NSI TASK 1 1 RTT1 Task 1 Patricia Rhinevault Western Governors University
NSI TASK 1 2 A. Nursing Sensitive Indicators Mr. J’s mild confusion does not warrant being restrained. “Health care providers should first try other methods to control a patient and ensure safety. Restraints should be used only as a last choice. Restraints can help keep a person from getting hurt or doing harm to others, including their caregivers” (U.S. National Library of Medicine, 2015). In this situation, it sounds like Mr. J is being restrained for the convenience of the staff. Education for nursing and CNAs about the proper use of restraints, and the risks of using restraints, would be helpful in this situation. Other methods of nursing should be used for Mr. J to keep him safe- using a sitter or CNA to sit with to Mr. J to keep him company, putting a bed alarm on the bed or asking a family member to stay with the patient. Pressures sores, injury and even death are risks of using restraints. Pressure sores developed in a hospital stay lead to increased costs, increased risk of infection and increased hospital stays. The red, depressed area over Mr. J’s lower back is sounds like a pressure sore from being immobilized for too long. “In one facility the hospital-acquired pressure ulcer (HAPU) rate dropped from 6.31 to 3.04 after implementing a quality improvement process…to help all staff improve their surveillance for HAPUs and adopt a zero tolerance for HAPU. The
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- Fall '16
- Nursing, urinary tract infection, Catheter, Urinary catheterization, Bedsore