The PICOC question enables to understand about the research, situation, problems by raising appropriate questions. PICOC stands for thus scenario as following
Population :Who are at risk if getting increased intracranial pressure
Intervention :What is the plan of action for reducing increased ICP or How to reduce ICP
Comparison :Does elevation of head end improve patient outcomes by reducing lCP
Outcome :Where is the procedure or action carried out
Context: which type of patients will receive the care
You are a nurse in the ICU at a dmall, remote borthern hospital and you wonder...
You are a nurse in the ICU at a small, remote northern hospital and you wonder about the care of patients with head injuries. You are wondering if elevating the head of the bed 30 degrees will reduce intracranial pressure and improve patient outcomes. Write a focused question (PICOC) Use it to search for research Find a related research article and print it Hightlight research question (PICOC) in the introduction Provide a critical appraisal of the study explaining if the...
You are the nurse manager of a 15-bed intensive care unit (ICU) and you have 50 staff on your unit. The ICU staff is focused on patient-centered care and treats patients equally, regardless of insurance type. Occasionally the staff has insurance-related questions that arise from the patients and families or are based on personal inquiries. 1. It is open benefit enrollment period at your hospital. The ICU staff received an email reminder to enroll in the health care benefits plan for next...
Community Hospital is a 400-bed urban hospital, one of six hospitals in a health care system. The nursing department of the hospital is applying to the American Nurses Credentialing Center for Magnet status. Nursing units are working on a number of projects to prepare for the Magnet application process. 1. You are a staff nurse on a medical-surgical floor at the hospital. The unit is trying to improve its culture in patient safety. How would you go about helping to...
The adult medical surgical and critical care areas of the hospital performed an evidence review and learned that gastric residual volume monitoring and management was no longer linked to any positive change in outcomes, such as aspiration or nosocomial pneumonia. You work in pediatric ICU and wonder if this is also true for pediatric patients. I need a pico question with statement
1. The hospital has just hired a nurse informaticist. What purpose will this nurse serve? Coordinate care for patients ready for discharge Communicate home-care referrals Develop processes to help professional nurses use informatic strategies for the delivery of patient care. Ensure all of the computers work on the patient-care units. Which of the following events could lead to a nurse becoming a second victim? Administering the wrong medication that results in the death of a patient Witnessing a patient admitted...
Maggie C, an RN and head nurse of a busy neurological intensive care unit was reviewing the weekend staffing for the unit on a Friday afternoon. As usual, the unit’s nine beds were full with patients in various levels of recovery from brain surgery and head injuries. The staffing on the weekend was short, with only enough staff to safely care for eight patients. After a great deal of time reworking the schedule, calling nurses on the phone, and trading...
An area hospital adopted a commercial Electronic Health Record and plans on adopting and integrating a Personal Health Record (PHR). The hospital CEO drafts the following vision statement “By using the latest technology, our hospital will improve how our patients experiences and engagement in their healthcare. Instead of patients coming to us for help, we will be there wherever and whenever they need us, asking, “How can we help you?” This initiative will make healthcare easier to access and more...
You are a nurse in the ICU. Your patient is a 23 year old male who suffered a concussion and head trauma from a motor vehicle accident. The patient was stabilized and transferred to the intensive care unit for observation. During the second day, you notice that the patient had a large amount of urine output in the last 24 hours – approximately 5000cc. You look in his chart to confirm that he is not on diuretics. Why is his...
Raymond was one of two male nurses working in an ICU in an inner-city hospital. The nurse manager always put him in charge of the ICU whenever he worked his 12-hour shift. When Raymond was in charge, problems were handled quickly and without drama. His efficient demeanor during a code comforted families, staff nurses, and even the medical interns and residents. Attending physicians requested that Raymond care for their sickest patients as well as their family members. In addition, letters...
You are working on a medical unit of a hospital. At lunch a nurse mentions that one of her patients, Mrs. Fraser, was constantly asking for pain medication. The nurse reports that she took care of the problem by setting up a patient-controlled analgesia (PCA) system for Mrs. Fraser but did not tell her what she was doing so she could not object. Has this nurse committed a civil wrong? If so, what kind?