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News bulletin 4 March
on 4 March
Welcome
to the College of Nurses – News Update.
No. 242 Wednesday 4 March
2015
From NZ media this week
Elderly man died after being prescribed high-dose
opioid
The case of an 82-year-old who died after being prescribed a
high-dose opioid has been given as an example of why better medical
understanding is needed.
http://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=11407820
Parents of boy given
codeine overdose dissatisfied by report
The
mother of a boy given 10-times the recommended dose of codeine before
surgery says she still can't forgive herself for not intervening.
http://www.stuff.co.nz/national/health/66673143/parents-of-boy-given-codeine-overdose-dissatisfied-by-report
Connecting to the environment for better health
outcomes
Exploring
Māori health from our own indigenous knowledge base, rather than as a reaction
to prevailing Māori health crises is what we call a ‘kaupapa Māori approach’
for Māori health outcomes” says Leonie Matoe, Managing Director for Toi
Tangata, an Auckland based Māori health provider providing advocacy and
coordination for kaupapa Māori based approaches across the public health
nutrition and physical activity sector.
http://www.nzdoctor.co.nz/un-doctored/2015/february-2015/25/connecting-to-the-environment-for-better-health-outcomes.aspx
Southern DHB launches New “Safety1st” System
The new electronic risk
management system - Safety1st – went “live” across Southern today, part of a
regional initiative to support continuous improvements in safety and the
experience of care within hospitals and associated community services.
http://www.scoop.co.nz/stories/GE1503/S00009/southern-dhb-launches-new-safety1st-system.htm
Research 'shows TPPA would
harm health'
A careful assessment of what could happen to
the health of New Zealanders under the Trans Pacific Partnership Agreement
(TPPA) is needed, say New Zealand doctors. An Australian report Negotiating
Healthy Trade in Australia: Health Impact Assessment of the Proposed
Trans-Pacific Partnership Agreement released today examined the impact of the
TPPA on four health issues - medicines, tobacco, alcohol and food. After careful
consideration and analysis, the Australian research highlighted that it is
likely to be significant negative health impacts in each of these four areas.
http://www.voxy.co.nz/politics/research-shows-tppa-would-harm-health/5/215316
GP practice staff get
healthy alongside patients
Health Minister Jonathan Coleman says general
practice staff are getting behind a programme which has them joining their
patients to live healthily.
http://www.voxy.co.nz/health/gp-practice-staff-get-healthy-alongside-patients/5/215313
Nurse censured for
assessment failure
A nurse has been
censured for failing to assess a patient who arrived at an after-hours clinic
vomiting blood.
The
72-year-old woman was taken to the clinic by her daughter in November 2013, two
days after spinal surgery.
http://www.radionz.co.nz/news/national/267534/nurse-censured-for-assessment-failure
From International media
Nurse satisfaction drives better healthcare outcomes
Recent research findings are compellingly clear: Although engaging and retaining
critical talent in health care organizations can be a challenge, organizations
that achieve strong levels of engagement are more likely than others to deliver
better-quality patient care and achieve higher rates of patient satisfaction.
As a critical talent segment, nurses are at the heart of a healthcare
organization's ability to succeed during this increasingly competitive and
turbulent time for the industry.
http://www.beckershospitalreview.com/workforce-labor-management/nurse-satisfaction-drives-better-health-care-outcomes.html
Nurses 'delay hospital discharges' over
support fears
Nearly 70% of NHS
nurses in England often delay discharging older patients because there is no
support for them after hospital, a survey suggests.
http://www.bbc.com/news/health-31597223
Create more all-nurse clinics, says Bernard Drainville
Many minor medical issues don't require a doctor,
and that's the main idea behind the SABSA clinic in Quebec City, where nurses
run the show and solve many patients' problems before they end up at
overcrowded hospital ERs
http://montreal.ctvnews.ca/create-more-all-nurse-clinics-says-bernard-drainville-1.2250439
Stress busters: UPMC
nurses undergo mindfulness training to cope with job pressures
Caring for patients can be
“organized chaos,” nurses say. As the foot soldiers of health care, they
function at the pressure point, the front lines of the war zone, where “you
have to be flawless.”
http://bit.ly/17unFAg
B.C. nurses are fed up with abuse — ‘we have broken
jaws to prove it’ — and will push to charge patients
B.C. nurses will begin pressing for charges
against patients who hurt or abuse them, the president of the B.C. Nurses’
Union announced Tuesday.
http://bit.ly/1DNvkFr
Failure to train enough nurses proves very costly for NHS
Information obtained by the Royal College of
Nursing in the East of England shows a 69pc rise in agency nursing expenditure
across the region by £20m and a 26pc growth in the number of nurse vacancies
across the region.
http://bit.ly/1KbHgXO
At VA Hospitals, Training And Technology Reduce
Nurses' Injuries
Bernard Valencia's room in the Jerry L. Pettis Memorial
Medical Center in Loma Linda, Calif., illustrates how hospitals across the
country could fight a nationwide epidemic. As soon as you enter the room, you
can see one of the main strategies: A hook hangs from a metal track that runs
across the ceiling.
http://www.npr.org/2015/02/25/387298633/at-va-hospitals-training-and-technology-reduce-nurses-injuries
Is yours a
nurse-led hospital?
Two nurse leaders discuss the obstacles holding nurses back from
leadership roles, the perception of nursing versus its reality, and how
patients can tell the difference between hospitals where
nurse leadership is
strong versus those where nurses are less empowered.
http://www.beckershospitalreview.com/hospital-management-administration/is-yours-a-nurse-led-hospital.html
Nursing-pharmacy collaboration: How to find the sweet spot
Healthcare leaders
understand that improving interdisciplinary teamwork is critical to success
within the new performance-driven care delivery landscape. Because medication
management processes are central to patient safety and outcomes, collaboration
between nursing and pharmacy in particular is becoming a focal point of process
improvement--often requiring organizations to take a hard look at existing
culture in order to make the appropriate changes
http://www.hospitalimpact.org/index.php/2015/02/26/nursing_pharmacy_collaboration_how_to_fi
Nurse Practitioner Bill Passes
State lawmakers unanimously approved a bill giving nurse
practitioners moreindependence. Currently,
nurse practitioners need a written agreement to consult with a doctor before
they can treat patients.
http://www.klkntv.com/story/28224742/nurse-practitioner-bill-passes
Articles of interest
Building
nurse leader relationships
The
Institute of Medicine's (IOM) report, The Future of Nursing: Leading Change,
Advancing Health, recommends that nurses should be full partners with
physicians and other healthcare professionals to lead improvement and redesign
healthcare in the United States.1 The report acknowledges that nursing
leadership is critical at every level during the transformation of healthcare
and being a full partner requires leadership skills and competencies.1 To
ensure that nurses are able to assume leadership roles, leadership-related
competencies should be imbedded and promoted for nurses, at all educational
levels, and across the spectrum of healthcare settings. - See more at:
http://bit.ly/1LAtbAv
Quality
Nursing Documentation in the Medical Record
Clinical
Nurse Specialist: The Journal for Advanced Nursing Practice
December 2014
Volume 28 Number 6
Pages 312 - 314 –
Current
healthcare systems require that documentation ensures continuity of care,
provides legal evidence of the process of care delivered by all disciplines,
and supports evaluation of quality of patient care. Healthcare professionals
should fully understand the principles of maintaining a legally sound health
record and the potential consequences when the record's legal integrity is
questioned. Documentation is regulated by both state and federal statutes. Poor
standards of documentation have been linked to the failure to detect patients
who were clinically deteroriating.1 The medical record must be maintained in a
manner that follows applicable regulations, accreditation standards,
professional practice standards, and legal standards. All providers of
healthcare for the patient are responsible for knowing the required documentation
and are held accountable for their entries and for missing information in the
medical record. - See more at:
http://bit.ly/1Aww5CP
Glasgow Coma Scale:
How to Improve and Enhance Documentation –
The
Glasgow Coma Scale (GCS) is an international tool used to measure the level of
consciousness for traumatically injured patients. One Level I and 3 Level II
Trauma Centers in our Health Care System perceived a deficiency in the
documentation of the GCS. An audit was performed and insufficient documentation
was confirmed. An educational plan was developed and implemented to improve
documentation. A reaudit was performed to determine the success of these
interventions. Although improvement was demonstrated, additional action was
taken to enhance documentation in the electronic medical record. - See more at:
http://bit.ly/182hV0P
The above information has been collated for the College of Nurses Aotearoa (NZ) Inc by Linda Stopforth, SNIPS and is provided on a weekly basis. It is current as at Tuesday 3 March 2015
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