the biological mind. The physical basis of behavior

Process of Developin" rel="nofollow">ing a Policy: Nap time for nurses Order Description Process of Developin" rel="nofollow">ing a Policy: Nap time for nurses 1 Objectives 1) Demonstrate the ability to develop a policy as a means of Quality Improvement. 2) Identify the critical components in" rel="nofollow">in developin" rel="nofollow">ing a policy. Review chapter 5, pages 156 - 158, of your textbook Fin" rel="nofollow">inal Project Selection Instructions Look around your place of work. There are usually many procedures and policies regulatin" rel="nofollow">ing the actions of staff for patient safety. Polices attempt to standardize care and help drive positive outcomes for the organization and most importantly for the patients. Policies are stated in" rel="nofollow">in the absolute; shall or will. They are directives. Your organization will have several policies. In this course, you are to explore the the process required in" rel="nofollow">in developin" rel="nofollow">ing good policies and gettin" rel="nofollow">ing them implemented. This is similar to the process for developin" rel="nofollow">ing laws as explain" rel="nofollow">ined in" rel="nofollow">in your text book. Thin" rel="nofollow">ink of the nursin" rel="nofollow">ing process: Assess, Diagnose, Plan, Implement, and Evaluate. In developin" rel="nofollow">ing a policy, nurses follow this pattern. In this assignment, you will delin" rel="nofollow">ineate this process for a particular nursin" rel="nofollow">ing topic. 1. On a Word document, Submit the title of your selected topic and a brief reason for this selection. 2. The topic must be a nursin" rel="nofollow">ing issue and within" rel="nofollow">in your chain" rel="nofollow">in of command, i.e. not hospital policies, staffin" rel="nofollow">ing policies, or pharmacy policies, or Human Resource policies. 3. This is an optional opportunity to have your selection reviewed. Inappropriate selections and not approved by your TA or faculty will have a negative impact on the grade. 4. Post your fin" rel="nofollow">inal paper topic for review. 5. There is no grade for this assignment. The scorin" rel="nofollow">ing is Satisfactory or Not Satisfactory. Ignore the percentages associated with the score. 6. You will fin" rel="nofollow">ind the comments and approval or not, in" rel="nofollow">in your grade book 7. This assignment is due by Sept 9 at 11:55PM CST Directions: Fin" rel="nofollow">inal Project Instructions Your assignment is to write a paper on how you would develop a policy (new or revised policy and specify which) to address an issue identified in" rel="nofollow">in a practice settin" rel="nofollow">ing. This writin" rel="nofollow">ing assignment should adhere to APA style and be between 3-5 pages NOT in" rel="nofollow">includin" rel="nofollow">ing the title page and reference list. You are to delin" rel="nofollow">ineate processes for gettin" rel="nofollow">ing the policy adopted and implemented within" rel="nofollow">in that practice settin" rel="nofollow">ing. Usin" rel="nofollow">ing these "steps" as headin" rel="nofollow">ings for your paper elaborated on the required items listed here. The in" rel="nofollow">introduction is to cover basic in" rel="nofollow">information about the topic supported by research and the need for such a policy. Consider and in" rel="nofollow">include, at a min" rel="nofollow">inimum, potential issues related to safety, culture, collaboration, fin" rel="nofollow">inances, in" rel="nofollow">information management, and resource utilization, if applicable, when writin" rel="nofollow">ing this assignment. a. Who are the people directly addressed in" rel="nofollow">in the policy? Includes in" rel="nofollow">internal and external people. Internal = within" rel="nofollow">in the organization. External = Those comin" rel="nofollow">ing in" rel="nofollow">into the organization such as vendors. b. What are the needs/wants of the identified people? How will you identify their needs/wants? c. How will the policy respond to their needs/wants? What does the policy and/or procedure provide for these people? d. What processes and/or procedures will be needed to produce results to meet the need for the identified people. e. Who will be responsible for implementin" rel="nofollow">ing this policy - What is your in" rel="nofollow">institution's process for policy development and revision? You must follow the steps identified above and support your narrative with evidence from the scholarly nursin" rel="nofollow">ing literature. Use Headin" rel="nofollow">ings in" rel="nofollow">in your paper to in" rel="nofollow">indicate section topics. Do not use the followin" rel="nofollow">ing example for your assignment: Perhaps some patients are complain" rel="nofollow">inin" rel="nofollow">ing about wait times in" rel="nofollow">in the emergency room. You identify the need for establishin" rel="nofollow">ing a policy for managin" rel="nofollow">ing this situation separatin" rel="nofollow">ing min" rel="nofollow">inor in" rel="nofollow">injuries/ illnesses from more serious issues. EXAMPLE: Insulin" rel="nofollow">in Pump Policy for the Hospitalized Patient Insulin" rel="nofollow">in pump safety has become an urgent and significant concern for the hospitalized patient and staff. Hospitals have policy and procedures on patient�s storage and self-admin" rel="nofollow">inistration of home medications. However, these policies do not address in" rel="nofollow">insulin" rel="nofollow">in delivered by an in" rel="nofollow">insulin" rel="nofollow">in pump ("Insulin" rel="nofollow">in Pump Safety," September 18, 2012). An in" rel="nofollow">insulin" rel="nofollow">in pump delivers rapid action in" rel="nofollow">insulin" rel="nofollow">in hourly by a set basal rate and the patient delivers their boluses accordin" rel="nofollow">ing to their blood sugar and carbohydrate in" rel="nofollow">intake. Boluses are calculated with settin" rel="nofollow">ings such as in" rel="nofollow">insulin" rel="nofollow">in to carbohydrate ratio, in" rel="nofollow">insulin" rel="nofollow">in sensitivity ratio, a blood glucose target, and active in" rel="nofollow">insulin" rel="nofollow">in time for coverin" rel="nofollow">ing their meals and/or correctin" rel="nofollow">ing hyperglycemia. These pump settin" rel="nofollow">ings are determin" rel="nofollow">ined by their doctor, usually an Endocrin" rel="nofollow">inologist. Target population Policy development related to in" rel="nofollow">insulin" rel="nofollow">in pumps is focused on the lack of knowledge by the nursin" rel="nofollow">ing staff. The lack of adequate policies for patients admitted to the hospital with in" rel="nofollow">insulin" rel="nofollow">in pumps has resulted in" rel="nofollow">in detrimental cases of hypoglycemia and even death. Recently, a local hospital reported a patient whom was admitted through the emergency room needin" rel="nofollow">ing and emergency surgery. This gentleman was wearin" rel="nofollow">ing an in" rel="nofollow">insulin" rel="nofollow">in pump that somehow went unnoticed or was assumed to be turned off. The patient went through three departments: emergency room, surgery, and recovery. He became hypoglycemic with glucose of 20mg/dl because his in" rel="nofollow">insulin" rel="nofollow">in pump was deliverin" rel="nofollow">ing in" rel="nofollow">insulin" rel="nofollow">in and the nursin" rel="nofollow">ing staff was also admin" rel="nofollow">inisterin" rel="nofollow">ing in" rel="nofollow">insulin" rel="nofollow">in in" rel="nofollow">intravenously. It wasn�t until his hypoglycemic attack and family communication to staff about his in" rel="nofollow">insulin" rel="nofollow">in pump that they realized how this had happened. It would be more comfortin" rel="nofollow">ing to assume that this was a rarity, but research shows what was expected. This local episode was not a rarity and in" rel="nofollow">insulin" rel="nofollow">in pump patients admitted in" rel="nofollow">into the hospital are in" rel="nofollow">in real danger. Population needs Inadvertent hypoglycemia is can be related to the lack of policy and procedure for the management of the hospitalized patient wearin" rel="nofollow">ing an in" rel="nofollow">insulin" rel="nofollow">in pump. Unless facilities establish a plan with policies and procedures to guide the safe management of patients on pumps, errors will occur with some bein" rel="nofollow">ing fatal (Cook, 2009). Investigations with other local nurse educators in" rel="nofollow">in the hospital settin" rel="nofollow">ing, it was alarmin" rel="nofollow">ing to know there are no policies for the patients admitted wearin" rel="nofollow">ing an in" rel="nofollow">insulin" rel="nofollow">in pump. There are protocols to follow when the diabetes department is consulted, but nothin" rel="nofollow">ing for the general nursin" rel="nofollow">ing staff to in" rel="nofollow">initiate and/or follow. Objectives The objective of the policy is for the patient and their family to be offered safe quality care, monitorin" rel="nofollow">ing, and accurate in" rel="nofollow">insulin" rel="nofollow">in admin" rel="nofollow">inistration. The policy focuses on promotin" rel="nofollow">ing patient in" rel="nofollow">independence in" rel="nofollow">in managin" rel="nofollow">ing their diabetes by wearin" rel="nofollow">ing their in" rel="nofollow">insulin" rel="nofollow">in pump. The needs of the patient are safe monitored admin" rel="nofollow">inistration of in" rel="nofollow">insulin" rel="nofollow">in without hypoglycemic events leadin" rel="nofollow">ing to adverse effects. Diabetic education and use of medical devices for delivery are critical education issues provided by nurses. Polices and protocols are essential tools in" rel="nofollow">in the education process. This can be achieved by havin" rel="nofollow">ing the patient review and sign an agreement to follow hospital protocol on in" rel="nofollow">insulin" rel="nofollow">in pumps. This agreement should in" rel="nofollow">include specific actions for all parties in" rel="nofollow">involved, nurse, patient, and care-giver. The patient should understand the importance of reportin" rel="nofollow">ing site changes, boluses, or any pump problems. Both parties agree to communicate daily and at any time, if the patient is unable or unwillin" rel="nofollow">ing to comply, the in" rel="nofollow">insulin" rel="nofollow">in pump will be removed (Cook et al. 2005). There should be a concrete algorithm on how the policy gets in" rel="nofollow">initiated. For example, admission of a diabetic patient on in" rel="nofollow">insulin" rel="nofollow">in pump generates consults to the diabetes education department, pharmacy, dietary, and endocrin" rel="nofollow">inology. Order sets are populated for in" rel="nofollow">insulin" rel="nofollow">in pump settin" rel="nofollow">ings and directions for floor nurses to follow. Nurse assesses contrain" rel="nofollow">indications for patient to remain" rel="nofollow">in on in" rel="nofollow">insulin" rel="nofollow">in pump like altered state of consciousness, psychiatry issues, or refusal from family or patient to main" rel="nofollow">intain" rel="nofollow">in pump therapy (Cook et al. 2005). Process and procedures Research to identify evidence-based practices is critical in" rel="nofollow">in providin" rel="nofollow">ing excellence in" rel="nofollow">in patient care. Open discussions with the nursin" rel="nofollow">ing staff and nurse educators provide the essential background data in" rel="nofollow">in establishin" rel="nofollow">ing current practices and understandin" rel="nofollow">ing. Solicitin" rel="nofollow">ing in" rel="nofollow">input from in" rel="nofollow">interdisciplin" rel="nofollow">inary teams promotes a team effort in" rel="nofollow">in addressin" rel="nofollow">ing the issues and providin" rel="nofollow">ing safe care. Assess patient/family�s willin" rel="nofollow">ingness, cognitive status, and orientation to self-manage in" rel="nofollow">insulin" rel="nofollow">in pump. Nursin" rel="nofollow">ing managers and admin" rel="nofollow">inistrators have the fin" rel="nofollow">inal authority for approval along with the Medical Review Board of the organization. Policies with protocols are needed to protect the safety and quality of care of these unique patients. The first step to achieve this goal is to submit a policy to the hospital�s policy and procedure committee for review and approval. Once approved it should be implemented throughout the hospital where all staff can be guided to give safe quality care and admin" rel="nofollow">inistration of in" rel="nofollow">insulin" rel="nofollow">in via in" rel="nofollow">insulin" rel="nofollow">in pump. Not only does this allow these patients in" rel="nofollow">independence in" rel="nofollow">in self-management, but most importantly will reduce and/or prevent adverse events. Based on the organizational policy, new policies and procedures should be evaluated upon implementation and periodically, usually annually, for possible revisions. Feedback from patients and nursin" rel="nofollow">ing staff assist admin" rel="nofollow">inistration in" rel="nofollow">in policy review and revision. Conclusion Organizational response to patient safety needs is the responsibility of all members of the health care team. This responsibility flows from upper admin" rel="nofollow">inistration, through all levels of the organization. Policies and procedures are the guidin" rel="nofollow">ing tools to provide safety, effective, and efficient patient care. The nursin" rel="nofollow">ing process provides well-established means to address policy needs within" rel="nofollow">in the organization. Assessin" rel="nofollow">ing the need, identifyin" rel="nofollow">ing the focus, plannin" rel="nofollow">ing the implementation, implementin" rel="nofollow">ing the plan, and evaluatin" rel="nofollow">ing the results yields greater patient safety. Implementin" rel="nofollow">ing a policy to meet the needs of Diabetic patients on in" rel="nofollow">insulin" rel="nofollow">in pumps is an example of patient-centered care and safety. References Cook, C. B. (2009). Are two in" rel="nofollow">insulin" rel="nofollow">in pumps better than one? Retrieved from http//www.webmm.ahrq.gov Cook, C. B., Boyle, M. E., Cisar, N. S., Miller, V., Bourgeois, P., Roust, L. R., Smith, S.A., Zimmerman, R. S. (2005). Use of subcutaneous in" rel="nofollow">insulin" rel="nofollow">in in" rel="nofollow">infusion (in" rel="nofollow">insulin" rel="nofollow">in pump) therapy in" rel="nofollow">in the hospital settin" rel="nofollow">ing. The Diabetes EDUCATOR, 31, 849-57. https://dx.doi.org/10.1177/0145721705281563 Insulin" rel="nofollow">in Pump Safety. Patient safety tip of the week. The Truax Group Health Care Consultin" rel="nofollow">ing. Retrieved from https://www.patientsafetysolutions.com/docs/September_18_2012_Insulin" rel="nofollow">in_Pump_Safety.htm Leonhardi, B. J., Boyle, M. E., Beer, K. A., Seifert, K. M., Bailey, M., Miller-Cage, V., Castro, J.C., Bourgeois, P.B., Cook, C. B. (2008). Use of contin" rel="nofollow">inuous in" rel="nofollow">insulin" rel="nofollow">in in" rel="nofollow">infusion (in" rel="nofollow">insulin" rel="nofollow">in pump) therapy in" rel="nofollow">in the hospital: A review of one�s in" rel="nofollow">institution�s experience. Journal of Diabetes Science and Technology, 2, 948-62. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2769830 Mayo Clin" rel="nofollow">inic, Scientific Publications. (2008) Patient care policies: Management of the in" rel="nofollow">inpatient receivin" rel="nofollow">ing in" rel="nofollow">insulin" rel="nofollow">in via a contin" rel="nofollow">inuous subcutaneous in" rel="nofollow">insulin" rel="nofollow">in in" rel="nofollow">infusion pump. Retrieved from�