Author: admin

This assessment is aimed at evaluating the skills you acquired in patient care, big data and technology, decision-making, ethics, and leadership in nursing practice.
For this assessment, you are asked to conduct a critical review of 5 factors and how they affect quality patient care. You are providing this information in a report that will be shared with executives who are seeking ways of understanding how to build a culture that supports patient safety and provides the needed tools (technology).
Evaluate factors that influence quality, safe, patient-centered care.
Consider:
o Technology
o Communication
o Collaboration
o Shared decision-making
o Laws, regulations, and policies
Analyze changes in technology and their effect on quality patient care.
Explain the roles of communication, collaboration, and shared decision-making.
Consider communication and collaboration between healthcare team members, between the patient and staff, and involving insurance companies.
Cite a minimum of 2 peer-reviewed sources on an APA-formatted reference page.
Format your assignment as a 1,050- to 1,400-word report in a WORD document.

Scenario
As a nurse on a general medical floor, the RN has received a new admit. Review the client data provided.
Richard Henderson
58 years old
Male
Admit diagnosis: GI bleed
History: no surgical history
Medical history: Gastritis & GERD
Medications: Prilosec 40 mg PO daily, Atenolol 25 mg PO BID, Fiber daily, Alka Seltzer PO – states he takes this at least daily.
Report from physician’s office: Mr. Henderson arrived to the physician’s office today for a complaint of increasing abdominal pain. He states that he is now throwing up coffee-ground emesis. He states that he didn’t take his BP medication this morning because he was dizzy. The physician is admitting him with a diagnosis of GI bleed with an EGD scheduled for tomorrow. He is NPO, and has a 22G IV lock in the left forearm. Last set of vital signs BP 106/60 mm Hg, HR 98 beats/min, RR 20 breaths/min, Temp. 98.8 degrees F, P.O. 90% on room air. He last vomited about 45 minutes ago with a small amount of dark coffee-ground emesis. His pain is 4/10 at present. No pain medication is ordered at this time.
Lab assessments ordered: CBC and chemistry panel
CT of the abdomen shows no signs of free air (no perforation)
When he arrives to the floor, he is pale, nauseous, and his skin is cool and clammy. When he is transferred to the bed from the stretcher, he vomits a large amount of coffee-ground emesis and loses consciousness.
Instructions
In the discussion post, address the following:
While receiving report, what concerns do you have regarding the client report?
What type of shock is occurring?
What stage of shock is the client experiencing?
What is your next intervention and why?
What additional lab assessments would you anticipate?
Provide additional thoughts and insights.
In the initial posting provide one additional resource other than the required reading.