2. The registered nurse working in the cardiac care clinic is tasked with implem

Question

2. The registered nurse working in the cardiac care clinic is tasked with implementing quality improvement meas s. To educate the clinic staff, the nurse plans an in-service program to introduce concepts of quality improvement and dence based practice. Additionally, the role of the case manager will be included in the presentation. The nurse plans o ising ca of the patient with Congestive Heart Failure as a template, and prepares sample clinical pathways, care maps, an multidisciplinary action plans. (Learning Objective 3) a. Describe how clinical pathways are used to coordinate care of caseloads of patients. b. What is the role of the case manager in evaluating a patient's progress? c. What are examples of evidence-based practice tools used for planning patient care? O36:

Explanation / Answer

a. Clinical pathways to coordinate care of caseloads patients:

The clinical pathways are a helpful tool to avoid delay in the treatment process and discharge. An initial process to be achieved as soon as possible. In the acute stage of Phase I, the patient should be treated with oxygenation, patient outcomes, clinical monitoring, assessment of patients which include observation, measurements, elimination and the patient outcome. For CHF, the patient should be assessed for the rating of pitting edema.

In phase 2, the admission of first two days, the patient should be carried out all diagnostic and laboratory investigation, medication, and treatment of appropriate interventions, and adequate nutrition. In Phase 2 the maintenance phase, the treatment and intervention of patient, mobility and activity of the patient, psychological support, and Discharge planning are included.

b. Case Manager works as a collaborative process who assess, plans, implements, and evaluates the services in the individual to meet the goals and to promote quality care. The case manager assesses the use of resources in the clinical pathways. She also closely monitor the patient's needs. The nurse along with the case manager can provide coordinate care in resolving of patient's needs.

c. Evidence-based practice is vital in the nursing practice to provide quality care. EBP practice will improve patient outcomes and increases the patient's satisfaction. It reduces the health care cost and harm of the patient. some examples include

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