DECs, Baccalaureate Essentials, QSEN & IOM competencies Case study Essay paper.

This Discussion Board is designed to assist the RN-BSN integrate the Texas Differentiated Essential Competencies (DECs), Baccalaureate Essentials, QSEN & IOM competencies into their future professional nursing practice. Using the Standards of Professional Performance (ANA’s Nursing: Scope and standards of practice, pages 5-6), the DECs, Baccalaureate Essential IX, and the QSEN & IOM competency; Teamwork and Collaboration/Work in Interdisciplinary Teams, students will read and analyze a case study to determine the differences in care provided by the Associated degree prepared registered nurse and the Baccalaureate degree prepared registered nurse; list 2 safety factors associated with the patient in the case study and measures to be taken to protect both the patient and nurse from harm or injury; and in addition identify key interdisciplinary team members who should be DECs, Baccalaureate Essentials, QSEN & IOM competencies Case study Essay paper

 

CASE STUDY:COMPARISON OF ADN AND BSN PRACTICE &APPLICATION OF TEXAS

DECS,QSEN&IOMCOMPETENCIES

DISCUSSION BOARD

A 72 year old male (Mr. J) arrives at the emergency department complaining of shortness of breath for the past four days. He states, “My breathing is getting worse, I can’t seem to catch my breath and I get short of breath all the time.”  Mr. J. goes on to state, “It seems to get worse when I lay down or when I have to get up and move about.”  Mr. J. also complains of a night time cough, reports increased swelling in both his legs and states, “My feet are so swollen I can’t wear my shoes so I had to come here in my slippers.” DECs, Baccalaureate Essentials, QSEN & IOM competencies Case study Essay paper. He went on to say, “When I weighed myself this morning I noticed I’ve gained weight, especially around the abdomen.” Even worse he goes on to say, “I can’t seem to button my pants around the waist. When asked how long the swelling has occurred, he reports, “I started to gain weight about three weeks ago after the doctor took me off my Lasix.”

The patient has a history of hypertension, chronic renal insufficiency, and chronic respiratory infections. He has recently completed a round of Rituximab for follicular CD20-positive non-

Hodgkin’s lymphoma.  His vital signs are as follows: BP 210/106, HR 118, RR 26, T 98.2.  The patient presents with rales in both lung bases bilaterally and 2+ pitting edema in the lower extremities bilaterally.  The patient is in no acute respiratory distress but indicates he feels better when he sits up.  His oxygen saturation is 95%. DECs, Baccalaureate Essentials, QSEN & IOM competencies Case study Essay paper.

 

Step 1, Initial posting: 

Using the Standards of Professional Performance (ANA’s Nursing: Scope and standards of practice, pages 5-6), the Texas Differentiated Essential Competencies (DECs), highlight and discuss the differences between how an Associate degree prepared nurse and a Baccalaureate degree prepared nurse would provide care for this patient, support your posting with two professional peer-reviewed journals.

 

AACN Essential IX, Baccalaureate Program Preparation statement number 12 indicates a graduate is prepared to “create a safe care environment that results in high quality outcomes.” Identify 2 safety concerns for this patient and list corresponding measures a Baccalaureate prepared nurse might take to prevent harm or injury to either the patient or himself/herself? DECs, Baccalaureate Essentials, QSEN & IOM competencies Case study Essay paper.

 

Both the QSEN and IOM competencies highlight the importance of teamwork and collaboration/work in interdisciplinary teams. What five members of the interdisciplinary teams would you expect to be part of this patients’ care and why? Support your answer.

 

Comparing ADN and BSN Practices

Part 1.

Associate Degree in Nursing (ADN) and Bachelor of Science in Nursing (BSN) present two routes through which individuals can acquire registered nursing (RN) qualification. Still, that is as far as their similarities go. For one, ADN qualification is acquired from a two to three-year program whereas BSN qualification is acquired from a four-year baccalaureate program. This means that BSN graduates are better prepared to address patients’ needs when compared to their ADN counterparts since they are more knowledgeable having attended school for longer with more courses (Williams, 2013). In fact, BSN graduates take on more professional responsibilities since their curriculum allows them to implement solutions as it emphasizes evidence-based practice and leadership as opposed to ADN that does not emphasize the same aspects of nursing care. This means that ADN graduates are unable to take on proactive roles as they would magnify human errors within the context of poorly designed nursing systems. By taking on a proactive nursing leadership role, BSN graduates can identify the circumstances in which preventable errors occur and put measures in place to change workflows to ensure favorable outcomes for the patients (American Sentinel University, 2014). DECs, Baccalaureate Essentials, QSEN & IOM competencies Case study Essay paper.

Part 2. 

Based on the case study, two safety concerns can be identified. Firstly, the patient’s positioning must be corrected to avoid respiratory distress. He reports that he experiences shortness of breath when standing or lying down to imply that sitting upright relieves the distress. As such, the nurse should have the patient sitting upright to avoid continued distress. Secondly, the patient’s legs should be elevated to reduce the fluid pressure on the lower extremities and subsequent edema. Finally, an orderly should be engaged to facilitate the patient’s movement since he appears heavy and has difficulty in moving. Having a nurse move the patient or leaving the patient move on his own could result in additional injury. Addressing the three concerns as mentioned ensures that the patient’s case does not worsen even as diagnosis proceeds before an appropriate treatment is recommended.

Part 3. 

The patient’s interdisciplinary care team would comprise of a doctor, nurse, orderly, laboratory technician, and pharmacist. The doctor conducts the patient’s examination and recommends tests to be conducted before presenting a diagnosis and treatment plan. The nurse receives the patient and implements a care plan that proceeds until the patient is discharged. The orderly manages the patient’s movement and positioning. The laboratory technician conducts the tests as recommended by the doctor DECs, Baccalaureate Essentials, QSEN & IOM competencies Case study Essay paper. The pharmacist dispenses medication based on the doctor’s prescription.

References

American Sentinel University (2014). How Does Your Nursing Degree Affect Patient Mortality Rates? Retrieved from http://www.americansentinel.edu/blog/2014/06/04/how-does-your-nursing-degree-affect-patient-mortality-rates/

Williams, I. (2013). Find the Black Box: Prevent needless hospital deaths. Bloomington, IN: iUniverse LLC.

This Discussion Board is designed to assist the RN-BSN integrate the Texas Differentiated Essential Competencies (DECs), Baccalaureate Essentials, QSEN & IOM competencies into their future professional nursing practice. Using the Standards of Professional Performance (ANA’s Nursing: Scope and standards of practice, pages 5-6), the DECs, Baccalaureate Essential IX, and the QSEN & IOM competency; Teamwork and Collaboration/Work in Interdisciplinary Teams, students will read and analyze a case study to determine the differences in care provided by the Associated degree prepared registered nurse and the Baccalaureate degree prepared registered nurse; list 2 safety factors associated with the patient in the case study and measures to be taken to protect both the patient and nurse from harm or injury; and in addition identify key interdisciplinary team members who should be DECs, Baccalaureate Essentials, QSEN & IOM competencies Case study Essay paper