Part of the requirements for my course was to find a gap in my practice facility and fix it. Well, you could imagine how well the nurses would respond if they were getting instructions from the new kid on the block.
After a few months of working on the floor, I had noticed that a lot of nurses don't really know how to use the Braden scale..or ...we DO know, we're just not doing it. A lot of the time, due to time constraints and the overwhelming list of duties nurses have, the Braden scale is simply just another piece of documentation we needed to do. Nothing more, and nothing less. The scale was completed within the first hour of the patient's arrival. So, how would we know if the patient was immobile or incontinent at night? We don't. But a bigger concern was that there was absolutely no point of doing the Braden scale to assess risk if there was no care plan in place. It was like complaining that we're fat while eating McDonalds, it made no sense.
Anyways, this was my process:
a not so boring way of looking at change process
Due to the time constraints of this project, I decided to focus on education for clinicians (not just nurses) about the use of the Braden scale.
In the future, I intend to develop some sort of care plan that is effective, efficient and not so time consuming.
Tell me what you think!
p.s. I know there are spelling errors on that presentation
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