Nurses play a significant role facilitating safe patient transitions between care settings. Care transitions represent points where medication errors can occur due to lapses in communication or errors in medication documentation transcription.
As healthcare leaders respond to Covid-19 our usual focus upon traditional ethics principles such as patient autonomy and honoring the surrogate decision makers’ role have been muted. Hopefully temporarily, we now focus upon the common good, saving the most lives, and limiting family access to the patient’s bedside in order to reduce viral spread.
Early 2020, when the organization recognized COVID-19 was an impending threat, nursing leadership recognized the need to elevate the practice of nurses who could be reassigned to a higher level of care to accommodate a surge of critically ill patients.
Transitional Shock is defined as an acute and dramatic change in the process of professional role adaptation by the newly licensed RN and is the experience of moving from the familiar role of nursing student to the professional registered nurse. It is a major reason that new graduate nurses leave their job or leave nursing altogether in their first year of practice.
Traditional fall risk assessment tools do not identify risk factors specific to the psychiatric population. The proposed project was an evidence-based practice intervention that implemented the Edmonson’s Psychiatric Fall Assessment Tool to address the PICOT question: “among patients in the inpatient behavioral health setting will implementation of a fall risk assessment tool specific to behavioral health decrease falls and falls with injury compared to the current tool.
Implementation of the Braden QD scale was expected to decrease the incidence of hospital-acquired pressure injury (HAPI) in pediatric patients through improved risk assessment and intervention (Curley et al., 2018). Prior to implementation (Q1 2020) the incidence of HAPI was 3% and following implementation the incidence was zero (Q2 2020).