Nursing Essays Nurse Patient Safety

Nursing Essays Nurse Patient Safety Nurse Patient Safety The ICU Nurse and Patient Safety Abstract Nurses play a central role in direct patient care and safety surveillance at the point of care. This role suggests a need for consensus on a core set of measures that can be used to monitor safe practices and guide resource allocation decisions that affect patient outcomes in a health system. This work will review factors affecting patient safety in ICU and what to do to reach a proper patient outcome. The ICU Patients in Intensive Care Units are at risk of unsafe care because of the complex environment, also a patient may sustain an injury as a direct result of daily care. This makes nurses uniquely poised to have a tremendous impact on patient safety as professional caregivers in direct contact with patients and their families. Quality care and patient safety require a focused commitment from all level of an organization, yet nurses serve as the bedside safety advocate with the opportunity to put theory into practice. The challenges are: What is the right thing to do? Is the right thing being done? Is it being done right? You can get expert help with your essays right now. Find out more Factors that play a role in patient safety in ICU environment The critical care setting is one of the most complex environments in a health care facility. Critical care units must manage the intersecting challenges of maintaining a high-tech environment and ensuring staff competency in operating the equipments, providing high-quality care to the sickest patients of a health facility and attending to the needs of staff members working in a very stressful environment (Chang et al, 2005). Before building initiatives to enhance patient safety, the extent of patient injuries and events in ICUs must be well explained. Critically ill patients are at high risk for complications due to the severity of their medical conditions, the complex and invasive nature if intensive care treatments and procedures and the use of drugs and technology that carry risks as well as benefits (Chang et al, 2005). What to do? The first step of patient safety improvement process is to gain the support and engaging leadership.Risk managers, patient safety officers and critical care physicians start working together to make a business case to executives for patient safety investments. In short; implementing ICU patient safety plane becomes a team effort (Rainey and Combs, 2003). An improvement initiative will be more successful if a culture of patient safety prevails. This should create an ICU environment in which all members of ICU team understand how to exchange patient information in a meaningful and respectful way. A starting point in creating such a culture is to conduct an assessment of the current climate in the ICU whether and how it affects patient care (Rainey and Combs, 2003). A facility’s approach to provide safe critical care services will depend mainly on the ICU is organized, staffed and designed i.e. ICU staffing, structure and work environment. Generally, there are three organizational models for ICUs; the open model which allows different members of the medical staff to mange patients in the ICU. The closed model is limited to ICU certified physicians managing all cases. The hybrid model, it combines aspects of the previous two models on referral basis (Chang et al 2005, Rainey and Combs 2003 and Pronovost et al 2003). Work environment within the ICU is characterized by being high work load and fatigue; both have been identified as major negative contributors to patient safety. Staffing an adequate number of critical care educated nurses is essential to the delivery of high quality ICU care (Chang et al 2006). ICU equipment, technology and systems should be assessed from the perspective of patient safety before acquisition and implementation. When devices do not undergo a rigorous evaluation for appropriateness during acquisition or when they are not used properly or badly maintained, they can contribute seriously to patient safety (Pronovost et al 2003). Quality indicators: Savitz, Cheryl and Shulamit, conducted a meta-analysis on quality indicators sensitive to nurse staffing in acute care settings and their results did not to specific indicators that should necessarily be examined in monitoring performance and examining trends in safety as related to nursing staff. Get help with your essay from our expert essay writers What is needed? The shortage of critical care nurses has increased concerns for patient safety. Programs must retain experienced critical care nurses and maintain nursing staff competency with medial equipments and procedures. Continuing education must not be neglected on the assumption that the nurse can not be spared (Trossman 2000). Closer cooperation and understanding is always needed for the ICU staff members. Having a clear program for ICU patient safety should make the job easier. Conclusion Recognizing the critical linkage between nursing workforce and safe and effective outcome for patients, both health provider and professional organizations are committed to work together to accelerate the adoption of evidence based practices known to improve the working nursing environment, patient safety and quality outcomes for patients. This necessitates having a culture that supports patients safety, operating the ICUs as a dedicated team managed by intensive care specialists with specialized training. Finally, to ensure that the work environments can support the caregivers to interact productively, make proper level titrated vital decisions, perform medical intervention and operate medical equipments safely. References Chang, S. Multz, A. and Hall, J. (2005). Critical care organization. Critical care clinics, 21(5), 43-53. Rainey, G. and Combs, A. (2003). Making the business case for the intensivist directed multidisciplinary team model: In Proceedings from the Society of Critical Care Medicine Summit on ICU Quality and Cost. Chicago, IL. Pronovost, P, Angus, D. Dorman, T. et al. (2003). Physician staffing pattern and clinical outcomes in critically ill patients: A systematic review. JAMA 288(17), 2151-2162 Savitz, L. Cheryl, B. and Shulamit, B. Quality indicators sensitive to nurse staffing in acute care settings. Advances in patient safety, 4, 375-85. Retrieved from on 24/12/2007. Trossman, S. (2000), Nurses fight short staffing on several major fronts. Am Nurse 32, 1-2. American Psychological Association (2001). Publication manual of the American Psychological Association (5th ed.). Washington, DC: American Psychological Association.

Cebu in Philippines: Mabuhay Essay

Mabuhay! It means â€Å"Welcome!† in Philippines. And here, you truly are. On Tourism Philippines Guide, you’ll find friendly unbiased updated travel information for touring Philippines, what to see and what to avoid. More [+] Cebu Posted by Roz Visarra on May 4th, 2009 Filed Under: Cebu, Featured Cebu CEBU TRAVEL GUIDE Why Not Go Why Go Best Time to Visit Where to Stay Where & What to Eat Nightlife To Do List Stay Away From Getting There Cebu is a very beautiful city with countless beaches and nature parks. It offers everything you need- from a relaxing retreat in a tropical island, to all the conveniences that a first class metropolis can give. In contrast to the bustling metropolis, the rest of Cebu ‘s 167 islets and islands are lined with idyllic white sandy beaches and pristine clear waters. The Queen City of the South is the capital of the Visayas (also the political, economic, educational and cultural center of the Visayas) and is the second biggest city in the country. Located in between two straits, and several surrounding islands, Cebu is about 225 kilometers long, a narrow island that is home to 2.4 million people. Cebu is the jump-off point to satellite destinations in the Visayas and Mindanao Islands – Leyte, Samar, Dumaguete, Siquijor, Cagayan De Oro, Camiguin & Surigao Del Norte. Spectacular Metro Cebu: This is an aerial view of Metro Cebu, showing Cebu City (top left), Mandaue City(right), Mactan Channel(the body of water), and LapuLapu City(part of Mactan Island, bottom left). The bridge farther in the image is the first Mactan-Mandaue bridge, the second one is the Marcelo Fernan Bridge. This is one of the finest aerial shots I have for Metro Cebu. The timing was perfect for the plane to take this approach, the weather was right, the sun was like a flood light that is constantly illuminating the subject from this angle. This angle and this view was observable for just a few seconds. Luckily, I was able to take the shot within that time frame. Photo by storm-crypt The Heart of Cebu City: The western half of Osmena Boulevard, from the Fuente Osmena circle to Cebu’s provincial capitol. Photo by storm-crypt Why Not Go Everybody loves to go to Cebu so there is really no reason why anyone would not want to go there, if given the chance. Although if you want to go to a very quiet, provincial place, you can always go to its neighboring towns such as Bantayan, Badian and Argao. Why Go Can’t Outdo Cebu: With an island like this, it is difficult to miss summertime in Cebu. A resort on the east side, and in the foreground(west side), is a fish sanctuary, teeming with corals, and a huge variety of species of fish, that you can view closely to the point that you can touch them. And you can do all that with just snorkeling. Shot taken off the southeastern coast of Mactan Island, just a few minutes of side trip on the way to the airport. This island is called Hilutungan Island — a few kilometers off the southeast coast of Mactan Island. Photo by storm-crypt Simply because Cebu has it all. If you are looking for a place to spend your honeymoon, there are several 5 star resorts nearby. If you are planning a  family vacation, you can enjoy parasailing and scuba diving in the island hotels, and you can also go mountain climbing or camping in one of its nature parks. When it is thrill and excitement you long for, it has a one-of-a-kind amusement park that you cannot find anywhere else- the Sky Experience Adventure at Crown Regency. Now, if it is shopping and dining you want, Cebu has it too; a lot of them in fact. Anything which your adventurous and wandering heart desires, you can find it in Cebu. Central Cebu Mountains: Going strait to north from the municipality of Sibonga will get you to this point.Taken somewhere in central Cebu’s mountain range, shortly before heading east to the city of Cebu. Photo by storm-crypt Best Time to Visit Summer in Cebu is usually very hot while in November-January, the wind is often cold. If you want to frolic in the beach, you should go there during summer which is from March to May. But, if you want to see what Cebu has in store for all its visitors, go there in January, specifically on the 3rd week as this is the time they celebrate one of the country’s biggest festivities, the Sinulog. But you need to book early as hotels are bound to be booked even a week or two before the festival. The rainy season begins in July bringing torrential downpours that would sometimes inhibit movement, typhoon activity is minor compared with other parts of the Philippines. Sinulog: Sinulog, on the third weekend in January, honors the baby Jesus (Santo Nino) with a solemn religious parade on Friday evening, and an all-day festival on Saturday. Sort of like Carnival with thousands of participants. Spectacular! These girls are your average Filipino teenagers, but are dressed up in the style of â€Å"cultural minorities† who still live in the more remote locals of the country. Photo by friskodude The Cebuano’s flair for showmanship and love for celebrations is manifested in the Sinulog, a colorful festival of pageant proportion observed every third Sunday of January. Sinulog is a dance ritual in honor of the  miraculous image of the Santo Nià ±o. The dance moves two steps forward and one step backward to the sound of the drums. This resembles the current (Sulog) of what was then known as Cebu’s Pahina River. Thus, in Cebuano, they say it’s Sinulog. SINULOG ’07 Photo by 2rokbotoy Where to Stay Save up to 75% on hotels in Philippines Since Cebu has always been a popular tourist destination, it is equipped with hotels and resorts for every budget. If you want to splurge a bit to experience luxury at its best, you can stay at the following hotels and resorts: Marco Polo Plaza- located at Nivel Hills, this is a great hotel with such awesome customer service. The food buffet at Cafà © Marco is like no other, plus you get a fantastic view of the city. Rates start at around $105. Waterfront Hotel and Casino- there are two Waterfront Hotels, one is beside the airport and the other is within the uptown area but I would recommend the hotel in the uptown area because it is so much nicer, with better amenities. Plus it is near everything else. Rate starts at $95. Plantation Bay- this is located in Lapu-Lapu, it is an island city just about 30 minutes away from Cebu. This is a truly lovely resort where you can really experience luxury and relaxation. Rates start at $150++. Shangrila Mactan Resort and Spa- this is probably the most popular resort in Cebu and with good reason too. It has a beautiful beach front, swimming pools, a huge garden, a play area for kids plus a wonderful spa. Rates start at $165++. If you are on a budget, you may prefer to stay at cheaper hotels. Don’t worry, Cebu has a lot of them and they are quite clean and nice too. Golden Peak Hotel- located in uptown Cebu; this is a newly built hotel. Rates start at $30. Maxwell Hotel- another newly built hotel, with a spa and coffee shop with free DSL internet. Rates start at Golden Prince Hotel- this hotel is very near food and shopping establishments, particularly one of Cebu’s biggest malls which is Ayala. Rates start at $49. Heritage of Cebu: The Heritage of Cebu monument in Parian showcases the significant events of Cebu. You can also see sculptures of Lapu-lapu, Rajah Humabon, Ferdinand Magellan, martyr Pedro Calunsod and other prominent historical figures that have moved and shaped Cebu in more ways than one. This monument is the work of national artist Edgardo Castrillo. It was constructed on July 1997 was inaugurated on Dec. 8, 2000. Photo by Brennan Mercado Where & What to Eat †¢Abuhan- Have you ever heard of Pochero? It is a great tasting soup with pork or beef bone marrow, corn and cabbages. Abuhan is famous for it. You can try this in one of their 3 brances. I would recommend the branch they have at Asiatown IT Park. †¢Golden Cowrie-This is probably the most frequented Filipino restaurant, particularly by tourists. Their food is simply amazing. You can try their sautà ©ed mushroom and chicken pandan. They have 3 branches: in Lahug, SM, and Hukad in Ayala. †¢Spice Fusion- this restaurant offers Asian Cuisines that are quite delicious. A favorite, roti in curry sauce is highly recommended. Spice Fusion has two branches, one at the Banilad Town Center and the other one at North Wing, in SM. †¢Sutukil- visitors should never leave Cebu without going to the famous SUTUKIL. It is an area with several restaurants offering the freshest seafood. You can actually choose from live fish, crabs, and shrimps, and then you can have it cooked SUTUKIL style, which comprises three different food: grilled, raw (with vinegar, tomatoes, ginger and chili), and soup. This is located beside the Mactan Shrine in Lapu-Lapu. †¢Cafà © Laguna-a place where you can taste authentic Filipino dishes. Try their bistek tagalog, it is simply heaven to the palate. You can find Cafà © Laguna in the mall and garden area of Ayala Mall. †¢Larsians- sample Cebu’s street food at its finest. Grilled chicken, pork and fish plus you can try their ‘puso’ or what others call ‘hanging rice.’ It is rice wrapped and cooked in palm leaves. †¢Harbour City Dimsum- great Chinese food- try their siomai and steam rice. Harbour City has branches in two malls, Ayala and SM. Nightlife Cebu has lots of places to go to enjoy your night – from downtown to uptown, Metropolitan Cebu comes even more alive as dusk sets in, with queues leading to music bars, discos and the casinos. If you want to go dancing, you can go to Sunflower at Lahug, or at Pump in Archbishop Reyes Street. If you want to go Karaoke, you can go to POD5 at the Banilad Town Center, or at K1 KTV at the Crossroads. If you just want to hang out in a restobar, you can go to Sinners and Saints in Banilad or a sportsbar called Badgers. You can also go to T.G.I.F. in Ayala where the food, beer and service are really good. Now if you just want to have some nice and quiet evening, you can go to Tops, it sure is nice there during the night; you get to see all the lights around Cebu. My to do List †¢Island Hopping- You can rent a pumpboat for about $60 and this will take you to 3 beautiful islands around Cebu. It is a whole day activity so you may want to bring in some lunch and snacks. †¢Mountain View- You can go there day or night- it does not matter as they are open 24/7. It is full of tall trees and flowers, plus hangout areas and playgrounds for kids. You also get a great view of the city at the top. Entrance fee: $1.25 per person †¢Nature Tripping- You can go to one of its many waterfalls, especially the one in Badian which is the Kawasan Falls, it is about 2  ½ hours away from the city. †¢Bantayan Island- This is about a 3 hour drive to the southernmost port, and then you will take a RoRo to the island which is about an hour’s travel. Bantayan is great for those who want some quiet time in sugary white sand beaches. Turtle with two live sharksuckers Photo by alfonsator †¢Moalboal- You should go there if you want to dive. It is about 2  ½ hours away from the city. They have several diving packages at different rates. The islands of Mactan and Camotes are not to missed by diver addicts too. †¢Sky Experience- located at the heart of the city, this is where the city’s tallest building is. Experience the thrill of walking hundreds of feet above ground! †¢Basilica del Sto. Nino- this very old church is located at the heart of downtown Cebu. There you can see the many faces and images of the Little Jesus. It has been said that miracles happen if you ask the Sto. Nino to pray for you. Cebu Cathedral Photo by neiltoot †¢Shopping- there are two kinds of shopping you can do-high end and low end. You can find some really good buys in downtown Cebu, specifically at Colon Street where tops can go as low as $2. You can also go to two big malls where you can find clothes, shoes and accessories: Ayala Mall and SM. Stay Away From Cebu is also home to a lot of pickpockets and robbers. Stay away from the downtown area late at night. Even during the day, you should keep your valuables in places where it is difficult for robbers to get access to it.

In Defense of Love Why Catholics Should be for Gay...

The topic of homosexual marriages has been a very hotly contested issue and has in recent years become an even more heavily debated topic, particularly in the Catholic Church. Now, Catholics have always had a very definite stance on homosexuality and more importantly homosexual marriage. They have always had the belief that marriage is, and should remain, exclusively between a man and a woman. I too, being a Catholic myself, held this belief for quite some time until I actually looked into scripture, and I discovered that the Catholic Church has been thinking backwards. Throughout the history of the Catholic Church, homosexual marriage has always been deemed an abomination by scripture, tradition, and holy fathers, but through scripture†¦show more content†¦That is not to say that everyone is going straight to hell if they are homosexual. â€Å"Every human being is called to receive the gift of divine son-ship, to become a child of God by grace. However to receive this gift we must reject, sin including homosexual behavior† (Brom). Rome instructs that we do not judge the sinner; we only judge the sin. While we are taught to not pass judgment on gays for being homosexual, we are to oppose any and all homosexual acts. Pope John Paul II spoke extensively on gay marriage and teaches that, â€Å"The presence of the feminine element, alongside the male element and together with it, signifies an enrichment for men in the whole perspective of his history† (Pope John Paul II). Pope John Paul II raises an excellent point; there are fantastic benefits to marriage enjoyed by both spouses. There are many health benefits to marriage: including longer lifespan, improved overall happiness, someone to monitor your health, someone to live for, and shorter stays in hospital. However, the question remains that if marriage is such a wonderful, beneficial thing, why are gays prevented from participating? Well the Vatican has many answers that can all be conveniently found in one volume, the Bible. One need only look into the second chapter of the good book to find the first scripture used against gay marriage. Genesis 2:24 reads, â€Å"That is why a man leaves his father and mother and is united to his wife, and they become one flesh.†Show MoreRelatedThe Rights Of The Lgbtq Community1217 Words   |  5 Pagesstanding at the aisle, many states deny them the right to marriage. Many protest the rights the LGBTQ community should be able to have. The Catholic Church has condemned the LGBTQ community since the beginning of time. While some states have changed their views and laws on LGBTQ rights and privileges, there is still much improvement that needs to be done. 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Why should these people who are willing to be together for better orRead MoreLegalize Gay Marriage Essay1495 Words   |  6 PagesSame-Sex Marriage Should Be Legalized Just about everyone has an opinion on legally allowing same-sex couples to marry. The arguments range from personal beliefs to what marriage is said to be in the Bible. Why should a couple be forbidden from showing each other along with family and friends that they are fully committed to each other? What place is it for the government to say that said couple is not allowed to commit to the one who truly makes you happy? Why should these people who are willing

Conflict Resolution By Stephen R. Covey - 898 Words

Conflict Resolution To win or not to win, that is the question†¦or is it? Stephen R. Covey suggests that it does not have to be a win-lose scenario. Covey subscribes to a win-win philosophy, â€Å"Win-win is a frame of mind and heart that constantly seeks mutual benefit in all human interactions† (Covey, n.d.). When it comes to parent-teacher conflicts, Covey’s â€Å"Win-win† approach is the best solution to deescalate frustrations and maintain positive relationships between the teacher, students, and parents. This paper will examine two conflict scenarios and determine which actions achieved a mutual beneficial outcome. In the first parent-teacher conflict scenario, a mother storms into her son’s classroom and demands if the teacher there is the one she is looking for. After his affirmation, she begins to vent her frustrations about an assignment that made her child bring a homeless man into her home. 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