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Rtt 1 Task ! Essay

904 words - 4 pages



Nursing Sensitive Indicators

Organizational Systems and Quality Leadership RTT 1 Task 1

August 29, 2014

NURSING SENSITIVE INDICATORS Nursing Sensitive Indicators To analyze the given scenario one must first have a foundational understanding of what nursing sensitive indicators are and how they could have been used to significantly improve patient care. Next the analysis will determine how the hospital will use these indicators to improve overall patient care. The analysis will conclude by identifying specific resources that could be used to resolve the ethical issue in this scenario. It wasn’t until 1996 that the term Nursing ...view middle of the document...

Bed alarms could be turned on, IV sites could be wrapped with gauze and diversion


activities could be implemented to keep this patient out of restraints. The next most obvious NSI that could be observed is that of pressure ulcers. If the nurse and CNA were more aware of the signs and causes of pressure ulcers they would have immediately recognized Mr. J’s red depressed spot on his lower spine as a Stage I pressure ulcer and begun treatment. With education on this subject, the nurse and CNA could have repositioned Mr. J frequently and the pressure ulcer could have been avoided all together. Still another NSI that could be useful in this scenario is the possibility of surgical patient complications. With Mr. J lying supine and being restrained he is at a much greater risk of hospital acquired pneumonia and DVT. Patient satisfaction is also not being addressed in this scenario. If nursing and assistive staff had been more aware of patient satisfaction Mr. J would not have received the pork cutlet and the nurse would not have been so dismissive of the daughter’s concerns. With the hospital keeping data on specific nursing sensitive indicators, many of the issues stated above could have been avoided. Data could be gathered, organized and made readily available to nursing staff. Nursing staff would be more aware of previous problems and be able to address similar problems on all units of the hospital. Information is power and this information would empower the nurses to work toward a common goal of implementing specific NSI and improving quality of care provided. Specific to this scenario data collected would show units that have a higher prevalence of pressure ulcers and with this information new policies could be implemented, staff educated and the incidence of pressure ulcers reduced. Another specific NSI that...

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