NR392 Quality Improvement in Nursing Assignment Paper

Course Project Milestone 1 Template

For Use SEPT 2018

Permalink: https://collepals.com//nr392-quality-im…assignment-paper/

Directions: Prior to completing this template, carefully review Course Project Milestone 1 Guidelines paying particular attention to how to name the document and all rubric requirements. After saving the document to your computer, type your answers directly on this template and save again. This assignment is due by Sunday end of Week 1 by 11:59 p.m. Mountain Time.

Your Name:Nickflor Jean  NR392

 

Assignment Criteria	Your Answers:   (NOTE: See Milestone 1 Grading Rubric for details required in each area.)
Nursing Care Issue and Outcome   30 points	Nursing Care Issue: My nursing care issue is I.V. infiltration in pediatrics     Outcome: To reduce the number of IV infiltration in my unit by 50% in the next 6mths.
Details of the Issue   45 points	IV infiltration can be explained as the leakage of medications or IV fluid into the neighboring cells and tissues. It is mostly caused by factors such as displacement of the catheter or an improper placement. The catheter can be displaced due to the movement of the patient. I.V. infiltration takes place when nonvesicant drugs escape from the veins and leak out to the neighboring cells and tissues. IV infiltration has various side effects such as discomfort, compartment syndrome or a need to reinsert the intravenous catheter. Such acts will likely increase the time the patient is hospitalized and/or permanent damage to children. NR392 Quality Improvement in Nursing Assignment Paper   Some of the signs and symptoms of this issue include blanching and cool skin, a decrease or stopping of the flow rate, burning, swelling and discomfort. There are a number of measures that can be utilized to prevent IV infiltration from happening. Some of the preventive measures include but not restricted to selecting the best site for IV infiltration and avoiding places of flection. NR392 Quality Improvement in Nursing Assignment Paper ·         Using the right venipuncture method ·         Regularly observing the IV site and documenting ·         Inform the patient to report any tenderness or inflammation at the site ·         Re-train nursing staff in IV initiation, maintenance, documentation and Identification of all risk factors
Reason Issue Selected   25 points	I chose this issue because it is of significant impact to the patients and their families if it occurs. For example, when a patient stays longer in hospitals, families will incur more costs when indeed it can be prevented. I have also mentioned the problem of permanent damage such as nerve damage and muscle damage depends on the medication or the type of fluid.I.V. infiltration can also lead to the damage of the nerves. For example, if the catheter is in the hand and a nerve is damaged, in addition to the other effects, the patient will lose some of his functioning of that hand or experience a feeling of numbness (Goldenholz, 2017).  These are negative consequences which we should try to avoid at all costs. NR392 Quality Improvement in Nursing Assignment Paper     I’ve been working as a nurse in the PICU for the past 3 years and every year we experience several cases of IV infiltration usually caught in the early stages however, that change last months alone we had two severe cases of IV infiltration which led to compartment syndrome and another patient having to stay with us 5 days longer then need be. NR392 Quality Improvement in Nursing Assignment Paper

 

References

Bonsall, L. (2015). Complications of Peripheral I.V. Therapy. Retrieved From

https://collepals.com//ncblog/february-2015-(1)/complications-of-peripheral-i-v-therapy

Goldenholz, S. (2017). Infiltrated IV complications of Nerve damage & Cellulitis. Retrieved

From https://www.livestrong.com/article/231265-infiltrated-iv-complications-of-nerve-damage-cellulitis/  

 

 

 

MORE INFO 

Quality Improvement in Nursing

Introduction

Quality improvement is a process that aims to develop systems that result in better patient outcomes. It can be applied to many different aspects of healthcare, including nursing, and it often involves continuous improvement.

Concepts of quality improvement and nursing.

• Quality improvement is a process of change that involves identifying problems, understanding their causes and consequences, developing solutions to address them, implementing and monitoring the results.

• Quality improvement is a shared responsibility between all those involved in healthcare delivery systems (e.g., clinicians, managers), including payers and consumers of health care services.

• Quality improvement is an ongoing cycle of planning, doing or learning (PDL). PDL involves planning for future events based on data collected earlier during an illness or injury; then acting on this information by taking action to prevent further harm or improve outcomes; finally learning from these actions so they can be repeated in future situations where similar conditions exist but may not have been identified before action was taken – thereby contributing towards achieving long-term goals such as improving patient safety through reduction in errors made by staff members dealing with patients each day at work place environments across many different types businesses across state lines located within city limits within county boundaries within town limits located within zip code areas defined by postal codes assigned according to latitude & longitude coordinates relative location points coordinate system used by NASA scientists who make measurements using telescopes orbiting satellites orbiting comets orbiting asteroids orbiting planets orbiting stars

Ethical issues related to quality improvement.

In order to improve quality, nurses need to be aware of ethical issues that can arise during the process. These include:

• Patient safety is the most important ethical issue related to quality improvement. The nurse must ensure that the patient’s needs are met and their rights respected at all times. For example, if there is a risk of harm or discomfort for another person (e.g., another patient or family member), then this could negatively impact your ability to provide nursing care or an intervention that would otherwise benefit both parties involved in an interaction between them—especially if it involves drugs or surgery which may require consent from other parties in order for you as a professional healthcare provider responsible for protecting those who utilize your services at any given moment so long as those same people know what they’re getting themselves into by coming here…which means taking part-time employment seriously enough not just because “it’s what everyone else does”, but because there might come a time when someone wants something done badly enough where they’ll want someone else involved too.”

Quality improvement approaches.

• Analyze the problem.

• Create a plan.

• Implement the plan.

• Assess results, and then improve process as necessary to achieve goals.*

Statistical methods and research designs used in health care quality improvement.

• Statistical methods used in quality improvement.

• Research designs used in quality improvement.

Quality Improvement is a process to develop systems that result in better patient outcomes.

Quality Improvement is a process to develop systems that result in better patient outcomes.

Quality Improvement is a systematic approach to identify and solve problems by improving the quality of care with an emphasis on patient experience. It can be used in any type of service organization, from hospitals, clinics and home health agencies to schools and daycares.

Conclusion

Quality improvement is a practice of learning, testing, and applying new ideas to improve care. It involves collaboration among staff members as well as patients, families and community members.