Question

1) Appy evidence based protocols. clinical care pathways, practice guidelines and standardized instruments to improve patient care standards

2) demonstrate advanced ability to prioritize and organize safe and competent nursing care

explain how these objectives can be met  

what class of drug is Insulin Glargine and Influenza Quad

please type :)

Answer 1

1) Apply evidence-based protocols. clinical care pathways, practice guidelines and standardized instruments to improve patient care standards.

Improvement of patient care standards is the main aim of the application of evidence-based practices. According to Field and Lohr [1990], the Clinical practice guidelines (CPGs) are systematically developed statements to assist practitioners and patient decisions about appropriate health care for specific circumstances".

The guidelines support the decision-making processes in healthcare. The guideline contents are based on the main source for evidence-based care- the systematic review of clinical evidence.

The evidence-based healthcare is the one based on standardized best practice. It is capable of supporting improvements in quality and consistency in healthcare. In order to support and improve the utilization of the evidence-based practice the guidelines have to be developed :

• To avoid inappropriate variation in practice
• To improve the rational basis for referral
• To focus on continuing education;
• To support and promote the efficient use of resources
• To focus on quality control
• To suggest appropriate future research

The Clinical protocols are more specific than guidelines and defined in greater detail. They provide a comprehensive set of rigid criteria outlining the management steps for a specific clinical condition or given aspects of the organization. The computerized guidelines can encode evidence-based recommendations or and even automatically generate recommendations for an individual patient.

The implementation of evidence-based knowledge in health care is a responsibility and a challenge but inevitable to improve standards of care. The best possible care can be rendered to the patient by using evidence-based practice. The clinical care pathways, guidelines and standardized equipment ensure the best care to the patient.   The clinical care guidelines provide more opportunity for equal and comparable care.

2) Demonstrate advanced ability to prioritize and organize safe and competent nursing care

Prioritization of nursing care is an essential aspect of effective care planning. Setting priorities ensures the best possible care is rendered to the client at the right time. It is one of the essential and critical thinking skill.

The effective time management and patient load management is also done by prioritization.

The efficient assessment process is the base for the prioritization and through it, the nurses can formulate the prioritized nursing care plan. The prioritization will be influenced by the acuteness of the patient’s condition and the acuteness of all patient’s assigned to a nurse.

The prioritization also allows the completeness of one task before beginning another. Reprioritization is also possible at any point if necessary.

While prioritizing consider the following:

Available resources including staff

Level of qualifications of staff

Delegation possibilities

Time needed to manage needs

Utilization of patient’s existing abilities.

3. Explain how these objectives can be met

The setting of realist goals is the foundation of achievement or success. Nurses can utilize the SMART tool to set the goal and prioritize them.

S.M.A.R.T. Goals

Specific: The goals must not be too broad

Measurable: It should be in measurable terms.

Attainable: The goal must be attainable by using the resources.

Realistic: Setting realistic goals worth the resources.

Timely: Setting a time limit to achieve the goal is essential.

4. a. What class of drug is Insulin Glargine

The drug Insulin glargine is a long-acting insulin. It starts to work several hours after injection and keeps working evenly for 24 hours. It is used to treat type 1 or type 2 diabetes in adults and type 1 diabetes children who are at least 6 years old.

b. Influenza Quad

It is quadrivalent flu vaccine and can provide protection against four different flu viruses like two influenza A viruses and two influenza B viruses.