Nursing Care Plan and Specimens Essay

Quality is a broad term that encompasses various aspects of nursing feel for (Montolvo, 2007). The National Database of Nursing Quality Indicators NDNQI is the only national nursing database that provides every pull in and annual reporting of structure, process, and outcome indexs to evaluate nursing c ar at the whole level (Montolvo, 2007). Nursings foundational principles and guidelines identify that as a profession, nursing has a responsibility to measure, evaluate, and improve practice (Montolvo, 2007). The purpose of this physical composition is to analyze the mislabeled warning indicator for an in longanimous rehab unit and conspire an action plan based on best practices to decrease the relative incidence of mislabeled specimens. Analysis of the data tally to Dock, (2005) accurate specimen acknowledgment is a challenge in all hospitals and medical facilities. Ensuring that specimens are powerful identified at the point of collection is essential for accurate symptomat ic entropy (Dock, 2005). A mislabeled specimen can caterpillar tread to devastate consequences for a patient (Dock, 2005). standard misidentification can be serious, resulting in misdiagnosis and mistreatment (Dock, 2005). For the split second can of FY09, the rehab unit met their target of zero mislabeled specimens. The third quarter yielded 2 positive mislabeled specimens with a variance of two. The fourth quarter actual was one with a variance of one. The first quarter FY10 showed an actual of one and variance of one. For the FY09 the rehab had a total of four mislabeled specimens. This indicator was chosen beca accustom of the magnitude of this medical fault. Nurses, administrators and science lab personnel must gather and create ways to decrease the mislabeling of specimens.Nursing planNursing interventions to decrease the number of mislabeled specimens and improve actual indicator scores are 1) Ensuring proper identification of patient 2) The use of electronic techn ology and 3) Bedside labeling. each of these interventions will positively impact patient outcomes and reduce errors. According to The marijuana cigarette Commission TJC, proper patient identification is best practice for fall mislabeled specimens (The Joint Commission as cited by Sims, 2010). National enduring Safety Goal NPSG, 01.01.01 states that healthcare providers should use at least two identifiers to identify patients. For example, the patients full name and check of give up is used to properly identify a patient (The Joint Commission, 2014). According to Kim et al., (2013), developing a standardized specimen handling system has the potence to reduce errors. Figure 1. Steps to properly identifying a patient for specimen collection.Figure 1. Essential specimen handling steps. Blue items are physician-specific responsibilities rap items are nursing staff-specific responsibilities. Adapted from Standardized Patient Identification and Specimen Labeling A Retrospective An alysis on Improving Patient Safety, by Kim JK Dotson B doubting Thomas S Nelson KC Journal of the American honorary society of Dermatology, 2013 Jan 68 (1) 53-6. The strongest intervention to reduce labeling errors is the addition of barcode technology (Brown, Smith & Sherfy, 2011). The use of automated patient identification and specimen collection techniques can be an additional safety net for routines that are vulnerable to error, especially when bring together with strong systems designs (Brown et al., 2011).Brown et al (2011), found that the clinical applications of electronic and information technology support can assist in the identification, control, and reduction of error rates throughout the process. According to the World Health Organization WHO healthcare providers should encourage the labeling containers used for blood and other specimens in the presence of the patient (World Health Organization, 2007). This would suggest labeling specimens at the patients bedside or onwards leaving the room. Nurses should never label specimens before collection as this could lead to serious errors. SummaryIn summary, NDNQI indicators serve as a sea captain that holds nursing accountable to practice. An analysis of mislabeled specimens, found that an inpatient unit had a total of four incidents for FY09. While this does not seem analogous a great deal of errors, any one error could ware detrimental consequences. The plan of action based on best practices is to properly identify the patient, using electronic technology, and labeling specimens at the bedside.ReferencesBrown, J.E., Smith, N., Sherfy, B.R., (2011). Decreasing mislabeled laboratory specimens using barcode technology and bedside printers. Journal of Nursing Care Quality, (26)1, 13-21. Retrieved from http//sfxhosted.exlibrisgroup.com/waldenu?genre= bind&issn=10573631&title=Journal%20of%20Nursing%20Care%20Quality&volume=26&issue=1&date=201101 Dock, B. (2005). Improving the accuracy of specimen labeli ng. Clinical Laboratory Science, 18(4), 210-2. Retrieved from http//search.proquest.com/docview/204803914?accountid=14872 Kim J.K., Dotson B Thomas S Nelson KC Journal of the American Academy of Dermatology, 2013 Jan 68 (1) 53-6. Retrieved from ent%20identification%20and%20specimen%20labeling%3A%20A%20retrospective%20analysis%20on%20improving%20patient%20safety.&spage=53&sid=EBSCOrzh&pid=Montalvo, I. (2007). The National Database of Nursing Quality Indicators (NDNQI). Online Journal Of Issues In Nursing, 12(3). Retrieved from http//web.a.ebscohost.com.ezp.waldenulibrary.org/ehost/ enlarge/detail?vid=50&sid=909dc60d-9c0d-474c-a02e-2e8f9df097e1%40sessionmgr4003&hid=4104&bdata Sims, M. (2010). The Joint Commission clarifies key compliance issues. MLO checkup Laboratory Observer, 42(4), 72. Retrieved from http//web.a.ebscohost.com.ezp.waldenulibrary.org/ehost/pdfviewer/pdfviewer?vid=54&sid=909dc60d-9c0d-474c-a02e-2e8f9df097e1%40sessionmgr4003&hid=4104 The Joint Commission, (2014). Nati onal patient safety goals. Retrieved from http//www.jointcommission.org/assets/1/6/2014_HAP_NPSG_E.pdf World Health Organization. (2007). Patient safety solutions. Retrieved from http//www.who.int/patientsafety/solutions/patientsafety/PS-Solution2.pdf