duty when they deploy. The nursing shortage is affecting patient care, increasing the risk of burnout by staff being overworked. Evidence-based practices being used on the Labor and Delivery Unit include skin to skin, delayed cord clamping, and the “golden hour” (where the baby is left with the mother for the first hour) to optimize breastfeeding and bonding. Quality improvement processes in place are the induction pathway, which is a pathway that is printed and in every patient room and at the nurses’ station. The pathway correlates medications, cervical dilation, time, and interventions. By using this pathway, there has been a decrease in length of time for a patient who is admitted for induction from admission to Delivery. (Schmidt, 2019) A6. Recommend an organizational change based on your analysis. The recommended organizational change would be staffing the floor with an appropriate number of nurses. The Centers for Medicare and Medicaid Services (CMS) showed that only
Essentials of Advanced Nursing Practice Field Experience C157 7 58% of patients felt that it was “always” quiet at night. (Medicare.gov, n.d.) By having adequate staffing, nurses can be more relaxed and work more efficiently, thus being quieter at the nurses’ station. A6a. Justify how your recommended change addresses the organization's weaknesses and the community's needs. Appropriately staffing the unit will improve patient care, decrease the risk of burn out, and turnover. The patient ratio is supposed to be 1:2 frequently; nurses are expected to take a third patient. This lack of nurses requires a lot of patient reports to be done at the nurses’ station and quickly, which can be why the patients feel that it is loud at night. Optimal nursing patient ratios have shown to achieve clinical and economic improvements. Patient satisfaction and HCAHPS scores improve when nurses are appropriately staffed. (The Importance of the Optimal Nurse-to-Patient Ratio, 2016) Nurses' job satisfaction and performance goes up when they are not fatigued. When patients happier with their care, then they are more willing to continue their care in the military system lessening the strain on civilian hospitals caused by patients opting to go out-on-town. A6b. Identify a national benchmark of performance and describe a plan to measure the effectiveness of your recommended change. The CMS survey showed that only 58% of patients felt it was quiet at night, which is below the national average of 62%. A survey will be distributed before any changes are initiated to get a baseline. To change the noise levels at night, the recommendation would be the DIVO having a meeting to speak with the staff about this problem. Installing a Yakker Tracker, which is a decibel meter that looks like a traffic light, it can have the settings to be at an optimal noise
Essentials of Advanced Nursing Practice Field Experience C157 8 level. The green indicates that it's acceptable, the yellow warns that the noise is starting to be too loud. Red is when the sound is too loud, and the light will flash, which creates situational
You've reached the end of your free preview.
Want to read all 9 pages?
- Fall '18