Discussion: Importance of Tele Interpreters During Discharge Process Response

Discussion: Importance of Tele Interpreters During Discharge Process Response ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Discussion: Importance of Tele Interpreters During Discharge Process Response 6 Student Posts to respond 125 words per post no refs needed, please see attached for detials. Thanks. GCU NRS 493 Importance of Tele Interpreters During Discharge Process Response objectives___sources_week_6.docx _student_posts_to_respond_nrs493.docx Discussion: Importance of Tele Interpreters During Discharge Process Response., OBJECTIVE WEEK 6 Topic 6: Capstone Change Project Implementation Plan II In this topic, students will synthesize discovered evidence-based research that supports the intervention for the capstone project change proposal into a literature review. The strategic plan will be reviewed to determine what resources would be required if the intervention were to be implemented. Objectives: 1. Create a list of resources from the evaluation of your strategic plan that would be needed to implement the change proposal. 2. Synthesize discovered evidence-based research that supports the capstone project change proposal. 3. Integrate reflective practice into the practicum reflective journal. 4. Demonstrate interprofessional collaboration during the creation of the capstone project change proposal. SOURCES WEEK 6 Best Practice in Nursing: A Concept Analysis Read “Best Practice in Nursing: A Concept Analysis,” by Nelson, from International Journal of Nursing Studies (2014). URL: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=10389494 1&site=eds-live&scope=site Research at the Bedside: It Makes a Difference Review “Research at the Bedside: It Makes a Difference,” by Bridges, from American Journal of Critical Care (2015). URL: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=10981572 7&site=eds-live&scope=site Review “Evidence-Based Practice (EBP),” by Samonte and Vallente, from Salem Press Encyclopedia (2015), for specific information on developing a literature review. URL: https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ers&AN=113931151 &site=eds-live&scope=site DQ1 Kathleen Njau 3 posts Re: Topic 6 DQ 1 Preventing hypothermia in the preterm and low birth weight infants has been problematic and that continues to require new and updated practice review for effective management. Hypothermia has long been recognized as a serious risk to premature and low birth weight infants, and is a problem in both the developed and the developing world(Leadford et al., 2013). My proposal is to apply the latest best evidence-based practice is being used at deliveries of these high risk neonates in the NICU. Neonatal hypothermia has been linked to increased risk of infection, coagulation defects, acidosis, delayed fetal-to-newborn circulatory adjustment, hyaline membrane disease, brain hemorrhage, increased oxygen consumption, and increased mortality(Leadford et al., 2013). GCU NRS 493 Importance of Tele Interpreters During Discharge Process Response Discussion: Importance of Tele Interpreters During Discharge Process Response. Hypothermia of the neonate appears to have simple solutions if applied correctly and this can impact the outcome of these patients. The financial aspect of this proposal requires the use of radiant warmers and isolettes, with additional measures of heated gel mattresses that may incur some cost. Plastic bags/wraps are a low-cost intervention that can be used for preventing hypothermia in infants(Leadford et al., 2013). The quality aspect of this proposal will utilize a multidisciplinary approach ensuring the entire medical staff is involved with the same goal and outcome for the change. The clinical aspect will focus on education for the entire neonatal team of care providers to ensure compliance and understanding of proposed interventions. Including managers and directors in the education and allow them to be involved and active with this change process showing them the evidence behind the proposal as they will see the direct impact in positive patient outcomes with this improved process. Reference: Leadford, A.,Warren, J., Manasyan, A., Chomba, E., Salas, A., Schelonka, R.,& Carlo, W.(2013, July). Plastic bags for the prevention of hypothermia in preterm and low birth weight infants. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3691528/ DQ2 Jenisef Diaz Padron 1 posts Re: Topic 6 DQ 1 The use of personal protective equipment (PPE) in the hospital setting is the focus of much attention during this pandemic and the use and potential re-use has been emphasized for healthcare workers. Financial aspects of PPE for the capstone project of nurses’ perceptions of and the proper use of PPE regarding education needed is the availability of PPE to nurses. With a PPE shortage and financial constraints with the hospital system, nurses are not able to practice donning and doffing PPE, and must re-use masks, goggles, and face shields, in order to avoid using valuable PPE that may be needed for caring for patients. GCU NRS 493 Importance of Tele Interpreters During Discharge Process Response Discussion: Importance of Tele Interpreters During Discharge Process Response. This is the direct financial aspect of using PPE for training purposes and the indirect cost of PPE, and compliance or non-compliance with its’ use, is the cost of healthcare workers and patients becoming ill with the virus, or other diseases. This will be more costly than if nurses are aware of the proper use of and compliant with the use of PPE and are able to successfully avoid contracting and spreading the virus. The quality aspect of nurses’ compliance with the use of PPE is the safety of patients and to slow the spread of the virus. Patient safety will be improved if nurses are aware of the need to use PPE properly and are educated on the ways to don, doff and store their PPE for further use and to avoid contamination. Education improves compliance with PPE if nurses are educated in best practices for it’s use and this is a direct aspect of the change project. It will indirectly create a safer patient environment and bring more patients into the hospital if better outcomes are achieved. Healthcare workers are also protected by the use of PPE and education provides the safest and most effective use of it (Balkhyour, Ahmad, & Rehan, 2018). The clinical aspect of the use of PPE is the safety of patients and healthcare workers and prevention of the spread of viruses and pathogens. As important as handwashing between patients, proper PPE use can be the difference between the spread of a virus in a pandemic and uncontrolled spreading. Healthcare workers that are compliant with the proper use of PPE and avoiding contamination can directly affect patients in a clinical setting. The indirect result of the clinical aspect of the change project is an increased culture of PPE use in all situations, not just during a pandemic. References Balkhyour, M., Ahmad, I., & Rehan, M. (2018, June 30). Assessment of personal protective equipment use and occupational exposures in small industries in Jeddah: Health implications for workers. Retrieved from https://www.sciencedirect.com/science/article/pii/S1319562X1830161X DQ3 Shauna Thomas 4 posts Re: Topic 6 DQ 1 After some discussion with my preceptor, it came to my attention that we will need to consider the fiscal responsibility of the clinic in to COVID-19 testing and the allocation of resources that goes along with that responsibility. GCU NRS 493 Importance of Tele Interpreters During Discharge Process Response Discussion: Importance of Tele Interpreters During Discharge Process Response. The town of about 1,000 people saw their first case of COVID Friday, since then they have had 9 positive cases. Rigorous contact tracing seems to dead-end the cases at 9, hopefully, the incredible allocation of resources to this outbreak will not continue to be so great. This poses a major barrier to implementing an education program. There is no free time for training at this time. Additionally, man-hours are expensive. Clinically, we went over the training skills that would make the most sense and what kind of benefit that would have to the staff and patients. We both agreed that adding clinical skills would improve morale and add value for both staff and patients. In regard to quality, we discussed the impact the proposal could have on the quality of care, but also the quality of education that could be provided through use of online tools and the resources the clinic has on hand for training. The discussion touched on the mannequins, both for intubation and airway management as well as CPR, and arms for both IO and IV practice. We also discussed the feasibility of getting a SIM mannequin from a nearby town on a loan basis. Ultimately, although we both agree the impacts of the program would be far-reaching and highly beneficial, it is unlikely an education plan is feasible with the current outbreak. Reference Coughran, A. (n.d.). Interview (10/26/2020). DQ4 Joshua Holmes 1 posts Re: Topic 6 DQ 1 The change proposal that I am presenting has a fairly difficult financial aspect to it. I will be showing that the emergency room needs more tele-interpreters for the emergency department. GCU NRS 493 Importance of Tele Interpreters During Discharge Process Response With the amount of patients that the emergency department sees on a daily bases, then I think it is warranted that we have more than two teleinterpreters for the whole department. These devices are very expensive and the service that goes along with it, make it even more costly (The Baltimore Sun, 2011). I agree with running under a strict budget but went it comes to patient and community safety then price should not play a role. The quality aspect of the project is looking at the current discharge procedure that is in place, then look at the results after the change is done. This will provide the improvement in quality with the delivery of instructions to patients with communication barriers. I believe that with change we will have successful data results which in turn provides better quality of care. The clinical aspect of the change is the importance of the teamwork with the interdisciplinary health group. This will include all staff members of every level. Each member of the team will have a certain task that is appointed to them when the change is initiated and them completing or following through with their task will make the difference on the success of the outcomes. The Baltimore Sun. (2011). New device ensures good medical care gets found in translation. Retrieve from https://www.baltimoresun.com/ph-ho-cf-martti-1222-20111215-story.html DQ5 Jennifer Barnharst 2 posts Re: Topic 6 DQ 1 CAUTIs continue to be a problem across many facilities worldwide. There are many studies and research provided throughout the years to determine the best-practice procedures. I have decided to focus on the ICU CAUTI prevention and implement a “reminder” for the RNs as part of their task to do list in EPIC. They would have to assess the patient’s foley catheter need along with their current status of I/O, urine color, etc. By implementing this tool for them to assess the patient’s need for the foley would be able to increase early discontinuation and decrease CAUTIs. Financially this would be broken down into a couple different areas. • GCU NRS 493 Importance of Tele Interpreters During Discharge Process Response EPIC therefore the IT department at the facility. • Education for the RNs about the change and add on their shift task list Overall, this project would not cost a lot financially, but paying the staff to implement this project and by having the RNs complete the education would add up. Clinically RNs, RISK Management and the Physicians would all work together to educate, implement and prevent. By having a team collaboration this would benefit all staff involved and be able to have more of a team-approach to help provide the best patient care. This is to prevent CAUTIs which ultimately affects the patient negatively with longer hospitalizations, increase in their insurance and an increase in supplies/medications to the hospitals. Quality would go alongside the clinical aspects but adding in the education and patient satisfaction. By educating properly this will allow the project to have greater success and better outcomes. For patient satisfaction, this data would be collected by having zero CAUTIs as well as having foley catheters removed before 7 days. This project has a great potential to provide the best patient care, along with implementing the education about CAUTIs to staff and creating a tool that does not burden the staff. Ferguson, A. (2020). Implementing a CAUTI Prevention Program in an Acute Care Hospital Setting. Med- Surg Matters, 29(2), 4–12. Hernandez, M., King, A., & Stewart, L. (2019). Catheter-associated urinary tract infection (CAUTI) prevention and nurses’ checklist documentation of their indwelling catheter management practices. Nursing Praxis in New Zealand, 35(1), 29–42. DQ6 Sharon Kwak 3 posts Re: Topic 6 DQ 1 Patient safety has always been the main concern in regards to the nursing practice. Many new nurses experience anxiety of committing a medication error, and it is important for nurses to always check the patient’s identification against the MAR everytime. GCU NRS 493 Importance of Tele Interpreters During Discharge Process Response There are many different aspects of my capstone change project that require consideration due to the implementation changing the whole method of medication administration. Incorporating a BCMA system to replace the paper MAR system will require training and patience. The nurses will need to understand how to use the new machines and know how to troubleshoot issues. A 2016 study “showed that after implementation of BCMA and eMAR technologies, the reported medication error rate decreased by 20% (from 0.26% to 0.20%)”, emphasizing its benefits (Truitt et al., 2016). Discussing with my preceptor, we determined that the financial aspect would be the most impacting. Implementing BCMA systems can be costly, so the decision maker should consider the pros and cons. Considering the quality aspect, a BCMA system will greatly improve quality standards due to being more accurate and efficient in identifying patients and catching potential errors. The clinical aspect will only have minor changes, and it should not affect the nurses patient care to a great degree. Reference: Truitt, E., Thompson, R., Blazey-Martin, D., NiSai, D., & Salem, D. (2016). Effect of the Implementation of Barcode Technology and an Electronic Medication Administration Record on Adverse Drug Events. Hospital pharmacy, 51(6), 474–483. https://doi.org/10.1310/hpj5106-474 … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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