UNEPortfolio

Category: Change

Presenting Change

      While we are still awaiting feedback on our dissemination project from peers and floor personnel,  I feel like I have been able to learn many valuable things about the nursing process and documentation.  Documentation of input and output in particular can be an overlooked and a tedious task.  Not only is it time consuming but, it is something I have seen  nurses just forget about.  This is concerning especially for patients dealing with heart problems.  Many of these patients are on diuretics or experience edema due to fluid overload.  The input and output has to be accurate for this reason so that doctors can prescribe proper dosages for their patients.  Without this information it can result in unwanted outcomes and longer patient stays. 

     During our research we came across a study that examined the use of automated urine output devices.  This study was able to conclude that these devices could be used without sacrificing accuracy of documentation.  Also, we found that documentation of input and output improved with increased staff education.  This education could be done via in person class or through online resources.  These were all important to increasing accuracy of documentation and raising awareness to staff. This was a large part of our topic proposal and is a critical part to nursing as we are constantly learning and educating.

     Reflecting on the work we did as a team, although I was not able to share a clinical experience with the rest of my group, I was able to learn a lot about myself as a communicator.   Because I was not able to meet weekly with floor personnel or their instructor directly, it forced me to adapt and find different ways to communicate with my group.  This was done via text message, talking with group members individually, and during our time in class.  Also, I was roommates with one of our group members so this was also very helpful.  This will only help me in my future because as a nurse you must be adaptable.  In a constantly evolving field where we see new technologies and medicines coming out every year, communication and education is key to success.  In addition, being able to work as a team regardless of circumstances is crucial to improving quality of care. Overall, this project was able to teach me how important is to be an effective communicator and how to critically think as we participate in evidence based initiatives.

Proposing Change

My main takeaway from this topic proposal and review is that through using automated urine output devices it can improve the timeliness of documentation without compromising accuracy of documentation.  This can be very useful in reducing nursing workload, fatigue, and most importantly, nursing error.  This gives nurses more time and energy to focus on other lifesaving interventions.   Researching this topic reinforced the importance of documenting input and output as this data is very important for making potentially lifesaving decisions for patients.  I have seen nurses overlook or forget to document input and output before in clinical and in my work as a CNA.  This made this topic especially important to me as it seems to be neglected at times. 

Researching this topic did not change any assumptions I previously had.  Having the experience from clinical and the work done in the classroom I think helped with this.  My team also did not need to revise the topic proposal that much.  We just had to make very minor tweaks with the formatting and citations.  Our group was also successful in finding a wide range of peer reviewed articles.  This was a benefit of having so many group members.  Because of this, we were able to pick and choose from a wide variety of articles for our proposal.  Lastly, having a larger group was useful for revising our proposal and providing feedback to each other.  This helped us to put forth our best work and ideas.

On the other side of things, there were some minor difficulties.  It was difficult for me to find times to meet as I was not a part of my groups clinical.  This made it hard to find times to meet and work together.  However, I was able to work through these difficulties as one of our group members was also my roommates so this made communication much easier. 

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