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Work Based Nursing Experience Proof Reading Services
The Nursing assignment experience of a nurse who has been working with a large metropolitan hospital. It is important to understand that hospitals all over the world follow certain rules and regulations in their operation procedure for improving the health and condition of the patients. These procedures include the code blue test and other kinds of procedures like “Early Save Program’. These programs help the hospitals in reducing the number of emergency cases which has been highlighted in thenursing assessment.
1. Effectiveness of the Early Save Program
The Early Save program have been extremely successful improving the condition of the hospital and helped reducing the number of patients who need emergency help and attention. The concerned program of Early Save has been effective in recognition and response to the clinical and medical condition of the patients in the hospitals (Bennett et al.2017, p.S211). A survey analysis of the situation have indicated that before the program was introduced there were about 140 Code Blue calls and after the program was initiated the number was only 60 calls. This helps to understand that the Early Save Program which deals with providing better technical assistances to the staff and training with proper recognition of clinical condition of the patients is an effective program for the hospital (Wang et al.2014, p.349).
The Emergency Medical Team Process also increased from 160 calls to over 300 calls which resulted in less number of calls for acute respiratory problems and cardiac pain problems of the patients. Both of the issues of patients were reduced by 15% and 10% respectively.
2. Reporting Against NSQHS
In reporting against the National Safety and Quality Health Service, it is important to keep in mind that the hospital needs to clearly show all the data and information clearly that is achieved from the analysis (afetyandquality.gov.au 2017). In following the various standards of the NSQHS, the hospitals need to follow the several steps and criterions for reporting about the data and information gathered through the analysis;
- Proper recording of the psychological observations need to be made which would trigger extensive care if any emergencies occur. This step requires several actions which include records of blood pressure, oxygen saturation and other such parameters.
- Development and implementation of proper reforms and mechanisms are required for escalating care or increasing the amount of care for the patient when conditions worsen.
Responding efficiently to the deterioration of health condition of the patients in the standard 9 of National Safety and Quality Health Services require the hospital to follow certain steps that are listed below;
- Proper evaluation of the condition and using all the process to provide timely care to the patients whose condition deteriorate. The policies and procedures of responding to these calls are listed in the standard (afetyandquality.gov.au 2017).
- It is important to have a working team or force that is efficient and can respond at any given moment. The team is required to provide emergency care at least one of the clinicians are expected to remain in relevant position so that he or she can attend to the situation.
Standard 9 of National Safety and Quality Health Service refers to several of the above mentioned criterions that are needed to be followed so that the hospital staff and workers can respond to the problems of the patients effectively.
Family Presence during resuscitation
Resuscitation is the revival of a patient or a person in an emergency condition or a critical condition. It is the process that is catered to revive someone from apparent death or an unconscious state. Resuscitation is a sensitive issue and it is concerned with not only the patient but also the family members of the concerned patient. It puts a lot of mental stress on the family members of the patients that needs to be resuscitated. Healthcare organizations and practitioners need to know the kind of role family members and loved ones play in the extensive care of patients (Jabre et al.2013, p.1008). The family members and loved ones are important people in the lives of the patients and they need to be present during the process of resuscitation of concerned patients whose health conditions are critical.
There is a notion that family members who are present during the process of resuscitation are at risk to suffer from severe emotional and physical stress. Reports and analysis show that there are about 600,000 deaths in the industrialized countries all over the world (ncbi.nlm.nih.gov 2017). These deaths all over the world affect the different members of the family of the patients and their loved ones. It is important to note that family presence or the presence of loved ones during the process is a debatable question. Many believe that the risk of the mental burden is too much and which is why any kind of presence during the process should be eliminated.
Reports and analysis have highlighted all over the world that resuscitation is a method in which the family members and the loved ones present at the time of resuscitation can provide some benefits to the team of experts and doctors that are in charge of the process. It is important to note that these family members and loved ones are allowed to be present at the scene of resuscitation because it helps in improving the medical condition of the patients.
One of the arguments by experts suggests that presence of family members and loved ones during the concerned process might cause the medical staff in increasing the mental and emotional stress (Soar et al.2015, p.143). Resuscitation is a draining process and it requires a lot of mental strength both on the part of the people that witnesses the process and also the medical staff that is conducting the process. One of the factors in reviving the patients from the point of apparent death, it has to be highlighted that the family members and loved ones play an important role.
The role of the loved ones is far greater in the process of resuscitation than it is believed. In many cases, the patients benefit from the presence of their loved ones. They are subconsciously aware of the fact that their loved ones are with them and it sometimes works in favor of the process and brings positive results (Carroll, 2014, p.38). One of the other benefits of the resuscitation process is the legality of the procedure. There are instances when the family accuses hospitals and medical staff of not trying everything on reviving the patient and going through the process of resuscitation. It is important to understand that the presence of family members and allowing loved ones to be present at the time of the procedure helps in elimination of doubts of family members and loved ones about the concerned process or action. Witnessing the procedure and allowing the presence of family members can also eliminate any legal issues concerning the case of resuscitation of patients. Moreover, the emotional context of the presence of the loved ones also helps in certain ways (Zavotsky et al.2014, p.333). The bond present between different members of the families can help in creating enough positive vibes in the patients and it can help them in holding onto that particular bond. The assessment deals with several justification of why it might be crucial for successful resuscitation, the presence of family members and loved ones of the patients.
The assessment focuses different techniques that hospitals employ in different departments to reduce the number of people that could not be resuscitated. Early Save Program is such a program that helps to develop various ways in which hospitals can build a better workforce to recognise and respond to several problems that affect the clinical process of the patients. The assessment has been successful in presenting various data on the possibilities of different programs and following the standard 9 of National Safety and Quality Health Services in creating several opportunities for improved quality services. Following these have made a positive impact on the quality of services for the patients. The report also highlights different perspectives on if family members and loved ones should be allowed to witness the resuscitation process of the patients.
1. afetyandquality.gov.au (2017). Resources to implement the NSQHS Standards[Online] Available at https://www.safetyandquality.gov.au/our-work/assessment-to-the-nsqhs-standards/resources-to-implement-the-nsqhs-standards/ [Accessed on 17th October, 2017]
2. Bennett, G., Besuyen, J., Krenkel, S., O'Gorman, T., Dong, T. and Bellows, M., (2017). CODE BLUE: AN INNOVATIVE APPROACH TO IMPROVE THE RESPONSE. Canadian Journal of Cardiology, 33(10), p.S211.
3. Carroll, D.L., (2014). The effect of intensive care unit environments on nurse perceptions of family presence during resuscitation and invasive procedures. Dimensions of Critical Care Nursing, 33(1), pp.34-39.
4. Jabre, P., Belpomme, V., Azoulay, E., Jacob, L., Bertrand, L., Lapostolle, F., Tazarourte, K., Bouilleau, G., Pinaud, V., Broche, C. and Normand, D., (2013). Family presence during cardiopulmonary resuscitation. New England Journal of Medicine, 368(11), pp.1008-1018.
5. ncbi.nlm.nih.gov (2017). Family Presence During Resuscitation: Attitudes of Yale-New Haven Hospital Staff[Online] Available at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3941452/ [Accessed on 17th October, 2017]
6. Soar, J., Nolan, J.P., Böttiger, B.W., Perkins, G.D., Lott, C., Carli, P., Pellis, T., Sandroni, C., Skrifvars, M.B., Smith, G.B. and Sunde, K., (2015). European Resuscitation Council guidelines for resuscitation 2015. Resuscitation, 95, pp.100-147.
7. Wang, Y., Eldridge, N., Metersky, M.L., Verzier, N.R., Meehan, T.P., Pandolfi, M.M., Foody, J.M., Ho, S.Y., Galusha, D., Kliman, R.E. and Sonnenfeld, N., (2014). National trends in patient safety for four common conditions, 2005–2011. New England Journal of Medicine, 370(4), pp.341-351.
8. Zavotsky, K.E., McCoy, J., Bell, G., Haussman, K., Joiner, J., Marcoux, K.K., Magarelli, K., Mahoney, K., Maldonado, L., Mastro, K.A. and Milloria, A., (2014). Resuscitation team perceptions of family presence during CPR. Advanced emergency nursing journal, 36(4), pp.325-334.http://journals.lww.com/aenjournal/Abstract/2014/10000/Resuscitation_Team_Perceptions_of_Family_Presence.7.aspx