Tuesday, May 5, 2020

Health Standards National Safety and Quality Health Service

Question: Discuss about theHealth Standardsfor National Safety and Quality Health Service. Answer: Introduction: There are ten National Safety and Quality Health Service (NSQHS) Standards which have been developed by the Australian Commission on Safety and Quality in Health Care (ACSQHC). These are done after properly consulting and also collaborating with technical experts, jurisdictions and different stakeholders as well as patients and healthcare practitioners. They mainly aimed to develop the quality of health service provision to patients and to protect them from different harms and hazards (Kenny et al., 2013). The case study that is provided is based on a 61 year old patient who has undergone a lap cholecystectomy having history of type II diabetes, osteoarthritis and also toes amputation. This patient had been advised with the requirements of the administration of IVABs via a PICC line. Proper monitoring of the wound are also required along with proper measurement of vitals sign assessment and also general educations for the patient. The essay will mainly portray two of the ten standards that were recommended by the above mentioned council that will help the nurse to properly conduct her treatment without resulting in adverse consequences. Body: In case of the patient mentioned, the preliminary healthcare standards that need to be followed is the standard 3 that mainly ponders over the prevention as well as the control of healthcare associated infections. This guideline provides a overview about how antibiotic resistant organism like methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE) and others are gradually becoming more powerful making wound healing more prone to infection. Hence, the standard states that how such organisms are affecting the life of patients in hospitals because the patients are usually treated in close proximity which increases the chance of infection (James et al., 2015). This creates a pressure on workforce due to longer stay of patients and also on resource wastage. If the patient is treated in homes, with proper education to family and relatives, the chance of infection will be far less as hospital acquired infection will be far less. Risk management approach at homes is totally different form hospitals and the policies that need to be followed in hospitals will not be applied in home treatment. Surveillance system will not have to be much rigid as risk of infection gets decreased. A negative aspect is that proper auditing of the performance of the nurses at home may not be properly audited by the organization and therefore compliance rates may not get monitored resulting in loss of quality treatment. Proper action may not be applied against the nurse in this scenario as well which would not have been the case if she was in hospital. Proper education and competency based training may not also be given to the nurse in order to develop her knowledge of invasive devices. The nurse should have to suit up with the patients home environment for disinfections and sterilizations, waste management, laundry and linen transportation, cleaning and also storage technique so that she can provide better care to patient. This may require some time for adapting to the new place which would not have been the case if she was treated in hospital (Hinchcliffe et al., 2014). Another standard that needs to be applied is the standard one which helps to ensure that whether safety and quality in healthcare service organizations are maintained or not (safetyandquality.gov.au, 2017). This standard is mainly proposed based on organizations and its monitoring as it suggests the organization to develop a management system for proper development, implementation and regular review of the policies but this cannot take place in a systematic way in homes. Here the entire responsibility depends on the nurse and therefore depends upon the critical thinking ability of the nurse to manage the safety and quality issues by completely taking into consideration her responsibility (Allen et al., 2014). Herein also the organization will not be able to assess the performance of the nurse and therefore the nurse either have to be very much expertise in her skill and need to have all the knowledge of the standards provide by the council. The steps needed to be taken by the nurse t o practice effectively do not vary with skills as the skills that need to be applied are same in both areas (Hungerford, 2014). Only the proper management, recording of data, incident analysis, feedback provision and others differ in the mode of conductance and varies greatly when conducted in homes in comparison to hospitals. Conclusion: Thereby, from the above essay it is found that two important standard of infection control and practice of safe and quality maintenance can be applied in the home environment. However proper monitoring authority and management system usually remains absent in homes unlike hospitals which thereby increases the risks of treatments done by the nurses as there is no guidance system. It also takes a lot of time for the nurses to adapt to the setting of the home which becomes not an issue in hospitals where she works. Moreover, education needs to be given to family in details as they are the immediate member throughout the day for clean and safety considerations. Reference: Allen, J., Hutchinson, A. M., Brown, R., Livingston, P. M. (2014). Quality care outcomes following transitional care interventions for older people from hospital to home: a systematic review.BMC health services research,14(1), 346. Hinchcliff, R., Greenfield, D., Braithwaite, J. (2014). Is it worth engaging in multi-stakeholder health services research collaborations? Reflections on key benefits, challenges and enabling mechanisms.International journal for quality in health care,26(2), 124-128. Hungerford, C. (2014). Recovery as a model of care? Insights from an Australian case study.Issues in Mental Health Nursing,35(3), 156-164. James, R., Upjohn, L., Cotta, M., Luu, S., Marshall, C., Buising, K., Thursky, K. (2015). Measuring antimicrobial prescribing quality in Australian hospitals: development and evaluation of a national antimicrobial prescribing survey tool.Journal of Antimicrobial Chemotherapy,70(6), 1912-1918. Kenny, A., Hyett, N., Sawtell, J., Dickson-Swift, V., Farmer, J., OMeara, P. (2013). Community participation in rural health: a scoping review.BMC Health Services Research,13(1), 64. safetyandquality.gov.au. (2017). National Safety and Quality Health Service Standards. [online] Available at: https://www.safetyandquality.gov.au/wp-content/uploads/2011/09/NSQHS-Standards-Sept-2012.pdf [Accessed 25 Feb. 2017].

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