Download or read book Peripheral IV Insertion Competence and Confidence in Medical surgical Nurses written by Lisa Jacobs and published by . This book was released on 2020 with total page 66 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical surgical nurses vary in their ability to insert and assess peripheral IVs. Literature supports general lack of education in this area. The use of a blended online learning module and live simulation has been found to increase peripheral IV insertion confidence and competence (Schuster Stahl, Murray, & Glover, 2016; Schuster, Stahl, Murray, Keleekai & Glover, 2016). Internal application of a blended curriculum model for nurses indicates improved first attempt IV insertion success. Three online modules focusing on the standards of care of peripheral IV insertion, infection prevention and documentation, as well as phlebitis assessment for IVs previously inserted were completed followed by a simulation IV competence session. Student volunteers served as the patients with a practice forearm attached to the arm for cannulation. This live interaction aided in simulating a real IV insertion and assessment experience and required the learners to interact with the patient in describing the procedure. The Peripheral Intravenous Cather Insertion Confidence Assessment (validated tool) was completed by participants (n=38) pre intervention, immediately post intervention and 30 days post intervention. A Mann-Whitney U test was completed and determined that nurses’ confidence was significantly higher immediately following the intervention compared to pre intervention (p=0.003) and the increase was sustained 30 days after the intervention (p

Download or read book Peripheral IV Start Guide for Students and New Nurses written by Lena Empyema and published by . This book was released on 2020 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This guide presents all the tools, tips, and tricks you need to know for successful intravenous access on a variety of patients, as presented in anecdotal stories, step-by-step outlines, & in-depth narratives, broken down into 5 steps to lead you towards mastery: 1. Terminology & Lingo, 2. Analyze unsuccessful attempts, 3. Learn real-world info and tips, 4. Review successful attempts, 5. Visualize your success.

Download or read book Ultrasound guided Peripheral Intravenous Catheter Insertion for Nurse Practitioners written by Alvin Joseph Abad and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Intravenous (IV) catheter insertion is a necessary skill in the emergency department (ED) for indications such as medications, fluids, and blood transfusions. Occasionally, patients present with difficult IV access (DIVA), requiring multiple insertion attempts and central venous catheter (CVC) placements. Due to the invasive nature of these procedures, patients can experience a great deal of pain and discomfort. Furthermore, although CVCs are necessary in critically ill patients that require hemodynamic monitoring or vasopressor infusions, they can cause several problems. For instance, central-line associated blood stream infections are some of the most common complications and result in increased costs and risks for mortality. Therefore, CVC insertions must be avoided when possible. Surprisingly, one study described that CVCs were actually preventable in 85% of patients with DIVA. Ultrasound-guided peripheral intravenous catheter insertion (USGPIV) is an alternative option for patients with DIVA, and have proven to increase insertion success rates, decrease number of attempts, decrease cannulation times, reduce pain, and improve patient satisfaction. Due to their bedside training as registered nurses and their additional leadership education at the graduate level, nurse practitioners (NPs) are in a unique position to utilize and champion innovative procedures such as USGPIV insertion to improve patient outcomes. Family nurse practitioners (FNPs) are mainly trained to work in primary care. However, well over half of FNPs that do not work in primary care settings are employed in high acuity EDs (Hoyt & Proehl, 2015). Furthermore, Hoyt & Proehl described that 78% of nurse practitioners had FNP certifications while 10% had acute care nurse practitioner certifications. Due to the presence of FNPs in EDs and the lack of emergency procedural training in primary care curriculum, there is a need for USGPIV education for FNPs that have an interest in working in the ED. The location for this project was online. The intervention involved the development, implementation, and evaluation of a 40-minute pre-recorded USGPIV course video for NPs. Based on the American Institute of Ultrasound in Medicine (2019), the intervention covered the following areas: 1) basic doppler techniques, 2) ultrasound imaging techniques and orientation, 3) techniques for ultrasound guided vascular access, 4) transducer and sterilization techniques, 5) procedure documentation, and 6) competency. Best practices by Gottlieb et al. (2017) were also included, and Sister Simone Roach's (2002) six attributes of caring behaviors (compassion, competence, confidence, conscience, commitment, and comportment) were incorporated throughout the project. Additionally, information about how to develop and implement an USGPIV program in the ED was discussed. A convenience sample was enrolled from the University of San Francisco Family Nurse Practitioner Program and from the professional career website, LinkedIn.com. The primary outcome was the effect of the intervention on participant knowledge of USGPIVs. This was measured by comparing pre- and post-intervention knowledge test scores with a desired improvement goal of 30%. The secondary outcomes measured the effect of learner attitudes of USGPIVs related to the six attributes of caring. Six 5-point Likert items were used for this measure, and the desired goal for these responses was also an increase of 30%. Further participant information including area of practice, desire to work in the ED, and previous USGPIV education were also gathered. Finally, participant satisfaction with the training was assessed. Out of the 35 candidates that were approached from the University of San Francisco FNP program and LinkedIn.com, 14 responded and were ultimately enrolled. There was a clear difference in the mean test scores before and after the intervention, which was an increase from 48.57 to 95% (46.43%). Therefore, the primary goal of at least a 30% improvement in participant knowledge of USGPIVs was met. The second goal, which was a 30% improvement in attitudes of USGPIVs based on six attributes of caring (Roach, 2002), was also met. The pre-intervention mean responses ranged from 1.29 to 3.86 and significantly increased from 4.36 to 5.00 post-intervention. This project aimed to provide FNPs with an evidence-based resource to learn about USGPIV insertion and the tools to develop an USGPIV program in their own ED if desired. By using a pre-recorded video, evidence-based information was provided based on the American Institute of Ultrasound in Medicine (2019) guidelines and best practices by Gottlieb et al. (2017), and the six attributes of caring behaviors explained by Sister Simone Roach (2002). The ultimate goals were to achieve a 30% increase in participant knowledge and a 30% mean improvement in participant attitudes of USGPIV, which were both met. Although there were some limitations, including a small sample size, a convenience sample, and limited course delivery options, the data and analysis clearly showed that the intervention was effective. Future iterations of this project should include an in-person class with live demonstrations, hands-on practice, and larger sample sizes.

Download or read book Vessel Health and Preservation The Right Approach for Vascular Access written by Nancy L. Moureau and published by Springer. This book was released on 2019-06-10 with total page 303 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Open access book offers updated and revised information on vessel health and preservation (VHP), a model concept first published in poster form in 2008 and in JVA in 2012, which has received a great deal of attention, especially in the US, UK and Australia. The book presents a model and a new way of thinking applied to vascular access and administration of intravenous treatment, and shows how establishing and maintaining a route of access to the bloodstream is essential for patients in acute care today. Until now, little thought has been given to an intentional process to guide selection, insertion and management of vascular access devices (VADs) and by default actions are based on crisis management when a quickly selected VAD fails. The book details how VHP establishes a framework or pathway model for each step of the patient experience, intentionally guiding, improving and eliminating risk when possible. The evidence points to the fact that reducing fragmentation, establishing a pathway, and teaching the process to all stakeholders reduces complications with intravenous therapy, improves efficiency and diminishes cost. As such this book appeals to bedside nurses, physicians and other health professionals.

Download or read book WHO Guidelines on Hand Hygiene in Health Care written by World Health Organization and published by World Health Organization. This book was released on 2009 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The WHO Guidelines on Hand Hygiene in Health Care provide health-care workers (HCWs), hospital administrators and health authorities with a thorough review of evidence on hand hygiene in health care and specific recommendations to improve practices and reduce transmission of pathogenic microorganisms to patients and HCWs. The present Guidelines are intended to be implemented in any situation in which health care is delivered either to a patient or to a specific group in a population. Therefore, this concept applies to all settings where health care is permanently or occasionally performed, such as home care by birth attendants. Definitions of health-care settings are proposed in Appendix 1. These Guidelines and the associated WHO Multimodal Hand Hygiene Improvement Strategy and an Implementation Toolkit (http://www.who.int/gpsc/en/) are designed to offer health-care facilities in Member States a conceptual framework and practical tools for the application of recommendations in practice at the bedside. While ensuring consistency with the Guidelines recommendations, individual adaptation according to local regulations, settings, needs, and resources is desirable. This extensive review includes in one document sufficient technical information to support training materials and help plan implementation strategies. The document comprises six parts.

Download or read book Vignettes in Patient Safety written by Stanislaw P. Stawicki and published by BoD – Books on Demand. This book was released on 2019-09-18 with total page 166 pages. Available in PDF, EPUB and Kindle. Book excerpt: Medical errors contribute significantly to morbidity and mortality across our healthcare institutions. Due to the increasing complexity of the modern medical practice, a perfect storm of regulatory, market, social, and technical factors, and other competing priorities, created an environment that is primed for patient safety lapses. The spectrum of contributing variables - ranging from minor errors that subsequently escalate, poor communication, and protocol/process non-compliance (just to name a few) - is extensive and solutions are only recently being described. As such, there is a growing body of research and experiences that can help provide an organized framework - based on best practices and evidence-based medical principles - for healthcare organizations to develop, implement, and embrace. Based on the tremendous interest in the initial three volumes of our Vignettes in Patient Safety series, this fourth volume follows a similar model of outlining a patient safety case based on experiences that many clinicians can relate to, and then discusses various factors that may have contributed to a medical error, complication, and/or poor outcome. Building on a problem-based clinical vignette, each chapter then outlines an evidence-based approach to present any related literature, pertinent evidence, and potential contributing factors and solutions to common patient safety occurrences. By focusing on some of the best practices, structured experiences, and objective approaches to medical error genesis, the authors and editors hopefully can lend some insights into how we can make healthcare encounters for all patients, across all settings, better and safer.

Download or read book Simulation in Nursing Education written by Pamela R. Jeffries and published by . This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: And future considerations / Mary Anne Rizzolo

Download or read book Acute Pain Management written by Raymond S. Sinatra and published by Cambridge University Press. This book was released on 2009-04-27 with total page 729 pages. Available in PDF, EPUB and Kindle. Book excerpt: This textbook provides an overview of pain management useful to specialists as well as non-specialists, surgeons, and nursing staff.

Download or read book The Art of the IV Start written by Bob Rynecki MS, RN, CCRN-CMC and published by Archway Publishing. This book was released on 2014-09-19 with total page 85 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nurses and paramedics pass down intravenous skills to new employees as best they can, but the fine details are often missed or forgotten. Bob Rynecki, a registered nurse and an award-winning paramedic, wrote this guide so you can establish peripheral intravenous lines easily and effectively. Taking a no-frills approach, he delivers the tricks and tips that will enable you to: - become the go-to person for starting difficult IVs; - boost your confidence no matter what your level of experience; - succeed on the first stick - almost every time. Many medical professionals desperately need to learn this basic skill because it's so often overlooked in school. Many students practice starting an IV on an anatomical arm with bulging veins that doesn't mesh with what they most often find at the bedside or in the field. Drawing upon his nineteen years of experience as a bedside critical care nurse and his fifteen years of experience as an EMT/Paramedic, Rynecki shares personal stories and examples that will help you succeed in even the most challenging circumstances. Whether you're a novice or veteran clinician, you'll improve your proficiency at initiating lifelines with The Art of the IV Start.

Download or read book Venepuncture and Cannulation written by Sarah Phillips and published by John Wiley & Sons. This book was released on 2011-02-23 with total page 343 pages. Available in PDF, EPUB and Kindle. Book excerpt: Venepuncture and cannulation are the most commonly performed invasive procedures in the UK, and are everyday procedures in health care practice. Venepuncture and Cannulation is a practical guide to these procedures. It assumes no prior knowledge and equips nurses and other health professionals with the clinical skills and knowledge they need in order to confidently perform venepuncture and cannulation in both hospital and community settings. Explores relevant anatomy and physiology Covers education and training, as well as legal and ethical issues Considers potential complications, and patient perspectives Provides guidance on the selection of the appropriate vein and equipment, and common blood tests

Download or read book Essential Clinical Skills Enrolled Nurses written by Joanne Tollefson and published by Cengage AU. This book was released on 2018-09-01 with total page 476 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essential Clinical Skills clearly and succinctly explains each key clinical skill and provides a structured format for students to undertake many of the skills taught in HLT54115. Each skill is mapped to the key units of competency as well as the Indicators in the Standards for Practice: Enrolled Nurses (2016), where relevant. Using this text, students and instructors are able to translate their skills and knowledge into demonstrable competencies that fulfil the required standards. The text has been designed to assist the learning and practice of clinical skills introduced in on campus purpose-built Nursing Skills Laboratories. Students are taught how to implement basic nursing care, assess clients' health and analyse health-related information.

Download or read book Lippincott Nursing Procedures written by Lippincott Williams & Wilkins and published by Lippincott Williams & Wilkins. This book was released on 2022-03-14 with total page 2363 pages. Available in PDF, EPUB and Kindle. Book excerpt: Confidently provide best practices in patient care, with the newly updated Lippincott® Nursing Procedures, 9th Edition. More than 400 entries offer detailed, evidence-based guidance on procedures ranging from the most basic patient care to assisting with intricate surgeries. The alphabetical organization allows you to quickly look up any procedure by name, and benefit from the clear, concise, step-by-step direction of nursing experts. Whether you’re a nursing student, are new to nursing, or are a seasoned practitioner, this is your go-to guide to the latest in expert care and positive outcomes.

Download or read book Timby s Introductory Medical Surgical Nursing written by Loretta A. Donnelly-Moreno and published by Lippincott Williams & Wilkins. This book was released on 2021-09-08 with total page 3311 pages. Available in PDF, EPUB and Kindle. Book excerpt: Approachable, comprehensive, and optimized for today’s visual learners, Timby’s Introductory Medical-Surgical Nursing, 13th Edition, clarifies the challenging field of medical-surgical nursing and gives LPN/LVN students the understanding and clinical judgment to deliver safe, effective patient care. The updated 13th Edition combines clear writing, dynamic photographs and illustrations, engaging study tools, and robust online resources to equip students with the confidence and understanding for superior clinical success in a changing healthcare environment.

Download or read book The Art of Communication in Nursing and Health Care written by Theresa Raphael-Grimm, PhD, CNS and published by Springer Publishing Company. This book was released on 2014-10-10 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: A handy guide to tackling difficult patient and professional interactions with confidence and compassion In this age of increasing reliance on technology, it is essential that the fundamentals of compassion and good communication—the art of patient care—remain at the heart of health care. This clear, concise guide to professional communication strategies helps nurses and other health care clinicians to build effective patient relationships and navigate a wide variety of difficult patient and professional interactions. Written by a practicing psychotherapist who has devoted nearly 30 years of study to clinician—patient relationships, the book tackles such complex issues as dealing with demanding patients, maintaining professional boundaries, overcoming biases and stereotypes, managing clinician emotions, communicating bad news, challenging a colleague’s clinical opinion, and other common scenarios. The book guides the reader through a conceptual framework for building effective relationships that is based on the principles of mindfulness. These principles are embedded in discussions of the fundamental elements of interpersonal effectiveness, such as hope, empathy, and listening. Chapters apply mindfulness principles to specific challenging situations with concrete examples that describe effective clinical behaviors as well as situations depicting pitfalls that may impede compassionate care. From a focus on everyday manners in difficult situations to beneficial approaches with challenging populations, the guide helps health care professionals confidently resolve common problems. Brief, to-the-point chapters help clinicians channel their clinical knowledge and good intentions into caring behaviors that allow the patient to more fully experience empathy and compassion. With the guiding theme of “using words as precision instruments,” this is a resource that will be referred to again and again. Key Features: • Helps health care professionals and nurses communicate effectively in challenging clinical and professional situations • Uses the principles of mindfulness to build satisfying relationships and resolve problems • Addresses such difficult issues as demanding patients, maintaining boundaries, overcoming biases, managing clinician emotions, and much more • Provides special tips for communicating with family members and caregivers • Authored by a practicing psychotherapist specializing in clinician—patient relationships for nearly 30 years

Download or read book Intervention Research written by Bernadette Mazurek Melnyk, PhD, APRN-CNP, FAANP, FNAP, FAAN and published by Springer Publishing Company. This book was released on 2012-04-23 with total page 498 pages. Available in PDF, EPUB and Kindle. Book excerpt: 2012 First Place AJN Book of the Year Award Winner in Nursing Research! "This is a resource for success and should be a part of any researcher's library."--Doody's Medical Reviews This book is a practical, user-friendly guide for health care researchers across multiple disciplines who are involved in intervention research. It provides all of the essential elements needed for understanding how to design, conduct, analyze, and fund intervention studies that are replicable and can withstand the scrutiny of the Institutional Review Board and peer review. Developed from an annual continuing education workshop on intervention studies conducted by Dr. Melnyk, this text is the most comprehensive body of information available on this topic. Contributors address the design of interventions that are ethically considerate and sensitive to culture, race/ethnicity, and gender, minimizing threats to external and internal validity, measurement, and budgeting. The guide explores such implementation issues as subject recruitment and retention, data management, and specialized settings, cost analysis, and explaining intervention effects. The text also guides readers in writing grant applications that fund , and addresses how to move intervention study findings into the real world. A unique addition to the book is the availability of digital examples of progress reports, final reports, and research grant applications that have received funding from the National Institutes of Health and other relevant organizations. This text is a valuable resource for all health care professionals conducting research and for doctoral students in health care studies. Key Features: Presents the essential tools for designing, conducting, analyzing, and funding intervention studies Designed for use by health care professionals conducting intervention research Provides comprehensive, accessible guidelines for doctoral students across all health care disciplines Instructs readers on writing grant applications that fund Includes digital examples of funded research grants, progress reports, and final reports

Download or read book Clinical Case Studies for the Family Nurse Practitioner written by Leslie Neal-Boylan and published by John Wiley & Sons. This book was released on 2011-11-28 with total page 432 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Case Studies for the Family Nurse Practitioner is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use.

Download or read book Australian Injectable Drugs Handbook written by Keli Symons and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: