+------------------------------------------------+ | CPNE NOTES - LAB SIMULATION MNEUMONICS & STEPS | +------------------------------------------------+ STATION 1: WOUND STATION MNEUMONIC: TIGR Open - Soak Gloves - PAT dry STEPS: *** WASH THY HANDS BEFORE STARTING *** (A) T - Tape (4 strips) - date/time/initial last strip. I - Inspect the dressing & Id the patient. (C) G - Put on non-sterile gloves. R - Remove old dressing & gloves (via one swoop).…
I feel that having a set schedule for Negative Pressure Wound Therapy dressing changes will benefit the outcome of the patient…
The buyers entered this market at a right time and maybe to late but based on the technology jump they are making it was perfect time. Inly problem being is health care plan act passed by Obama is hurting profits due to not getting the insurance money that they get from the past but are getting the minimum pay from the act. This has hurt hospitals, ER, and even private doctors. The act is great for the patience but for the business it hurt you lose money when you are saving lives and can’t pay for the new technology or equipment based on the loss of profit from all the company’s. Rich talked about they have lost interest due to the size of investment it would be to get bought out and they will continue to grow this business due to the lost…
World Union of Wound Healing Societies, (2004), Principles of Best Practice: Minimising pain at wound dressing-related procedures. A consensus document. London: MEP Ltd, Available at: www.wuwhs.org/consensus/index.html (accessed December 16/12/11).…
The nursing practice heavily relies on the evidence based clinical information to determine current standards of practice within the nursing scope of practice. A multitude of informational journals and peer reviewed articles are readily available to help guide…
Barker, 2013 indicated that nurses should base their practice on evidence in order to improve patient’s safety and the quality of care and be able to make clear and reasonable link between theory and practice. Jolley (2009) article shows that evidence may be limited and may contradict each other and as a result, informed decision and judgment must be made.…
Evidence Based Practice (EBP) is defined as “The conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients. The practice of evidence based medicine means integrating individual clinical expertise with the best available external evidence from systematic research” (Gerrish & Lacey, 2010). EBP is critically important in today’s clinical settings because of its potential to save both nursing time and healthcare dollars (Gerrish & Lacey, 2010). Using the evidence to guide practice streamlines nursing care. Practices that are not necessary are eliminated, and ineffective practices are replaced with practices that result in the desired outcomes. Using research also decreases the need for trial-and-error methods for finding what works best. In each case, nursing time is not spent on ineffective procedures or trying…
The health care organizations should provide nurses mandatory evidence-based practice (EBP) programs annually to develop and ensure competencies that enable staff nurses to use evidence in their practice. Moreover, nurse managers and leaders need to create a supportive environment for EBP, such as providing resources for searching for evidence. In order to have the administrative support, managers and leaders need to communicate with policymakers and set out related policies with evidence-based research to make the EBP as the daily basis of nursing care. Consequently, it should be…
Evidence-based practice (EBP) has been emphasized since the publication of the Institute of Medicine’s report “To Err Is Human”. Nurses should be able to not only provide standard care within the scope of practice but also deliver safe care based on the best EBP that is most up-to-date at that time. Furthermore, research is developed based on the current evidence-based practice. Research nurses work on new projects to conceptualize innovative ideas, generate literature research, and conduct clinical trials to develop new evidence-based practice. The reason why evidence-based practice and research are important is because health…
References: Benbow M., (2004) Mixing Dressings – a clinical governance issue? Journal of Community Nursing Vol. 18 (3) page 4-9…
Modern day nursing is quite a different experience and process when compared to the old hospital based training system. Today’s nursing is theory based. Nurses learn the theory behind actions, procedures and decisions, before gaining the experience of performing the action or duty within the profession. In stark contrast the hospital based system is on the job, training where the nurses learn various processes as they present themselves and the theory is explained after the process has been demonstrated or when the applicable lesson comes to pass. The training was often governed by the skills required on the ward on that particular day, rather than the broad range of skills and knowledge that is achieved with the modern evidence based training model (Koutoukidis, Stainton & Hughson 2013 pp. 4 – 19).…
Nurses are responsible in providing holistic, quality care to their clients. In order to effectively provide such care Boswell and Cannon (2009, p. 2 & 7) states that nurses must base their provision of care on the most current, up-to-date health information available and sound nursing knowledge. This is where evidence-based practice (EBP) comes in. Polit and Beck (2010, p. 4) defined EBP as "the use of the best clinical evidence in making patient care desicions". This usually comes from research conducted by nurses and other healthcare professionals. Thus it is pertinent that research reports are critically analyzed.…
I would like to use EBP in my nursing practice, especially when assigned to patient with unfamiliar diagnosis. Searching online journal can provide important information needed to care for my patient. Currently, in medical surgical unit, we are no longer allowed to delay wound care dressing after 48 hours. We were never told the reason why we must not delay wound beyond 48 hours. I could use my research skills to find needed evidence; and to accomplish needed evidence, I must ask clinical questions, search literature, screen finding, appraise articles and apply finding. Following this steps, studies shows that early removal of wound dressing had significant shorter stay and incurred lower treatment cost than those in delay of dressing (Toon,…
Nursing research is the bases of the current and future professional nursing practices. It has multidimensional effect of affluence, thus rendering it an essential component of the educational process. To keep up with the cutting edge knowledge and implementation of that knowledge from diverse educational fields, Nursing research provides a path of that continuation and progress. Nursing research is a growing field in which individuals within the profession can contribute a variety of skills and experiences to the science of nursing care, and evolving more and more Evidence based practices (EBP). Throughout the 21st century, the role of nurse has significantly been improvised, but the primary goal of a professional nurse remains the same: to be the client's advocate and provide optimal care on the basis of evidence obtained through research. Nurses are the bridges between the healthcare breakthroughs and patients, they are the ones who use research to provide evidence-based care and promotes quality health outcomes for individuals, families, communities and health care systems. Nurses also use research to shape health policy in direct care, within an organization, and at the local, state and federal levels. And Nursing Research is critical for continuing advancements to provide optimal nursing care.…
Surgeons are forced to choose a type of wound closure based on personal experience and judgment. As a result nurses are also forced to use personal experience and judgment about wound care and what precautions to take with each type of wound closure. My initial impression that everything in the healthcare world is based on research and constant reassessment was incorrect in this particular area. Further research in this area would be invaluable to patients and healthcare clinicians due to the high risk associated with infection for these patients. This knowledge also makes me curious about what other areas of healthcare are not based on evidence or research as well and what that indicates for my own practice as a nurse. As a final thought, should protocols be set in place in situations where research is not available? This might ensure continuity of care and some form of organization in situations where there is a lack in scientific…