The aim of this book is to inform nurses about the most common and the more serious errors made in caring for neonatal patients. Nurses play the largest role in patient care and their overwhelming workload may sometimes lead to errors that are, in some cases, irreversible or even fatal, putting a great deal of responsibility on nurses to avoid errors. And amongst patients that nurses care for, the most vulnerable of these are neonates.
This book covers learnings about the uniqueness of neonatal patients and common conditions that are seen with patients in the neonatal intensive care unit (NICU). Factors that are predisposing and contributing factors for nursing errors are reviewed. The types of errors, consequences, detection, and monitoring for nursing errors are included. The book describes how errors can be avoided with necessary precautions, and managed appropriately based on current evidence-based practice. Recommendations for further study are also provided. This resource can be a useful tool for professional nurses, as well as nurse educators, leaders, and mentors to educate and guide their students and novice nurses.
Author(s): Kim Maryniak
Publisher: Springer
Year: 2023
Language: English
Pages: 123
City: Cham
Acknowledgement
Contents
Introduction
1: Overview of Common Conditions in Neonatal Settings
Transition to Extrauterine Life Complications
Preterm and Post-term
Birthweight and Growth
Infections and Sepsis
Fluid, Electrolyte, and Glucose Imbalances
Blood Disorders
Hyperbilirubinemia
Congenital Conditions
Neurological and Neuromuscular Conditions
Cardiac Disorders
Blood Gas Abnormalities
Respiratory Conditions
Gastrointestinal and Genitourinary Disorders
Musculoskeletal Conditions
References
2: Predisposing and Contributing Factors for Nursing Errors
References
3: Types of Errors
Errors Associated with Hospital-Acquired Conditions
Errors Associated with the Environment and Developmental Care Needs
Errors Related to Resuscitation
Errors Associated with Medical Devices and Equipment
Errors Associated with Identification
Errors Related to Procedures
Errors Affecting Skin Integrity
Medication Errors
Errors Related to Missed Nursing Care
References
4: Consequences of Nursing Errors
Levels of Harm
Avoidable Harm
Harmful Effects on Growth and Development
Central-Line-Associated Bloodstream Infections
Urinary Tract Infections
Ventilator-Associated Pneumonia
Disruption of Skin Integrity
Medication Errors
Widespread Effects of Patient Harm
References
5: Monitoring for and Detecting Nursing Errors
References
6: Best Practices to Prevent Nursing Errors
Scope of Practice
Bedside Report
Interdisciplinary Rounding
Standardized Communication
Strategies Specific to Infection Prevention
Approaches for Preventing CLABSIs
Best Practices for Avoiding UTIs
Preventing Ventilator-Associated Pneumonia
Strategies for Preventing Pressure Injuries
Prevention of Intraventricular Hemorrhage
Strategies for Preventing Medication Errors
Using a Daily Management System
Best Practices for Developmental Care
References
7: Case Studies
Case Study #1
Case Study #2
Reference
8: Recommendations for Further Study
Summary
