The Family Nurse Practitioner and How He/She Promotes Patient Safety
Necolese E. Benjamin-Greene
South University Online
Role of the Advanced Practice Nurse-NSG5000
July 5th, 2015
The Family Nurse Practitioner and How He/She Promotes Patient Safety
Patient safety is of major concern in healthcare settings due to the preventable nature of events that sometimes lead to serious injury, and even death, for patients. This was catapulted to the forefront of healthcare delivery in 1999 when the Institute of Medicine wrote a scathing report; To Err is Human: Building a Safer Health System, that highlighted "the lack of safety for patients in healthcare organizations" (Ulrich and Kear 2014). The National Patient Safety
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According to NPSG.03.06.01:
Due to the large number of consumers being prescribed multiple medications, and the complexity of managing those medications, it is of a major safety concern that systems are in place for clinicians to reconcile patients medications to resolve any discrepancies in what the patient is using, or should be using, and newly added ones.
Anticoagulation therapy monitoring is another medication safety goal in which the FNP promotes safety by using education and routinely monitoring lab
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A good protocol is created from evidence-based medical practices agreed on by medical staff involved in anticoagulation therapy (i.e., all stakeholders) and addresses key decision points and respective courses of action integrated with the clinical judgment and experience of the practitioner.
As a clinician, the FNP is guided by the standards set by JCAHO, one of the renowned healthcare organization accrediting bodies, and to maintain credibility with patients and peers alike, must adhere to the National Patient Safety Goals. As stated by Ulrich and Kear (2014), "Not only are nurses responsible for providing safe patient care, we are also responsible for creating an environment in which others can provide safe patient care, and for being the last line of defense when needed between the patient and potential harm. Having a deep understanding of patient safety and patient safety culture allows nurses to be the leaders we need to be in ensuring that our patients are always
The Joint Commission focuses on certain goals each year. For patient safety and positive outcomes, hospitals are required to follow certain standards. National Patient Safety Goals were established in 2002 to help identify areas of concern with patient safety. This group is made up by a panel of experts including nurses, doctors, pharmacists and many other healthcare professionals. They advise the Joint Commission on how to address these different patient safety issues. Two goals to be discussed are improving the accuracy of patient identification and medication safety. To improve patient
The John Hopkins Nursing Evidence-Based Practice Model is a powerful problem-solving approach to clinical decision making and is used in research. The model is designed to meet the needs of the practicing bedside nurses and used a three step process called a PET, facilitating nurses in translating evidence to clinical, administrative and education based on evidence. According to Melnyk and Overholt (2015), there are three steps to the JHNEBP model. The first phrase is practice questions: Identification of an EBP question and defines its scope. The second phrase is evidence of internal and external evidence team determine if its feasibility to implement. The final phase is a translation which includes recommended practice for changes and dissemination of findings.
Errors pervade in our lives whether it is our home, in our workplace, or in our society. The effects of healthcare errors have impacted all our lives either directly or indirectly. Patient safety and quality care are at the core of healthcare system which strongly depends upon nurses. “To achieve goals in patient safety and quality, thereby improve healthcare, nurses must assume the leadership role. Nurses need to ensure that they and other healthcare providers center healthcare on patients and their families. Even though the quality and safety of healthcare is heavily influenced by the complex nature
One of the biggest issues regarding nursing, medicine, and healthcare today is that of patient safety and medication administration and its impact on providing effective care, especially to the elderly. Anytime a patient is to receive a medication, several checks must be taken in order to ensure that the patient receives not only the appropriate type but also the correct dose. This is of utmost importance with regard to high-risk medications, such as warfarin. As a mainstream drug that is used for the treatment and prevention of coagulation in the blood, any medication error can be potentially disastrous or even fatal. As a result this, several studies have been conducted over the years in order to mitigate some of these errors and how best to incorporate consistent strategies that are both ensure patient compliance and safety, but that are also cost-effective, as well.
1). In the Quaid’s case, “heparin and hep-lock medications […] were labeled similarly in appearance and blue text/color on the vials,” therefore; the nurse made a mistake by not double checking the medication prior to administration (Shapiro, 2010, p. 1). Due to the number of anticoagulant medication errors, “The Joint Commission has designated reducing harm from anticoagulant therapy as a National Patient Safety Goal” (Dunn, 2014, p.
Anticoagulants are a type of drug that reduces the body’s ability to form blood clots in the blood by inhibiting the production of vitamin K in the liver. The goals of the anticoagulant therapy are to prevent stroke in patients with atrial fibrillation and artificial heart valves. In patients with PE/DVT, the primary goal of the anticoagulant is to prevent an existing clot from getting larger. Anticoagulant drugs can be used after surgery to prevent new blood clots. Anticoagulant drugs increase the risk of bleeding. Because of this risk, it is essentially important to educate the patient to take the medication exactly as directed and never take larger or more frequent doses. The challenges of anticoagulant therapy are to keep it in the therapeutic
Great essay regarding the leadership of nurse practitioners. Presently, I am an admirer of nurse practitioners and choose to see an NP over a physician for non-emergency ailments. In my opinion, nurse practitioners are more patient and caring over doctors. They listen to my concerns and explain why they would or would not decide on a particular treatment. Sometimes, they will give me options and allow me to make the choice. All of these factors are imperative for me and my family. In my opinion, physicians these days are too quick to fill out a prescription pad and complete their visit in order to move onto the next patient. Our health has been put on the back burner. Our medical care is now second to profit. Many physicians
Safety is what we all live for and one important thing that keeps us safe are drug treatments. These medications treatments can also be fatal if it is not given the right way. These medications are usually prescript by our physician or any legal specialist. “Five of the top 10 patient safety concerns have ties to some part of the medication process” (Patient Safety Monitor Journal, 2015, P.1).Medication errors can occur during prescription, dispensing and administer.
Nurse practitioner (NP) are authorized autonomous professional with graduate degree in nursing ranging from Master’s to doctoral degree and practices as a health care provider at ambulatory, acute and long-term care (American Association (AANP), 2013). They provide both medical and nursing care depending on their areas of specialty. They have several roles; they are: diagnosis and management of diseases, order and interpret diagnostic and laboratory tests, prescribe medications, educate patient on health promotion and disease prevention, and identify the effect of illness on the family (AANP, 2013; Ellis, Anderson & Spencer, 2015). Family nurse practitioner (FNP) provides care to individuals and family members of all age group (Ellis et al.,
Patient safety is a critical component of the care nurses deliver as we strive to prevent harm to our patients. Nurses work hard every day to provide safe and competent care in the setting in which they work. Gregory et al (2015) defines patient safety as, “the reduction and mitigation of unsafe acts within the health–care system, as well as through the use of best practices, shown to lead to optimal outcomes” (Gregory et al, 2015, p. 233) (also referenced as Davies, Hebert, & Hoffman, 2003, p. 12). Maintaining patient safety is very important to nursing care and health-care. The mother of nursing, Florence Nightingale, once stated, “It may seem a strange principle to enunciate as the very first requirement in a hospital that it should do the
When I was younger, every time someone would ask “What do you want to be when you grow up?”, I went for the standard answers – either a doctor or a flight attendant. But as I grew older, the answer became as clear as a mud. The only thing that wasn’t vague was that I wanted to help people. Nurses, in the simplest but most accurate definition, help people. And as lost as I am, I know that that is what I want to do. I’m most likely going to be a general nurse practitioner first. However, there are a lot of fields that I am ridiculously interested in such as Psychiatric, Forensics, Legal, Neonatal, Neuroscience, and Oncology. Some of these do require further study but I have to wait as I really, really want to help my family first.
This quantitative article was done to evaluate implementation of best practices that optimize inpatient anticoagulation and venous thromboembolism (VTE) management. The hospital study consisted of 189 patients with 211 identified VTE events. A VTE management best-practices bundle was designed and implemented using education, CPOE upgrades, clinical decision support, triggered consultation, and checklist; data was collected from CPOE and chart review. The VTE bundle helped improve the rates of warfarin compliance among patients and the warfarin-heparin overlap but it did not have a significant effect on low molecular weight heparin education, compression stocking use, laboratory testing before treatment, and clinical outcomes. Practice projects
Anticoagulants such as Warfarin, Heparin, Lovenox, and Eliquis are blood thinners that prevent a blood clot in patients at risk of developing deep vein thrombosis also known as DVT. According to Alquwaizani, Buckley, Adams, & Fanikos (2013), they are the primary therapy for preventing and treating blood coagulation for most hospitalized patients. Like other drugs, anticoagulants also have serious adverse events that nurses must know about. Nurses must be most concerned about bleeding because it could be fatal if not quickly detected and controlled. Therefore, they all should carefully assess and closely monitor patients on anticoagulant therapy in order to prevent complications and
Anticoagulants have been listed in the high alert medication that developed by the institute for safe medication practice (ISMP) as they have a risk of harm to patients when dosed inappropriately or when errors in administration occur.(45) Anticoagulants associated errors and bleeding events are associated with increased mortality. Anticoagulants are responsible for 5% of all adverse events that require emergency care.(46,47)
In today’s world, there is an increasing of medications usage to treat different diseases. Medications are there to help patients to feel better and continue their daily life. An advanced technology improves care and makes sure people are healthy. Meanwhile, there is also an increase of medication errors. This may be dangerous to the victim. It is a responsibility for each of health care team to prevent medication errors in order to reach the goal of treatment.