen, and it is essential to clean the scrubs thoroughly before disinfecting.
How to Wash and Disinfect Scrubs1.Separate scrubs from other clothes
Scrubs are dirty because they gather man contaminants at work. It is essential to separate and wash them separately from regular clothes. The right way is to separate the scrubs soon after arriving home by placing them is different laundry bag or hamper. Make a habit of carrying a freezer bag and store your scrubs in it n the way home if you change to regular clothes at the workplace. It is efficient in sealing the dirty scrubs until the time to laundry.
You can wait to accumulate several dirty scrubs before washing to conserve water and energy. Separating a large heap before cleaning is necessary because a washing machine will clean well if there is adequate room from clothes to move around. It will not clean thoroughly if the scrubs are squeezing too much.2.Check the scrubs for stains
Scrubs are likely to have stains, and it is essential to remove them before washing. Different stains require a particular thing to remove them. A small amount of vinegar or bleach on blood stains will help to clear. A mixture of vinegar (one part) and two parts of water will remove the coffee stains.
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You should wash the scrubs should be in cold water and detergent. Ensure that the setting is at normal. The first wash should clean the scrubs inside out to prevent abrading. Check them for stains after the first wash is complete because they can set during the second round of washing that needs hot water. You can proceed with a second wash after determining that there is no residual. It might be necessary to soak the scrubs for proper disinfection if the stains are still visible. The soaking should not be for too long because the bleach mixture has properties that might damage the fabric.4.Use bleach for stains in the washer
Bleach helps to clear stains, and you can use it in a laundry machine with a bleach dispenser. It helps to dilute the bleach before adding it to the laundry load. Some washers do not have a dispenser, but you can still use bleach by filling the tub with hot water before adding ¾ cup of bleach. Remember to add it to the washer before the scrubs. It is essential to avoid using full strength bleach on the scrubs because it might weaken the fibers and completely remove the color.
The regular wash with warm or hot water and spinning in the dryer will eradicate most germs, but it is efficient as disinfecting. Taking an extra step of disinfection is essential. White cotton scrubs need disinfection by adding sodium hypochlorite (chlorine bleach) to a wash cycle. Do not directly pour bleach on the clothing. Pour chlorine bleach into a washer bleach dispenser or dilute it with water before adding to a washer drum.
Oxygen-based bleaches do not provide any disinfectant qualities when you use them the for home laundry process.
Pine oil disinfectants are suitable for colored scrubs or those that are not cotton material. You should add them at the start of a wash cycle and are more effective in warm and hot water. The product should contain 80% pine oil for maximum efficiency. Phenolic disinfectant is another superb alternative for disinfecting colored scrubs5.Tumble the scrubs dry in high heat
Wash the scrubs using the highest heat setting and tumble the dry for about 30 minutes to help in killing the bacteria. Cleaning scrubs in the regular laundry steps, adding disinfectant and machine drying kills any virus and bacteria on the fabric. By following regular laundry steps, adding a disinfectant, and machine drying, any virus in question, even the AIDS virus, will be killed.
Pain is an unpleasant physical sensation that occurs due to injury and illness. The unpleasant sensation is subjective because it depends on the intensity that a patient feels.
A nurse who is caring for a patient who is in pain should know how to access the type and intensity of pain for appropriate management of the discomfort. Pain is in two types that a nurse can distinguish according to the cause, duration, and onset.
Acute pain: The onset is slow or sudden with the intensity ranging between mid and severe. It might happen to occur after surgery, medical procedure, critical illness or trauma. The duration of acute pain is less than six months.
Chronic pain: This type of pain lasts for more than 6 months with an intensity range of mild to extremely incapacitating. Chronic pain can in some instances restrict a patient from performing daily activities and usually leads to despair.Nursing Care Plan for Pain Management Diagnosis
As we noted, pain is highly subjective, but the description by patients about the pain they are experiencing is the best indicator. A nurse cannot prove or disprove what a patient is feeling but also cannot assume. It is also essential for a nurse to ask about the cause of pain and the period that it has been in place.
A nurse should also observe nonverbal indicators of pain such as moaning, facial grimace, crying and guarding. Nursing Care Plan for Pain Management Goals and Outcome The goals and expected the results for nursing care plan for pain management are:
- Patient displays improved well-being such as BP, pulse, respiration, body posture or muscle tone.
- A patient describes a satisfactory pain control at the level that is less than 3-4 on a scale of 0-10.
- A patient uses both pharmacological and non-pharmacological pain relied strategies
- Patient displays improvement in mood and coping with the pain.
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Nursing Care Plan for Pain Management Assessment
Assessment of pain that a patient is experiencing is the first step to addressing the problem and planning strategies to manage it. A patient is the most reliable source of information regarding the ache.
Descriptive scales such as visual analogue can also enable a nurse to distinguish the degree of pain. A clearer picture about pain develops after an assessment of pain characteristics in these terms.
- Quality for example burning, shooting and sharpness
- Severity on a scale of 0 for no pain to 10 that indicates the most severe
- Onset (sudden or gradual) Location regarding anatomy
- Duration -The period of existence and whether the pain is intermittent or continuous
- Precipitating or relieving factors
Some people deny the existence of pain, and a nurse should give attention to associated signs that might help in evaluating pain. For instance, a high heart rate, blood pressure and temperature can be present in patients with acute pain. A patient's skin can feel cold to touch and appear pale. Some manifestations that help to indicate the presence of pain are restlessness and an inability to concentrate.
Nursing Care Plan Interventions and Rationales
Assessment is a crucial step in the management of pain because it helps to determine the type, intensity, and effective relief. Nursing care plans for pain management should start by fast acknowledgment of pain reports. Early intervention can help to decrease the amount of analgesic necessary to treat a patient.
It is essential for a nurse to obtain a medical history to check current and past use of analgesic/narcotic to determine the appropriate method of pain relief. Patients with acute pain are likely to require nonopioid analgesic round the clock unless there is a contradiction.
Doctors are likely to prescribe the right medication, but nurses have a responsibility to ensure they adhere to medication instructions and administer the nonpharmacological pain relief methods such as music therapy, breathing, and relaxation exercises. These methods work by increasing a release by endorphins that help to boost the therapeutic effects of the pain relief medications.
Nurse burnout is a mental, physical and emotional state that occurs because of chronic overwork. It might also occur due to continued lack of support and fulfillment with a job. Nursing working environment exposes the professionals to many stressful issues that might lead to burnout. Everyone in nursing can get burnout although there are those who are more risk due to their personality and working environment. It is a condition that affects the mental and emotional wellness to the point of changing the quality of life. Such a person is not in the appropriate state to offer quality care to patients.
Patient infection rates increase due to nurse burnout because they will be getting care from someone who does not have complete capability to offer the kind of care that a professional should provide.
Whats the link between Nurse Burnout and Patient Infection RatesOverwhelming Nurse Burnout symptoms
Burnout causes exhaustion, low sense of accomplishment and job-related cynicism. It might even develop to clinical depression if untreated because unaddressed problems accumulate over time.
These burnout symptoms make it curtail that ability of nurses to interact well with patients, notice the risk of infection or offer standard care that helps patients to heal as well as preventing infections.1.Irritability
Irritability is a frequent human emotion and is a sign of burnout when excessive or chronic. Irritability occurs because a nurse is frustrated by the work and might reduce the input at work to the extent of negligence that exposes patients to a risk of infection.2.Reluctance and intolerance
Burnout can make nurses to feel reluctant about doing some things and intolerant to changes that help to prevent patient infections. Reluctance to work also interferes with professional efficacy meaning that the nurse offers a raw deal to patient care.3.Calling in sick frequently
Nurses with severe burnout and are unaware of self-care methods are likely to feel sick and take more off days to recover. Nurses who suffer burnout because of staffing shortage will hurt the nurse to patient ration when the call in sick. It will reduce the number of nurses attending to patients. The nurses at work might not be able to provide adequate attention to the patient and can miss things that might cause patient infection.
4.Exhaustion and fatigue
Nurses work for long busy hours, and it is not unusual for professionals to get some fatigue. Constant exhaustion even during the off days is dangerous and is a sign of burnout. Fatigue can be emotional and physical, but both make it difficult for nurses to do their challenging jobs. Exhaustion can cause an inability to focus, confusion and difficulty in making decisions leading to these mistakes that increase the risk of patient infection.
- Failing to ask for assistance when it is necessary
- Medication errors by giving the wrong medicine or dosage. Some of the of the nurses are not in the right mental frame due to severe burnout and make a mistake of giving medication to a wrong patient.
- Failing to communicate critical information that could have assisted in preventing infection or eliminating risks to their peers or physicians.Failing to contact doctors quick enough in an emergency
- Making charting errors
Nurses with burnout are likely to have impaired memory, attention and functionality that decrease attention to the detail. Nurses with burnout are at more risk of making errors due to diminished cognitive function, vigilance and an increase of safety lapses. Such mistakes place patient at more risk of infection as the nurse is not in the right state to enhance preventive measures.
Burned out nurses are detached from work and unknowingly develop negative attitudes towards the patients. All the factors that are causing fatigue impair the capacity to deal with technically complex and dynamic nature of efficient nursing care.
Nurse fatigue that leads to burnout is dangerous to nurses and even their patients because they will be the recipients of poor quality care even without their knowledge. For example, a nurse who is struggling with burnout can make mistakes when reading a patient’s record and fail to administer medicine that could prevent opportunistic infections that can occur in a patient under treatment for another condition. For instance, a patient with a wound or burns will need to a prescription to prevent infection by bacteria that enters into the body through the damaged skin. A nurse who fails to administer the medication because of distraction by burnout increases patient infection rates.
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Nurses spend a lot of time with their patients as it is part of their healthcare system. It is part of their job as they get lots of opportunities in observing and monitoring patients to see how they are faring and spot problems early. Understanding how to asses a patient’s wellbeing i.e. checking his or her pressure and temperature is part of her daily routine. Undertaking this career often leaves nurses with lots of questions. Many are not always content with their selves as it is a process which requires deep preparations and the right attitude for the job. Nurses are in demand for their services in many healthcare centers. It is also evident because many schools require admission letters of purpose before joining. Nursing skills are vital in preparing yourself for a future of serving and caring for others by learning and acquiring upon the skills and characteristics needed to succeed on the job. Many clinical skills are important that will help you achieve greater strides in your career.
1. Good communication skills
Nurses are always on the frontline of care. Many will have to pass critical information that is coming from a physician to a patient. He or she must create an open dialogue with patients and their families so they fully comprehend medication, diagnosis or any other medical concerns that may be in need. Clear concise information amongst fellow colleagues is key as it involves sharing of responsibilities and caring for your patients. Many nurses find themselves sharing information with critically ill patients or their doctors. Strong communication is critical for achieving this.
2. Possess critical thinking skills
For one to be admitted to the nursing field, critical skills are vital to employing in your everyday life situations. Crucial decisions need to be met and solved on the spot as it always a matter of life and death. Showing confidence and quickly mitigating the issue is necessary to the nursing profession field.
Nurses often meet surprises in their daily operations. Emergency situations are constant in their day to day operations. Many nurses should be able to juggle the strenuous schedules that they have. Showing the capability to adapt to the evolving schedules is imperative to them succeeding. Apart from acquiring skills, nursing must constantly attend remedial classes or go back to books to improve their nursing skills. as the world continues to evolve so is the emergence of new medications and diseases that should have them prepared for the rest of their careers.
There are multiple sources for improving nursing skills. resources help improve a nurse’s competency in the profession and provides an overview of procedures or the desired outcomes that need communication with the patient’s family. Nurses can also improve their skillsets by acquiring additional resources that include resources covering a wide range of topics that relate to their communication skills, critical thinking skills and about drug information.
Enhancement of your clinical skills also includes accessing drug information and also knowing those that contain precautions, side effects before administering them to patients. Another way of enhancing your skillset is by continuing to work on education modules that will help expand their knowledge capacity and thinning areas. Having a broad scope of knowledge is beneficial to one’s career. Many diseases are emerging in this fast-paced moving healthcare environment. One can increase their skills with additional resources that includes going through research information’s found in clinical libraries and textbooks covering a wide range of topics. Nurses can greatly improve their skills through resources which focus on many areas of clinical nursing that include patient care, technical, nursing, communication, and critical thinking skills as stated above.
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Post a substantive 250- to 400-word response to the
- Select one of the stories presented in Chasing Zero: Winning the War on Healthcare Harm, and research additional background information as necessary.
- Provide a summary of the story, the errors, and how those errors can be prevented.
- What strategies can APNs employ to prevent errors and contribute to a culture of patient safety?
- What challenges in the implementation of continuous quality improvement (CQI) have you observed in your own clinical practice?
Chasing Zero: Winning the war on Healthcare Harm is a documentary that looks at the growing problem of medical errors will providing various ways and ideas on how the risk could be reduced. The documentary shows a list of medical errors and how these errors have on a family life as it also describes the way that the families have been affected. Among the errors is the medical negligence when Dennis and Kimberly Quaid twins were accidentally given Heparin (1,000 times stronger) in the place of Hep-lock, fortunately for them it did not cause death to the lives of the twins (TMIT, 2012). Also the other error was due to the fact that Heparin and Hep-lock were stored in a similar colored bottle and were also labelled the same way which made it difficult to know the difference (TMIT, 2012).
From watching the documentary it is evident that some of these errors can be avoided by APNs and promote the culture of patient safety. One of the ways includes improving the old system and processes of administering or labelling medication and coming up with new ones (TMIT, 2012). For example having a checkbox list is one of the ways that resident surgeons can use to prevent errors. Also the barcode technology is among the safest ways to check for medication safety before administering it.
One of the challenges that I have observed in the implementation of continuous quality improvement during my clinical practice has been poor coordination between the various departments of patient care (TMIT, 2012). There is also poor communication between nurses and the system of care which does may promote various medical errors. It thus important for APNs to educate themselves about problems of patient safety and the potential solutions to improve care within their environment.
TMIT. (2012, August 3). Chasing Zero: Winning the War on Healthcare Harm. Retrieved October 17, 2019, from https://www.youtube.com/watch?v=MtSbgUuXdaw