If changes were implemented as a result of your audit, how would you know whether the changes were sustained into the future?
You have been assigned by your manager to investigate whether nurses in your operating suite are performing adequate hand hygiene before and after patient contact in the PACU in an effort to improve compliance and patient outcomes. You decide to conduct a practice audit.
What will be an ideal response?
Answer:
The audit cycle: need to re-audit the PACU with the same tool in a regular and repeated cycle (perhaps monthly) to establish whether any implemented changes were sustained, or if indeed compliance remained the same or reduced. Regular auditing will show any improvement or reduction in hand hygiene compliance and allow for ongoing action to address non-compliance.
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A family member asks why her father, who is being treated for cardiogenic shock, needs parenteral feeding because he is capable of eating small amounts. What is the best response by the nurse?
a. "Parenteral feedings reduce the risk of constipation." b. "Parenteral feedings meet the patient's hypermetabolic needs." c. "Parenteral feedings are more convenient and less time consuming." d. "Parenteral feedings decrease the hazard of infection."
The nursing home resident with recurrent otitis media complains of new pain behind the ear. The area is red and swollen. What is the nurse's priority?
A. Test the client's hearing acuity using the Rinne tuning fork test. B. Apply a heating pad on a low setting to the area. C. Document the referred pain. D. Notify the physician.
Which of the following nursing organizations was responsible for development of The Magnet Recognition Program?
A) National League of Nursing B) American Academy of Nursing C) American Nurses Credentialing Center D) American Nurses Association
The nurse observes that a seriously ill child passively accepts all painful procedures. The nurse should recognize that this is most likely an indication that the child is experiencing a:
a. sense of hopefulness. b. sense of chronic sorrow. c. belief that procedures are a deserved punishment. d. belief that procedures are an important part of care.