NR392 Quality Improvement in Nursing - Course Project Milestone 1

NR392 Quality Improvement in Nursing - Course Project Milestone 1

Directions: Prior to completing this template, carefully review Course Project Milestone 1 Guidelines paying particular attention to how to name the document and all rubric requirements. After saving the document to your computer, type your answers directly on this template and save again. This assignment is due by Sunday end of Week 1 by 11:59 p.m. Mountain Time. NR392 Quality Improvement in Nursing - Course Project Milestone 1

BUY A PLAGIARISM-FREE PAPER HERE

Your Name: ......

Assignment Criteria Your Answers:

(NOTE: See Milestone 1 Grading Rubric for details required in each area.)

Nursing Care Issue and Outcome

30 points

Nursing Care Issue: My nursing care issue is I.V. infiltration in pediatrics

Outcome: To reduce the number of IV infiltration in my unit by 50% in the next 6mths.

Details of the Issue

45 points

IV infiltration can be explained as the leakage of medications or IV fluid into the neighboring cells and tissues. It is mostly caused by factors such as displacement of the catheter or an improper placement. The catheter can be displaced due to the movement of the patient. I.V. infiltration takes place when nonvesicant drugs escape from the veins and leak out to the neighboring cells and tissues. IV infiltration has various side effects such as discomfort, compartment syndrome or a need to reinsert the intravenous catheter. Such acts will likely increase the time the patient is hospitalized and/or permanent damage to children. NR392 Quality Improvement in Nursing - Course Project Milestone 1

Some of the signs and symptoms of this issue include blanching and cool skin, a decrease or stopping of the flow rate, burning, swelling and discomfort.

There are a number of measures that can be utilized to prevent IV infiltration from happening. Some of the preventive measures include but not restricted to selecting the best site for IV infiltration and avoiding places of flection.

· Using the right venipuncture method

· Regularly observing the IV site and documenting

· Inform the patient to report any tenderness or inflammation at the site

· Re-train nursing staff in IV initiation, maintenance, documentation and Identification of all risk factors

Reason Issue Selected

25 points

I chose this issue because it is of significant impact to the patients and their families if it occurs. For example, when a patient stays longer in hospitals, families will incur more costs when indeed it can be prevented. I have also mentioned the problem of permanent damage such as nerve damage and muscle damage depends on the medication or the type of fluid. I.V. infiltration can also lead to the damage of the nerves. For example, if the catheter is in the hand and a nerve is damaged, in addition to the other effects, the patient will lose some of his functioning of that hand or experience a feeling of numbness (Goldenholz, 2017). These are negative consequences which we should try to avoid at all costs. NR392 Quality Improvement in Nursing - Course Project Milestone 1

I’ve been working as a nurse in the PICU for the past 3 years and every year we experience several cases of IV infiltration usually caught in the early stages however, that change last months alone we had two severe cases of IV infiltration which led to compartment syndrome and another patient having to stay with us 5 days longer then need be. NR392 Quality Improvement in Nursing - Course Project Milestone 1

References

Bonsall, L. (2015). Complications of Peripheral I.V. Therapy. Retrieved From

https://www.nursingcenter.com/ncblog/february-2015-(1)/complications-of-peripheral-i- v-therapy

Goldenholz, S. (2017). Infiltrated IV complications of Nerve damage & Cellulitis. Retrieved

From https://www.livestrong.com/article/231265-infiltrated-iv-complications-of-nerve-damage-cellulitis/

Below is a breakdown of each section as well as recording that provides further detail to help guide you! Please note that if you are viewing this Announcement from your email, you will not see the recording. You will need to locate this Announcement within the course and view it from there. NR392 Quality Improvement in Nursing - Course Project Milestone 1

Define: Approved Nursing Issue from Milestone 1

In this section, you will simply provide your approved nursing care issue from Milestone 1. If you were required to make revisions, please use the approved topic that was decided upon from our discussion. You are not to change your focus once it has approved. Remember, you can keep this section simple!

Measure: Identify Measures (Indicators) to Support the Issue

In this section, you will provide data that supports your selected nursing care issue, is truly an issue. You should be utilizing data about your selected issue from your setting. However, if you do not have data from your setting or only limited data, you will want to state the data you would like to have. Think about what information would be important to know when working to improve or resolve the selected issue? What would you need to know to make an effective change? NR392 Quality Improvement in Nursing - Course Project Milestone 1

Measure: Stakeholders

In this section, you will provide a detailed list of all the important people who will be involved in the improvement process for your selected nursing care issue. The title of each person or group of staff members should be present along with a description of their role. Because each topic is unique, the number of stakeholders will vary, but you should aim to have at least 4-5 stakeholders for this assignment.   NR392 Quality Improvement in Nursing - Course Project Milestone 1

Analyze: Analyze the Causes of the Nursing Issue

In this section, you will provide detail as to what you know or believe to be the causes of the issue you selected. For example, is training or education lacking? Be sure to provide much depth and detail!

Chamberlain College of Nursing NR392 Quality Improvement in Nursing

Course Project Milestone 2 Template

For Use SEPT 2018

Directions: Prior to completing this template, carefully review Course Project Milestone 2 Guidelines paying particular attention to how to name the document and all rubric requirements. After saving the document to your computer, type your answers directly on this template and save again. This assignment is due by Sunday end of Week 3 by 11:59 p.m. Mountain Time. NR392 Quality Improvement in Nursing - Course Project Milestone 1

Your Name: __________________________

Assignment Criteria Answers:

(NOTE: See Milestone 2 Rubric for details required in each area.)

Define:

Approved Nursing Issue from Milestone 1

25 points

Measure:

Identify Measures (Indicators) to Support the Issue. NR392 Quality Improvement in Nursing - Course Project Milestone 1

75 points

Measure:

List Stakeholders (important persons) in Improving this Nursing Issue

50 points

Analyze:

Analyze the Causes of the Nursing Issue

50 points

NR392 Quality Improvement in Nursing - Course Project Milestone 1