NR 361 Week 6: Distractors in Our Environments

Chamberlain University NR 361 Week 6: Distractors in Our Environments-Step-By-Step Guide

This guide will demonstrate how to complete the Chamberlain University NR 361 Week 6: Distractors in Our Environments assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NR 361 Week 6: Distractors in Our Environments                     

Whether one passes or fails an academic assignment such as the Chamberlain University NR 361 Week 6: Distractors in Our Environments depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NR 361 Week 6: Distractors in Our Environments                     

The introduction for the Chamberlain University NR 361 Week 6: Distractors in Our Environments is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NR 361 Week 6: Distractors in Our Environments                     

After the introduction, move into the main part of the NR 361 Week 6: Distractors in Our Environments assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NR 361 Week 6: Distractors in Our Environments                     

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NR 361 Week 6: Distractors in Our Environments                     

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NR 361 Week 6: Distractors in Our Environments Included

 

A Sample Answer For the Assignment: NR 361 Week 6: Distractors in Our Environments

Title: NR 361 Week 6: Distractors in Our Environments

A Sample Answer For the Assignment: NR 361 Week 6: Distractors in Our Environments

Title: NR 361 Week 6: Distractors in Our Environments

When I imagine a hospital, I picture bright white lights in the halls and patient rooms, the smell of Clorox wipes or germicidal wipes, and then the sound of never-ending beeping alarms. Even my patients have complained about the sound IV pumps make when alarming about downstream or upstream occlusions, or when an infusion is complete. I do believe alarms are useful in preventing harm to patients. In my time as a nurse, I have noticed many situations in which alarm fatigue or lack of alarms has caused poor outcomes for patients. One example that comes to mind, is when a patient who appeared to be medically stable, suffered an Anterior ST segment elevation myocardial infarction. The patient’s telemetry monitor did not alarm to the change in heart rhythm. The patient used the call light to ask for help because he became symptomatic of the MI he was experiencing. Upon review of the telemetry strips, the patient’s ST segment had changed for 12 minutes before the patient called for help. The patient did unfortunately pass away, but there were no legal repercussions since the patient’s death was not due to negligence. Had the telemetry monitor alarmed, and been silenced by a medical professional, then that would be considered negligence. This death took a toll on all of the healthcare team members including the physicians, nurses, CNAs, and telemetry technicians involved. At our hospital, the telemetry monitors have the same constant alarm sound for VTACH as for when the patient’s oxygen saturation decreases. The same rhythmic alarm sounds when a lead has been removed as when the monitor detects a PVC. Our textbook mentions how a nurse may experience alarm fatigue during their shift because of the high number of potential false alarms they hear (Hebda, Hunter, & Czar, 2019, p.12). I believe the solution to alarm fatigue is to change the sounds made by these alarms for different kinds of alerts. A deadly cardiac rhythm such as VTACH or severe bradycardia should have distinctly different alarm sound than the alert for an oxygen saturation of 88%, especially if the patient has COPD or another disease that may cause the patient to have consistently low oxygen saturations. According to the article, Alarm fatigue a top patient safety hazard, “85%-90% of alerts are false or nuisance alarms, indicating conditions that don’t require clinical interventions” (Jones, 2014, p. 178). In my opinion, 1 single PVC should not warrant a sound alarm, but it should show a visual alarm. Changing alarm sounds and tones may also be useful, such as verbal commands or different sounds for critical alerts vs routine alerts.

References

Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses & healthcare professionals (6th ed.). Pearson.

Jones K. (2014). Alarm fatigue a top patient safety hazard. CMAJ : Canadian Medical Association journal = journal de l’Association medicale canadienne, 186(3), 178. https://doi.org/10.1503/cmaj.109-4696

A Sample Answer 2 For the Assignment: NR 361 Week 6: Distractors in Our Environments

Title: NR 361 Week 6: Distractors in Our Environments

“Preventing harm to patients while providing their care continues to be a complex and costly understating for any hospital or healthcare system.” (Kai & Lipschultz. 2015). We as nurses are constantly trying to maintain the best care and sometimes under very stressful situations. We may be assisting a patient to the bathroom while another patient’s bedside alarm is going off. This is not always the case, but it happens frequently. At times nurses do not feel that the alarms mean anything and will ignore them for a period of time assuming that it is a patient asking for a glass of water or wanting to ask a question. This is not an excuse to condone the reaction, but an observation of being a nurse for many years. Some departments that have alarms and they all sound similar. The IV alarm, feeding pumps, bed alarms and call lights all can have similar sounds in some areas of the hospital, and this can create confusion as to the importance of the alarm. Alarm fatigue can be caused by the amount of alarms in the care setting. “This alarm fatigue is compounded by the number of potential false alarms during a nurses’ work shift.” (Hebda, Hunter & Czar. 2019). When alarms go unanswered then serious consequences could happen for the patient, nurse and facility. A patient may fall and be injured from ignoring a bed alarm. Another patient’s cardiac alarm may have went off 4 or 5 times and the nurse sees that the patient is fine and decides that it must be malfunctioning and decides to ignore the next alarm and the patient could be in cardiac arrest. Many issues arise from too many or false alarms.

Improvement could be to reduce the number of alarms within the care setting. I have a big thing about call lights sounding. I would like to see the implementation of an intercom system from a patient’s room to the desk. This way there is not another sound going off in the hallways and the patient just speaks their needs right to the desk and then they can immediately triage the need. If a patient needs assistance to the restroom we know that takes precedence over someone needing a cup of coffee. Patients that need assistance to the restroom need attention first before they attempt on their own. IV’s need monitored through a different system so we can see if the alarm is due to air in the line or if it is because the medication is done infusing. Bed alarms should have a very specific alarm so that we know a patient may have fallen is attempting to get out of bed on their own and they are a fall risk.

Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses and healthcare professionals (6^th ed.). Pearson.

Kai, S., & Lipschultz, A. (2015). Patient safety and healthcare technology management. Biomedical Instrumentation & Technology, 49 (1), 60-65. Retrieved from: https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=mdc&AN=25621652&site=eds-live&scope=siteLinks to an external site.

A Sample Answer 3 For the Assignment: NR 361 Week 6: Distractors in Our Environments

Title: NR 361 Week 6: Distractors in Our Environments

“Preventing harm to patients while providing their care continues to be a complex and costly understating for any hospital or healthcare system.” (Kai & Lipschultz. 2015). We as nurses are constantly trying to maintain the best care and sometimes under very stressful situations. We may be assisting a patient to the bathroom while another patient’s bedside alarm is going off. This is not always the case, but it happens frequently. At times nurses do not feel that the alarms mean anything and will ignore them for a period of time assuming that it is a patient asking for a glass of water or wanting to ask a question. This is not an excuse to condone the reaction, but an observation of being a nurse for many years. Some departments that have alarms and they all sound similar. The IV alarm, feeding pumps, bed alarms and call lights all can have similar sounds in some areas of the hospital, and this can create confusion as to the importance of the alarm. Alarm fatigue can be caused by the amount of alarms in the care setting. “This alarm fatigue is compounded by the number of potential false alarms during a nurses’ work shift.” (Hebda, Hunter & Czar. 2019). When alarms go unanswered then serious consequences could happen for the patient, nurse and facility. A patient may fall and be injured from ignoring a bed alarm. Another patient’s cardiac alarm may have went off 4 or 5 times and the nurse sees that the patient is fine and decides that it must be malfunctioning and decides to ignore the next alarm and the patient could be in cardiac arrest. Many issues arise from too many or false alarms.

Improvement could be to reduce the number of alarms within the care setting. I have a big thing about call lights sounding. I would like to see the implementation of an intercom system from a patient’s room to the desk. This way there is not another sound going off in the hallways and the patient just speaks their needs right to the desk and then they can immediately triage the need. If a patient needs assistance to the restroom we know that takes precedence over someone needing a cup of coffee. Patients that need assistance to the restroom need attention first before they attempt on their own. IV’s need monitored through a different system so we can see if the alarm is due to air in the line or if it is because the medication is done infusing. Bed alarms should have a very specific alarm so that we know a patient may have fallen is attempting to get out of bed on their own and they are a fall risk.

Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses and healthcare professionals (6^th ed.). Pearson.

Kai, S., & Lipschultz, A. (2015). Patient safety and healthcare technology management. Biomedical Instrumentation & Technology, 49 (1), 60-65. Retrieved from: https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=mdc&AN=25621652&site=eds-live&scope=siteLinks to an external site.

A Sample Answer 4 For the Assignment: NR 361 Week 6: Distractors in Our Environments

Title: NR 361 Week 6: Distractors in Our Environments

As a nurse, you have many responsibilities. Nurses are multitaskers they monitor the patients, medications, equipment, and much more while documenting everything that has been done.   “Most technologies are designed by people unfamiliar with nurses’ workflow, and they fail to appreciate the multitude of other devices the nurse is simultaneously managing” (Ruppel & Funk, 2018). Therefore, due to these designers not understanding what a nurse’s role is the technology that we use does not always fit well with the nursing roles. Multitasking is overwhelming and nursing is a hard job in general adding the two can cause errors. Bed alarms are designed to alarm when the patient is moving off the bed. The alarm can also go off when the patient makes certain movements not just moving off the bed.  For example, a nurse working a unit with several patients. One of the patients has a bed alarm and tends to make it go off on purpose multiples times. When the nurse arrives, the patient asks her about her day but does not need assistance. At the end of the night the nurse is busy when that patients bed alarm goes off, but the nurse ignores it because of what she experienced all day. “This alarm fatigue is compounded by the number of potential false alarms during a nurses’ work shift” (Hebda, Hunter, & Czar, 2019). The patient had called the nurse to ask for assistance to the bathroom. When the nurse did not respond the patient went alone and fell on the way and broke his leg. This is an ethical because there was a poor patient outcome due to unknown distraction and continuous false alarms. One of the nursing ethical guiding principles is “nonmaleficence: the obligation for doing no intentional harm” (Hebda, Hunter, & Czar, 2019).  The nurse did not do intentional harm but cause harm due to the intentional disregard of the bed alarm.

“Alarms are by intent interruptive. Interruptions are typically considered to have a negative effect on patient safety. However, interruptions have been associated with an increased risk of errors” (Ruppel & Funk, 2018). The evidence shows that alarms are used to help patients, but they are a risk for negative patient safety. There is still need for research on how to join the two worlds where they can work together. One way is the lessen the nurses workload so that she does not feel overwhelmed to the point where they ignore their patients.

References

Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses & healthcare professionals (6th ed.). Pearson.

Ruppel, H., & Funk, M. (2018). Nurse–Technology Interactions and Patient Safety. Critical Care Nursing Clinics of North America, 30(2), 203-213. doi:10.1016/j.cnc.2018.02.003

Distractions are everywhere. They may include cellphones, multiple alarms sounding, overhead paging, monitors beeping, and various interruptions that disrupt your train of thought.

Give an example of an ethical or legal issue that may arise if a patient has a poor outcome or sentinel event because of a distraction such as alarm fatigue. What does evidence reveal about alarm fatigue and distractions in healthcare when it comes to patient safety?

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Give an example of an ethical or legal issue that may arise if a patient has a poor outcome or sentinel event because of a distraction such as alarm fatigue. What does evidence reveal about alarm fatigue and distractions in healthcare when it comes to patient safety?

Alarm fatigue is a prevalent issue in nursing. I have floated to the telemetry unit at my hospital and witnessed it first-hand, and even the nurses I was working with that day acknowledged that it’s hard for them to run to every alarm when often times it’s nothing. But it’s not always nothing.

In March of 2012 in Willow Grove, Pennsylvania, alarm fatigue caused the death of a young patient. ME was 17 years old, she was getting her tonsils removed in same day surgery center. She received the medication fentanyl after surgery and the staff failed to notice her change in respiratory status. Unfortunately, when they did notice, it was too late to save her. Due to her lack of oxygen, she suffered severe brain damage and she died 15 days later. The lawsuit states that the alarms were muted, therefor not properly alerting the nurses of her change in condition (Teen’s death, $6million settlement put the spotlight on alarm fatigue, 2013). There were important changes made after this event, but a patient was harmed by a known problem that wasn’t addressed.

There also should be a discussion about the number of alarms that sound every day. We don’t get alarm fatigue because they are few and far between, alarm fatigue happens when the alarms are constantly going off. In a dissertation by Colleen Lindell, she found that hospitals with fewer alarms per day had much quicker response times and fewer reports of alarm-related patient events (2018). An alarm-reduction policy was implemented in this hospital and it was shown to reduce fatigue, increase response time, and reduce patient harm (Lindell, 2018).

How can it be improved? Implementing an alarm reduction policy seems to be a good place to start. Educating nurses on how to use technology properly as an assessment tool rather than a substitution can also improve patient outcomes. The percent of alarms that are actually “real” actionable alarms ranged from 36% to less than 1% (Hebda, Hunter, Czar, 2019). Not even half of the alarms are ones that need addressed on a good day. Unnecessary alarms ultimately cause what they’re intended to prevent.

Lindell, C. (2018). Medical Device Alarm Systems: A Multi-Hospital Stufy of Alarm-Related Events, Caregiver Alarm Response, and Their Contributing Factors. The Univeristy if Wisconsin- Milwaukee, ProQuest Dissertations Publishing, 181.

Hebda, T., Hunter, K. & Czar, P. (2019). Handbook of Informatics for Nurses & Healthcare Professionals 6^th edition. Pearson. New York, NY.

Teen’s death, $6million settlement put the spotlight on alarm fatigue. (2013). Same-Day Surgery, 37(6).

Also Check Out: NR 361 Week 7: Use of Personal Communication Devices in Patient Care Settings

5. Grading Rubric