1. The Impact of Evidence-Based Practice (EBP)
a.Provide a basic introduction of the case study scenario you selected and explain why it was selected..
b.Determine the potential and actual risks within the healthcare system and explain the reasons for these risks. You may provide these in a list format..
c.Identify the greatest risk from your analysis and discuss why it is the most significant risk related to your chosen case scenario..
d.Choose one (1) of the risks you identified and find a scholarly article on the topic that provides evidence of application to practice. (Possible sites to explore: Strayer Library, Cochrane, National Guidelines Clearinghouse, Innovations Exchange, National Quality Measures Clearinghouse). Discuss how the article you have chosen related to the risks in your selected scenario provides evidence to inform practice..
2. Change and Quality Improvement
a.Imagine that you are a leader in the setting where the selected case study scenario has happened..
b.Describe a clinical practice policy that will need to be changed due to the incident in your chosen scenario..
c.If you were to proceed with this policy change, determine which change model you would select and explain why you chose that model..
d.Explain how you might empower staff to implement this change. Use the Internet and/or Strayer Library and find at least two (2) articles to support your position. Describe how these articles apply to the scenario and incorporate them into your explanation..
3. Teamwork and Collaboration
a.Discuss at least three (3) strategies for communicating and implementing the policy change that you identified earlier in the Change and Quality Improvement sections of this course..
b.Explain how you will promote teamwork during the change..
c.Explain how you will promote collaboration during the change..
d.Include at least one (1) journal article published within the past five (5) years from the Internet or Strayer Library that relates to teamwork and collaboration during change. Describe how this article applies to the scenario and incorporate it into your explanation..
4. Patient-Centered Care
In this section, you must address best practices specific to your case study scenario topic.
a.List at least three (3) best practices related to the topics (informatics/information technology, transition to practice, evidence-based care, teamwork/collaboration, interdisciplinary care, etc.) you have explored in this course..
b.Describe how the integration of these best practices can promote patient-centered care..
c.Include at least two (2) related journal articles from the Internet or Strayer Library that address the relationship between quality and patient-centered care. Describe how your selected journal articles apply to the scenario..
a.Discuss how informatics did or did not play a role in the scenario..
b.Research and discuss a technology (program, software, EMR module or element, equipment, etc.) that might have changed the outcome of the scenario..
c.Include at least one (1) journal article from the Internet or Strayer Library as a reference for this section. Describe how your selected journal article applies to the scenario..
6. Synthesis / Conclusion
a.Describe three to five (3-5) legal and/or ethical points to consider in the context of your chosen case study scenario..
b.Describe future considerations for quality and safety in your chosen scenario..
Your assignment must follow these formatting requirements.
•Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow Strayer Writing Standards. Check with your professor for any additional instructions..
•You must include a title page, page numbers, running head, in-text citations, and scholarly references. You do not need an abstract..
•The three to five (3-5) pages exclude the title and reference pages. There must be three to five (3-5) pages of content. Required references for the different sections of this assignment may all go on a separate reference page, but the appropriate corresponding section number should be noted for each reference..
You recently took a new position as the evening (3-11 p.m.) medication nurse in a long-term care facility. Your duties include administering medications to residents, as well as performing dressing changes and other treatments. You are responsible for medication administration to the 40 residents of the south wing of the facility. You often have to administer medications during meal or activity times due to time constraints. You shared your concerns with the Director of Nursing (DON) and recommended that the facility considers having a dedicated treatment nurse during the day shift to perform dressing changes, wound care, etc., so that you can focus on administering medications and other scheduled treatments in a safer manner. The DON told you that there was no money in the budget for this, and that you would have to make do with what you have.
Turnover of staff is frequent, and as a result staff members do not know all of their patients very well. Tonight you are working with one experienced CNA and two CNAs who have been at the facility for less than one month.
Sally Hansen, age 91, is a resident on your wing of the facility. She has a longstanding history of advanced dementia and some behavioral issues (agitation and occasional combativeness). At dinnertime, you are in the middle of your medication pass when one of the new CNAs runs over to you and tells you “Sally’s at it again”. You look over and see an elderly woman twisting the arm of another resident and yelling angrily. You grab a dose of Sally’s prescribed Haldol and administer 5mg intramuscularly. Within a few moments, the patient calms down. When the situation settles down, you look at the patient’s name band and realize that you have administered the IM Haldol to the wrong patient. You notify the provider, the patient’s family, and your supervisor.
The patient who inadvertently received the Haldol becomes markedly sedated and requires transfer to the hospital for close monitoring. During her hospitalization she develops a hospital-acquired pneumonia, which requires an extended course of antibiotics to treat it. After 6 days of treatment she develops severe diarrhea and is diagnosed with C. Difficile colitis. The patient is ultimately released from the hospital to a different skilled nursing facility, but she never recovers to the level of function that she enjoyed prior to the Haldol incident