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Clinical Journal #1 Clinical Journal: Week 1 – March – March Basic Patient Report My experience in the surgical and orthopedic floors at the University of Texas, Medical branch has provided me with several events to ponder on for my development towards becoming an efficient professional nurse.
A yellow bracelet and socks were worn by the patient to provide warning of the falls precaution requirement for the patient. Issue Encountered I observed the patient walking in the unit, and also moving out of the unit, without being stopped by any of the staff nurses. The issues here are the negligence of a system put in place for patient safety, and the confusion in me whether to intervene or not. Ultimately, I did warn the patient not to ambulate in the unit and also out of the unit. Questions Related to Practice Evidence from a long-term study of a large number of post operative patients in surgical units shows that 1.6% of surgical inpatients have one or more postoperative falls, with significant morbidity risk (Church et al, 2011). A possible cause of this risk for falls in postoperative patients is the use of strong analgesics of the opiate and opiate-like group to provide pain relief. These pain medications carry a high risk of falls in patients, from dizziness that is caused by them (Vestergaard, 2008). Recognition of the fall risk in postoperative patients assists in putting in place systems to reduce the risk of falls for patient safety. ...
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