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Patient care management
Presented By: sarab- marwa-heba-amina- faten
Dr. heba halemi
Admission of patient to the unit
Six elements key to patient sitter program
expectations for sitter behavior and responsibilities that include the following:
Identification of Patient
Standard care protocol
Application in planning patient care
Requisition for lab
Daily patient Care management
patient care Documentation:
Pre Operative Preparation, CN Check List , Preoperative Teaching
Cn Role In Pt Transfer And Collection From OR
Post Operative Care, Post Operative Pt Teaching
Medication Ordering Obtaining From Pharmacy Administration
Pt Family Interaction ,Family Education
Pt DISCHARGE Planning , Teaching And Discharge Process
Medical Reports , Sick Leave
Follow-up Appointment System
Patient Referral Or Transfer To Another Facility
At The End Of This Lecture The Student Will Able To :
a promising team-based, patient-centered approach “designed to assist patients and their support systems in managing medical conditions more effectively
the formal acceptance of a patient for care into a clinic, hospital
Staying in the hospital overnight or to receiving medications and undergoing tests and/or surgery
This data may include:
date of birth
emergency contact information, telephone numbers
reason for hospitalization
allergies to medications or foods
process for requesting and discontinuing sitters;
patient eligibility criteria;
a pool of sitters;
criteria for sitter qualifications;
a sitter job description with expectations for sitter behavior and responsibilities;
a training program for sitters.
documenting observed behaviors and interventions
maintaining toileting schedules for patients and remaining with patients while in the bathroom
ensuring a safe environment
focusing on observation of the patient and avoiding non-work-related activities (personal calls, cell phone use, reading).
training program that provides education on the following:
safe patient handling techniques;
behavior management strategies for de-escalating agitated patients;
the matching of a patient to an intended treatment is an activity that is performed routinely in all care settings
a process used to collect information that forms an individualized database about a patient
Standard Care protocols are used to treat patients with standard of care therapies in a non-research setting. Patients on standard care protocols are not considered to be research subjects and no data are collected on these patients
Altered body temperature ( fever ) related to immature heat regulating center
Infant will Regulate body temperature
Assess vital signs especially temperature to detect abnormalities
Place the infant in incubator, radiant warmer or warmly clothed in open crib.
Give antipyretic as indicated
Regulate air temperature control as needed.
Monitor for signs of hyperthermia- redness, flushing.
Avoid situation that might predispose infant to heat loss such as exposure to cool air, drafts, bathing or cold scales.
Monitor for signs of hypothermia- cold extremities, cyanosis.
infant temperature be normal in range evidence by reduce the temperature to : 37.4 C⁰
is an important part of any hospital admission. It plays an important role in ensuring a smooth move from hospital to home. This is achieved by making sure that appropriate clinical and community based support services are in place if required.
requisition to capture correct information as required by private health care programs and to promote easy, accurate ordering of tests that are reasonable, necessary and supported by the patient record.
Daily patient Care management
Care a promising team-based, patient-centered approach “designed to assist patients and their support systems in managing medical conditions more effectively
encompasses all written and/or electronic entries reflecting all aspects of patient care communicated, planned recommended or given to that patient.
Nursing documentation will support the process;
Plan of care
Real time progress notes
Pre operative preparation
Be ready to discuss the following:
Risks and benefits of surgery
Alternatives to surgery
Allergies that you have
Prescription and over-the-counter medications that you currently take (bring a list with name, dosage and frequency)
Current and previous medical and surgical history
Do you use alcohol, tobacco or illegal drugs
Personal or family history of high fever or other complications during surgery
Could you be pregnant?
The following tests, if ordered, may help your health care team evaluate your body's stability for surgery and anesthesia
the nursing interventions classification, a
http://medical-dictionary.thefreedictionary.com/nursing+interventionintervention defined as assisting a patient to understand and mentally prepare for surgery and the postoperative recovery period.
CN role in patient transfer
Registered Nurse, caring for the patient in the transferring ward or department will take responsibility to ensure that the patient is appropriately and safely prepared for transfer.
Post operative care
The postoperative period begins from the time the patient leaves the operating room and ends with the follow up visit by the surgeon
Teaching, Patient Self Care
Immediate postoperative changes
Written instructions like Wound care Activity + dietary recommendation Medications Follow up
medication ordering obtaining from pharmacy administration
by a prescribing practitioner for a specific medication The prescribing practitioner may also give a medication order verbally to a licensed person such as a pharmacist or a nurse.
Routes of administration
Medications applied to the skin and mucous membranes generally have local effects.
Applied to skin.
The primary objective of patient education is to help patients and families understand their rights and responsibilities in their care, treatment, and services. Patients receive education and training specific to their needs and appropriate to the care, treatment, and services provided
DISCHARGE OF A PATIENT
Some patients need help after they leave the hospital.
Our staff can be of special help in arranging home care
home care, skilled nursing care, hospice care
outpatient physical, speech and occupational therapy
home meal programs
referrals to a variety of community agencies
Medical reports , sick leave
Sick leave is defined as the period of time an employee is absent from work with full pay as a result of an injury or illness. When employees must be absent from work and are on sick leave, they are expected to take appropriate measures to ensure their timely return to work.
patient referral or transfer to another facility
must contact the receiving facility to find the status of bed availability and receive an approval before the transfer is made
Prepare all documentation, medical information and investigation results
ambulance service for transfer patient
References & Suggested Reading
Kelly DL. Applying quality managing in health care. Health Administration Press, 2006
Tomey AM. Guide to nursing management and leadership. Mosby, 2008
Article Source: Study Notes, Semester I, 2009-2010
The primary objective of patient education is to help patients and families understand their rights and responsibilities in their care, treatment, and services. Patients receive education and training specific to their needs and appropr