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CNA153 Nursing Assignment - Early Save Program

   

Added on  2020-05-11

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0Running head: NURSING ASSIGNMENTNursing assignmentName of the student:Name of the University:Author’s note
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NURSING ASSIGNMENTPart 1:Answer 1:A large metropolitan hospital introduced ‘EARLY SAVE’ program to reflect bestpractice in early recognition and response to clinical deterioration. Pre Early Save Program- Code Blue process for life threatening emergenciesEarly Save Program- Education for clinical staff, more formalized Medical Emergency Team(MET) process and the introduction of an observation and escalation chartTo analyze the effectiveness of the EARLY SAVE program in improving earlyrecognition and response to clinical deterioration, the data regarding the MET calls in the pre andpost period needs to be analyzed. Firstly, 160 MET calls were made in the pre period and 360 inthe post period. This means that the recognition and response process became wider after theEARLY SAVE program. The positive benefits of high rate of MET calls in the post programperiod are evident from the % of patients who remained in wards. Earlier 20% remained in thewards and after the EARLY SAVE program, the proportion of patients remaining in the wardincreased to 50%. This is a remarkable improvement signifying that burden of ICU team andresuscitation team reduced. The positive benefits of the EARLY SAVE program is also understood from thedifference in % of patients transferred to ICU and death in patients. In the pre period, the % oftransfers to ICU was 35% and it reduced to 20% in the post program period. Secondly, numberof deaths was 25% in the pre period and 10% in the post period. The MET calls in the both thepre and post period was mainly called for seizure, worsening respiratory infection, acute
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NURSING ASSIGNMENTrespiratory distress, suspected cardiac pain and alterations in vital signs indicating clinicaldeterioration. However, the impact of EARLY SAVE program was that % of people affected bydifferent clinical deterioration reduced in the post period except worsening respiratory infection.The main reason for improvement in clinical outcome in majority of condition was thateducation was given to staffs regarding responding to clinical deterioration and use ofobservation and escalation chart enhanced the possibility of taking prompt response todeteriorating condition of patients. The research by Massey et al. (2017) has also proved thateducation and environmental factors enables health staffs to recognize and respond to patientdeterioration. Specific clinical education and skills training enables staffs to quickly recognizeand respond to patient deterioration. Answer 2:The hospital can use the data in the pre and post EARLY SAVE program to reportagainst NSQHS standard 9: Recognizing and responding to clinical deterioration in health care inthe following ways:They can show the data regarding difference in results in the % of patientstransferred to ICU and death in the pre and post program to prove the benefits ofMET calls in early recognition and clinical response. They can defend no increase in HDU outcome post program by stating that withimprovement in burden of ICU units, the need for escalation of care of moving toHDU was minimized. They can show the efficacy of formalized MET process by the increase in thenumber of patients remaining in the ward and not shifting to the ICU or HDU
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