Business Nursing Serious Emergencies Symptoms

Question: Describe about the Business Nursing for Serious Emergencies Symptoms. Answer: Part 1 A wonderful chart is provided which gives us the detailed information about the positive effects that took place in a metropolitan hospital, which has incorporated. An EARLY SAVE program that would make the nurses and midwives take an active step in educating themselves of identifying the important signs leading to code blue symptoms from beforehand and take active accordingly so that serious emergencies can be avoided. They have included three important initiatives for this purpose such as providing knowledge and skills to clinical staffs, a more determined MET team process introduction along with the inclusion of Observation and escalation chart. The chart gives us a clear distinction about the condition of the patients and their resuscitation percentage before and after the entire alteration of the systems and establishment of the Early Save program. If one closely analyses the situation before and after the introduction of the program one will clearly see that the techniques and the methods inculcated have resulted in saving of more and more patients from Code blue conditions that were not possible before the introduction of the program. The number of death decreased after the introduction of the program. Before the early save program, it was recorded that there was more incidence of admitting a patient into the intensive care unit, which portrays that many severe emergencies arose at that time due to the absence of early and continuous monitoring techniques introduce later (Somanchi et al. 2014). Post the introduction of the program the necessity of admitting a patient from normal ward to ICU decreased sharply that can als o establish the success of the entire system introduced. A disappointing situation can be seen in the chart is the admittance of transference of patients to HDU. Basically this shows that as there was no change in the number of patients admitted to HDU before or after the programs, the authorities and the nursing mentors should take into consideration this criteria of unsuccessful aspect of the project and make changes and recommendations so that the future sees reduction in the percentage of patients transferred to HDU (Rashid et al. 2014). The most astonishing picture was however noticed that the number of patients present in the normal ward was handled and treated so well by the MET and the clinical staffs after the Establishment of program that they never faced the urgency to shift them to the ICU or HDU. 2. According to NSQHS, Standard 9: Recognising and responding to clinical deterioration in acute health care, the foremost priority of the hospital management is to produce optimum procedures that would deal with the escalation procedures for highly deteriorating patients. In order to avoid such a tensed and severe situation where the life of a person is at stake, the primary activity of a hospital management would be to cut down the chances of the rising of this tensed situation so that the person does not require escalated treatments. The Early Save program shows that the acute respiratory distress cases of the patients decreased by 15% and the incidence of cardiac pain by 10 %. This showed a high rate of success for the program and a complete accomplishment of the initiative. Moreover, increased evidences of analyzing the vital signs by 15% resulted from the fact that proper and perfect mentorship of nursing authorities to the clinical staffs as well as to the the MET has showed t hat they have learnt the proper analyzing of the vital signs calling for urgency and thereby can prevent emergency severe situation for the patients (Bertaut, Campbell and Goodlett 2008). However, there had been two negative results that can be analyzed from this documented data. Seizure or fit problem handling by the nurses did not show any changes. Moreover, the clinical staffs could not control worsening respiratory conditions also. Therefore, the authority would understand the severity that the problems that may lead to adverse situations and train the clinical staffs likewise. Reduction of code blue calls can therefore may convey the success of the project if an allover analysis is prepared. Part 2: The presence of family members during the critical period of resuscitation of a patient has always been a factor of debate among the nursing authorities and the clinical staffs. This debate has often become serious leading to the necessity of the establishment of a suitable policy for the allowance of a family member in the emergency unit probably during the end hours of the patient (Whalley et al 2011). The following essay consists of a view of the entire scenario of the condition of the ethical dilemmas faced every time by the nurses and the physicians due to the presence of family members in critical moments and also the suggestions whether presence of family members are suitable or not in beside the patients. In discussing the views of the nurses for allowing the family members, one must first need to discuss the beliefs of the nurses on both the categories in order to reach the conclusion that whether the presence or absence of family members is a correct or incorrect decision. For this choosing, a specific emergency would be helpful so that the focus can be visualized better. Here family members of patients suffering from cardiopulmonary emergencies are considered. A section of ell experienced nurses and physicians believe that the presences of family members are indeed helpful for the treatment of the patients (Arich et al. 2012). They act as moral support to the patients and the emotional bonds shared by the members sometimes act as a positive cue. Moreover, there is yet another reason that also makes the nurse to allow the family members into the care unit. These nurses do not want to take chances regarding the legal issues that may arise when the family members think that the author ities and the associated health care providers did not take enough attempts to save their patients (Demir 2008). These may lead them to file court cases which often makes the nurses to allow them. Sometimes, experienced nurses who are also very confident about their abilities and skills and does knows the correct procedures to come out victorious from every severe situations also allows family members. They have often quoted that presence of family members indeed sometimes become a boon that saves the life of the patient. In these cases both the family members and the patients feel that they have been together in the times of severity and that gives them a good feeling (Rees et al. 2004). However, these cannot be strong reasons enough to overcome the negative aspects that may result from the effects of the presence of the family persons in the emergency rooms. In many cases, it is often seen that the family members fail to see their close ones fighting for life resulting in emotiona l breakdown and leads to another unnecessary chaos in the emergency rooms (ODonnel et al. 2011). In many cases even, nurses have even reported family members to be behaving in an informal way by loud howling, beating their chests and crying and fainting on the floor. These behaviors thus always interrupt the treatment of the physicians and the nurses in the last critical moments of the life of the patients when a strong concentration may lead to the success in saving the patient (Lafuente et al. 2004). As a result, many had prevented the entry and acceptance of the family members in the room of the patients during adverse situation. They have also remarked that incase of the family members, more they are uneducated or culturally backward, more is the problem of handling them in the emergency room for they often cross their limits in behaving properly and composedly in the times of acute emergency and cannot be handled properly (Hwang et al. 2013). Often the family members who were a llowed inside often have interrupted the treatments of the doctors stating that their way of conducting the entire treatment is traumatic for their beloved, creating pressure for the healthcare team and creating unnecessary tantrums. From the conflicting ideas, it is seen that they have impacts that are more negative on the patients sometimes seen that it had often created a matter of debate among the healthcare providers. However, one can easily come to an analysis that family members when present may help the patient to some extent for their recovery but in most cases it has been seen that the losses occurred are often greater in cases of presence of members than when they were treated without breaking the concentration of the nurses and doctors. Since life of the patient is the primary aim in the entire scenario, presence or absence should not make a big change in the patients condition and that absence of family members would provide a greater benefit than their presence for the patient fighting for life (Candy et al. 2011). Although experienced nurses are supportive of the presence of family members, but their acceptances should seriously be criticized. A national law and legislations be prepare that would back up the entire debate thereby deciding whether the family members are educated enough to carry on with the stress and the dos and donts of the entire situation (Dyakova et al. 2011). However, this would be a tedious process and might take in a lot of time of the nurses. In order to avoid all the complicacies, it would be best that family members should not be allowed which would turn in good favors for both the patient and his family members. References: Arrich, J., Holzer, M., Havel, C., Mllner, M. and Herkner, H., 2012. Hypothermia for neuroprotection in adults after cardiopulmonary resuscitation.The Cochrane Library. Bertaut, Y., Campbell, A. and Goodlett, D., 2008. Implementing a rapid-response team using a nurse-to-nurse consult approach.Journal of Vascular Nursing,26(2), pp.37-42. Candy, B., Jones, L., Drake, R., Leurent, B. and King, M., 2011. Interventions for supporting informal caregivers of patients in the terminal phase of a disease.The Cochrane Library. Demir, F. 2008, "Presence of patients families during cardiopulmonary resuscitation: physicians and nurses opinions",Journal of Advanced Nursing,vol. 63, no. 4, pp. 409-416. 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