Assignment: NSGCB 468 Competency 1

Assignment: NSGCB 468 Competency 1

Assignment: NSGCB 468 Competency 1

Assessment Details

In an effort to continuously improve, your manager has asked you to share one example of patient care from your experience. Your submission as well as others will form the basis for an upcoming training, including identifying what might be done differently in future instances to improve the outcome.

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This assessment is designed to highlight the role you play in quality, safe patient care on a daily basis.

Identify a patient care case from your own practice experience that involves quality and safety.

Note: If you are not practicing or have not practiced, use a case that has received media attention or one from the textbook.

Summarize the situation.

Describe your (or the nurse’s) role in the patient care situation.

Explain the role the patient played in their own quality- or safety-related situation.

Evaluate the relationship between the patient’s care and the outcome.

Identify how the care environment affected the situation, including the nurse or provider, the patient, and the outcome.

Determine whether a quality model was employed. If yes, identify and explain it. If not, identify one that could have improved the situation.

Explain what actions you might take to improve the outcome or prevent an adverse outcome in the future.

Format your response in the following format:

825-word case study

Submit your assignment.

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Note: Please ensure that when citing or referencing an outside resource or external entity that proper attribution is made to that source. An example of a method for citing outside resources can be found in the APA 7th edition manual. Although you will not be graded on your ability to format citations in a specific format, it is expected that all learners submit work that is representative of their own original thoughts and work, and clearly attribute when referencing outside sources or entities when completing competency assessments.

Assignment: NSGCB 468 Competency 1 Sample

According to the WHO, adverse events that occur during medical treatment, like incorrect or delayed diagnoses, bacterial infections, surgical mistakes, and medication administration errors, are among the main causes of death and disability worldwide (Neves et al., 2020). The ability of a nurse to effectively observe and engage with patients is frequently a determining factor in their ability to prevent such incidents. Nursing staffing is a crucial aspect of patient safety because it affects how well nurses can perform their duties when they are caring for too many patients. In this paper, I present a patient care case from my own practice experience that involves quality and safety regarding nurse staffing and technology.

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Summary of the Situation

            During my previous practice, a patient presented to the clinic with a chief complaint of chest pain. The patient presented with a notable cardiac history and had recently undergone a percutaneous coronary procedure a month prior. Upon admission to the telemetry floor, the nurse diligently completed the patient’s admission history and meticulously reviewed the home drugs with the patient. The patient failed to disclose their daily intake of Plavix to the nurse. The nurse did not perform an external prescription history check, which is a valuable tool in the E.M.R. system to ensure the accuracy of the patient’s home medications. The medication in question was not prescribed by the admitting physician, resulting in a two-day lapse in the patient’s medication regimen. Thankfully, the patient remained unharmed; nevertheless, the absence of accurate medication details in the chart posed a potential risk for in-stent restenosis (Farid et al., 2019).  

 Nurses Role

The nurse caring for this patient had just been out of nursing school for two weeks. She said that she was unaware that the E.M.R. had a function for checking external medication histories. Today’s healthcare system is at a crossroads. A dearth of experienced nurses is one of the issues confronting healthcare. Following the Covid-19 outbreak, there has been a significant flight of experienced nurses from the bedside (Farid et al., 2019). Those roles will be filled by relatively fresh, inexperienced nurses and recent nursing graduates. They must thus be supervised in such instances.

Patients Role

            The patient failed to inform the nurse that he was taking Plavix daily. In the process of administering medicine, patients play a significant role. Numerous medication administration errors have been avoided by patients who inquired about the drugs they were going to get and the ones they are taking (Karaca & Durna, 2019). Plavix was not prescribed by the admitting physician in the aforementioned case because the patient failed to notify the nurse that he took it every day at home. As a result, the patient spent two days without treatment, increasing his chance of developing in-stent restenosis.  

Patient’s Care and the Outcome

The main goal of a patient-centered care approach is to improve individual outcomes; when patients are more involved in their care, they frequently recover more quickly and are satisfied with the care they receive. The nurse-patient interaction has a big impact on this. A positive nurse-patient connection encourages engagement with the patient, fosters trust, and encourages their participation in the care process, which in turn supports the overall success of the therapy (Karaca & Durna, 2019). For example, if the nurse in the situation above had more actively engaged the patient in his treatment, he could have recalled the medications he was taking and reduced his likelihood of developing in-stent restenosis.  

Impact of Care Environment

            A major factor compromising the patient’s safety was the healthcare setting. To begin with, the healthcare company would have adopted and enforced proper technology usage across the business by using seasoned nurses to mentor new nurses in caring for patients who need immediate attention. Data integrity guarantees that the information entered into an electronic medical record is accurate. Incorrect information might pose serious health risks to a patient, such as insufficient treatment or even a delay in receiving care (Eggerth et al., 2019). The nurse did not verify the external prescription history, a tool accessible in the E.M.R. to assist guarantee the correctness of the prescriptions the patient is taking at home, since she had little expertise in using technology. The medicine was thus not given, which may have caused the patient a lot of damage.  

Quality Model

            To encourage the adoption and effective use of health information technology, the Health Information Technology for Economic and Clinical Health (HITECH) Act was enacted in 2009 (Furukawa & Pollack, 2020). This opened the door for a sector-wide switch from paper to electronic medical records. Numerous studies have proven that excellent EMR charting is useful in helping to offer effective patient care, increase patient safety, and reduce medical mistakes for the aforementioned case when the technology was utilized poorly. To reduce medical mistakes, high-quality electronic health record software is crucial in the healthcare industry.

 Improve Future Outcome

            Research has indicated that the cognitive ability of healthcare providers plays a significant role in their utilization of Health Information Exchange (HIE), which in turn can have an impact on patient safety (Furukawa & Pollack, 2020). Given the circumstances, there remains an ongoing requirement for organizational assistance and meticulously crafted systems training initiatives for healthcare providers. These endeavors aim to enhance their cognitive capacity, ultimately leading to a decrease in errors. Given the current influx of novice nurses entering the field, it is crucial to consider augmenting funding for continuous training in data management skills.

Conclusion

            In summary, the case study highlights the occurrence of medication errors. The primary factor contributing to this situation was primarily attributed to a shortage of nursing staff, which resulted in the assignment of a newly qualified and less experienced nurse to utilize the latest technology in managing the patient’s condition and directing their treatment plan. To prioritize patient safety and improve outcomes, healthcare organizations must allocate resources towards sufficient staffing and ongoing training in the utilization of up-to-date technology.

References

Eggerth, A., Hayn, D., & Schreier, G. (2019). Medication management needs information and communications technology‐based approaches, including telehealth and artificial intelligence. British Journal of Clinical Pharmacology, 86(10). https://doi.org/10.1111/bcp.14045

Farid, M., Purdy, N., & Neumann, W. P. (2019). Using system dynamics modeling to show the effect of nurse workload on nurses’ health and quality of care. Ergonomics, 63(8), 1–13. https://doi.org/10.1080/00140139.2019.1690674

Furukawa, M., & Pollack, E. (2020). Achieving HIMSS Stage 7 designation for EMR adoption. Nursing Management (Springhouse), 51(1), 10–12. https://doi.org/10.1097/01.numa.0000617044.57943.e1

Karaca, A., & Durna, Z. (2019). Patient Satisfaction with the Quality of Nursing Care. Nursing Open, 6(2), 535–545. https://doi.org/10.1002/nop2.237

Neves, T. M. A., Parreira, P. M. S. D., Graveto, J. M. G. N., dos Santos de Freitas, M. J. B., & Rodrigues, V. J. L. (2020). Nurse managers’ perceptions of nurse staffing and nursing care quality: a cross‐sectional study. Journal of Nursing Management, 28(3). https://doi.org/10.1111/jonm.12966