Quality Improvement in Nursing

Quality Improvement in Nursing
NR392 Course Project Milestone 1 Template.docx 9/2018 CJM/VH 1
Course Project Milestone 1 Template For Use SEPT 2018
Directions: Prior to completing this template, carefully review Course Project Milestone 1 Guidelines paying particular attention to how to name the document and all rubric requirements. After saving the document to your computer, type your answers directly on this template and save again. This assignment is due by Sunday end of Week 1 by 11:59 p.m. Mountain Time.
Your Name: Nickflor Jean
Assignment Criteria
Your Answers: (NOTE: See Milestone 1 Grading Rubric for details required in each
area.) Nursing Care Issue and Outcome 30 points
Nursing Care Issue: My nursing care issue is I.V. infiltration in pediatrics
Outcome: To reduce the number of IV infiltration in my unit by 50% in the next 6mths.
Details of the Issue 45 points
IV infiltration can be explained as the leakage of medications or IV fluid into the neighboring cells and tissues. It is mostly caused by factors such as displacement of the catheter or an improper placement. The catheter can be displaced due to the movement of the patient. I.V. infiltration takes place when nonvesicant drugs escape from the veins and leak out to the neighboring cells and tissues. IV infiltration has various side effects such as discomfort, compartment syndrome or a need to reinsert the intravenous catheter. Such acts will likely increase the time the patient is hospitalized and/or permanent damage to children. Some of the signs and symptoms of this issue include blanching and cool skin, a decrease or stopping of the flow rate, burning, swelling and discomfort. There are a number of measures that can be utilized to prevent IV infiltration from happening. Some of the preventive measures include but not restricted to selecting the best site for IV infiltration and avoiding places of flection.
 Using the right venipuncture method  Regularly observing the IV site and documenting  Inform the patient to report any tenderness or inflammation at the
site  Re-train nursing staff in IV initiation, maintenance, documentation
and Identification of all risk factors

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