Aportfoliois a compilation of materials that exemplifies amongst other things your skills,...

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Aportfoliois a compilation of materials that exemplifies amongst other things your skills, qualifications, education, training and experiences. It provides insight into your personality and work ethic.

Nurses are increasingly using professional portfolios as a way to maintain evidence of their learning and reflection, and to demonstrate that they have met their professional requirements.

All nurses are required to undertake continuing professional development activities to maintain, update and improve their knowledge and practice, and they can use their portfolio to document these activities. Creating and maintaining a portfolio can also enable nurses to identify their strengths and learning needs, and to develop a learning plan to address these needs.

This assessment introduces you to the use of ePortfolios. Your portfolio will comprise of content from your four (4) modules for this specialty unit. Each module has a focus and therefore each exert in your portfolio will 'mirror' a module.

Activities for your eportfolio module assessment:

Module 1 - Patient Safety

In this module activity you are looking at patient safety and a case of mistaken identity. Based on what you have explored in Module 1 and the role of the Nurse in this specialty environment, discuss the case study below and outline areas of concern, what is considered best practice and processes that are put it place to decrease this error within the hospital setting.

You must include one artifact related to the module topic and upload into your portfolio to demonstrate your broad research and understanding. This artifact can comprise of an article, published study or 'tool' used for patient safety.

Two patients with the same first name (John Adams and John Smith) were sharing a hospital room. An orderly arrived to pick up John Adams for his scheduled x-ray, but when the orderly asked simply for 'John', John Smith replied as John Adams was out of the room at the time. Therefore the wrong John accompanied the orderly to radiology where the radiographer also identified the patient by first name only.(source: HQSCNZ 2014b)

Module 2 - Environmental Aspects

In this module you looked broadly at environmental aspects of this specialty area. You have covered concepts from floor plan design to sterile storage; all of which has to do with patient safety. The ability to track instruments and trace patients is integral to patient safety and risk management. This module response is asking you to explore and discuss'Tracking and Traceability' in relation to patient safety and risk management; why is this process important, what methods can be used and what are the impacts to the patient if this important process is not followed adequately?

You must include one artifact related to the module topic and upload into your portfolio to demonstrate your broad research and understanding. This artifact can comprise of an article, published study or 'tool' used in the area of tracking and tracing.

Module 3 - Surgical Risks

Surgical patients are vulnerable and at risk of many potential problems, many of our patients have co-morbidities or bring with them 'risk' prior to any surgical intervention. Consider that patient's further increase their risk by entering the perioperative environment, undergoing anaesthetic, their condition or reason for surgery; add to that trauma due to the surgical procedure and you can see why the perioperative environment is a high risk environment for any patient. This module response is looking at'Risk'.You are required to select a risk factor and discuss how this risk factor can impact the patient in the surgical setting; and how as a perioperative nurse we plan for or mitigate risk in our 'plan of care' for our patients. Your chosen risk could be an environmental, health, education or a social risk and you must provide rationale as to 'why' this is a considered risk.

You must include one artifact related to the module topic and upload into your portfolio to demonstrate your broad research and understanding. This artifact can comprise of an article, published study or 'tool' used in the area of risk, risk assessment or risk management, in relation to the specific risk you have chosen to explore.

Module 4 - Intra and Post-Operative Patient Safety

It is important that those working in the perioperative setting have an understanding of the different types of anaesthetic in order to provide support to the team and safety to the patient. In your module response you are asked to research and discuss the use of anaesthetic's in the intra-operative period using the categories below and relate this to your immediate patient care in the post-operative phase, include any care considerations related to anesthetics for the patient when discharged from PACU; provide rationale as to the patient care required.

You must include one artifact related to the module topic and upload into your portfolio to demonstrate your broad research and understanding. This artifact can comprise of an article, published study or 'tool' used for patient safety in relation to patient care an anaesthesia.

Explore the main categories of anaesthesia:

General Anaesthesia
Local infiltration
Regional (spinal & epidural)

These listed below are considered adjuncts to general anaesthesia; what are adjuncts and why are these used?

Muscle relaxants
Analgesics

Your 2000 word response (approx 500 words per module) needs follow academic writing standards, written in 3rd person and include APA referencing. Your initial portfolio page / component must act as your cover sheet for the assessment and therefore requires the Unit Code, Unit Title, Unit Convener, Student Name, Student ID#, Total word count and due date.

Ensure you upload your eportfolio 'URL' link into the dropbox, so as your assessment can be marked.

Divya · Accepted Answer

Module 1
Patient safety is a prime area of concern especially in perioperative environment. According to a new study , medical errors are the third leading cause of death in the United States . Providing quality health care facilities not only revolves around latest techniques and equippments but also providing safe, hygienic and patient centred services. Safety of health care as described by WHO is a major global concern. The different measures adopted by different countries demonstrates that although health care setup varies from country to country, many threats to safety of patients have similar causes and most of the times similar solutions . Patients safety comprises of avoidable harm’s during treatment and care (Jha, Prasopa, Plazier & D.W. Batis, n.d., p.1). For instance here a case study of two clients with same first name – John Adams and John Smith staying in the same hospital room is discussed. When the orderly came to pick John Adams for his x-ray he used only the first name and as he was not in the room , John Smith went. The radiologist, sadly too identified him by his first name and completed the x-ray. This is an example if avoidable harm where the sheer negligence of both the orderly and the radiologist led to this unwanted outcome. Not only John Smith was unnecessarily exposed to radiations, it also wasted hospital's resources. For ensuring patient's safety in such circumstances it is necessary that before any check-up be it small or significant the patient's details are cross checked and the patient informed about the process. A specific barcode can also be given to the patient which is to be scanned before any such process. Medical negligence not only leads to loss of life or permanent disability but also psychological loss to the patient's family. 
WHO work on patient safety began with the launch of World Alliance for Patient Safety in 2004 and has evolved over time. Placing patient's health and safety as prime area of concern WHO introduced the key (Clinical Guidelines, n.d.) areas as- providing global leadership and fostering collaboration , developing guidelines and tools and building capacity, engaging patients and families for safer health care and monitoring improvements in patient's safety.
 In a research published on patient safety by N Prasopa- Plaizier and colleagues where he took major patient safety topics and categorised them into the framework of structure , processes and outcomes of unsafe care it was found out that much of the evidence of unsafe care was from developed nation’s. 3 to 16 percent of hospitalised patients suffered harm from medical care. In this study, 23 major patient safety topics we’re identified . Studies from the US suggested that approximately 3 to 4 percent of hospitalised patients suffer an adverse event. And out of these adverse events 30-50 percent are preventable . A closely identifiable cause of such professional neglect is inadequate medical staff along with long working hours. Nursing and Mid Wifery board of Australia clearly lays the guidelines the nurses have to follow for providing patient centred and evidence based practice. (Farokhzadian, Nayeri & Borhani, n.d., p.1)Any deviation from this comes under mandatory notification procedure subjected to judicial trial. Since most of the unsafe practices are related to mishandling of patients data , WHO has introduced guidelines on patient safety incident reporting and learning systems. (The State of Patient Safety and Quality in Australian Hospitals, 2019)
Module 2 
A novel step toward patient safety is tracking and traceability of surgical instruments and patients. The GS 1 standards are employed by most of the countries and recommended for surgical instruments traceability and management. A systematic record automated tracking helps in locating desired equippments in short time and managing hundreds of pieces of equippments over large hospital setups. For example nursing staff may waste their previous time searching for a wheel chair or a wide bore cannula. Automated tracking thus helps in saving precious time. Hand counting of instruments before and after surgery is quite time consuming and subjected to a lot of human error . In case an error occurs in counting after the operation , and an instrument is missed it may be likely that it has been left in the patient's body. (Medical Device and Surgical Instrument Tracking, 2018) .

Aportfoliois a compilation of materials that exemplifies amongst other things your skills, qualifications, education, training and experiences. It provides insight into your personality and work...

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