one-paragraph summary for this article A Scoping Review of Strategies Used to Implement the Surgical Safety Checklist

Ramírez-Torres, Pedraz-Marcos, A., Maciá-Soler, M. L., & Rivera-Sanz, F. (2021). A Scoping Review of Strategies Used to Implement the Surgical Safety Checklist. AORN Journal, 113(6), 610-619. https://doi.org/10.1002/aorn.13396

Reference

 

Altman, M. R., McLemore, M. R., Oseguera, T., Lyndon, A., & Franck, L. S. (2020). Listening to women: Recommendations from women of color to improve experiences in pregnancy and birth care. Journal of Midwifery & Women’s Health, 65(4), 466-473. https://doi.org/10.1111/jmwh.13102

 

Answer the following questions

1) select a recommendation from

1. Interactions with Individual Health Care Providers
2. Interactions with the Health Care System 

2) Explain the concerns adressed (must look at the results (pgs. 467 -471)

• detailed explanation of the recommendation is found in the RESULTS section (pgs. 467-471

Fill in the empty blocks with the information for Assessment and Management of Newborn Complications: Manifestations of Exposure to Selective Serotonin Reuptake Inhibitors

ACTIVE LEARNING TEMPLATE: System Disorder STUDENT NAME DISORDER/DISEASE PROCESS REVIEW MODULE CHAPTER Alterations in Pathophysiology Related Health Promotion and Health (Diagnosis) to Client Problem Disease Prevention ASSESSMENT SAFETY CONSIDERATIONS Risk Factors Expected Findings Laboratory Tests Diagnostic Procedures PATIENT-CENTERED CARE Complications Nursing Care Medications Client Education Therapeutic Procedures Interprofessional Care

You are the registered nurse on duty at a skilled nursing facility. Judy, a 35-year-old, full-time nurse’s aide on the day shift, has been with the skilled nursing facility for 10 years. You have worked with Judy on numerous occasions and have found her work to be marginal at best. She tries to be extra friendly with the staff and occasionally brings them small treats that she bakes. She also makes a point of telling everyone how much she needs this job to support her family and how she loves working here. She has a disabled daughter who relies on her hospital-provided health insurance to have her health-care needs met. Most of the other staff seem willing to put up with Judy’s poor work habits, but lately, you have felt that her work has shown many serious errors. Things are not reported to you that should have been—intake and output volumes that are in error, strange recordings for vital signs, and so on. She has tried to cover up such errors, with what you suspect are outright lies. She claims to have bathed patients when this does not appear to be the case, and has said some patients have refused to eat when you have found that they were willing to eat for you. Although the chief nursing officer acknowledges that Judy is only a marginally adequate employee, she has been unable to observe directly any of the behaviors that would require disciplinary action and has told you that you must have real evidence of her wrongdoing in order to for her to take action. During morning report, you made a specific request to Judy that a confused patient, Mr. Brown, assigned to her, be assisted to the bathroom, and you told her that someone must remain in the room to assist him when he is up, as he fell last evening. You also told Judy that when in bed, Mr. Brown’s side rails were always to be up. Later in the morning, you take Mr. Brown his medication and notice that his side rails are down and after pulling them up and giving him his medicine, you find Judy and talk with her. She denies leaving the side rails down and insisted someone else must have done it. You caution her again about Mr. Brown’s needs. Thirty minutes later, you go by Mr. Brown’s room and find his bed empty and discover he is in the bathroom unattended. As you are assisting Mr. Brown back to bed, Judy bursts into the room and pales when she sees you with her patient. At first, she denies that she had gotten Mr. Brown up, but when you express your disbelief, she tearfully admits that she left him unattended but stated that this was an isolated incident and asked you to forget it. When you said that it was her lying about the incident that most disturbed you, she promised never to lie about anything again. She begged you not to report her to the chief nursing officer and said she needed her job. You are torn between wanting to report Judy for her lying because of concerns about patient safety and also not wanting to be responsible for getting her fired. To reduce the emotionalism of the event and to give yourself time to think, you decide to take a break and think over the possible actions you should take.

 

QUESTIONS:

Does this problem have ethical dimensions? Provide a rationale.

Apply a problem-solving model and identify a solution to this problem.

A. Explaining laboratory values and diagnostic tests:
Briefly describe what each laboratory value represents and the reason it is ordered.
Indicate what an abnormal finding means (include normal values if applicable)
1. Troponin I & T
2. Creatine kinase (CK)
3. Creatine kinase MB (CK-MB)
4. Electrocardiogram (ECG)
5. Echocardiogram
6. Stress testing
B. Define the following terms associated with cardiac function:
1. Afterload
2. Cardiac output
3. Contractility
4. Preload
5. Stroke volume
C. MI Medications:
For each medication class, answer each of the following:
1. What is its mechanism of action?
2. Why is it prescribed in an MI? What does it do for the patient?
3. Provide at least 1 example of a medication in this class (use generic names only).
4. List at least 3 nursing assessments that should be done prior to giving this medication.
5. List at least 2 nursing assessments that should be evaluated after giving the
medication.
6. What are complications and/or adverse effects of this medication?
7. What should the nurse teach the patient when taking this medication?
a. Antiplatelet
b. Anticoagulant
c. Narcotic
d. Beta blocker
e. Nitrates
f. Thrombolytics
D. Create a table that compares and contrasts right and left sided heart failure. The table
should include:
1. Signs and symptoms
2. Diagnostic tests
3. Treatment:
a. Dietary considerations
b. Medications (List at least 4 medications used in heart failure and include what
they do and why given)

 

References

 

Hoffman & Sullivan (2020). Davis Advantage for Medical Surgical Nursing, (2nd ed.).

Assessment Technologies Institute, LLC. (2016). RN adult medical surgical nursing (10th ed.).