I need to replay to this eassy bellow, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress,
Nurses have many roles. Nurses not only physically and emotionally care for their patients but also advocate, protect, and ensure autonomy. Nurses ensure that patients are provided the best care in a timely, safe, and effective manner for positive patient outcomes. The WHITE PAPER: A Framework for Safe, Reliable, and Effective Care explains, The Framework for Safe, Reliable, and Effective Care provides clarity and direction to health care organizations on the key strategic, clinical, and operational components involved in achieving safe and reliable operational excellence (Frankel, Haraden, Federico, Lenoci-Edwards, 2017, p. 6). The Framework is essentially the glue that holds the entire healthcare organization together. The nurses role within the Framework is to be the caretaker, advocate, and ensure safety and autonomy are provided.
The dialysis company I work for has been trying to come up with a way to decrease central venous catheter (CVC) associated infections. As I sat and pondered on the high risk of CVC infections within my unit, I began to think of interventions that where not in place yet. There is really no way of keeping up with how many CVCs that we have other than looking in the patients chart prior to treatment, or waiting until the patient arrives to see in person. I suggested to my facility administrator that we use a whiteboard that can be located within the treatment area so that we can keep up with how many CVCs and AVF/AVGs we have to ensure that the proper interventions are being applied within the treatment plan of care to assist with decreasing infections. Within 2 weeks we had a whiteboard ordered and placed in the treatment area. Since then, our team has been very satisfied with the intervention. Without the Framework for Safe, Reliable, and Effective Care, the healthcare industry would not be where it is today.
Frankel A, Haraden C, Federico F, Lenoci-Edwards J. A Framework for Safe, Reliable, and Effective Care. White Paper. Cambridge, MA: Institute for Healthcare Improvement and Safe & Reliable Healthcare; 2017. (Available on ihi.org)
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