Attachement
Read the attachment “Bell” and complete the sample form.
HEALTHCARE EXECUTIVE SUMMARY
PROJECT
TOPIC
Improving Patient Care
PREPARED BY DATE
Jacquelyn Bell
December 2020
OVERVIEW OF THE ORGANIZATION
(Item 1)
130 longterm bed facility and a 40-bed rehabilitation facility located in Northport, Al
Mission: To create a patient-centered care environment for elderly patients and acute rehabilitation.
Vision: To be a facility where innovative care, comfort, and compassion help older adults continue leading lives with purpose and joy.
Services provided: Wound care, IV therapy, Physical therapy, Occupational therapy, and self-care needs
amenities: Room services, Beauty salon, Gym, and Laundry services.
IDENTIFIED PROBLEMS
(Item 2)
There has been an increased case of disease and infectious outbreaks. Inadequate infection control and improper wound-care practices likely lead to an outbreak of severe infections in a skilled nursing facility (Nanduri, 2019).
Pressure injuries are considered a high propriety injury in long term healthcare. Risk factors for bed ulcers include immobility, incontinence, poor nutrition, dehydration, blood flow problems, or the inability to sense pain (Ward, 2020). They are often costly and hard to heal (Wynn, 2020). Therefore the increased cases of bed ulcers need to be addressed within the facility.
Patients with Alzheimer’s disease and dementia are particularly prone to weight loss (AAD M. M. Berkhout, 2020). Dementia patients make up a large group in long term healthcare as well. The dementia disease process often causes patients to lose the ability to perform self-care needs and they rely on staff to perform these tasks (AAD M. M. Berkhout, 2020). Nurses are often have limited feeding time due to staffing shortages which in return leads to Extensive patient weight loss (AAD M. M. Berkhout, 2020).
SOLUTIONS
(Item 3)
Hand washing is the number one preventative in the prevention of infection and cross-contamination (Ogundeji Kolawole Damilare, 2020). From an outbreak review, it was noted staff was only 41% complaint about handwashing (Nanduri, 2019). Staff should be trained and educated on the importance of and checked off on wound care procedures.
The main solution is education. Educate the patient on the importance of bedsore prevention and staff (Wynn, 2020). Ensure bedbound patients are repositioned and documented within regulation hourly to prevent the issue.
Nursing-home patients with one or more feeding disabilities depended on nursing assistance (AAD M. M. Berkhout, 2020). To address the weight loss issue in combination with nursing shortages, all patients should feed in the dining room. This allows for more assistance and more feeding time to ensure patients are properly nourished.
MEASURABLE PROJECT GOALS
(Item 4)
The facility will be checked monthly by the Director of Nursing for any infection and disease occurrences and shall remain under 10% for 6 months to show improvements.
Nursing staff will ensure that bed ulcer rates decrease by enforcing monitoring rotation and existing are continuing to heal according to the treatment plan of care within three months.
Patients’ weight will be monitored by the restorative team twice a week with noted improvement within six months.
OBSTACLES
AND
OPPORTUNITIES
(Item 5)
Obstacles that could be faced include staffing shortages and ethical issues amongst staff. Task conflicts could brew due to the strains between staff over responsibilities (Walston, 2017).
The opportunity presents itself to truly provide the best care for patients and reduce illnesses.
STRATEGIC (or ACTION) PLAN
(Item 6)
The facility will be checked monthly by the Director of Nursing for any infection and disease occurrences and shall remain under 10% for 6 months to show improvements.
Nursing staff will ensure that bed ulcer rates decrease by enforcing monitoring rotation and existing are continuing to heal according to the treatment plan of care within three months.
Patients’ weight will be monitored by the restorative team twice a week with noted improvement within six months.
CONCLUSION
Many patients have limitations and require staff to provide self-care needs. With these standards in place, we are the first line of defense for patients. Therefore we need to ensure patients keep healthy skin, free from disease, and are well nourished as well.
REFERENCES
AAD M. M. Berkhout, H. J. (2020, July 1). The relationship between difficulties in feeding oneself and loss of weight in nursing-home patients with dementia. British Geriatrics Society, pp. 637-641.
Nanduri, S. (2019, February). A prolonged and large outbreak of invasive group A Streptococcus disease within a nursing home: repeated interfacility transmission of a single strain. Clinical Microbiology and Infection, pp. Volume 25, Issue 2.
Ogundeji Kolawole Damilare, R. (2020, January- April ). Hand Washing: An Essential Infection Control Practice. International Journal of Caring Sciences, pp. Volume 13, Issue 1.
Walston, S. L. (2017). Organizational Behavior, Organizational Theory, and Their Importance In Healthcare. In S. L. Walston, Organizational Behavior and Theory in Healthcare (pp. 3-5). Chicago: Association of University Program.
Ward, B. (2020, October 1). How to prevent hospital-acquired. Healthcare Life Safety Compliance, pp. Vol 23, Issue 10.
Wynn, M. (2020, November 12). Patient expectations of pressure ulcer. British Journal of Nursing, pp. 1-6.
Appendix
Goals
Required Tasks
Individuals involved
Resources Needed
Timeline
Measurements
1.Prevent bed ulcers
Patient rotation
Use of wedges
CNA, LPN, RN
Wedges, chart documents for signature
6-month improvement
The decrease in bed ulcers and a healing rate of current
2. Decrease in infection
Improved wound care, improved hand hygiene
All staff members
Increased hand sanitizer stations and handwashing stations and retaining
6-month improvement
Infection percentage and outbreak
3. Weight management in dementia patients
Provide more staff during feeding periods, provide in-between snacks
Dietary, feeding staff, CNA, LPN, RN
Prepared meals, Staff
3 month
Improved patient weight management decrease weight loss
adapted from
Healthcare Executive Summary Template Use this form to give feedback to your peers Executive Summary Draft. Include strengths and weaknesses.
Peers Name: _____Jackie Bell_____________________________
Evaluator Name: ___Sierra Martin
Does your peer explain his/her selected healthcare organization, problems, solutions, and goals, (or obstacles/opportunities and action plan) clearly?
Was there anything in this ES Draft that was confusing? If so, what was it? How could this be improved?
What details does your peer include? How and why these details are important?
What is good about your peers writing (i.e. content, organization of information, etc.)? Explain why it is good?
Do you notice any errors that should be corrected? If so, what should be corrected?
What are some recommendations for improvement (i. e. content, organization of information, etc.) that you would make? Please explain why you would make these recommendations?
