Organizational Systems

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Submitted By nursemelissa1
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Organizational Systems and Quality Leadership Task 1
Nursing-sensitive indicators are important in all aspects of patient care. A great deal of bedside care is given by nurses. Nursing-sensitive indicators are factors that rely directly on the nursing care of the patient. Quality nursing care improves patient care and therefore patient outcomes. Nursing-sensitive quality indicators promote patient safety and quality patient care. Since these quality indicators are reflective primarily on bedside care provided by nursing staff it is important that all nursing staff be aware of these indicators and their role in promoting quality patient care. There are specific indicators that could have been taken into account to promote patient care in the example for this task.
The patient in this example was in restraints. There should be a restraint policy at this healthcare facility. Promotion of a restraint free environment would be ideal. Education on ways to redirect the patient and promote relaxation might help. Wrapping IV catheters and positioning any tubes, drains, or urinary catheters out of the patient's view may also help. Nurses should also help the patient with toileting on a regular basis. The use of distraction and alarms should also be implemented. When there is staff available a sitter may also help in the prevention of the necessity of restraints. Joint Commission states, “the hospital uses restraint or seclusion only when less restrictive interventions are ineffective,” (CPI, 2009). If restraints are deemed necessary staff should follow the facility’s policy regarding them. Restraints should be removed at least every two hours and checked every hour. The patient should also be repositioned every hour. Restraints should be placed with a quick release tie and two fingers should be able to be inserted under the restraint. The patient should…...

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