Now that the interdisciplinary team has addressed the pre-steps, evaluated the questions of occurrence, detection and severity is not time for the team to test interventions that have been agreed upon for integration into an improved conscious sedation protocol. To do this the team would test the changes on a conscious sedation procedure in the emergency room. The very first change and very significant change would be the placement of the Respiratory therapist present from consent signature through procedure to the patients return to baseline level of consciousness. The very important goal of this change is to have one to one monitoring of 100% of all patients for respiratory sedation secondary to use of sedating medications. …show more content…
However, their roles are remarkably the same when it comes to ensuring quality patient care. Nurses are the primary care providers in the hospital setting at the bedside. In the home or community setting, the nurse plays a pivoting role through demonstrating, teaching and building confidence for others to provide care to patients or family members. Whether a professional nurse at the bedside or in an administrative position, the nurses’ role is critical. In promoting quality nurses demonstrate this value, no matter what role they play. Nursing practice that affect patient outcomes are a key part of quality improvement. Nursing involvement in quality care and quality improvement practices impact the organizations Quality Improvement goals as well as nursing sensitive indicators. The CNO provides an example to other nurses throughout the hospital through participation in the quality improvement process. Through integration of nursing practices, strategic planning, supportive budgetary lines the CNO provides guidance and sets the standard of excellent quality nursing …show more content…
The Nurse Manger is closer in proximity to the bedside nurse, but no less important than the CNO. The nurse manager provides support to the bedside nurse and encourages quality improvement and involvement through appreciation and service to the bedside nurse. By providing an example of excellent standards, the nurse manager can hear from the bedside nurse on a regular basis regarding barriers to quality care and assist with providing the tools to improve or work toward change to those barriers that ultimately improves quality care for all, while at the same time empowering the bedside nurse to voice concerns or ideas for improvement. The nurse manager has at times a difficult job of teaching and mentoring the bedside nurse to understand the rationale behind certain quality improvement initiatives. Particularly if those initiatives add to the workload for the bedside nurse. Explanation, education, involvement and support is what empowers the bedside nurse to strive for this goal is