Efficiency On Demand: What Was Happening? Prevention Phase (Essay Sample)

Efficiency on Demand
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Efficiency on Demand
Nursing practice is a sensitive discourse and looks at efficiency through apt clinical practice. As such, this is a report on a case study of a patient named John who is clinically reviewed. The different dynamics that John goes through are evaluated and inferences given. The inferences are made to ensure the patient is aptly monitored to avoid deterioration of his condition without notice. Between the Flags criterion has been used and every phase is carefully evaluated herein to determine what is clinically happening to the patient. Further, the importance of understanding the essence of the four phases of the slippery slope as well as patient safety has been featured.
What was happening?
John an 81 year old retired farmer is involved in an accident where he rolls with his tractor at six in the morning. Between the Flags phases were used to monitor the progress of the patient when he was presented at the hospital. The phases are prevention, clinical review, rapid response and advanced life support.
* Prevention Phase
Patient John is presented at the hospital and complains of thigh, hip and chest pains. Prevention measures are considered here where swift observations are made to ascertain his condition. Notably, the patient’s body could not take in the weight that the tractor exerted on him, hence the much pain. The observations upon reception of John indicate that he had injuries on the thigh. His hip bone might have been disjointed. Chest pains infer that he was hardly hit and this might have had a shock effect on the heart. This was the first phase of between the flags and observations indicated he was stable but more observations were to be made to monitor the occurrence of any abnormalities.
It is the clinician’s task to adeptly understand what is happening to a patient. After preventing any harmful things in the first phase, the clinician should check for more observations to build up a clinical case. At this point, John is going through serious pain. He was having pains of his left hip, buttocks and chain. John’s nervous system is relaying the pain that the tractor inflicted on him. The accident traumatized him and might have hit his head which was also checked. Noting the current feeling of the patient is paramount (Valentine, Nembhard & Edmondson, 2015). It gives the levels of pain that a patient might be undergoing and influences which medication a caregiver should give.
A medical background check was done to inform the clinical team of different specifics of the patient. The specifics included allergies, blood type, chronic diseases and conditions as well as place of regular treatment. John’s clinical records showed that he has had GORD and TIA 2 in the recent years which we determined were not affecting him at the time. John’s regular medications were Zantac and Clopidigril. This information is leading and important to the clinical review phase as clinicians’ can tell what might negatively affect a patient. The patient was stable but experiencing pain. The pain is intense and cannot be calmed by the medications given which calls for initiating a critical view asked.
* Clinical Review
The patient was talking in short sentences, which is a sign of concussions. A patient’s breathing patterns inform the caregivers of the development of the patient. John’s breathing rate tells that he has limited intake of oxygen. A normal breathing pattern indicates respiration is okay but any extremes are an indication of a seriously ailing patient. Assessment of pain on the patient and looking for any blood clots or venial abnormalities helps monitor a patient’s blood flow. John was having venial complications which affected his heart’s ability to seamlessly pump blood. Immediate consultation is needed when a patient’s starts deteriorating such as in John’s case. People to consult should be your seniors such as supervisors and experience doctors, this helps avoid errors that might harm the patient (Burwell, 2015). Experienced medical practitioners are a rich resource to measures and steps that a nurse should take. Some things might seem obvious, but from experience a seasoned doctor might tell you something else. It is always good to reach out to the professionals as their expertise can impact the success of a nurse’s work for the day and to a larger extent, his or her career. John’s condition deteriorated which prompted rapid response.
* Rapid Response
Preparation of treatment is done here, necessary measures are put in place and after determining a course of action they are employed. Upon reaching this phase John’s condition was worrying and a pool of nurses and doctors came together to attend to John. He had the left CVAD inserted to help check his ventricular activity as it helps maintain stability and normal heart functionality. After necessary preparations were done, a patient should be led to GSC mode, which is labeled according to the severity of an event. GSC levels above 10 are for serious cases and those below 10 are mild cases. John is then is induced into a coma through a GSC 11, monitoring is crucial for the rapid response
Resuscitation
John’s condition indicates a significant slippery slope that ended up in resuscitation. John health status deteriorated which immediate brought the difference personality. At this point John was weak, undergoing unending pain while his heart rate heavily dropped. Nurses work in close coordination with other physicians to ensure a patient’s health is restored (Burges, 2014). The effect of the GSC was overwhelming to the heart and body prompting resuscitation. Nolan et. al (2015) opine that it is advisable to check the blood flow in the heart. John’s blood flow monitoring notices pt in VT through an alert by the cardiac monitor.
John’s state is worrying and a shock is performed on him. The reason for the first shock is to see if any rhythmic effect is achieved. The first shock was brought no effects. Several shocks to resume normalcy are needed, but before that adrenaline should be given to return John’s heart to normal pumping. Adrenaline IV was needed for reduction of anaphylactic shock effect or cardiac arrest for John. This paved ways for a second shock, which helps John revert to SB with multifolical VEB’s. The ventricular ectopic beats are an indication that John has resumed normalcy but needs time to recover. Close monitoring for John follows to drive a seamless recovery process; this applies to every other patient after such a rigorous medical process (Soar et. al, 2015). Necessary stabilization measures are determined to see a patient through his injury as well as any other patient who would have undergone the same. John condition is at a sorry state and needs him in an intensive care unit. The patient is far from recovering and needs more nonitoring.
Patient Safety
Importance
Patient safety is a discourse that should be treated with utmost regard for precision and professionalism. It raises a medical institution’s credibility and motivates patients to trust the doctors and facilities in it, which means career growth for the staff. The first importance of patient safety is prevention of errors (Romano et. al, 2014). Errors can be hazardous to a patient; they include wrong diagnosis, wrong treatment and wrong drugs. When news on erroneous treatment hit the media, the medical institution in question immediately loses its clientele, and panic among patients begins (Johnston et. al, 2015). Patients should be cautiously handled and the prevalence of errors solved through simulations and experiments not on patients. In the event that a nurse offends a patient, he or she should be assertive and address the same patient with compassionate care.
Professionalism and learning from errors that occurred is a means of avoiding errors (Gratzke et. al, 2015). When medical practitioners observe the highest levels of ethicality, professional conduct and caution, clients become safe and satisfied. A safety sensitive culture should be developed which in the end will allow no room for erroneous handling of cases in the future.
Clinton & Obama (2013), opine that there is efficiency in patient safety. This shows that caregivers in a hospital are proficient in the tasks they are handling. Moreover, this prevents patients from unnecessary mishaps which indicate incompetence. Nurses become efficient and other players in the medical setting become naturally efficient through practicing responsible handling of clients (Zellmer et. al, 2015).
Another importance of patient safety is purposeful care. Patients can also harm themselves due to lack of sufficient knowledge (McFadden, Stock & Gowen, 2015). For instance, patients are not allowed to play around with medical equipment or machines. Some machines might be supporting their lives and if the patient irresponsibly manipulates them, he or she might be disadvantaging himself or herself. Therefore, nurses should always monitor patients as a way of enhancing purposeful care (Nelson et. al, 2015).
Communication
According to Adelman (2012), communication in the healthcare setting is an everyday thing, people are in constant communication. Patients are talking to doctors, doctors with nurses and patients or families. For example, there are things that a patient would not want for his or her medical treatment. Patients come from different cultural, socioeconomic and education backgrounds. There are patients who do not believe in drugs but can allow to be treated in any other way such as through injections or operations (Singh & Graber, 2015). Giving such a patient drugs might be futile because he or she will not take them and might lead ...