6. Tobramycin may be administered to neonates at a dose of up to 4 mg/Kg/day in two equal doses every 12 hours. One kilogram = approximately 2.2 lb. Tobramycin is available in a pediatric vial with a concentration of 20 mg/2mL. If the neonate weighs 4.0 lb, what volume of tobramycin should be withdrawn for the dose described above?…
The threat could be natural disaster, electrical, water, or even outside forces such as: malware, viruses or spam. Downtime is not acceptable for Patton-Fuller. Disconnecting the file storehouse from the server will reduces the amount of hardware and the volume of records that movement of data whether input or output. The recommended improvement would be to add a SAN to the OR, ICU, and Ward floors. This backup would provide the departments the accessibility from other pharmacies requesting prescription assistance or dosage requirements. Adding SAN to the NAS currently used will improve backup deficiency present in the…
Special Considerations: invert 6-8x, fill tube 9:1 ratio (9 parts blood to 1 part additive)…
The aseptically inoculate nutrient broth tubes A and B did not have any microbes inoculated into the tubes so it should not have been cloudy and that was what was seen. Tube C should have been cloudy because it had E. coli inoculated into the nutrient broth and that was also seen. A simple streak was also performed and it looks has if the loop went over previous streaks which should not have been done. A complex streak was also done. No colonies grew towards the end of the streak, this could be due to the inoculation loop being to hot and incinerating the bacteria cells, meaning the loop should have had more time in order to properly cool down.…
A root cause analysis (RCA) is an essential tool that can be used to examine and understand the ways in which systems fail as well as discuss those specific failures that led to a specific adverse event and potentially implement steps or behaviors to prevent that event from happening in the future (Ogrinc & Huber, 2013). In the case study presented, a number of system failures may have contributed to the patient outcome. As such, an RCA of the case study would help determine those specific failures and possibly ensure that this event would not happen in the future. Additionally, it is imperative to the process that four questions are answered: What happened? Why did it happen? What are we going to do to prevent it from happening again? How will we know that the changes we make will actually improve the safety of the system? (Ogrinc & Huber, 2013).…
(HF). She was discharged from the hospital 10 days ago and comes in today stating, “I just had to come…
The identified root cause for all of these issues is that the process is not fed properly that’s why the capacity is low. By feeding the process we mean in this case the scheduling of the patients.…
This paper is all about peripherally inserted central catheters (PICC) and central venous catheters. There are different types of catheters and they are used in different situations. If they are to be used properly, they must be maintained and cared for. If they are not maintained there are several adverse side effects that could be life threatening. Along with providing all this information, this paper will also instruct how to initiate a peripherally inserted central catheter and how to correctly execute a dressing change.…
( Med-surg, tele, or ICU bed available for more than 30 minutes and report not called by ED nurse…
In the beginning of the day I got the tour of the whole emergency department by my preceptor. ED have their own lab, a large waiting area for the patients and their families.There was a specially large room for very acute patients with all the necessary equipment in the room. Crash cart was located in the hallway. There were also two rooms for psychiatric patients and one padded room with the special door which did not open from inside for psychiatric patients. Emergency room also had a special room for Ebola patient.…
Urinary catheterization is needed to ensure that the drainage of urine is adequate and to preserve kidney function (Smeltzer, 2010). It is also performed in order to achieve the following: relieve obstruction, assist with drainage in the postoperative patient, provides the ability to monitor urine output accurately, allows for drainage in patients with neurogenic bladder dysfunction and in patient with urinary retention, and prevents leakage in patients with pressure ulcers (Smeltzer, 2010). Catherization is estimated to have begun around 300 AD or even earlier (Herter, et al, 2010). An indwelling catheter is one in which the catheter is held in place in the bladder with the use of an inflated balloon (Smeltzer, 2010). Urine is emptied through the catheter to a drainage bag, where it accumulates until it is emptied (Smeltzer, 2010).…
Unfortunately Emergency Departments have little control over the amount and type of patients arriving in their hospitals. Many facilities are experiencing increased wait times and overflowing hallways with patients who have been admitted to the emergency department. These are increasingly troublesome issues that result from increased patient demand at a point in time when the number of emergency departments has declined and hospital inpatient capacity has decreased as well. This is why managing the flow of patients through their care is vital in preventing patient crowding, patient safety issues and quality of care.…
Harlexx, I am still getting to know you and had set up the tube learning experience with another child in mind. You were really eager to have a turn though so I encouraged you to join our small group. I know that sometimes you can find tatari/waiting really hard and this learning experience required you to take turns with the other tamariki and wait for a turn.…
Infraclavicular brachial plexus catheters provide intraoperative anaesthesia as well as control post-operative pain [1]. Anaesthesiologists use ultrasound (US) with or without peripheral nerve stimulation (PNS) for the placement of these blocks.…
To better understand the nature of CLABSI incident and therefore employ prevention strategies one must understand the dynamic of a central line. The National Healthcare Safety Network defines a central line as “a…