Nursing unit’s representative for a quality review team

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Consider the following hypothetical scenario:

You have been chosen as your nursing unit’s representative for a quality review team at your healthcare system. The team has been asked to review technology used at the hospital in a protocol or process to improve patient outcomes (for example: catheter-associated urinary tract infections (CAUTI), central line-associated bloodstream infection (CLABSI), fall prevention, etc.).When choosing a protocol, think about the types of technologies used to implement and/or perform the protocol. For this assignment, you have been tasked with completing a review of the technologies used within one protocol. You will need to create a PowerPoint presentation which describes the results of the critique you have performed and recommendations to the group.

Describe and critique a protocol used on your healthcare unit using the guidelines listed below. Describe the purpose and significance of the protocol and the technologies used. Determine if the technologies used in the protocol communicate. Identify any gaps noted and provide recommendations. Identify other stakeholders within the organization who should receive this feedback.

 

 

Discuss the following features of the protocol:
Provide a general description and significance of the protocol.
Describe how the protocol aligns with evidence-based practice (e. identify a minimum of 2 scholarly articles that support/refute actions identified in the protocol)
Identify any technologies currently used by healthcare system to complete the actions in the protocols
Provide a brief description of each technology used in the protocol
Describe the purpose for the technology use (g. communication, assess information, etc.)
Describe if and how the technologies communicate among each other.
Describe how the nurse is able to access the information needed to complete the protocol.
What gaps in technology communicating with technology are noted after reviewing this information?
Summarize the analysis and offer recommendations to achieve better protocol results and improve the use of technology within the protocol (e. what would one recommend to refine the protocol?)
What is the process to provide feedback of the recommendations in addition to your supervisor? (e. practice committee, supervisor/manager, etc.)

Sample Solution

Slide 1: Title slide

  • Title: CLABSI Prevention Protocol
  • Subtitle: A Review of Technologies Used

Slide 2: Introduction

  • Central line-associated bloodstream infections (CLABSIs) are a serious complication of central line use.
  • CLABSIs can lead to sepsis, organ failure, and death.
  • There are a number of evidence-based practices that can be used to prevent CLABSIs.
  • This presentation will review the technologies used in the CLABSI prevention protocol at our healthcare system.

Slide 3: Technologies Used in the CLABSI Prevention Protocol

  • The CLABSI prevention protocol at our healthcare system uses a number of technologies, including:
    • Central line insertion checklist: This checklist is used to ensure that all of the steps in the central line insertion process are followed correctly.
    • Central line dressing change checklist: This checklist is used to ensure that all of the steps in the central line dressing change process are followed correctly.
    • Central line bundle: This bundle includes a number of evidence-based practices that are used to prevent CLABSIs, such as hand hygiene, chlorhexidine skin antisepsis, and maximal barrier precautions.
    • Electronic health record (EHR): The EHR is used to track central line use and to identify patients who are at risk for CLABSIs.

Slide 4: Communication between Technologies

  • The technologies used in the CLABSI prevention protocol are designed to communicate with each other.
  • For example, the central line insertion checklist is linked to the EHR, so that the information from the checklist is automatically entered into the patient’s record.
  • This communication between technologies helps to ensure that the CLABSI prevention protocol is followed correctly and that patients are at the lowest risk for infection.

Slide 5: Gaps in the Protocol

  • There are a few gaps in the CLABSI prevention protocol at our healthcare system.
  • For example, the protocol does not include a specific plan for managing patients who are at high risk for CLABSIs.
  • Additionally, the protocol does not include a plan for education and training of staff on the CLABSI prevention bundle.

Slide 6: Recommendations

  • I recommend that the CLABSI prevention protocol at our healthcare system be revised to include a specific plan for managing patients who are at high risk for CLABSIs.
  • I also recommend that the protocol be revised to include a plan for education and training of staff on the CLABSI prevention bundle.

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