Ashford University NRS 493 Reducing Patient Falls Using Video Monitoring Capstone
Ashford University NRS 493 Reducing Patient Falls Using Video Monitoring Capstone ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Ashford University NRS 493 Reducing Patient Falls Using Video Monitoring Capstone Help me study for my Writing class. Im stuck and dont understand. Ashford University NRS 493 Reducing Patient Falls Using Video Monitoring Capstone Topic will be about Fall Prevention using Video Monitoring( This is also my topic for my Capstone) Sample paper is attAched. Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the time frame needed to implement the change process. Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem. The PICOT question will provide a framework for your capstone project change proposal. In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome. Ashford University NRS 493 Reducing Patient Falls Using Video Monitoring Capstone Describe the problem in the PICOT question as it relates to the following: Evidence-based solution Nursing intervention Patient care Health care agency Nursing practice Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. rubric_print_format_3.1.xlsx sample_picot.docx PICOT: Fall Prevention Video Monitoring Grand Canyon University: NRS-490 Professional Capstone and Practicum PICOT: Fall Prevention Video Monitoring For high fall risk inpatients, how does the use of Centralized Video Monitoring compared to patients who do not use Centralized Video Monitoring improve fall rates during inpatient stay? P= For high fall risk inpatients, I= how does the use of Centralized Video Monitoring C= compared to patients who do not use video monitoring O= improved fall rates T= during inpatient stay? Problem In adults 65 and older, fall incidents are one of the most common preventable conditions (The Joint Commission). Aside from possible life-long injuries, falls also cause trauma which limit their independence with activities of daily living. According to The Joint Commission, 30 to 50 % of falls end with injuries which requires additional treatments and more days in hospitals (2015). In addition, falls can affect caregivers and healthcare costs. According to a qualitative research done by Bok, nurses who had patients fall felt horrible, guilty, stressed, blamed others and the thought of letting patients and their family down lingered for months (2016). Since caregivers top priority is patient safety, falls jeopardize this and create stress to nurses and caregivers involved. Moreover, falls also affect healthcare costs. According to Klymko (2016), in the United States alone, roughly one million falls happen every year in acute hospitals with 2 -7 falls per 1,000 hospital day stay. In addition, hospitals pay at least $3,500 for falls with no injury and approximately $16,500 to $27,500 with injury (p. 329). Since Medicare included fall as Hospital Acquired Condition and will not be reimbursing additional costs caused by falls, hospitals are now forced to pay (Centers for Medicare and Medicaid Services). Some additional cost that I have seen in our hospital are lab tests, imaging tests such as CTs and X-rays, and finally additional hospital days. Hospitals and facilities have placed interventions to prevent falls. In our hospital we use John Hopkins Assessment Tool to identify patients at risk. With this, we implement fall precaution interventions such as bed locked and in lowest position, application of yellow risk bands and socks, activating bed/chair alarms, making sure floors are dry and free of clutter and etc. For those who are deemed high risk we utilize fall mats, low buoy bed, restraints, and sitters if available. With all these interventions being utilized, I still see falls happen in our hospital frankly because of being short staffed and not having Certified Nurse Assistants. In my unit, falls I have seen occurred when primary nurses are attending to other patients. Given high patient acuity in combination with not having CNAs which add direct patient care such as Activities of Daily Living to primary nurses, we need to explore other interventions to eliminate falls. Patients come to hospitals to get treatment and not to add another diagnosis, healthcare system needs to do whatever it takes to lessen or prevent these devastating incidents. Ashford University NRS 493 Reducing Patient Falls Using Video Monitoring Capstone Evidence Based Solution In addition to current fall risk interventions, a Centralized Video Monitoring can solidify the reduction of falls. CVM provides extra set of eyes in monitoring patients who are risk for falls 24/7. CVMs uses remote cameras with audio in patients rooms. CVMs allow an assigned nurse or technician to not only monitor but also communicate to patients who are in danger or about to engage in any activity that may cause them to fall. Most importantly, the assigned personnel can alert primary nurses or any healthcare professional near the patient to act quickly. A trained nurse or other healthcare professional is assigned in a remote specialized room with CVMs to maintain patients privacy. A two-way communication is permitted between CVM technician, patient, or nurse through an audio visual cameras place at patient bedside. CVMs can help in multiple ways. One, with a patient who wants to get up and use a bedside commode or walk to the restroom, CVM personnel can speak to the patient and ask him/her to stay in bed and wait for nurse to help. Two, CVM personnel can alert nurses near the patient for assistance. Third, the audible connection between nurse inside the room and CVM can coordinate for help when needed. For example, if a fall risk patient confused patient becomes combative, nurses can ask CVM personnel to contact security and other nurses to help out. Lastly, CVM can be used to study and identify factors leading to patient falls. Studies show CVMs have helped hospitals prevent falls. A study in Denver Health Colorado attests to this. According to Jeffers, minimum of $24,225 were saved by preventing 57 falls through the use of CVM within just three months. Furthermore, 75% of their units met and exceeded the National Database of Nursing Quality Indicators (NDNQI) in regards to fall making it their highest percentage of NDNQI fall compliance (p.304). Another 350-bed Magnet hospital study showed how CVM helped reduce fall incidents. According to Votruba, CVM reduced falls by 35% with the use of CVM. CVM personnel utilized the microphone and redirected patients 5,413 times making it an average of ten times per shift. CVM personnel made 5,880 calls to caregivers with an average of 11 times per shift (2016). From these studies, we can certainly conclude that the use of CVM is worth trying out. Furthermore, CVM reduces fall incidents which promote quality of care and patient safety. Ashford University NRS 493 Reducing Patient Falls Using Video Monitoring Capstone References Bok, A., Pierce, L., Gies, C., & Steiner, V. (2016). Meanings of Falls and Prevention of Falls According to Rehabilitation Nurses: A Qualitative Descriptive Study. Rehabilitation Nursing: The Official Journal Of The Association Of Rehabilitation , 41. Centers for Medicare and Medicaid Services (2018). Hospital Acquired Conditions. Retrieved from https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Hospital-Acquired_Conditions.html Jeffers, S., Searcey, P., Boyle, K., Herring, C., Lester, K., Smith, H. G., & Nelson, P. (2016). Centralized Video Monitoring For Patient Safety: A Denver Health Lean Journey. Nursing Economics, 31, 298-306. Retrieved from http://eds.a.ebscohost.com.lopes.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=9&sid=dbd3f387-587c-48b6-95ff-a54a101b06b9%40sessionmgr4006 Klymko, K., Etcher, L., Munchiando, J., & Royce, M. (2016). Video Monitoring: A Room with a View, or a Window to Challenges in Falls Prevention Research? Med Surg Nursing, 25, 329-333. Retrieved from http://eds.a.ebscohost.com.lopes.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=5&sid=896cd3bd-e014-40d9-9107-642354810aa4%40sessionmgr4008 The Joint Commission. (2015). Sentinel Event Alert Preventing falls and fall-related injuries in health care facilities . Retrieved from https://www.jointcommission.org/assets/1/18/SEA_55.pdf Votruba, L., Graham, B., Wisinski, J., & Syed, A. (2016). Video Monitoring to Reduce Falls and Patient Companion Costs for Adult Inpatients. Nursing Economics, 185-189. Retrieved from http://eds.a.ebscohost.com.lopes.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=2&sid=fa155b88-e6b3-409e-b360-0c4e6949f5e5%40sessionmgr4006 Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10
