Nursing standards

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1. DEFINITION OF STANDARD It can be defined as a benchmark of achievement, which is based on desired level of excellence. As such standards become model to be initiated and may serve, in turn, as basis of comparisons The Oxford Dictionary,1964

2. DEFINITION OF NURSING STANDARD NURSING PRACTICE STANDARD ARE DESCRIPTIVE STATEMENTS THAT AFFECT THE NATURE OF CURRENT NURSING PRACTICE CURRENT KNOWLEDGE AND CURRENT QUALITY OF NURSING CARE. AS SUCH THEY ARE A MEANS OF ESTABLISHING ACCOUNTABILITY OF NURSING CARE RENDERED BY THE PROFESSIONAL NURSE.

3. IMPORTANCE OF STANDARDS FORM THE FUNDAMENTAL BUILDING BLOCKS INFLUENCE AND TRANSFORM THE WAY WE LIVE, WORK AND COMMUNICATE. ASSURANCE THAT THE HIGHEST QUALITY OF CARE WILL BE PROVIDED TO ALL PATIENT IN ALL HEALTH CARE SETTING. ESTABLISHED CRITERIA FOR THE PRACTICE OF NURSING.

4. PURPOSE OF STANDARD GIVE DIRECTION AND PROVIDE GUIDELINES FOR PERFORMANCE OF NURSING STAFF PROVIDE A BASE FOR EVALUATING QUALITY OF NURSING CARE, RANGING FROM EXCELLENT CARE OF USAGE CARE HELP TO IMPROVE QUALITY OF NURSING CARE INCREASES EFFECTIVENESS OF CARE AND IMPROVE EFFICIENCY HELP TO IMPROVE DOCUMENTATION AND RECORD OF CARE. HELP IN DETERMINE THE DEGREE OF STANDARDS HELP SUPERVISOR TO GUIDE NURSING STAFF TO IMPROVE PERFORMANCE

5. CONTI….. HELP TO IMPROVE BASIS FOR DECISION MAKING AND DESIRE ALTERNATIVE SYSTEM FOR DELIVERING NURSING CARE. JUSTIFY DEMANDS OR RESOURCE ASSOCIATION. HELP TO CLARIFY NURSES ’ AREA OF ACCOUNTABILITY. HELP NURSES TO DEFINE CLEARLY DIFFERENT LEVEL OF CARE.

6. CHARACTERISTICS OF STANDARD STATEMENT MUST BE BROAD ENOUGH TO APPLY TO A WIDE VARIETY OF SETTING. MUST BE REALISTIC, ACCEPTABLE AND ATTAINABLE. STANDARDS OF NURSING CARE MUST BE DEVELOPED BY MEMBER OF NURSING PROFESSION. SHOULD BE PHASED IN POSITIVE TERMS AND INDICATED, ACCEPTABLE PERFORMANCE THAT IN GOOD EXCELLENT ETC. IT MUST EXPRESS WHAT IS DESIRABLE IT MUST BE UNDERSTANDABLE AND STATED IN UNAMBIGUOUS TERMS IT IS BASED ON THE CURRENT KNOWLEDGE ON SCIENTIFIC PRACTICE REVIEW AND REVISED PERIODICALLY.

7. SOURCES THE STANDARD CAN BE ESTABLISHED, DEVELOPED, REVIEWED OR ENFORCED BY VARIETY OF SOURCES AS FOLLOW. PROFESSIONAL ORGANIZATION E.G., TNAI LICENSING BODIES- E.G. INC,MCI AND DCI ETC INSTITUTION/HEALTH CARE AGENCIES E.G. UNIVERSITY HOSPITAL, HEALTH CENTRES. DEPARTMENT OF INSTITUTION- E.G. SPECIFIC PATIENT UNIT GOVERNMENT UNIT AT NATIONAL, STATE LOCAL UNITS

8. CLASSIFICATION OF STANDARDS NORMATIC STANDARD EMPIRICAL STANDARD END STANDARD MEAN STANDARD STRUCTURE STANDARD PROCESS STANDARD OUTCOME STANDARD

9. STANDARD AND PRACTICE DEVELOPED BY INTERNATIONAL COUNCIL OF NURSES, 1949 THE INC ACT IS THE ONLY NATIONAL LEGISLATION DIRECTLY RELATED TO NURSING PRACTICE THE RIGHT TO REFUSE TO TREAT THE PATIENT EXCEPT IN AN EMERGENCY SITUATION. THE RIGHT TO ISSUE FOR FEES THE RIGHT TO ADD A LITTLE OR DESCRIPTION TO ONE NAME UNREGISTERED PRACTITIONER

10. FUNDAMENTAL DUTIES TO EXERCISE A REASONABLE DEGREE OF SKILL AND KNOWLEDGE IN TREATING PATIENT. OWNS A RELATIONSHIP TO A PATIENT HAS BEEN ESTABLISHED A PRACTITIONER MUST GIVE PERSONAL ATTENTION TO HIS CASE AND ANSWER CALLS CHILDREN MUST BE PROTECTED FROM HARMING THEMSELVES SPECIAL PRECAUTION MUST BE TAKEN IN CASE OF ADULTS WHO ARE INCAPABLE TO TAKE CARE OF THEMSELVES. DANGEROUS DISEASES MUST BE REPORTED.

11. STANDARD BY THE INC THE COUNCIL HAS IN THE FRAMEWORK FOR POST-REGISTRATION NURSING PRACTICE EDUCATION (MAY 2001) PROVIDES THE FRAMEWORK ON WHICH PARTICULAR COMPETENCIES FOR A DEFINED SPECIALLY AREA. IT DEFINED AS SPECIALLY NURSING PRACTICE IS THE EXERCISE OF HIGHER. IMPROVING THE QUALITY OF PROFESSIONAL SERVICE. STANDARD MUST BE EVIDENCE BASED. MUST USE STANDARDS TO EVALUATE THEIR PRACTICE

12. STANDARD BY THE SNC THE STATE GOVERNMENT CONTROL NURSING PRACTICE THROUGH THE STATE NURSE ’ S REGISTRATION ACT. THE TNMC HAVE ACT THAT PREVENT REGISTRATION OR JUSTIFY REMOVAL FROM THE REGISTER FOR THE FOLLOWING OFFENSES CONVICTION FOR A NONBAILABLE OFFENSE. BEING FOUND GUILTY POSSESSING DEFECT IN CHARACTER.

13. CONTI…. UNETHICAL PRACTICES PROHIBITED THE TNMC ARE : THE DISHONEST USE OF CERTIFICATES PROCURING REGISTRATION BY FALSE MEANS FALSIFICATION OF THE REGISTER REPRESENTATION OF THE REGISTRATION BY AN UNRECOGNIZED PERSON REPRESENTATION OF REGISTRATION AS A MEDICAL PRACTITIONER A FINE IS THE USUAL PENALTY IMPOSED FOR DISOBEYING THE LAW STATED BY TNC

14. CONTI…… INFECTION CONTROL; STANDARD SAFETY MEASURES SICP (STANDARD INFECTION CONTROL PRECAUTION) ARE DESIGNED TO PREVENT CROSS TRANSMISSION FROM RECOGNIZED AND UNRECOGNIZED SOURCES OF INFECTION. EVERY HOSPITAL HAVE INFECTION CONTROL UNIT WHICH WILL BE HANDLED BY AN INFECTION CONTROL TEAM WHO WILL OBSERVE THE STANDARD PRECAUTIONS FOLLOWED BY EACH STAFF MEMBERS .

15. RESPONSIBILITY OF WORKERS REGARDING STANDARD INFECTION CONTROL PRECAUTION ALL STAFF PROVIDING DIRECT CARE IN A HEALTHCARE SETTING MUST APPLY PRINCIPLES OF SCIPS. ALL STAFF HAS RESPONSIBILITY TO ENCOURAGE PATIENTS/ RELATIVES/ RESIDENTS, CARERS AND OTHER STAFF TO COMPLY WITH THE PRINCIPLES OF STANDARD INFECTION CONTROL PRECAUTION. REPORT TO NURSE IN CHARGE ABOUT THE DEFICIT KNOWLEDGE AND OTHER FACTOR RELATED TO SCIP, THAT MAY RESULTED TO CROSS CONTAMINATION. NOT PROVIDE DIRECT PATIENT CARE WHILE INFECTIOUS AS THIS COULD CAUSE HARM. CONSIDER THE ELEMENTS OF SCIP SUCH AS HAND HYGIENE AS AN OBJECTIVE WITHIN STAFF CONTINUING PROFESSIONAL DEVELOPMENT ENSURING CONTINUOUS UPDATING OF KNOWLEDGE SKILL BE AWARE OF NATIONAL AND LOCAL POLICIES, PROCEDURE, AND CAMPAIGNS

16. STANDARD PRECAUTION THEY ARE BASED ON THE CONCEPTS THAT ALL BLOOD, URINE, FAECES, VOMITING, EXCRETA, SALIVA, SPUTUM, SECRETION FROM NONINTACT SKIN, WOUNDS AND MUCOUS MEMBRANE SHOULD BE TREATED AS POTENTIALLY INFECTIOUS. EVERYONE SHOULD TAKE APPROPRIATE PROTECTIVE MEASURE WHEN COMING INTO CONTACT WITH THEM. THESE INCLUDE: HAND HYGIENE RESPIRATORY HYGIENE AND COUGH MANNERS USE OF PPE PROPER CLEANSING AND DISINFECTION PREVENTION OF SHARP INJURY WASTE MANAGEMENT ISOLATION OF INFECTED PATIENTS BARRIER NURSING SPECIFIC PROTECTION OF THE STAFF INCLUDE : IMMUNIZATION PERIODICAL HEALTH EXAMINATIONS OF THE EMPLOYEE

17. Made By: Akansha John M.Sc Nursing