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Discharge Checklist To Enhance Rn Role And Prevent Unnecessary Readmissions, Rachel Keene Dec 2013

Discharge Checklist To Enhance Rn Role And Prevent Unnecessary Readmissions, Rachel Keene

Rachel Keene, RN, MSN

Discharge is included in every patient's plan of care. It is considered a basic procedure but, without a clear definition of each provider's responsibilities during discharge, duplication of tasks and errors of omission occur (Byrnes et al., 2009; Gawande, 2009). On a medical unit in a Silicon Valley hospital, RNs (Registered Nurse) are often inundated with auxiliary tasks in the hours before discharge. This is partly due to their proximity to the patient, but is mainly from the lack of a standard RN discharge procedure. Such norms jeopardize the RN's ability to provide care and can increase hospital readmissions (Jack …


Intergrative Review Of Palliative Care In End Stage Heart Failure, Joyce K. Kutin Jan 2013

Intergrative Review Of Palliative Care In End Stage Heart Failure, Joyce K. Kutin

Joyce K Kutin RN, MSN, MOL

The aim of this integrative literature review is to explore and discuss palliative care placement within the trajectory of heart failure in the end stage process. After an extensive search through 200 peer-reviewed studies published from 2009-2013 in the following databases: CINAHL, Academic Search Elite, Health Source Consumer Source Edition, Health Source: Nursing/Academic Edition, MEDLINE, Academic Collection (EBSCOhost), seven articles meeting the constraints were chosen.. Common themes of these studies concern symptom management, medication administration, and decision-making tools for assessing patient centered needs and future research regarding effective implementation of palliative care integration in end stage heart failure patients. Nurses …