Practise Domiciliary Health Care Environment †Free Samples

Question: Discuss About The Practise Domiciliary Health Care Environment? Answer: Introduction: National Safety and quality health service standards (NSQHS) are typically ten standards that govern the nursing practice in health care service (NSQHS, 2012) (Brenner et al., 2015). The standards of NSQHS were essentially put forth by the Australian commission on safety and quality in health care service (NSQHS, 2012) (Brenner et al., 2015). The NSQHS primarily focuses on the implementation of safety for patients and their families and the protection of their interest during their visit to the hospital (NSQHS, 2012) (Brenner et al., 2015). The delivery of health service is regarded optimal when the patients are provided an environment free of accidents and health concerns caused due to lack of care (NSQHS, 2012) (Brenner et al., 2015). The NSQHS standards for the optimisation of quality and safety in health care service include: Governance of safety and quality in the organisations of healthcare Partnership with the consumers of health care service Prevention and control of infections caused by the absence of health care attention Safety during medication and pharmacological treatment Identification of the patient and matching the treatment procedure to individual patients Optimal and accurate clinical handover of patients Safety whilst handling blood and blood-related products Prevention and management of injuries and pressure sores Timely recognition of deterioration in acute health care procedure and appropriate response Prevention of falls and accidents and related harm The NSQHS standards govern the determination of quality of health care service (NSQHS, 2012) (Brenner et al., 2015). The Australian commission on quality and safety standards has arrived at the above-mentioned standards following consultation with health care professionals and technical experts (NSQHS, 2012) (Brenner et al., 2015). Nurses play the most crucial role in the provision of a high-quality and safety-assured health care service (NSQHS, 2012) (Brenner et al., 2015). The NSQHS standards are verified in the health care units by conducting regular clinical audits (NSQHS, 2012) (Brenner et al., 2015). The current article focuses on two of the above-mentioned NSQHS standards, i.e. guideline no. 3: the prevention and control of infections caused by the absence of health care attention, and guideline no 7: Safety whilst handling blood and blood-related products. This article discusses the implementation of these guidelines of NSQHS with specific reference to the case of Mrs. Brown. Implementation of two specific NSQHS standards: Mrs. Brown requires post-operative care for lap cholecystectomy or the surgical removal of gall bladder. Mrs. Brown is an elderly woman with the history of type 2 diabetes mellitus, osteoarthritis, and amputated toe. She has several challenges in performing daily activities due to her arthritis and amputated toe concerns. However, she is independent and her familial carers aid her in all her mobility concerns. She has to be administered antibiotics by the intravenous route (IVAB) by means of a peripherally inserted central venous catheter (PICC) (Boyd et al., 2014) (Tamhankar et al., 2010). The first NSQHS guideline to be followed in her case is that of prevention of infections associated with negligence in healthcare (Boyd et al., 2014) (Tamhankar et al., 2010). The best practice for the use of PICC IVAB include: use of appropriate dimension of catheter, training for nurses for administration including the insertion and simulation of catheter, maintenance of hand hygiene, and monitoring and reporting of bloodstream infections to all stakeholders (Boyd et al., 2014) (Tamhankar et al., 2010). The nurses using the PICC equipment must follow aseptic cleaning of catheter, lipid removal, and hair removal at the site of insertion to avoid infections (Boyd et al., 2014) (Tamhankar et al., 2010). The second NSQHS guideline may be followed by assuring that the site of insertion of PICC should be as eptic and the position should be affirmed using X-ray scan (Boyd et al., 2014) (Tamhankar et al., 2010). The catheter used must have appropriate lumen size and must be made of aseptic material (Boyd et al., 2014) (Tamhankar et al., 2010). The length of insertion must be appropriate and PICC must never be trimmed using scissors (Boyd et al., 2014) (Tamhankar et al., 2010). The prophylactic administration of antibiotics or antifungal agents must be avoided (Boyd et al., 2014) (Tamhankar et al., 2010). The insertion must be made at the cephalic or the basilica veins or the brachial veins after visualising and palpation using ultrasound scan (Boyd et al., 2014) (Tamhankar et al., 2010). Conclusion: The most optimal care for postoperative patients of laparoscopic cholecystectomy primarily focuses on optimising the experience after surgery. The standards of nursing in these cases include the meticulous monitoring, assessment and evaluation, and providing appropriate treatment. The optimal care is when nurses can anticipate problems and requirements along with timely intervention. Postoperative care in this case involved invasive PICC due to which the NSQHS guidelines of prevention of infections and blood-related product safety are key factors. References Brenner, P. Kautz, D.D. (2015). Postoperative Care of Patients Undergoing Same-Day Laparoscopic Cholecystectomy. AORN J, 102, 16-29 Boyd, L. Sheen, J. (2014). The national safety and quality health service standards requirements for orientation and induction within Australian healthcare: a review of the literature. Asia Pacific journal of health management, 9(3), 31-37 National safety and quality health service standards (2012) Australian commission on safety and quality in health care. Print Tamhankar, A. P., Mazari, F., Olubaniyi, J. (2010). Postoperative Symptoms, After-Care, and Return to Routine Activity After Laparoscopic Cholecystectomy. Journal of the Society of Laparoendoscopic Surgeons, 14, 484489 Queensland government (2015). Guideline for peripherally inserted central venous catheters (PICC). Available at https://www.health.qld.gov.au/__data/assets/pdf_file/0032/444497/icare-picc-guideline.pdf [Accessed on 11th Aug 2017]