RUNNING HEAD: TASK 1 1
C489
C489: Organizational Systems and Quality Leadership- Task 1
Western Governors University
PART A: Application of Nursing-Quality Indicators
Nursing quality indicators are a great tool to keep in mind when taking care of patients to
ensure better outcomes. There are quite a bit of indicators that could be used in Mr. J’s case that
would be beneficial to his outcome and are being ignored. First things first Mr. J came in with a
right hip fracture which will affect his mobility which in return will affect his likelihood to have
skin breakdown and puts him at risk for pneumonia. The scenario already discussed how the
patient has a red depressed area on his bony spine. The spine or any area on the body that has a
bony prominence is at an increased risk for pressure ulcers. Nurses caring for Mr. J should keep
in mind that a patient with limited mobility should be getting turned every two hours to help
alleviate pressure areas and decrease the likelihood of an ulcer forming. If Mr. J did form an
open pressure ulcer that would lead to an increased risk of infection, need for daily wound care
and an extended unnecessary stay for the patient. Mr. J is also at risk for hospital acquired
pneumonia due to his limited mobility. When a patient is constantly laying in bed their lungs start
to suffer because of atelectasis which can turn into pneumonia. If the staff could walk Mr. J more
or work with him and an incentive spirometer to ensure he doesn’t get pneumonia. The scenario
also pointed out that Mr. J is in restraints and as far as I could see there was no reliable reason to
have him in restraints. Restraints can be beneficial to subdue a patient putting themselves at risk
but Mr. J doesn’t seem to meet that criteria. These restraints put him at an increased risk for falls;
both falls and restraint prevalence is a part of the nursing quality safety indicators. Lastly I feel
the nurses in this scenario could benefit from keeping in mind patient satisfaction. Reading
