NURS 4000 Pressure Ulcers Nursing Plan Paper
NURS 4000 Pressure Ulcers Nursing Plan Paper
Draft a 3- to 4 page paper in APA 7 level 4000 format analyzing areas where there is good performance (select 2-3 areas that are doing well) and areas of opportunity (see below) from the sample Dashboard- with information form the NDNQI National Database of Nursing Quality Indicators
- Analyze the data provided in the Dashboard and select an area of performance *** I would like to select facility acquired pressure ulcers*** area that needs improvement. Include information on why this area was chosen.
- Develop a nursing plan that includes suggestions on how to improve performance on the selected indicator. Be sure to provide at least three best practices from the evidenced-based literature to support your suggested nursing plan. ***ideas- air mattress, every 2 hrs turn and reposition, skin protection cream, prophylactic pressure dressings, increase fluid and nutrition, foley catheter for wounds***
- I attached a copy of the spreadsheet- please let me know if it doesn’t come through
Unformatted Attachment Preview
Nurse-Sensitive Quality Indicator Dashboard – Adams 5 (Inpatient Rehab Unit) Time Period Q2FY09 Q3 FY09 Description NDNQI Data NHPPD^^ RN Care Hrs %AGNCYHR %PRSSULC %AQPRULC %PRSRSKA TOTFALLS %RSK&PROT %BSN % CERT Mean 8.15 54.86 1.99 16.47 7.73 67.77 7.46 88.18 33.42 15.3 Target^ 6.69 61.86 0.00 2.84 0.00 100.00 3.14 100.00 45.20 23.87 Actual 6.56 58.71 0.84 20.00 0.00 100.00 6.96 100.00 46.67 20.00 Var Mean 0.13 3.15 -0.84 -17.16 0.00 0.00 -3.82 0.00 1.47 -3.87 Target^ Actual Var Mean 6.69 61.86 0.00 2.84 0.00 100.00 3.14 100.00 45.20 23.87 6.59 55.90 0.84 10.53 5.26 100.00 0.00 100.00 47.00 20.00 0.10 5.96 -0.84 -7.69 -5.26 0.00 3.14 0.00 1.80 -3.87 1.00 1.40 1.4 1.3 3.02 0 11.80 0 Nurse-Sensitive Patient Satisfaction Survey Indicators RN Courtesy 88.85 92.70 3.85 Promptness 85.75 84.40 -1.35 Attn Spc Needs 87.75 84.70 -3.05 Response Pain 88.15 80.00 -8.15 Instruct Home 88.55 89.70 1.15 Care Well Coord 89.35 88.30 -1.05 88.85 85.75 87.75 88.15 88.55 89.35 Nurse-Sensitive Serviceline/Unit -Specific Indicators FIM: Bowel 1.00 1.3 0.30 FIM: Bladder 1.40 1.1 -0.30 Nurse-Sensitive General Indicators LOS* 11.80 Mislabeled Sp 0 8.78 0 7.95 55.49 2.32 14.15 6.58 65.2 7.68 78.86 32.07 14.88 Q4 FY09 8.18 54.93 2.12 13.37 6.58 68.51 7.31 81.58 33.36 14.65 Target^ Actual Var 6.69 61.86 0.00 2.84 0.00 100.00 3.14 100.00 45.20 23.87 6.23 56.59 0.08 0.00 0.00 100.00 5.97 80.00 53.33 20.00 0.46 5.27 -0.08 2.84 0.00 0.00 -2.83 -20.00 8.13 -3.87 0.40 -0.10 1.00 1.40 1.1 1.2 0.10 -0.20 9.00 2 2.80 2 11.80 0 8.99 1 2.81 1 91.40 84.10 86.20 86.20 87.80 86.50 2.55 -1.65 -1.55 -1.95 -0.75 -2.85 88.85 85.75 87.75 88.15 88.55 89.35 94.6 88.2 90.7 89.8 91.4 90.6 5.75 2.45 2.95 1.65 2.85 1.25 * Estimated %PRSSULC = % Patients with pressure ulcers %AQPRULC = % Patients with acquired pressure ulcers %PUPRSRSKA = % Patients who were assessed for pressure ulcers within 24 hours of point-prevalence assessment TOTFALLS = Total falls/1,000 days %RSK&PROT = % At risk and on fall protocol ^ With the exception of NHPPD, the target reflects the best quartile performers per NDNQI ^^ NHPPD mean is the NDNQI mean and the target is the Sinai budgeted NHPPD FIM = Functional Independence Measure LOS = Length of Stay NHPPD = Nursing Hours Per Patient Day Q1 FY10 Mean 8.27 54.81 2.8 12.41 6.15 68.79 7.38 91.09 33.19 14.86 Target^ Actual Var 7.19 61.86 0.00 2.84 0.00 100.00 3.14 100.00 45.20 23.87 7.23 54.07 0.00 8.70 4.35 60.87 9.19 100.00 62.50 31.25 -0.04 7.79 0.00 -5.86 -4.35 -39.13 -6.05 0.00 17.30 7.38 1.00 1.40 1.00 1.50 0.00 0.10 9.80 1 8.28 0 1.52 1 88.85 85.75 87.75 88.15 88.55 89.35 91.2 81.6 84.1 85.5 86.4 89.2 2.35 -4.15 -3.65 -2.65 -2.15 -0.15 …
NURS 4000 Pressure Ulcers Nursing Plan Paper
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