Post a thoughtful response to a colleagues’
Post a thoughtful response to a colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.” Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response Please reference your response with your response with no later than 5 years and link to doi article Within the confines of our healthcare system there are many opportunities and areas where improvement can be made. The purpose of this post is to discuss the Experimental Learning Project (ELP) that has been selected for this course along with the Quality and Safety Education for Nurses (QSEN) competency that will lead the project. There are many organizations that support the healthcare system; however, this post will discuss The Center for Medicare and Medicaid (CMS) and how that organization supports the project. As the project has unfolded, there are areas where further research would allow further insight into the proposed solution of the project. This ELP that has been chosen for this project will discuss patients in a skilled nursing facility. While there are many risk factors to the patients of a skilled nursing facility regarding pressure injuries, one common and avoidable issue is sheering and/or repositioning. With experience in the skilled nursing facility setting, I have witnessed the need for continued staff education and specific transfer device, such as a maxi-slide, that can be used to aide in the reduction of unnecessary increased risk for pressure injury. The QSEN competency of safety has been chosen for this project and is best described as reducing the risk of harm to patients and healthcare staff with improved guidelines and training (QSEN, 2020). While there are many organizations that govern and assist the healthcare system to set forth guidelines, CMS sets forth guidelines and accountability to healthcare facilities to ensure that there is health equality and to promote improved healthcare outcomes (Centers for Medicare & Medicaid Services [CMS], 2023). CMS holds healthcare providers accountable for the care that they receive. If a facility violates these guidelines there are civil penalties that are fined and paid to Medicare and Medicaid services. This organization directly relates to and supports my topic as healthcare acquired pressure injures are monitored for each facility to allow for accountability for the increased risk to patient safety. Throughout this project there has been an abundance of data on the cost of pressure injures to the healthcare system. The cost of pressure injuries to the healthcare system is over an estimated $11 billion annually (Singh et al., 2022). This is not surprising with understanding that there are many complexities involved in treating pressure injures and the sequala’s involved. Additional research would be beneficial to show the effects of a pressure injury to include the patient, their family, and the healthcare institution. While some patients may heal from the pressure injuries and others may succumb to those injuries, what type of stress and/or depression does the patient and their family endure post event? What is the continued cost after the event has passed? These are a few examples of additional research that would be beneficial in the advocacy in further pressure injury treatment. The objective of this project is to develop and present education using evidenced based practice to the facility to decrease the risk of pressure injury related to patient repositioning. The proposed solution for the problem presented is education and policy implementation that allows for staff to be aware of pressure injury risks as well as have the tools to aide in their prevention. With this solution there would be a standardization of policy and education that all staff providing direct patient care would be aware of and can follow. In conclusion, pressure injuries within a skilled nursing facility are serious. Facility acquired pressure injuries have detrimental effects on the patient, their families and add an extreme cost to facilities. While pressure injures prevention should be managed by the entire healthcare team, the bulk of the responsibility is typically left to the nursing team as pressure injuries can be an indicator of the quality of the nursing care being provided (Hommel et al., 2018). With the implementation of this project, the facility will have an educational baseline that will decrease the at-risk measures of pressure injuries. CMS. (2023). CMS strategic plan. https://www.cms.gov/cms-strategic-plan Hommel A, Santy-Tomlinson J. (2018 Jun 16.) Pressure Injury Prevention and Wound Management. In: Hertz K, Santy-Tomlinson J, editors. Fragility Fracture Nursing: Holistic Care and Management of the Orthogeriatric Patient [Internet]. Cham (CH): Springer; 2018. Chapter 7. Available from: https://doi.org\ 10.1007/978-3-319-76681-2_7 QSEN. (2020). Graduate QSEN Competencies. https://qsen.org/competencies/graduate-ksas/#safety Singh, C., Shoqirat, N., & Thorpe, L. (2022). The cost of pressure injury prevention. Nurse Leader, 20(4), 371-374. https://doi.org/10.1016/j.mnl.2021.11.003
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