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Nursing unit’s representative for a quality review team at your healthcare system.

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.

Your presentation should include a title slide, an introduction slide, summary slide, and reference slide. The title slide, introduction slide, and reference slide do not count towards the presentation slide numbers.
The introduction should briefly describe the purpose for this presentation. Identify a protocol used in the healthcare setting you normally practice (if currently not practicing, find a protocol used in a healthcare setting near you). The introduction should establish a professional tone for the presentation.
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.

Sample Answer

Title slide

Title: The Use of Technology to Prevent CAUTI
Subtitle: A presentation by Bard

Introduction slide

Purpose: This presentation will discuss the use of technology to prevent catheter-associated urinary tract infections (CAUTI).
Significance: CAUTI are a common and costly complication of hospitalization. They can lead to increased length of stay, increased risk of death, and increased healthcare costs.

Full Answer Section

Evidence-based practice: The use of technology to prevent CAUTI is supported by a number of evidence-based practice guidelines. For example, the Centers for Disease Control and Prevention (CDC) recommends the use of chlorhexidine gluconate (CHG) to cleanse the skin before insertion of a urinary catheter.

Technologies used in the protocol

CHG skin cleanser: CHG is a topical antiseptic that is effective in reducing the risk of CAUTI. It is used to cleanse the skin before insertion of a urinary catheter.
Urinary catheter: A urinary catheter is a tube that is inserted into the bladder to drain urine. There are a number of different types of urinary catheters available, some of which are designed to reduce the risk of CAUTI.
Electronic health record (EHR): The EHR is a computer system that stores patient medical records. It can be used to track the use of CHG and urinary catheters, and to identify patients who are at risk for CAUTI.
Barcode medication administration (BCMA): BCMA is a system that uses barcodes to track the administration of medications. It can be used to ensure that the correct medication is administered to the correct patient at the correct time.

Communication between technologies

The CHG skin cleanser, urinary catheter, EHR, and BCMA all communicate with each other. This allows for the seamless flow of information between these systems, which can help to prevent CAUTI. For example, the EHR can send a notification to the BCMA system when a patient is at risk for CAUTI. The BCMA system can then alert the nurse to this risk, and the nurse can take steps to prevent the infection from occurring.

Access to information

The nurse can access the information needed to complete the protocol through the EHR. The EHR contains information on the patient’s medical history, including any risk factors for CAUTI. The EHR also contains information on the patient’s current medications, including any medications that can increase the risk of CAUTI.

Summary

The use of technology can help to prevent CAUTI. The technologies that are most commonly used to prevent CAUTI include CHG skin cleanser, urinary catheters, EHRs, and BCMA systems. These technologies communicate with each other, which allows for the seamless flow of information between them. This can help to prevent CAUTI by ensuring that the correct medication is administered to the correct patient at the correct time, and by identifying patients who are at risk for CAUTI.

Recommendations

I recommend that the following stakeholders within the organization receive this feedback:

Nursing staff: The nursing staff is responsible for implementing the protocol to prevent CAUTI. They should be aware of the technologies that are used in the protocol and how to use them effectively.
Infection preventionists: Infection preventionists are responsible for monitoring the effectiveness of the protocol to prevent CAUTI. They should be aware of the technologies that are used in the protocol and how to use them to improve patient outcomes.
Hospital leadership: Hospital leadership should be aware of the use of technology to prevent CAUTI. They should support the use of these technologies and provide resources to ensure that they are used effectively

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Nursing unit’s representative for a quality review team at your healthcare system.

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