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Reducing Deaths and ICU Admissions through the EARLY SAVE Program

Discuss about the Evidence Based Practice for Clinical Deterioration.

The EARLY SAVE has been effective in improving early recognition and response to clinical deterioration in the hospital according to the patient outcome data presented by the metropolitan hospital. The program works alongside the code blue program the (PRE EARLY SAVE) that handles severe medical emergencies. The reason is that it has educated the clinical staff on how well to handle the patients who suffer from serious ailments.

During the POST EARLY SAVE program, 50% of the individuals remained in the ward without being transferred. That means that their condition was not critical. As such, the patients were improving after the introduction of the program.

% of people who could not be resuscitated during the pre- EARLY SAVE program were 25%

% of people who could not be resuscitated during the  post-EARLY SAVE program were 10%

This shows that the number of people who died before the program reduced to ten percent. It showed that the early save program took quick steps in saving the lives of the patients.

% of people who were transferred to the ICU during the pre-early save program were 35 while those who were transferred during the post EARLY SAVE program were 20. This shows that the rate of admission to the ICU reduced since the introduction of the program. The Medical Emergency Team took quick actions towards treating the patients.

The % of people transferred to the HDU program during the pre -EARLY SAVE was 20.

The number of people transferred to the HDU program during the post ERALY SAVE program was20.

The same percentage of people transferred to HDU shows that the program was successful in handling the cases clinical deterioration. The High Dependence Unit accommodates people who require a single organ support unlike those in the ICU who require multiple support.

The percentage of patients who remained in the ward during the pre- EARLY SAVE program was 20.

The % of people who remained in the ward during the post-EARLY SAVE program was 50. This shows that the program was able to reduce the number of people being transferred to ICU. The program managed to provide quick response to the patients so that those who suffer from critical conditions reduced significantly.

The program has helped in detecting the early signs of heart conditions and it has made it possible to treat them for the well-being of the patient. Detecting the problem early helps to give time to the doctors to give medical care to the patient before the situation gets worse.

Detecting Heart Conditions Early

The data obtained in pre and post EARLY SAVE program can be used to report against National Safety and Quality Health Services (NSQHS) by the hospital. The standard 9 program of responding and recognizing the deterioration in acute healthcare requires that the seriously ill patients be provided with attention and care on time. The hospital may use the data obtained in the EARLY SAVE program to report the failure to look after the seriously ill patients on time. The number of deaths that are reported shows some level of failure on the service because they are supposed to know how to respond to emergencies and prevent the loss of lives. By showing the number of patients that are taken to the ICU before or after the EARLY SAVE program the hospital is likely to show how they have managed to deliver a slow or rapid response to the delivery of care to the patients. It will show whether the NSQHS has been in a position to act quickly towards saving the lives of the patients (Deakin et al, 2010). The pre and post EARLY SAVE program will also show the number of patients who are admitted in the wards in critically ill conditions and how quickly they recover. According to the graph, patients died during PRE-EARLY SAVE program various patients died while others were admitted in the ICU.

Resuscitation is the act of reviving someone from unconsciousness or the apparent death. It is done during a prolonged period of unconsciousness by use of artificial ventilation and chest compression (Soar, 2013). The process is meant to awaken the patient so that he may regain consciousness. It is the hope of the medical practitioner that the patient recovers after undergoing the process. In most cases, the family members are kept away when their loved one undergoes the process. There is a debate as to whether the family members should be present during the process. In the cases where the doctors fail to allow them, some family members fight for their rights to be present during the process. The family members should be present during the process. According to some research findings, the presence of the family members would play a significant role in their lives (Handley, 2005).

If the family members are allowed to be present during the process of resuscitation it would increase their confidence in the healing of the individual. The family members would participate in prayers during the process while waiting for their loved one to recover. They would also have the courage to wait for their loved one to heal having the faith that all will be well. The family members would also have an opportunity to see that the doctors tried their best to revive their loved one in case it failed to work (Ornato, 2005). They would not have to blame the doctors for anything. According to research, the family members would be more satisfied to see the process being conducted than when they would be far away. The presence of the family members would help eliminate any dispute that may emerge between them and the doctors in case the patient died (Arnold, 2014). In some instances, the family members blame the doctors when they lose their loved ones claiming that the never did their best to save them. In such a case the presence of family members would be of great importance. They would also be in a position to know how sick their patient was when the process was being carried out. The family members often raise their expectations too high and trust the effort of the doctors too much such that the always find them at fault in case the patient dies (Craft-Rosenberg, 2011).           

Using the Pre and Post EARLY SAVE Data for Reporting to NSQHS

Their presence in the resuscitation room would help them see that the doctors did their best and thus fail to blame them. The family members will have the evidence that the doctors did everything possible to help save the life of their loved one. In case their loved one dies in their presence, it will help them come to terms that death is real and it can occur to anyone. The family members will have the opportunity to confess to their friends that everything possible was done to save their loved one (Nolan et al, 2008). The presence of the family members during this process would help clear any suspicions that the family members had regarding their loved one (Champ-Gibson, 2016). It would also help reduce the instances of post-traumatic stress disorder on the family members according to recent research (Snyder & Gauthier, 2008). The reason is that they will have faced the situation in the hospital and accept its reality. The presence of family members during the process would also ease the stress of the doctors of conveying the news of the death of a loved one to them. It would not be difficult for the doctors to reveal what happened to the family members because they were present during the process. The doctor would also have time to comfort the family members during the trying moment. Nevertheless, some research findings indicate that the presence of the family members during the process of resuscitation would make them interfere with the process (Tang, 2012). The reason is that some of them may shout or yell when the process is being conducted. Some family members may fail to stand what their loved one is going through and thus may fail to control themselves after seeing the process being undertaken on their loved one. The action may interfere with the smooth running of the process. In such a case it may be argued that they be absent during the process if they will fail to manage their emotions. It is also argued that the family members witnessing the procedure may suffer from psychological trauma (Hance, 2014)Top of Form.  However, it is important for the family members to be present in order to see the efforts of the doctors to save the life of their loved one. It would help them see that no one wanted the life of the person to be lost but nature took its course. It is also essential for the family members to be present during the last moments of the life of their loved one (Sunde et al, 2007).

Conclusion

It is important for the family members to be present during resuscitation. Although it may not be good for some, it is necessary for them to witness how the process is being conducted on their loved one. The health professionals would support the presence of the family members so that they would witness the serious condition of their loved one. The presence of the family members would also prevent blame game since they would not blame the doctors for the loss of their loved one in case he dies. It would also be necessary for the family members to be present during the process so that they can have their final moments with their loved one and also see the reality of death.

References

Arnold, S. L. S. 2014. Family presence during resuscitation: Changing the American paradigm. Madison, New Jersey : Drew University

Craft-Rosenberg, M., & Pehler, S.-R. 2011. Encyclopedia of family health, Thousand Oaks, Calif: Sage.

Champ-Gibson, E. K., Severtsen, B., 2016. Understanding family members' experiences of facilitated family presence during resuscitation. Washington State University.

Deakin, C. D., Nolan, J. P., Soar, J., Sunde, K., Koster, R. W., Smith, G. B., & Perkins, G. D.      2010. European resuscitation council guidelines for resuscitation 2010 section 4. Adult        advanced life support. Resuscitation, 81(10), 1305-1352. Bottom of Form

Hance, R., & Rigdon, W. 2014. Family presence during resuscitation Phoenix, Arizona :   Grand Canyon University

Handley, A. J., Koster, R., Monsieurs, K., Perkins, G. D., Davies, S., & Bossaert, L. 2005. European Resuscitation Council guidelines for resuscitation 2005. Resuscitation, 67, S7-        S23.

Nolan, J., Smith, G., Evans, R., McCusker, K., Lubas, P., Parr, M., . & Devon, R. 2008. TheUnited Kingdom pre-hospital study of active compression-decompression resuscitation.         Resuscitation, 37(2), 119-125

Ornato, J. P., & Peberdy, M. A. 2005. Cardiopulmonary resuscitation. Totowa, N.J: Humana Press.

Sunde, K., Pytte, M., Jacobsen, D., Mangschau, A., Jensen, L. P., Smedsrud, C.,& Steen, P. A2007. Implementation of a standardized treatment protocol for post resuscitation care       after out-of-hospital cardiac arrest, Resuscitation

Snyder, J. E., & Gauthier, C. C. 2008. Evidence-based medical ethics: Cases for practice- based learning. Totowa, N.J: Humana Press

Soar, J., Perkins, G. D., & Nolan, J. 2013 ABC of resuscitation: Editors, Jasmeet Soar, Gavin  D. Perkins, Jerry Nolan. Chichester, West Sussex: Wiley-Blackwell.

Tang, W. 2012. CPR. Philadelphia, Pa: Saunders.

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