NURS6341 Discussion Response #2: Analyzing Patient Risk

NURS6341 Altercation Response #2: Analyzing Accommodating Risk

Respond to the altercation #2 beneath application the afterward approach:

  1. Offer and abutment an added action a aide adeptness use to accommodate the assumption of stacking into his or her specialty of interest.
  2. Expand on your colleagues’ postings by accouterment added insights or allegory perspectives based on readings and evidence.
  3. Ask a acid question, embodied with added accomplishments information, evidence, or research.

Discussion #2

It has been added than 11 years that I accept been alive as a registered nurse, and yet, I can still bethink absolutely how I acquainted afterwards the aboriginal time I got pulled to addition unit.  I had been on my own about a ages aback I got pulled to the busiest med/surge assemblage in the hospital.  There is no ancestry that prepares you for actuality pulled out of your element, and befuddled into an ambiance area you feel clueless, helpless, intimidated, and scared.  I anticipate I cried about 4 times that night, in amid ceaseless affliction meds, Q 4 hours antibiotics, and abundant admissions.  I bethink abrogation the hospital the abutting morning, 2 hours late, and was faced with the after-effects of a blizzard.  As I larboard the building, up to my knees in snow, I headed to my car which I had anchored on the street.  Physically accepting to my car was no accessible accomplishment due to the snow.  Once I did get to the car and bankrupt it off- I couldn’t get the car out of the atom and had to delay to be best up.  Even admitting I could not delay to get home, and shut my apperception off for a little while, none of what happened with the snow mattered.  In that time afterwards abrogation the hospital- annihilation compared to the ache I had acquainted alive that night.  It was a horrible, stressful, afflicted acquaintance that fabricated me catechism my career best over and over again.  I still bethink to this day the cutting abatement I acquainted as anon as I absolved out of the hospital doors that morning.

            The assumption of stacking is the cerebral process, or brainy agitation account that a assistant creates to advance acceptable accommodation authoritative and analytic judgments in adjustment to accommodate and bear safe, effective, and affection affliction to patients (Laureate Education, 2013). Effective ‘stacking’ and the adeptness to administer it to convenance is a abstraction that is developed through analytic acquaintance and absolute accouterment of affliction (Ebright, 2010).  In my claimed experience, the affection of affliction I delivered that night, as able-bodied as the assurance of the patients could accept been bigger by stacking, or cognitively acclimation and prioritizing what bare to get done.  As an avant-garde beginner, I mentally listed all of the tasks I had to do throughout my shift, consistently referencing my kardex as Dr. Ebright (2013) said I may.  Looking back, at the situation, a accomplished or able assistant would accept been able to differentiate amid what bare to get done, and what tasks were unnecessary- authoritative the acquaintance beneath demanding than it was. 

            A stacking action I feel may be accessible in managing the complication of nursing convenance in the ED would be routinization. Developing a accepted while carrying affliction to patients can advance able time administration abilities as the “repeated and chip access to accepted situations” is auspiciously implemented (Kohtz, Gowda, & Guede, 2017, p. 18).  The avant-garde convenance assistant in the ED ambience could advance routinization as a adviser to bear affliction in the fast-paced environment, while accepting the analytic acquaintance and foundation of ability all-important to alter the accepted if necessary.  Having analytic acquaintance in the specialty acreage of ED nursing, as able-bodied as in the ambiance area affliction is actuality delivered is important in announcement absolute accommodating outcomes. 

References

Ebright, P. R. (2010). The circuitous assignment of RNs: Implications for advantageous assignment environments. The Online Journal of Issues in Nursing, 15(1)

Laureate Education (Producer). (2013). Addressing complication of nursing practice [Video file]. Retrieved from https://class.waldenu.edu.

Kohtz, C., Gowda, C., Guede, P. (2017). Cerebral stacking: Strategies for the active RN. Nursing 2016, 47(1). Retrieved from: http://journals.lww.com/nursing/Citation/2017/01000/Cognitive_stacking_Strategies_for_the_busy_RN.7.aspx

Reminder:

1.    1 folio only

2.    Put Citations in APA architecture and  at atomic 3 references… Articles charge be 2011 to 2016.

Required Readings

Ebright, P. R. (2010). The circuitous assignment of RNs: Implications for advantageous assignment environments. The Online Journal of Issues in Nursing, 15(1)

Retrieved from the Walden Library databases.

The author, an able nurse, examines the acceptation of “complexity” in nursing practice, how complication impacts safety, quality, and retention, and considers recommendations and solutions for acclamation complication to abate nursing accent and advance accommodating care.

Duffield, C., Diers, D., O'Brien-Pallas, L., Aisbett, C., Roche, M., King, M., & Aisbett, K. (2011). Nursing staffing, nursing workload, the assignment ambiance and accommodating outcomes. Applied Nursing Research, 24(4), 244–255.

Retrieved from the Walden Library databases.

This commodity capacity a abstraction that links assistant staffing issues, added workload, and ambiguous nursing assemblage environments with abrogating accommodating outcomes, including avalanche and medication errors, on medical/surgical units. As you read, analyze the abstraction of nursing workload and nursing complication and accede solutions in the Ebright commodity that adeptness apply.

Required Media

Laureate Education (Producer). (2013). Addressing complication of nursing practice [Video file]. Retrieved from https://class.waldenu.edu.

Note: The almost breadth of this media allotment is 8 minutes.

In this video segment, Dr. Pat Ebright and Dr. Mary Sitterding altercate complexities of nursing practice. Specifically, they highlight how the assumption of stacking can advice both amateur and accomplished nurses to accomplish key workload decisions in the analytic environment.

Accessible player 

Laureate Education (Producer). (2013). The role of the assistant educator [Video file]. Retrieved from https://class.waldenu.edu.

Note: The almost breadth of this media allotment is 9 minutes.

In this video segment, Dr. Pat Ebright and Dr. Mary Sitterding altercate the role of the assistant educator.

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