Nursing Implications for Creating and Maintaing a Restraint-Free Unit Research Paper

Nursing Implications for Creating and Maintaing a Restraint-Free Unit Uviversity of Central Florida - Research Paper Example Alternatives to physical and chemical restraints are explored in this research review, as well as the nursing implications for creating and maintaining a unit that is restraint-free. A restraint free environment in the ICU is a situation where there is nothing that restricts the movement of the patient in the ICU. In restraint ICU, the patient is not allowed to make any movements by either controlling them physically with physical devices that limit their movements. Most hospitals today work towards having restraint free environments that would not restrict the movement of patients. To achieve this, nurses have a very important role in the creation and maintenance of the restraint free environments. The philosophy of nurses suggests that nursing includes taking care of someone by showing them love and concern. â€Å"This love and concern must also include the use of professional care for the patient† (Benbenbishty, 2010). When taking care of someone, the nurse has to ensure th at both his and her emotional, physical, and spiritual needs are met. It is also important for a nurse to ensure that while taking care of the patient, they must treat them with respect and dignity and to ensure that their needs and wishes are met. Nurses also have to realize that everyone ages, that aging is a very natural process, and that the old are human beings. This means that every nurse has the responsibility of taking care of the old with respect and not as people who are undergoing both mental and physical deterioration. Nurses also have to ensure that while taking care of a patient, their ultimate aim should be to rehabilitate, and maintain every patient in such a way that they enjoy their daily living in relation to their level of quality of life. It is, therefore, the responsibility of the nurses to ensure that a restraint free environment is created in the ICU. This is because as one patient is restrained, any or all of the above aims may be violated, hence leading to the violation of the nurse’s act. Therefore, nurses have a major role to play in the creation and maintaining of a restraint free ICU. They have to do this so as to fulfill their professional requirements and at the same time to act like human beings and to treat other people not as animals but as fellow humans. Since restraint causes a lot of pain and restrictions to the patient, it should be the main aim of every nurse to do away with it. In the event that the nurses create an environment that is free of any reins taint, then a lot will be achieved. First, the nurses would have fulfilled their career objective of providing an environment that is comfortable and that the wish of the patient can be put into consideration. To achieve this, however, there has to be a lot of increased responsibility on the nurses’ side. First, they have to increase the amount of time that they have to use in taking care of the patient. This also means that since no restriction is availabl e, then nurses have to ensure that they are always there for their patients so that they do not get hurt, especially those who may have some mental problems. Nurses also have to ensure that they closely monitor every patient to know who needs more care. It is also very important that for a free restrain to be effective, nurses have to reduce their level of carelessness and to know the kind of materials that should be kept away from the patient. Even though there is

Nursing Response to Suspected Excessive opioid Overdose in Palliative Research Paper

Nursing Response to Suspected Excessive opioid Overdose in Palliative Care Patient - Research Paper Example However, in this case the answer was negative and the triage process was moved to decision section B. Decision section B, the triage staff, decides whether the patient can safely wait or can not to be given medical attention. If the patient is not able to hold on then the process is moved to decision section C. However, in this scenario, the patient can not wait much longer and thus the patient is categorized as ESI level 2. In ESI level 2, Three chief question are put into consideration. These questions are: (1) Is the patient in serious risk situation? (2) Is the patient disoriented? (3) Is the patient in serious distress? The triage healthcare provider obtains patient subjective and objective assessment to respond to these questions. From the short and quick interview, gross examination, and the six sense from the triage, healthcare provider in ER identifies the patient to be at high risk (Nielsen, Siersma, Nielsen, and Rasmussen, 2012). In ESI sub level1a above, the healthcare pr ovider perform the assessment of the patient. It is extremely complicating and of high risk when taking care of a patient under the overdose of the opioid. The triage healthcare provider has the responsibility of assessing the patient for any suspicion of the narcotic overdose. Some of the symptoms for a suspected opioid overdose the staff comes up with in this case are; slowing level of consciousness, low respiratory rate, decrease of the pupils in size, and poorly reactive pupils. Overdose of Opioid weakens the respiratory and the CNA. In the flowchart above the second step, ESI sub-level 2b, is the stimulation of the patient, it clearly suggest the patient to be stimulated by administering oxygen... ESL algorithm produces fast, reproducible, and clinically stratification of patients into five steps. It is better to operationalize a case scenario to demonstrate health flow use of ESI. Consider the case scenario represented in the flowchart above, The patient is Opioid overdosed and is admitted into the ER. For the ER staff to assist the patient they will have to create an ESL module that will facilitate the optimal care of the patient. ER staff initiates the drafting of the flow chart above using ESI triage tool. The tool aide the staff to formulate a sequence of analytical steps to assist the patient. ESI triage tool groups patients into five categories 1= most serious and 5= less serious. ESI postulate a method of classifying patients in ER by both resource needs and acute. ESI in the ER is to prioritize all incoming patients to denote those who can not wait to be seen. The staff in ER perform a quick, determined assessment, and assigns the patient a triage level, which is the key measure of how much longer a patient can safely hold on before treatment. It is vital to identify the workflow in ER can be extended further to achieve functionality that is not addressed by the external presentations included in the above levels. This can be postulated by programming new external application of certain problem.