Policy Change
The Center for Disease Control (CDC) endorsed the policy of replacing peripheral intravenous catheters (PIVC) within 48 hours following insertion in order to prevent and decrease local catheter infections. The institution that this author is employed at also made a policy to establish such a procedure based on the CDC's actions. However, there is a large body of empirical research that indicates that the length of the time that the PIVC remains in a patient does not appear to be a major factor that results and infections and/or phlebitis. Thus, this policy of changing the PIVC with 48 hours may be unnecessary.
For instance Zarate, Mandleco, Wilshaw, and Ravert (2008) studied emergency room trauma patients who received a PIVC. The mean number of days before there were indications of phlebitis in these patients was 3.14 days with the range of 1 to 6 days. Phlebitis rates did not differ significantly depending on who inserted the PIVC: nurses, technicians, or paramedics; however, even though instances of phlebitis were rare the rate of phlebitis doubled from nurse insertions of PIVCs to technicians and paramedics. Uslusoy and Mete (2008) found that insertion site (at the elbow) and having more than one IV inserted in the same site were significant risk factors of phlebitis. Lee et al. (2010) determined that minimizing unnecessary prolonged IV fluid infusion and avoidance of insertion in the lower extremity may significantly reduce the incidence of peripheral IV catheter-related soft tissue infection. Lee et al. (2009) found that evidence of phlebitis was more common in cases where catheters removed at between 48 -- 72 hours than those removed between 72 -- and other 131 hours. These studies also suggest that insertion of a catheter by personnel other than an IV therapist and the use of continuous and fusion to maintain patency are to important risk factors to consider for PIVC-related infections. Thus, there is a convincing body of evidence that suggests that there are other variables that contribute to infections in these cases and that the length of time that the IV remains...
As each relationship in the communication network was dependent on several others for efficacy and efficiency, there had to be some sort of codified an d regulated system. Communications individuals at the department level were responsible for coordinating group communication once every week, using conference calling and other technologies as necessary. Communications individuals at each department were also responsible for meeting with the communications officer at their campus one-on-one
Healthcare Change Theory and Social Change Domestic violence and abuse is a very severe difficulty, for both the victims and the abusers. There are a number of theories about what makes batterers use abuse on those who are close to them. One outlook is that batterers are toughened criminals who carry out their crimes in a cognizant, deliberate way to attain the supremacy they think men are entitled to. Others consider abuse
Change Management Organizational Change Organizational change aims at ensuring that the implementation of changes in an organization is smooth and successful. Moreover, it ensures that the benefits of these changes are achievable (Burke 2010). The introduction of social media and technology has recently had much effect on business in the recent past. Accessing information by the organization is easier nowadays thus; the need for introducing changes to business to cope with the
Changing Healthcare Environment The changing Health care environment Changing leadership and decision-making process Developing of the prospect nurse leaders is among the greatest challenges that the nursing profession faces today despite the need for powerful leadership skills for all nurses. Any nurse who is in authority, such as one taking care of a patient, or a nurse responsible for assisting other nurses is a leader (Harris and Roussel, 2010). One should not view
Practicing Skill Building: Lead and Manage Using the Balanced Scorecard Kaplan "Lead and Manage Using the Scorecard" The work of Kaplan entitled 'Lead and Manage Using the Scorecard" states that communication "is clearly a leadership role." An article published by Forbes online states that it is not possible "to become a great leaders without being a great communicator." (Myatt, p.1) Myatt states "the previous sentence didn't refer to being a great talker
Change Management After recession, many employers expected their employees to inject more hours into work than they did before the recession. This trend is expected to continue in the near future because employers believe that working extra hours increase productivity. This can however, be dangerous in the long run because it affects employee well being and retention (Lepore, 2011). Organizations that pressurize their employees to work extra hours to increase productivity
Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.
Get Started Now